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Medical Forum / General / Vision / July 2006minus prevention
I've made it a policy not to respond to any myopia prevention threads, but I can't resist this one. I had a patient in today, age 55 who I've had in -1.50 o.u. for years, and she's still wearing them, in spite of some recent symptoms of eyestrain. Today I refracted her at +1.00 o.d. and plano o.s. So my minus lenses cured her myopia? I think so. the minus lens rocks. w.stacy, o.d. Yet another anectdotal report by a majority-opinion OD. That is n = 1. An no one else can verify it. She was probably over-prescribed in the first place. Best, Otis > I've made it a policy not to respond to any myopia prevention threads, > but I can't resist this one. I had a patient in today, age 55 who I've [quoted text clipped - 9 lines] > > w.stacy, o.d. > Yet another anectdotal report by a majority-opinion OD. > > That is n = 1. An no one else can verify it. > > She was probably over-prescribed in the first place. According to you, any minus is too much. DrG > She was probably over-prescribed in the first place. Exactly. And I went along with it. And what do you know? She turned hyperopic. So over-prescribing minus works. It changes myopes into hyperopes. The minus lens rocks. Minus for everyone! w.stacy, o.d. > Yet another anectdotal report by a majority-opinion OD. How many sons did you say that printer had? -Quick > Yet another anectdotal report by a majority-opinion OD. > > That is n = 1. An no one else can verify it. Well, it's typical for myopes over 30. But you didn't know that because you've never measured any. > She was probably over-prescribed in the first place. So, why didn't it make her worse? Why isn't Ace getting more nearsighted? -MT > Yet another anectdotal report by a majority-opinion OD. > [quoted text clipped - 5 lines] > > Otis Let me get this straight. Your antedoctal evidence of some printer's son or guy in Hong Kong is valid and proof while O.D.'s in the real world sees dozens of examples daily of ALL age groups of no changes in myopic progression. You get to pick and choose. Right?? frank > I've made it a policy not to respond to any myopia prevention threads, > but I can't resist this one. I had a patient in today, age 55 who I've [quoted text clipped - 9 lines] > > w.stacy, o.d. Its a fact most, if not all people experience a hyperopic shift as they get older. She no longer needs the minus but does need the plus lens, especially for reading. I will be alot less myopic when I too reach my 40s or 50s, ive been told to expect to end up around a -2 which is good enough to stay out of readers except for fine print and stay out of minus most of the time except for driving, movies, going out somewhere. hope springs eternal... >I will be alot less myopic when I too reach my >40s or 50s, ive been told to expect to end up around a -2 which is good >enough to stay out of readers except for fine print and stay out of >minus most of the time except for driving, movies, going out somewhere. > > acemanvx@yahoo.com wrote in news:1153992438.775500.254120 @m79g2000cwm.googlegroups.com: > I will be alot less myopic when I too reach my > 40s or 50s Even if your correction goes all the way to plano, you will still be very myopic.  SignatureScott Reverse name to reply > acemanvx@yahoo.com wrote in news:1153992438.775500.254120 > @m79g2000cwm.googlegroups.com: [quoted text clipped - 4 lines] > Even if your correction goes all the way to plano, you will still be very > myopic. A 12 diopter myope who undergoes LASIK, still has a 12 diopter myope posterior chamber. I think that's a fair analogy? DrB > acemanvx@yahoo.com wrote in news:1153992438.775500.254120 > @m79g2000cwm.googlegroups.com: [quoted text clipped - 8 lines] > Scott > Reverse name to reply Whatever myopia I have under cycloplegic is my true axial myopia. Normal eyeballs are 24mm, mine may be just over 25mm, not bad. Extremely high myopes can have 30+ mm eyeballs! now *that* is bad! > Whatever myopia I have under cycloplegic is my true axial myopia. > Normal eyeballs are 24mm, mine may be just over 25mm, not bad. > Extremely high myopes can have 30+ mm eyeballs! now *that* is bad! Ace, it may take you awhile to catch onto a concept, but when you do, you're like a bulldog. You won't let go. DrG |
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