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Medical Forum / General / Vision / July 2006

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And you wonder why so many children ruin their eyes and become highly myopic?

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acemanvx@yahoo.com - 21 Jul 2006 06:26 GMT
http://www.babyart.org/store/en/articles/img220.jpg

http://www.calvarycdc.com/cdc/images/gal_boy-w-glasses.gif

Glasses at a young age and reading without taking your minus glasses
off will led to stair-case myopia and your eyes will be really bad in
short time. And you wonder why myopia is an epidemic!
Dr. Leukoma - 21 Jul 2006 13:14 GMT
> http://www.babyart.org/store/en/articles/img220.jpg
>
[quoted text clipped - 3 lines]
> off will led to stair-case myopia and your eyes will be really bad in
> short time. And you wonder why myopia is an epidemic!

I hate to be impolite, but you post absolute rubbish.  What's your
problem?

DrG
Salmon Egg - 21 Jul 2006 17:08 GMT
On 7/21/06 5:14 AM, in article
1153484042.696356.61000@h48g2000cwc.googlegroups.com, "Dr. Leukoma"
<drg@leukoma.com> wrote:

>> http://www.babyart.org/store/en/articles/img220.jpg
>>
[quoted text clipped - 8 lines]
>
> DrG

I have yet to be convinced that acemanvx's view is indeed rubbish. I have
seen the propaganda but not the evidence.

DrB (not MD, OD etc)
-- Ferme le Bush
otisbrown@pa.net - 21 Jul 2006 18:00 GMT
Dear Salmon,

DrL expresses his OPINION -- that anyone who disagrees with his
OPINION -- is rubbish.

This includes all second-opinion people, scientists, medical doctors,
other optometrists, engineers, pilots -- and anyone who
questions putting a 3 year-old child with 20/50 -- into
a -10 diopter minus lens.

I suggest that we take time to UNDERSTAND the
second-opinion, and the SCIENTIFIC reasons for it.

Best,

Otis

> On 7/21/06 5:14 AM, in article
> 1153484042.696356.61000@h48g2000cwc.googlegroups.com, "Dr. Leukoma"
[quoted text clipped - 18 lines]
> DrB (not MD, OD etc)
> -- Ferme le Bush
Mike Tyner - 21 Jul 2006 18:30 GMT
> I suggest that we take time to UNDERSTAND the
> second-opinion, and the SCIENTIFIC reasons for it.

And I suggest you take time to find us a study where wearing glasses made
myopia worse.

Until you do, you're preaching myths as if they were fact.

(I know - the studies were done but the results were suppressed by a vast
optical conspiracy.)

-MT
Mike Tyner - 21 Jul 2006 18:27 GMT
> I have yet to be convinced that acemanvx's view is indeed rubbish. I have
> seen the propaganda but not the evidence.

You will search far and wide trying to find a study showing "staircase
myopia" exists. I haven't found one yet, after 20 years of looking.
Everything I've found (comparing those wearing full-time and those wearing
part-time or not-at-all) shows it makes no real difference.

Please tell us when you find otherwise.

-MT
Salmon Egg - 22 Jul 2006 06:51 GMT
On 7/21/06 10:27 AM, in article
pOednTEb9LLkk1zZnZ2dnUVZ_vWdnZ2d@giganews.com, "Mike Tyner"
<mtyner@mindspring.com> wrote:

>> I have yet to be convinced that acemanvx's view is indeed rubbish. I have
>> seen the propaganda but not the evidence.
[quoted text clipped - 7 lines]
>
> -MT

There certainly is some experimental evidence with chickens and primates
that indicate negative lenses induce myopia. While there may be no smoking
gun with regard to negative lenses and human myopia, the implication has not
been disproven either. I do not know how an ethical experiment using humans
could be implemented.
-- Ferme le Bush
acemanvx@yahoo.com - 22 Jul 2006 08:49 GMT
http://groups.google.com/group/sci.med.vision/browse_thread/thread/eef72f749779a
f1d/b8576d5a0c87f3eb?lnk=gst&q=this+guy+improved&rnum=5#b8576d5a0c87f3eb


http://www.tc.umn.edu/~schw0709/stories/VisionTherapy.html

Need I say more? *why* was he prescribed a minus lens? *Why* was I
prescribed a minus lens? Why wasnt I told about the plus lens which
could have cleared my vision like it worked for him????????
retinula - 22 Jul 2006 12:15 GMT
>While there may be no smoking
> gun with regard to negative lenses and human myopia, the implication has not
> been disproven either. I do not know how an ethical experiment using humans
> could be implemented.
> -- Ferme le Bush

Perhaps you are unfamiliar with otis-troll and his minion aceman-troll.
this topic is old and tired and has been discussed more in this forum
than it is worth.

the facts are CLEAR.  there is CONSIDERABLE scientific evidence in
HUMANS that myopia is not induced by minus lenses and that wearing
glasses does not have any influence on the progression of refractive
error.  below I have posted a few for your reading.  please look at
these references-- its certain that Otis and Aceman won't.  they don't
care about evidence, their minds are made up and facts won't change
them.

BTW, myopia research has proven that animal models of myopia
development are much different than the human system.  this is a well
known fact.  you should look for a current review of the state of
research on myopia development to get the facts you are looking for.

==

Goss, D.  (1984) Overcorrection as a means of slowing myopic
progression.
Am J Optom Physiol Opt., Feb;61(2):85-93.

http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=pubmed&dopt=Abstra
ct&list_uids=6703013&query_hl=3


Thirty-six subjects (18 males and 18 females) ranging in ages from 7.38
to 15.82 years received an overcorrection of 0.75 D over the power
required to correct their myopia exactly. These 36 experimental
subjects were matched by control subjects selected at random from the
files of the Indiana University Optometry Clinics. The criteria used in
matching were sex, beginning age, beginning refractive error, and
duration of time covered by the record. The mean rate of change of
refractive error for the experimental group was (minus indicating
increase of myopia) -0.49 D/year (range, +0.37 to -1.95 D/year) on
retinoscopy and -0.52 D/year (range, +0.21 to -1.32 D/year) on
subjective refraction. The mean rate of change for the control group
was -0.47 D/year (range, +0.06 to -2.03 D/year) on retinoscopy and
-0.47 D/year (range, +0.28 to -1.72 D/year) on subjective refraction.
Rates for the experimental and control groups were not significantly
different. The results of this study do not support the hypothesis that
an overcorrected myope has a lower rate of increase of myopia than a
myope wearing a conventional spectacle correction.

==========================

Kushner BJ.(1999) Arch Ophthalmol. May 117(5):638-42.
Does overcorrecting minus lens therapy for intermittent exotropia
cause myopia?

http://archopht.ama-assn.org/cgi/content/abstract/117/5/638

RESULTS: At the time of initial examination, the mean (+/-SD)
refractive error was 0.00 +/- 1.40 diopters (D) in the control
group, 0.00 +/- 1.50 D in the study group, and -0.10 +/- 1.50 D in
the 5-year study group, all of which were essentially identical.
Five years after initial examination, the mean change in refractive
error was -1.40 +/- 2.80 D in the control group, -1.52 +/- 1.80 D in
the 6-month treatment group, and -1.54 +/- 1.80 D in the 5-year
treatment group. These differences in the change in refractive error
(myopic shift) were not statistically significant (t test), and the
differences are clinically unimportant. CONCLUSION: Overcorrecting
minus lens therapy for intermittent exotropia does not appear to
cause myopia.

=======================

Ong E, Grice K, Held R, Thorn F, Gwiazda J.(1999) Optom Vis Sci.
76(6):363-9.
Effects of spectacle intervention on the progression of myopia in
children.

http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&list_uids=1
0416930&dopt=Abstract


(snip)

Based on their wearing patterns, subjects were divided into four
categories: (1) full-time wearers; (2) myopes who switched from
distance to full-time wear; (3) distance wearers; and (4)
nonwearers. Exponential functions were fit to the individual
refraction data. The age of onset of myopia, the mean myopia at
onset of spectacle wear, and the refractive shift over a period of
at least 3 years were derived from these fits. Results show that the
3-year refractive shifts are not significantly different among the
four groups.
Salmon Egg - 22 Jul 2006 17:47 GMT
Although I older than I would like to admit, my brain is not yet fully
converted into mush. The quoted stuff below is virtually impossible to
understand because of its obfuscating style of writing, The technical
content is not the problem. See my comments in the appropriate spot

On 7/22/06 4:15 AM, in article
1153566932.230606.31650@75g2000cwc.googlegroups.com, "retinula"

>> While there may be no smoking
>> gun with regard to negative lenses and human myopia, the implication has not
[quoted text clipped - 18 lines]
> known fact.  you should look for a current review of the state of
> research on myopia development to get the facts you are looking for.

Why should they be? While there may be true developmental differences,
explaining such differences would be of great scientific interest.
> ==
>
[quoted text clipped - 22 lines]
> an overcorrected myope has a lower rate of increase of myopia than a
> myope wearing a conventional spectacle correction.

It is not clear to me  whether overcorrecting means more negative or more
positive power introduced into the eye's optical system. My inclination is
that overcorrecting means algebraically smaller total power.

Could it be that there is a limit to how fast an eye structure can change in
response to a change in the refractive environment? That rate may be what is
being measured.
> ==========================
>
[quoted text clipped - 16 lines]
> minus lens therapy for intermittent exotropia does not appear to
> cause myopia.

More gobbledegook. It looks like this jargon was written for optometry
geeks. At first I though SD stood for left and right. Then I thought
standard deviation. In the end, there was too much ambiguity what was said.
I worked in optics for many years and have advanced degrees in engineering.
> =======================
>
[quoted text clipped - 17 lines]
> 3-year refractive shifts are not significantly different among the
> four groups.

More gobbledegook. Maybe the full papers are more useful than the abstracts,
but that is all I have to go with.

Bill
-- Ferme le Bush
retinula - 22 Jul 2006 19:01 GMT
it is clear from your remarks that you indeed do not understand what
the articles are saying.  of course there is nomenclature that you
would be unfamiliar with.  maybe it appears like gobbledegook to you
but not to us.  and "SD" is standard deviation in just about anyones
terminology.

so just take it from people who DO understand the research, minus
lenses or eyeglasses DO NOT cause further worsening of vision.  its
been tested and statistically evaluated and found not to be true.

somehow Otis thinks he is smarter than the entire worldwide community
of optometrists, ophthalmologists, and vision researchers.  he
steadfastly holds that minus lenses cause staircase myopia even though
he cannot produce even one centilla of scientific proof that it does.
recently he has told me that his evidence comes from "thought
experiments".  that ought to tell you the kind of guy that we're
dealing with!

=======
> Although I older than I would like to admit, my brain is not yet fully
> converted into mush. The quoted stuff below is virtually impossible to
[quoted text clipped - 115 lines]
> Bill
> -- Ferme le Bush
Salmon Egg - 22 Jul 2006 20:10 GMT
On 7/22/06 11:01 AM, in article
1153591272.108870.103290@i3g2000cwc.googlegroups.com, "retinula"

> it is clear from your remarks that you indeed do not understand what
> the articles are saying.  of course there is nomenclature that you
> would be unfamiliar with.  maybe it appears like gobbledegook to you
> but not to us.  and "SD" is standard deviation in just about anyones
> terminology.

Thinking optometry and noticing numbers that probably indicated diopters, I
thought sinister and dextro which made little sense. I would have spelled
out standard deviation at least once. I might have used "rms error" as a
term.

> so just take it from people who DO understand the research, minus
> lenses or eyeglasses DO NOT cause further worsening of vision.  its
[quoted text clipped - 7 lines]
> experiments".  that ought to tell you the kind of guy that we're
> dealing with!

I am not a defender of Otis, but I am not his enemy either. In a recent post
seemed to think that peer review was key. As a retail consumer of science
outside my purview, an invited review paper in Scientific American, American
Scientist, or Physics Today is much more likely to change my thinking than
obtuse papers in journals of the peers, by the peers, and for the peers. How
many of those papers are used to publish instead of perish?

Bill
-- Ferme le Bush
Dr. Leukoma - 22 Jul 2006 23:56 GMT
> I am not a defender of Otis, but I am not his enemy either. In a recent post
> seemed to think that peer review was key. As a retail consumer of science
> outside my purview, an invited review paper in Scientific American, American
> Scientist, or Physics Today is much more likely to change my thinking than
> obtuse papers in journals of the peers, by the peers, and for the peers. How
> many of those papers are used to publish instead of perish?

Scientific American has published a number of highly interesting
articles about vision.  But, they do not publish original papers.  They
simply obtain the information from outside sources and synthesize it
and dress it up with outstanding graphics and artwork.

But, hey, I once found some useful scientific information between the
covers of the University of Chicago alumni magazine.

Drg
Salmon Egg - 23 Jul 2006 06:21 GMT
On 7/22/06 3:56 PM, in article
1153608984.124182.231820@m79g2000cwm.googlegroups.com, "Dr. Leukoma"
<drg@leukoma.com> wrote:

> Scientific American has published a number of highly interesting
> articles about vision.  But, they do not publish original papers.  They
> simply obtain the information from outside sources and synthesize it
> and dress it up with outstanding graphics and artwork.

That is performing a useful service. I have used Scientific American
articles for my personal education in lasers, optics, and nonlinear optics.
Many professional papers are one-upmanship exercises intended more to
impress than to educate. Several times, I have applied apparently unrelated
knowledge gained from the Scientific American to my work.

Bill
-- Ferme le Bush
p.clarkii@gmail.com - 23 Jul 2006 02:28 GMT
> As a retail consumer of science
> outside my purview, an invited review paper in Scientific American, American
> Scientist, or Physics Today is much more likely to change my thinking than
> obtuse papers in journals of the peers, by the peers, and for the peers.

Then you are a "popular" scientist rather than someone who is a serious
researcher.  most important papers today are published in specialty
journals like Vision Research, Experimental Eye Research, Investigative
Ophthalmol., just to mention a few BASIC research journals-- there are
many more and many more clinical journals as well.  the experts in the
field read these journals.  they are preferred over the ones you
mentioned.

besides, the articles in those popular science journals are usually
invited.  just because you don't see anything about myopia prevention
there doesn't mean there isn't significant valid science going on.

i wonder what kind of science expert you are.
Dr. Leukoma - 22 Jul 2006 23:59 GMT
> More gobbledegook. Maybe the full papers are more useful than the abstracts,
> but that is all I have to go with.

You're doing absolutely no good in shoring up your position.  Just
because I do not understand Stephen Hawking doesn' t make him an idiot.

DrG
Salmon Egg - 23 Jul 2006 06:27 GMT
On 7/22/06 3:59 PM, in article
1153609185.973790.74910@b28g2000cwb.googlegroups.com, "Dr. Leukoma"
<drg@leukoma.com> wrote:

> You're doing absolutely no good in shoring up your position.  Just
> because I do not understand Stephen Hawking doesn' t make him an idiot.

Richard Feynman considered it part of his scientific mission to explain
complex scientific concepts to educated people. He was about as good as it
gets in that endeavor. He spent many years fine tuning his explanations of
quantum theory to make it understandable without dumbing it down to
uselessness. I cannot say the same of modern explanations of string theory
as exposited on PBS's Nova.

Bill
-- Ferme le Bush
Dr. Leukoma - 23 Jul 2006 14:14 GMT
> Richard Feynman considered it part of his scientific mission to explain
> complex scientific concepts to educated people. He was about as good as it
> gets in that endeavor. He spent many years fine tuning his explanations of
> quantum theory to make it understandable without dumbing it down to
> uselessness. I cannot say the same of modern explanations of string theory
> as exposited on PBS's Nova.

I think this requires a prepared mind, and I am not so sure yours is
prepared.

DrG
Dr Judy - 23 Jul 2006 17:49 GMT
> On 7/21/06 10:27 AM, in article
> pOednTEb9LLkk1zZnZ2dnUVZ_vWdnZ2d@giganews.com, "Mike Tyner"
> <mtyner@mindspring.com> wrote:

snip

> There certainly is some experimental evidence with chickens and primates
> that indicate negative lenses induce myopia. While there may be no smoking
> gun with regard to negative lenses and human myopia, the implication has not
> been disproven either. I do not know how an ethical experiment using humans
> could be implemented.
> -- Ferme le Bush

Almost all the animal studies you refer to involved using lenses to
induce large amounts of myopic or hyperopic blur in neonatal animals in
order to study how the visual system deals with congenital refractive
error.  They have little relevance to using lenses to compensate for
existing refractive error in older humans.

A limited number of animal studies have used correcting lenses on
animals with refractive error, ie the lens power was chosen to
compensate for the refractive error leaving the animal with residual
myopic or hyperopic blur.  In those studies, the lenses did not induce
any further myopic change -- staircase myopia was not noted.

Dr Judy
Salmon Egg - 23 Jul 2006 18:56 GMT
On 7/23/06 9:49 AM, in article
1153673387.458056.282050@m79g2000cwm.googlegroups.com, "Dr Judy"
<mpace99@rogers.com> wrote:

>> On 7/21/06 10:27 AM, in article
>> pOednTEb9LLkk1zZnZ2dnUVZ_vWdnZ2d@giganews.com, "Mike Tyner"
[quoted text clipped - 22 lines]
>
> Dr Judy

After all these things are said my question is:

Is there a peer reviewed review paper available that can be found in a
typical college library explaining all of this? I would hope such paper
would not drown the reader in jargon without defining terms.

Bill
-- Ferme le Bush
Dr Judy - 24 Jul 2006 18:58 GMT
> On 7/23/06 9:49 AM, in article
> 1153673387.458056.282050@m79g2000cwm.googlegroups.com, "Dr Judy"
[quoted text clipped - 32 lines]
> typical college library explaining all of this? I would hope such paper
> would not drown the reader in jargon without defining terms.

For a detailed scientific but readable account, use PubMed to find J
Wallman's article titled:

Homeostasis of Eye Growth and the Question of Myopia

Josh Wallman,  and Jonathan Winawer

On the PubMed site, click on CellPress, then chose Science Direct and
you will be able to read the whole article on your computer.

For a simple discussion try

http://www.revoptom.com/osc/apr01/lesson_0401.htm

Dr Judy
Scott Seidman - 24 Jul 2006 19:55 GMT
"Dr Judy" <mpace99@rogers.com> wrote in news:1153763898.335496.286790
@i42g2000cwa.googlegroups.com:

> For a detailed scientific but readable account, use PubMed to find J
> Wallman's article titled:
>
> Homeostasis of Eye Growth and the Question of Myopia
>
> Josh Wallman,  and Jonathan Winawer

I thought you'd like this one.  It's a nice review, with a fair discussion.  
The biggest problem I can see is that nobody in this field categorizes the
emmetropization process in chicks, and possibly in young monkeys, as a
DEVELOPMENTAL process, as opposed the homeostatic emmetropization process
that these folks keep assuming they're observing.  I think its really an
unfortunate blind spot, as it were.

Signature

Scott
Reverse name to reply

Mike Tyner - 26 Jul 2006 04:01 GMT
> Is there a peer reviewed review paper available that can be found in a
> typical college library explaining all of this? I would hope such paper
> would not drown the reader in jargon without defining terms.

There are textbooks in ophthalmology and optometry and non-clinical visual
physiology but theyre full of jargon and p-values and SDs and stuff.

Translated, they say glasses don't make enough difference that we should
ponder the wisdom every time we prescribe the evil minus lens.

These folks think in rates of change and regression and p-values and SDs and
comparisons between groups, tools so reliable that the FDA bases their
decisions about your medicines on the same process.

One of my favorite HUMAN studies was Parssinen (Parssinnen?) et al.. don't
have time to look it up..

That group found a humane way to evaluate the process, the "sensitivity" to
glasses. They chose the most relevant group, 8+ year-olds, when they first
begin showing symptoms. They evened-out the groups for gender and
demographics and age, and the only "difference" between the groups in any
rate of change

With tools like SDs and p-values, over a period of three years or more, it's
clear that none of the three patterns of wear made enough difference to
matter.

"Not enough difference to matter" was also the conclusion of the most recent
bifocal study. COMET didn't address all possible test conditions, but it was
carefully designed to humanely answer the question in the most relevant
group: does it make any difference if we alleviate the effort of
accommodation with bifocals? Not enough to matter, "clinically". That last
term, like p-values, represents a rule-of-thumb level at which doctors
should seriously anticipate such effects when they "force that child to wear
the evil minus."

Otis doesn't take long to reveal his logical processes. Save yourself the
trouble, go to a medical library and look up the myopia chapter in Duane's
Ophthalmology. Prolly a public library could borrow you a copy on CD.

I find it wise to check every couple of years, because it changes and at
least twice we have studies that showed the opposite of what you'd expect.
So consensus grows around a "preponderance of evidence" and you nor I have
enough experience to figure out all the ramifications of who-found-what so
that's why we have textbooks.

-MT
Dr. Leukoma - 22 Jul 2006 13:00 GMT
> I have yet to be convinced that acemanvx's view is indeed rubbish. I have
> seen the propaganda but not the evidence.

And you choose to believe the propaganda?

If you have a Ph.D., then you had to demonstrate your ability to do
independent research, as well as a command of the literature.  I
suggest you use your abilities, get outside this group, and delve into
the many published studies, and then you will more than likely come to
the same conclusions that many of us share.

Right, "doctor"?

DrG
Salmon Egg - 22 Jul 2006 17:54 GMT
On 7/22/06 5:00 AM, in article
1153569629.564281.118040@m73g2000cwd.googlegroups.com, "Dr. Leukoma"
<drg@leukoma.com> wrote:

> And you choose to believe the propaganda?

The propaganda I referred to is that produced by the optometry-industrial
complex. And I do not believe that!

Has there been an article in the Scientific American, American Scientist,
Nature, Physics Today, or Science summarizing the effects of negative lenses
on progressive myopia? These are not lightweight publications even though
they cater to generally well educated readers as opposed to specialists.

Bill
-- Ferme le Bush
Dr. Leukoma - 22 Jul 2006 18:19 GMT
> On 7/22/06 5:00 AM, in article

> The propaganda I referred to is that produced by the optometry-industrial
> complex. And I do not believe that!

Try the optometry/ophthalmology/ARVO/visual sciences knowledge base.

> Has there been an article in the Scientific American, American Scientist,
> Nature, Physics Today, or Science summarizing the effects of negative lenses
> on progressive myopia? These are not lightweight publications even though
> they cater to generally well educated readers as opposed to specialists.

Nope.  Not to my knowledge.  But, those aren't peer-reviewed, and they
borrow their ideas from other sources -- namely the peer-reviewed
literature.

DrG
Salmon Egg - 22 Jul 2006 19:57 GMT
On 7/22/06 10:19 AM, in article
1153588772.834224.267470@p79g2000cwp.googlegroups.com, "Dr. Leukoma"
<drg@leukoma.com> wrote:

>> Has there been an article in the Scientific American, American Scientist,
>> Nature, Physics Today, or Science summarizing the effects of negative lenses
[quoted text clipped - 4 lines]
> borrow their ideas from other sources -- namely the peer-reviewed
> literature.

It is very difficult to get published in some of those listed. Often they
publish invited papers. Nature may not require extensive peer review. But
from my own knowledge, Nature published the first announcement of successful
laser operation when the very peer reviewed Physical Review refused to
accept a paper from Ted Maiman et al.

-- Ferme le Bush
Dr. Leukoma - 22 Jul 2006 23:53 GMT
> It is very difficult to get published in some of those listed. Often they
> publish invited papers. Nature may not require extensive peer review. But
> from my own knowledge, Nature published the first announcement of successful
> laser operation when the very peer reviewed Physical Review refused to
> accept a paper from Ted Maiman et al.

Look, I'm really sorry that you are an engineer, but after all, people
don't go to engineers for medical treatment.  There is a branch of
engineering called biomedical engineering, and I dare say a biomedical
engineer would probably understand the jargon.  Unfortunately, at some
point you have to be able to read and understand the ophthalmic
literature, because that is where the research is being reported.

DrG
Salmon Egg - 23 Jul 2006 06:11 GMT
On 7/22/06 3:53 PM, in article
1153608810.808734.193000@75g2000cwc.googlegroups.com, "Dr. Leukoma"
<drg@leukoma.com> wrote:

> Look, I'm really sorry that you are an engineer, but after all, people
> don't go to engineers for medical treatment.  There is a branch of
> engineering called biomedical engineering, and I dare say a biomedical
> engineer would probably understand the jargon.  Unfortunately, at some
> point you have to be able to read and understand the ophthalmic
> literature, because that is where the research is being reported.

Being a physician IS being an engineer. Incomplete scientific knowledge is
applied to the art of medicine for the benefit of mankind.

Bill
-- Ferme le Bush
Dr. Leukoma - 23 Jul 2006 14:25 GMT
> Being a physician IS being an engineer. Incomplete scientific knowledge is
> applied to the art of medicine for the benefit of mankind.

What a stretch.  Both are technologists, I guess.

DrG
retinula - 22 Jul 2006 19:04 GMT
oh my god!
perhaps you also give credence to Otis' conspiracy theories!
do you produce your own data via "thought experiments" like Otis does?

----------
> The propaganda I referred to is that produced by the optometry-industrial
> complex. And I do not believe that!
otisbrown@pa.net - 23 Jul 2006 02:43 GMT
Dear Egg,

Retinula FORGETS to run FUNDAMENTAL experimets to determine
if the natural eye is a dynamic system -- as expected.

His thesis it that the NATURAL eye is not a dynamic system
and THEREFORE, and fundamental eye MUST NOT
CHANGE ITS REFRACTIVE STATE -- WHEN YOU
PLACE A -3 DIOPTER LENS ON IT.

But when you test a population of fundamental eyes -- where
you have control of the "ENVIRONMENT -- (AVERAGE) then
you can check to see if the natural living eye is
a dynamic system (and not the box-camera optics)
that Retinula was taught in OD school.

Thus on a pure scientific level -- you check it out.

You take a population of natural eyes. You measure
the refractive STATE of all of them.

Then you divide the group in half.

Retinula "null hypothesis" it that, after you place
a -3 diopter lens on the test group,
NO CHANGE IN REFRACTIVE STATE WILL
DEVELOP BETWEEN THE TEST AND CONTROL GROUPS.

But when you run this test, using SCIENTIFIC PROTOCOLS,
you will find that the -3 diotper TESTS GROUP will
experience a change in refractive STATE by
greater-than -2 diopters in 12 months.

His response to pure-scientific testing of this
nature???

He tells you to IGNORE ALL SCIENTIFIC STUDIES,
where he, Retinula, does not like the implication
of the experimtal results.

Some scientist.

But further, plus-PREVENTION is indeed the second-opinion, in
that optometrists have their own children wearing the
plus (at a refractive STATE of zero) so that their
kids will NEVER fail the Snellen.

But that truly defines the the nature of the second-opinion -- which
Retinula chooses to ignore.

I personally choose to take science, and scientific
results SERIOUSLY -- and ignore Retinul'a intellectully
blind majority-opinion.

Read:

www.chinamyopia.org

For details.

Best,

Otis

> oh my god!
> perhaps you also give credence to Otis' conspiracy theories!
[quoted text clipped - 3 lines]
> > The propaganda I referred to is that produced by the optometry-industrial
> > complex. And I do not believe that!
Charles - 22 Jul 2006 20:33 GMT
> Has there been an article in the Scientific American, American
> Scientist, Nature, Physics Today, or Science summarizing the effects
> of negative lenses on progressive myopia? These are not lightweight
> publications even though they cater to generally well educated
> readers as opposed to specialists.

Thing is, they probably wouldn't bother including such an article
unless it said that prescription glasses did, in fact, lead to more
nearsightedness (staircase myopia, etc.).  If this were not the case,
the article wouldn't be all that interesting.

--
Tony Houghton - 22 Jul 2006 21:26 GMT
> Has there been an article in the Scientific American, American Scientist,
> Nature, Physics Today, or Science summarizing the effects of negative lenses
> on progressive myopia? These are not lightweight publications even though
> they cater to generally well educated readers as opposed to specialists.

There has been a study, summarised at
<http://www.nelh.nhs.uk/hth/short_sightedness.asp>. It appeared to show
that the eyesight of children with undercorrecting glasses deteriorated
more rapidly than in those with the correct prescription.

Signature

The address in the Reply-To is genuine and should not be edited.
See <http://www.realh.co.uk/contact.html> for more reliable contact addresses.

Salmon Egg - 23 Jul 2006 06:07 GMT
On 7/22/06 1:26 PM, in article
slrnec561k.pcl.this.address.is.fake@realh.co.uk, "Tony Houghton"
<this.address.is.fake@realh.co.uk> wrote:

>> Has there been an article in the Scientific American, American Scientist,
>> Nature, Physics Today, or Science summarizing the effects of negative lenses
[quoted text clipped - 5 lines]
> that the eyesight of children with undercorrecting glasses deteriorated
> more rapidly than in those with the correct prescription.

This summary is far from conclusive. It illustrates that there is no
definitive answer yet.

Bill
-- Ferme le Bush
Dr. Leukoma - 23 Jul 2006 13:44 GMT
> This summary is far from conclusive. It illustrates that there is no
> definitive answer yet.

I believe that we are close to a definitive answer, and it has been
discussed here from time to time.  Except every time it has been
discussed, it gets buried under a ton of Otis bovine fertilizer.  It is
apparently too abstract for this group.

But, the idea is seriously discussed in academic and continuing
education settings for eye care professionals.

Say, aren't you the guy who cannot quite grasp wavefront aberrometry,
and who keeps referring to it as some sort of interferometry?

DrG
Salmon Egg - 23 Jul 2006 18:50 GMT
On 7/23/06 5:44 AM, in article
1153658659.167566.74860@75g2000cwc.googlegroups.com, "Dr. Leukoma"
<drg@leukoma.com> wrote:

>> This summary is far from conclusive. It illustrates that there is no
>> definitive answer yet.
[quoted text clipped - 3 lines]
> discussed, it gets buried under a ton of Otis bovine fertilizer.  It is
> apparently too abstract for this group.

If that truly is the case, why is there no optometrist or ophthalmologist
taking it upon themselves to explain it to the educated population at large?
Considering all the interest and money for Bates techniques and similar
garbage, there should be plenty of interest for a such an exposition.

> But, the idea is seriously discussed in academic and continuing
> education settings for eye care professionals.

If not carefully, such activity can be considered incestuous.

> Say, aren't you the guy who cannot quite grasp wavefront aberrometry,
> and who keeps referring to it as some sort of interferometry?

I may be. Rather than separating the concepts of aberrometry and
interferometry, I consider them to be aspects of the same underlying
principles. Certainly, there is a long history of classifying aberrations
according to the matching of wavefront distortions as measured by
interferometry. Most often, these days, Zernicke matching is used.

> DrG

Bill
-- Ferme le Bush
otisbrown@pa.net - 23 Jul 2006 15:02 GMT
Dear Bill,

As I have mentioned -- the "show stoppers" are the:

1.  Parents -- who do not what there child wearing a "preventive-plus".

2.The kids -- who will not "initially" understand the necessity of it,
and

3.  The M.O. OD who love to "impress" the kids, and parents with
a strong minus -- implying that a minus lens has no effect on the
refractive STATE of all fundamental eyes.

Bill>  This summary is far from conclusive. It illustrates that there
is no
definitive answer yet.

Bill

With the above issues RECOGNIZED and CLEARLY STATED, then
your issue that "some issues are not completely resolved" -- can
be resolved by the second-opinion parent -- who wishes to
PROTECT his kids long-term distant vision, by INSISTING that
his child (with a refractive STATE of zero) begin the habitual
use of the preventive-plus at the threshold.

Commiting his own child to the preventive-plus, means that he
can help the parent UNDERSTAND the choice the parent
can make for his child -- at the threshold.

This is just common sense -- and "fair" practice.

Just one man's opinion.

Best,

Otis

> On 7/22/06 1:26 PM, in article
> slrnec561k.pcl.this.address.is.fake@realh.co.uk, "Tony Houghton"
[quoted text clipped - 15 lines]
> Bill
> -- Ferme le Bush
Dr. Leukoma - 23 Jul 2006 15:14 GMT
More bovine -- er, Otis fertilizer.  I rest my case.

DrG

> Dear Bill,
>
[quoted text clipped - 53 lines]
> > Bill
> > -- Ferme le Bush
otisbrown@pa.net - 23 Jul 2006 18:38 GMT
More Majority-Opinion "I don't give a damm about your
long-term vision", and the stair-case myopia that will be
induced in your kid's refractive STATE -- when they
begin wearing is all the time, as is often recommended.

Remember this -- there are Optometrists who are respectul
of the public's right to an INFORMED, competent second-opinion.  I
guess SOME will learn how to pay attention to
objective scientifc facts that prove that the eye
is a dynamic system, and responds as it does
to an applied -3 diopter lens.  (By going
DOWN by -2 diopters in 12 months.)

But that is indeed the reason for developing
and using the preventive second-opinion. See:

www.chinamyopia.org

for details.

Best,

Otis

++++++++

> More bovine -- er, Otis fertilizer.  I rest my case.
>
[quoted text clipped - 57 lines]
> > > Bill
> > > -- Ferme le Bush
otisbrown@pa.net - 22 Jul 2006 19:00 GMT
But DrL insists that your read ONLY the majority-opinion literature.

There is a second-opinion that, the fundamental eye is a dynamic
sytem, and will change its refractive STATE by -2 diopters if
you place a -3 diopter lens on the eye -- and
keep it there 16/7 for one year.

So make certain you read all the literature, and define the
nature of the PREVENTIVE second-opinion.

Just one man's opinion.

Otis

> > I have yet to be convinced that acemanvx's view is indeed rubbish. I have
> > seen the propaganda but not the evidence.
[quoted text clipped - 10 lines]
>
> DrG
Dr. Leukoma - 22 Jul 2006 19:19 GMT
> There is a second-opinion that, the fundamental eye is a dynamic
> sytem, and will change its refractive STATE by -2 diopters if
> you place a -3 diopter lens on the eye -- and
> keep it there 16/7 for one year.

Says Otis.

By the way, when is the "minority opinion" going to issue its own
journals and scientific body of knowledge?

DrG
Quick - 21 Jul 2006 20:59 GMT
>> http://www.babyart.org/store/en/articles/img220.jpg
>>
[quoted text clipped - 7 lines]
> I hate to be impolite, but you post absolute rubbish.
> What's your problem?

Drugs, socially disfunctional, no self esteem, craving
attention and recognition, ... etc.

-Quick
otisbrown@pa.net - 21 Jul 2006 13:19 GMT
Dear AceMan,

That is nothing -- compared to a recent report of a 3 year-old with
20/50 vision.

The child was "judged" to be -10 diopters MYOPIC.

So rather that allowing the child time to develop -- they
PRESCRIBED a -10 diotper lens -- and insisted that
the child START WEARING IT ALL THE TIME.

>From the study of the primate eye -- is it clear
that the eye's refractive STATE will "follow" an
applied -3 diopter lens.  (i.e., the refractive STATE
of the -3 diopter group will change by -2 diopters -- if
the -3 diopter is worn 16/7.

It is hard to see why a child (at 20/50) would be
put into a -10 diopter lens -- with no concern
with the secondary risk of that action.

I think the parent should have been informed of
this issue -- and given a choice or option.

But that never happened.

Just one man's opinion.

Best,

Otis

+++++++

> http://www.babyart.org/store/en/articles/img220.jpg
>
[quoted text clipped - 3 lines]
> off will led to stair-case myopia and your eyes will be really bad in
> short time. And you wonder why myopia is an epidemic!
otisbrown@pa.net - 23 Jul 2006 18:48 GMT
Dear AceMan,

It is the total obliterating arrogance and associated ignorance of
these majority-opinion ODs!

I can acknowledge that if you have a person sitting in a chair, and can
"wave" a strong minus lens and clear from 20/50 to 20/15 -- you can
"impress" the hell out of them.

But that simple act -- virtually guarantees stair-case myopia for that
person.  And worse, the loss of distant vision (from stair-case
minus-lens use) will become permanent.

This, therefore is a "choice" with life-time consequences.  No one
should plunge you into a strong minus -- until after you fully
understand the consequences of that simple act. We (second-opinion)
people on sci.med.vision can begin to adress that issue -- on a pure
scientific level.

When you start wearing that over-prescribed minus -- that is the last
you are going to see of your distant vision -- for life.

The scientific data profoundly proves the "risks" of that minus lens.
(See Flitcroft Paper) The repeated posts by Retinula DENYING SCIENTFIC
PROOF AND TRUTH -- are destructive on a pure-scientific level.

There are PREVENTION ODs like Steve Leung.  We must start a process of
SUPPORTING men like him. Let us hope that when your children start to
develop a negative refractive STATE -- you will be wise enough to start
them into the plus at the threshold -- and avoid the stair-case.  This
is not easy, but it is possible.  The decision and leadership will
depend more on you -- than anyone else.

It is also true that we must "change our ways" -- and that will include
the idea that we START with the plus at the 20/50 level -- when it can
be effective for true-prevention.

Best,

Otis

> http://www.babyart.org/store/en/articles/img220.jpg
>
[quoted text clipped - 3 lines]
> off will led to stair-case myopia and your eyes will be really bad in
> short time. And you wonder why myopia is an epidemic!
p.clarkii@gmail.com - 24 Jul 2006 05:04 GMT
Bullshit!

Please explain to us exactly where in the Flitcroft paper it shows that
minus lenses induce myopia.  Thats not what the paper is about at all.

Would you like for me to give you references to publications where
groups of people actually WERE given excessive minus lenses and shown
to have NO DIFFERENCE in refractive error progression than groups given
their exact refraction?  Do you want me to give you a reference that
shows that people who wore their minus prescription glasses full time,
versus a similar group of people who wore their glasses only
part-time(distance only), versus another group who didn't wear their
glasses at all produced NO DIFFERENCE in refractive error progression
between the groups.

Oh how you long to have some real valid scientific studies to back you
up.  but all you have are misrepresented studies on emmetropization in
animals, or your crazy interpretation of the Oakley-Young bifocal study
on nearpoint esophores.  Flitcroft is not helpful for you at all and
what is most laughable is that you don't even realize it.  Do you even
read these scientific papers?  I know they have big words that you
don't understand but you should at least try.

> The scientific data profoundly proves the "risks" of that minus lens.
> (See Flitcroft Paper)
Jan - 23 Jul 2006 19:41 GMT
acemanvx@yahoo.com schreef:
> http://www.babyart.org/store/en/articles/img220.jpg
>
[quoted text clipped - 3 lines]
> off will led to stair-case myopia and your eyes will be really bad in
> short time. And you wonder why myopia is an epidemic!

If so, why showing two URL's with kids wearing plus glasses?

Jan (normally Dutch spoken)
 
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