Medical Forum / General / Vision / June 2006
Today's Times article on vision correction in Naval Acad.
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Scott Seidman - 20 Jun 2006 14:21 GMT Today's NY Times is running an article on how the Acadamy is making vision correction surgery available for free to middies. One impact is that since more people have good enough vision to enter flight school, they are having a tougher time filling other slots.
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odisbrown@pa.net - 20 Jun 2006 14:30 GMT Dear Scott,
Subject: military pilots vision requirements
Scott> Today's NY Times is running an article on how the Acadamy is making vision correction surgery available for free to middies
Odis> Perhaps THEY understand the average "down rate" that occurs during those four CRUCIAL years.
Odis> From the research taht I have seen, the average midshipmen can "DOWN" nearly seven light beers at a sitting.
Odis> This beer study is VASTLY different from the famous, tequila-sponsored "Shotwell" study that--for some reason--was never completed.
Best,
Odis Borderline Personality
otisbrown@pa.net - 20 Jun 2006 15:07 GMT If you wish a review of the preventive second opinion read:
www.chinamyopia.org
Or my statements supporting the second opinion read:
www.myopiafree.com
Best,
Otis
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> Dear Scott, > [quoted text clipped - 17 lines] > Odis > Borderline Personality otisbrown@pa.net - 20 Jun 2006 15:11 GMT Remarks by Dr. Stirilng Colgate:
My support for Steve Leung OD and Alfred Bossino
To the Parents,
I have often wondered why the profession of optometry does not change its treatment for the prevention of myopia with a plus lens -- in these decades after the ground-breaking scientific research by Dr. Francis Young, Dr. Howard Howland and others has been successfully completed.
I have seen the number of young myopes increase in the USA and to an incredible extent in the Far East. The prevalence is very serious in Japan, Hong Kong, Singapore, Taiwan and China.
I regret this obvious and rapid increase in the degree of myopia around the world -- because of the use of the traditional (minus-lens) treatment. This is a primitive method indeed. To this date there has been no systematic effort to educate the public about this method of effective nearsightedness prevention with the plus lens.
I personally support and recommend the work of Steve H. Leung and Alfred Han Bossino. They are making a sincere effort to educate the public about the necessity of "correct use" of the plus lens for prevention. Mr. Leung's knowledge and skill will be of considerable value to your child in his goal of maintaining clear distant vision through the school years.
S.A.C.
otisbrown@pa.net - 20 Jun 2006 15:13 GMT Additional second-opinion remarks by Dr. Colgate:
November 20, 2004 SF_NAS.txt
To the Parents:
In the Matter of Steve H. Leung OD and Alfred H. Bossino.
Dear Sir,
I am a senior scientists, astrophysicist and nuclear physicist at Los Alamos National Laboratory and a member of the National Academy of Sciences of the USA. For all of my scientific career I have been dedicated to understanding the cause of natural phenomena. From the age of 13 years, now 66 years ago, I recognized that the standard response to myopia was perhaps miss guided. Instead I used positive lens glasses to correct, or alter my focal environment, namely one of reading nearly all the time. (A positive lens "corrects" a near-point focal environment by altering the light rays to be more parallel from the near-point object. as if the print were made more distant.) Being young and therefore developmentally plastic, my eyes and their focal properties immediately responded. Within just a few weeks, the clarity or focus of distant objects had been restored. This was just as I expected from scientific arguments. I had to maintain a positive lens for reading thereafter. This was a small price to pay for perfect distance vision for all my life.
I have continued an effort to bring this awareness of the focal adaptation of the natural eye to the public, but unfortunately the ease and immediate response of the standard treatment of using a negative lens to reverse the myopic adaptation to a near point environment is so immediate and so rewarding to the myope that I and a few associates have not been successful. This is regardless of the decades after the ground breaking scientific research by Dr. Francis Young, and Dr. Howard Howland and others.
I have worked scientifically with Prof. Joshua Wallman of City College New York where his research on the response of the natural eye to focal and neurological environments is leading the fundamental research on this topic in the US. The animal model used is the recovery function of the deprivation induced myopia of the chicken eye. Here myopia and recovery can be altered by 10 diopters in a few weeks. This extreme animal model allows many factors of influence to be investigated in a short time. Although the complexity of the response of the eye is extraordinary and a detailed understanding of the mechanisms still eludes all in the scientific field, nevertheless there is no experiment, no anecdotal example that contradicts, and no doubt in my mind that myopia in all animals, including humans, is induced in response to a near point environment.
In view of this research and countless personal successful examples the growing number of myopic individuals in the world is deplorable, when such a simple remedy is available to the public.
Steve H. Leung OD is a dedicated optometrist who has taken a lead in attempting to bring this knowledge and benefit to their patients.
For them to be persecuted within his own professional societies is wrong. He should be lauded and encouraged instead.
I am reminded of the first health professionals who spoke out about the health problems that smoking brings to a society. Theirs was a difficult task, but now thirty years later, smoking in the US has declined to a negligible fraction of society. If we, as a culture, can give up smoking, we can also be weaned from the negative lens.
I do hope and recommend that you strongly support what these dedicated optometrists are bringing to your profession.
Sincerely yours,
Stirling A. Colgate Ph.D.
Dr. Colgate is a Senior Fellow Los Alamos National Laboratory and a Member of the National Academy of Sciences of the USA.
otisbrown@pa.net - 20 Jun 2006 15:16 GMT Second-opinon PREVENTIVE remarks by Dr. Francis Young:
Professor Emeritus at Wshington State University, Dr. Young is also a recipient of the AOA's prestigious Apollo Award, as well as ten other honors in the optometric profession. He has authored or co-authored more than 100 research papers, and his groundbreaking research with Native Alaskans in 1968 provided powerful evidence that nearsightedness might not be inherited and could potentially be prevented. He is a graduate of Ohio State University.
________________________________________________________
My support for Steve Leung
To the Parents:
I would like to personally endorse the work of Steve H. Leung and Alfred Han Bossino in their effort to educate the public about the necessity of using the plus for prevention. Dr. Leung's knowledge and skill could be of considerable value to your child in his goal to maintain clear distant vision through the school years.
Francis A. Young Ph.D.
N.B.:Professor Young requests the removal of his name as an author of the Houston bifocal study.
otisbrown@pa.net - 20 Jun 2006 19:29 GMT But, of course, if you love seeing your kids develp stair-case myopia from the minus -- as these 85 percent has done it -- then go ahead.
4) Goh and Lam (Goh, W.S. and Lam, C.S., "Changes in refractive trends and optical components of Hong Kong Chinese aged 19-39 years," Ophthal. Physiol. Opt., 14:378-382, 1994) found that in 2000 first-year students at the University of Hong Kong, the prevalence of myopia was 87.5%.
The evidence is that this situation could have been PREVENTED at the threshold.
But that is the nature of your choice -- as suggested by Francis Young and Stirling Colgate.
Just be wise in choosing a prevention-minded OD to HELP YOUR KID, before the situation gets out-of-hand with an over-prescribed minus.
See:
www.chinamyopia.org
for details on the preventive method.
Best,
Otis
> Second-opinon PREVENTIVE remarks by Dr. Francis Young: > [quoted text clipped - 22 lines] > N.B.:Professor Young requests the removal of his name as an author of > the Houston bifocal study. Neil Brooks - 20 Jun 2006 19:32 GMT >But, of course, if you love seeing your kids develp stair-case >myopia from the minus -- as these 85 percent has done it -- then [quoted text clipped - 8 lines] >The evidence is that this situation could have been PREVENTED >at the threshold. Where IS this evidence. It's actually what most of us (intelligent people) would call "your hypothesis," but it doesn't stand up to human testing.
Pity.
>But that is the nature of your choice -- as suggested by >Francis Young and Stirling Colgate. You mean for "near point esophores?" Can you spell that? Can you say that? Do you know what that means?
No?? Oh, well.
>Just be wise in choosing a prevention-minded OD to >HELP YOUR KID, before the situation gets out-of-hand [quoted text clipped - 5 lines] > >for details on the preventive method. Any evidence that it's working for your (under investigation by Hong Kong's authorities) friend, either? Not that any of US has ever seen.
Back to your Ouija board, Otis. It's time.
Mike Tyner - 20 Jun 2006 15:23 GMT > Dr. Colgate is a Senior Fellow Los Alamos National Laboratory > and a Member of the National Academy of Sciences of the USA. So where has Dr. Colgate published results comparing humans wearing plus lenses with humans who don't?
-MT
Dr Judy - 20 Jun 2006 16:59 GMT > Additional second-opinion remarks by Dr. Colgate: > [quoted text clipped - 6 lines] > > Dear Sir, snip
> I have worked scientifically with Prof. Joshua Wallman of > City College New York where his research on the response of the > natural eye to focal and neurological environments is leading the > fundamental research on this topic in the US. Shall we look at what Prof Wallman has to say about myopia?
Here is a quote from an review he published in Neuron in 2004
"Related to this, there has been a view, which has existed on the margins of science for decades, that most myopia is iatrogenic, in that the eye doctor, instead of letting the myopia stabilize at the level that brings the page into focus, corrects the vision with negative lenses, which reimposes the original error that caused the myopia in the first place (Medina and Fariza, 1993). Needless to say, this idea has not been explicitly tested, as that would require randomly assigning some myopic children to be uncorrected, a procedure unlikely to be tolerated by parents or institutional review boards. A more modest test of this hypothesis was to undercorrect the myopia of children. Several small studies found undercorrection to reduce myopic progression (Goss 1994 and Ong et al. 1999), but in a recent, larger study, undercorrected children showed greater, not less, myopic progression than those who were fully corrected (Chung et al., 2002)."
So he has looked at the literature and debunks the idea of staircase myopia.
And in the same review he discusses reading and suggests that if myopic blur is induced by reading that it should help prevent myopia, ie reading with plus lenses to prevent myopic blur would be counter productive:
"In light of the work discussed above concerning brief myopic defocus canceling the effects of long periods of hyperopic defocus, we would be inclined to the opposite interpretation, namely that brief myopic defocus after each period of reading would protect the eye against myopia."
Dr Judy
Neil Brooks - 20 Jun 2006 19:12 GMT >> Additional second-opinion remarks by Dr. Colgate: >> [quoted text clipped - 48 lines] > >Dr Judy Ouch. That doesn't make what Otis says look very credible, now does it.....
Mike Tyner - 20 Jun 2006 15:22 GMT > I have often wondered why the profession of optometry does not change > its treatment for the prevention of myopia with a plus lens -- in these > decades after the ground-breaking scientific research by Dr. Francis > Young, Dr. Howard Howland and others has been successfully completed. You missed the three or four decades where we DID use plus to prevent myopia. Funny how you can ignore that.
It didn't work so we quit.
> I regret this obvious and rapid increase in the degree of myopia around > the world -- because of the use of the traditional (minus-lens) > treatment. And you think they all got that way from wearing glasses. They didn't.
>This is a primitive method indeed. To this date there has > been no systematic effort to educate the public about this method of > effective nearsightedness prevention with the plus lens. Because it doesn't work. You haven't shown that your treatment works.
> I personally support and recommend the work of Steve H. Leung and > Alfred Han Bossino. They are making a sincere effort to educate the > public about the necessity of "correct use" of the plus lens for > prevention. Mr. Leung's knowledge and skill will be of considerable > value to your child in his goal of maintaining clear distant vision > through the school years. So maybe one of those learned experts will publish a report showing that your therapy is effective.
Maybe not.
-MT
odisbrown@pa.net - 20 Jun 2006 19:14 GMT Dear Mike,
Subject: the wretched minus lens
Mike> You haven't shown that your treatment works.
Odis> More importantly, perhaps, is that I have SAID that it works.
Odis> But that is truly the fundamental nature of our pleasant discussion of boxes and cameras and monkeys and bears, oh my.
Best,
Odis Full Episodic Break With Reality
Dr Judy - 20 Jun 2006 16:43 GMT > Remarks by Dr. Stirilng Colgate: > [quoted text clipped - 6 lines] > decades after the ground-breaking scientific research by Dr. Francis > Young, Dr. Howard Howland and others has been successfully completed. I wonder why Dr Sterling Colgate does not check the literature. Vision researchers have tested whether plus lenses work to prevent myopia for the past twenty years and found that it doesn't work. The reason why clinical optometrists do not recommend the plus lens is "IT DOESN'T WORK".
Perhaps he should also check out Dr Howland's more recent research, in which he finds that wearing minus lenses does not result in increase in myopia in chicks, that different genetic strains of mice and chicks vary considerably in their eye growth response to myopic and hyperopic blur, that reading does not result in sustained accommodative spasm when reading stops, that wearing plus lenses during reading does not result in decreased accommodation during reading and that accommodation is really not much of a factor in myopia development. Find them all on PubMed
Dr Judy
Neil Brooks - 20 Jun 2006 19:15 GMT >> Remarks by Dr. Stirilng Colgate: >> [quoted text clipped - 24 lines] > >Dr Judy Ouch. Wow. That does amazingly little to bolster Otis's position.
Hmmm. I suddenly find myself skeptical....
Dr. Leukoma - 20 Jun 2006 17:28 GMT > Today's NY Times is running an article on how the Acadamy is making vision > correction surgery available for free to middies. One impact is that since > more people have good enough vision to enter flight school, they are having > a tougher time filling other slots. I have had a number of post-LASIK patients in the uniformed services and law enforcement consult me concerning night vision issues. Their concern is that the presence of halos and starbursts may impair their night vision performance. I don't recall seeing this issue raised in the article.
DrG
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