Dear AceMan,
Subject: Two DIFFERENT Parents.
Re: The father in "The Printer's Son", and the Engineer-father
who acted to PROTECT his kids distant vision -- for life.
As I suggested, the issue is NOT optometry -- but must
consider:
1. The Parent
2. The Child, and
3. The involvementof some "third party"
What I do suggest is the "empowerment" of the parent
with enough scientific knowledge to help his children
with true-prevention.
As was the case with "The Printer's Son", is was not
Raphaelson (or any optometrist) that was the problems.
No, it was the ignorance of the "Parent" who would
not "allow" the use of the preventive-plus.
In that sense real responsibility will rest with you,
AceMan, when you become a parent. You child
will have a preventive choice -- if you will "allow" it.
There is no "two ways" about plus-prevention. It
is a pain in the a.s to use -- if you do not understand
the concept. But if you value your distant vision, and
will "work" to always PASS the DMV level of vision -- the
I think your children could be "guided" in the correct-use of
the plus.
As I said previously, Retinula does not matter, I don't matter,
Dr. L does not matter.
What DOES MATTER, is the "leadership" you can supply to you kids by:
1. Have them read the Snellen. If 20/20, then check for
refractive STATE. If +1 diopters (at age five) they will
be OK for some time.
2. If the childs refractive STATE is zero (and 20/20) then is is
highly proble that in the next 18 months, their eyes will go
down to about -3/4 to -1 diopters (20/50). That is
the predictable response of the natural eye to
a "nearer" environment -- and is normal.
3. You then have the choice of "encouraging" them in
the use of the plus -- and the MONITORING of their
Snellen. If they clear to better-than 20/40, then
there is no good reason why they should be "prescribed"
a minus.
Knowledge of this level is essential for the parent -- who
does not wish his child to get in "too deep".
This is the type of "leadership" a second-opinion OD could
supply -- PROVIDED you first make the decision to
begin the preventive process yourself.
More remarks:
> Great read, Otis! Let me contrubate:
My brother also never wears the
> minus lens except for driving and the occasional lecture if he sits in
> the back row. He often goes for months without touching the minus lens
> when not driving.
As a result, his eyes not only didnt get worse, they
> got better! He isnt interested in reading glasses to improve his vision
> but at least without the minus lens,
(This is the show-stopper for most people. They will avoid the
minus [wise] but they can not "go" the next step -- by use
of the plus. That is just human "nature" at work. OSB]
his eyes are holding steady and
> being -1 in the better eye and 20/50, he sees fine without glasses 95%
> of the time. No one needs glasses if they pass the 20/40 DMV, second
> opinion optometrists are holding back on prescribing damaging minus
> lens to those who *dont* need them!
[AceMan -- a lot of the "problem" is in us. We prefer "neglect" to
taking strong actions with the plus. The ODs can not be "blamed" for
this --because it is OUR responsibility. They can only "react" when
we induce a negative refractive STATE in ourselves by our reading
"habits".
In fact, the RESPONSIBILITY rests with us -- provide whe understand
the issue "correctly". OSB]
Those who are 20/50 to 20/80 have
> the option to use the plus lens at the treshold to make sure to always
> clear 20/40 or at *least* stop stair-case myopia.
[Most people NEVER look at a Snellen -- and will do so only
if FORCED to do so. Clearly THIS ISSUE is motivational
for the person. And indeed, NEGLECT rules here -- until
you understand this issue. You can never FORCE a person
to have a interest in PROTECTING his distant vision with
the plus. But the person who DOES, never fails the
DMV, never gets a minus, and never develops stair-case
myopia. OSB]
They would seldom
> need the minus lens other than for driving. Its better to go with
> slightly blurry vision than always wear the minus and get stair-case
> myopia and wind with very, very blurry vision and increased risk of
> retina and macular problems due to an abnormally long eye.
[It is very easy to state these issues clearly. But for the
person -- it is very difficult to overcome his built-in inertia
on the subject. But that is the issue you will "face" as
a paernt. Be prepared for it. OSB]
Otis
Dr. Leukoma - 27 Jul 2006 17:15 GMT
> Dear AceMan,
> As I suggested, the issue is NOT optometry -- but must
> consider:
[quoted text clipped - 4 lines]
>
> 3. The involvementof some "third party"
I agree. If we could just somehow "cure" people of the need and desire
to see clearly. Just think of how many health care dollars could be
saved.
DrG
acemanvx@yahoo.com wrote in news:1153993398.816364.22120
@m79g2000cwm.googlegroups.com:
> No one needs glasses if they pass the 20/40 DMV
I'd be fairly upset if my BCVA was 20/40.

Signature
Scott
Reverse name to reply
otisbrown@pa.net - 27 Jul 2006 18:19 GMT
Dear Scott,
Your point is well taken by me.
Some people INSIST that they get a -1.5 to -2.0 diopters for
20/18, 20/15, 20/12, and even 20/10 -- as you would for
yourself and your child.
Others, would take 20/40 as a WARING, that they need
to consider CLEARING their naked-eye vision by
ending their near enviroment with a +2 to 2.5 diopter
lens.
AceMan> No one needs glasses if they pass the 20/40 DMV
Otis> I would PREFER to be INFORMED of this choice -- and
accept the personal challenge to clear my naked eye vision
under MY CONTROL.
But we do indeed have a difference of opinion on this
valid second-opnion.
best,
Otis
I'd be fairly upset if my BCVA was 20/40.
Otis> Good, then get you kid a strong minus. But please
do not complain about the stair-case myopia he develops
later from that type of decision.
Best,
Otis
--
Scott
Reverse name to reply
> acemanvx@yahoo.com wrote in news:1153993398.816364.22120
> @m79g2000cwm.googlegroups.com:
>
> > No one needs glasses if they pass the 20/40 DMV
>
> I'd be fairly upset if my BCVA was 20/40.
Mike Tyner - 27 Jul 2006 19:03 GMT
> Others, would take 20/40 as a WARING, that they need
> to consider CLEARING their naked-eye vision by
> ending their near enviroment with a +2 to 2.5 diopter
> lens.
That doesn't work. Any other ideas?
Do you EVER learn anything new?
-MT