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Medical Forum / General / Vision / July 2006

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plus prevention

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otisbrown@pa.net - 27 Jul 2006 05:16 GMT
Dear Prevention minded friends,

Subject:  An engineer helps his children avoid entry in to
     nearsightedness.

Re:  The primate eye behaves as expected.

Re:     It seems the parents must FIRST figure out that there children
MUST begin wearing the plus at "zero" diopters - or else accept the
consequences of NOT wearing the plus.

Re:  Clearly, some parents -- like "The Printer's Son" do not
understand
plus-prevention.  I which case, prevention is impossible.
But some parents DO UNDERSTAND -- and help their kids with
this preventive second-opinion.

    Some parents finally "wake up" to the need for prevention at
the threshold as an "now or never" choice.  The HELP their
children make systematic use of the plus to AVOID even entry into
myopia.

    Obviously this type of dedication and support can NEVER be
prescribed.  Thus do it "yourself" seems to be the only way.  Thus
making the use of the prevetive plus might seem "tedious" but it
is better than the alternative -- in MY OPINION.  Here is the
discussion for your interest.

++++++++++++++++++++++++++++++++++++++++

Myopia Prevention:  Theory and Practic

By Denis Alarie, P. Eng.

To:  Mr. Howard C. Howland
W201 Seeley G Mudd Hall
Cornell University
Ithaca NY 14853 USA

Dear Sir:

    About your ongoing research on the development of the eye.

    It was with a great deal of interest that I read an article
in Discover magazine in the October 1995 Issue concerning your
ongoing work on the development of the eye and its relation to bio
feedback.

    I come from a family of 7 where both the parents are with
normal vision and where all 5 of the children were nearsigthed and
read a lot.  I graduated from Queen's University in 1977 with a
first class degree in Civil engineering and also graduated with
courses in Genetics.  This interestingly enough, gave me a
background in evolution, genetics, mechanics and physics.

    I had believed since I was about 15 that their was a causal
link between eye development and Myopia and indeed was immensely
interested when I read an article supporting that position.

    At first (around 1972) I had hopes that by carefully
managing the use of my eyes I would be able to reverse the myopia
about (- 1 dioptre ).  This I theorized would be done by using
reading glasses to simulate an at rest condition.  I experimented
with various lenses used while reading and studying ranging from
+1.5 dioptre to + 2.5 dioptre, all the while thinking of and
studying the structure of the eye to see if I could gain a better
understanding of the process.

Part 2

    Although my eyes never improved they did not get any worse
from a refractory point of view.  It was relatively easy to
experiment since my eyes did not have any astigmatism.    I could
therefore purchase glasses at the drug store for reading.  I also
talked my eye doctor into prescribing glasses at -0.75 dioptre
that I would wear while attending classes.  This did not do
anything even though I played around with this concept for years.

    One thing that it did do was make me more aware of the minor
changes which seemed to occur with my eyes due to atmospheric
pressure, influence of alcohol and marijuana use, reading,
driving, smoking.

    After I graduated 1977, I married in 1978 and had a family.
My wife was a graduate nurse at University of Toronto and was
mildly myopic with -0.50 in the right eye and -0.75 in the left
eye.  She did not wear her glasses which probably helped to
prevent her vision from changing further.

    We have two daughters aged 15 and 11 both of whom have eyes
that are almost perfect as far as spherical corrections are
concerned they are both at 0 dioptre +/- 0.25.    From the time that
they were young I have encouraged good eye habits in both of them,
ie don't sit too close to the TV, Head up when they walk Etc.

    When we moved to Timmins in 1987 we went to see an eye doctor
by the name of Al MacIvor.  He was talked into prescribing reading
glasses for both of the kids.    My reasoning was that since my
eyes had stabilized at about -1.00 to -1.25 dioptre that reading
glasses of +1.25 dioptre would probably be about the right level
for them.  Al said that both of the girls had very little reserve
in their eyes and would both be myopic by the time they were 15.
He looked at me with a bit of a glazed look in his eyes when I
started talking to him about my ideas and probably thought I was
talking about pyramid glasses etc.  I insisted that the
prescription not contain any cylindrical corrections.

    This now 1995 and the girls are fine.  Their eyes basically
have not changed in 8 years.  They both are avid readers and
computer users and they both wear their reading glasses.

    In a further elaboration to the above I have noticed that in
the workplace where I work there is a very high incidence of
occupational myopia in office workers.    Truck drivers never
develop myopia.  Similar to your observations about the pilots who
have good vision prior to their studies and poor vision after.

    I am not looking for anything from this.  Just trying to help
where I can and enjoying the chance to finally be able to transmit
my information to someone who takes it seriously and has the
professional credentials and interest in pursuing it further .

Sincerely Yours

Denis Alarie, P. Eng.
Dr. Leukoma - 27 Jul 2006 05:25 GMT
More pettifoggery from the leader of the FG (Fringe Group).  I bet my
phone will be ringing off the hook tomorrow from alarmed parents
cancelling their children's eye appointments.

DrG

> Dear Prevention minded friends,
>
[quoted text clipped - 121 lines]
>
> Denis Alarie, P. Eng.
acemanvx@yahoo.com - 27 Jul 2006 10:43 GMT
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, 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! 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. 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.
otisbrown@pa.net - 27 Jul 2006 16:38 GMT
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
Scott Seidman - 27 Jul 2006 17:41 GMT
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
RY - 27 Jul 2006 19:08 GMT
After many years with "a nose in the book" and in a carrer with "a very
high incidence of  occupational myopia" (software engineering) I have a
prescription of +4, + 2.5.

Where can I get some of this "staircase myopia". I'd like just enough
to get to  0, 0 for a prescription. ;-)

Sorry, couldn't resist.

RY

>      In a further elaboration to the above I have noticed that in
> the workplace where I work there is a very high incidence of
> occupational myopia in office workers.    Truck drivers never
> develop myopia.  Similar to your observations about the pilots who
> have good vision prior to their studies and poor vision after.
Dr. Leukoma - 27 Jul 2006 20:03 GMT
> After many years with "a nose in the book" and in a carrer with "a very
> high incidence of  occupational myopia" (software engineering) I have a
> prescription of +4, + 2.5.
>
> Where can I get some of this "staircase myopia". I'd like just enough
> to get to  0, 0 for a prescription. ;-)

Simple.  Just wear minus instead of plus and wait for accommodative
spasm to occur.

DrG
BD - 27 Jul 2006 22:13 GMT
> Re:  The primate eye behaves as expected.

And the human eye? Relevant? A subset, subject to the same laws of
behavior? NOT.

This must be the "Eyesight for Bonzo" show...

You're a freak, Shortbus. A sociological marvel.
 
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