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Medical Forum / General / Vision / September 2006Does the eye continue to elongate during adulthood for pathologic myopes?
Does the eye continue to elongate during adulthood (say, after 30) for pathologic myopes, or does it stop? Dear Fidelis, Yes. Otis > Does the eye continue to elongate during adulthood (say, after 30) for > pathologic myopes, or does it stop? > Dear Fidelis, > [quoted text clipped - 4 lines] >>Does the eye continue to elongate during adulthood (say, after 30) for >>pathologic myopes, or does it stop? The correct answer is that yes it can continue past age 30, but also it eventually stops, even in pathological myopia. Most pathologic myopia stops by age 30, but in all cases it eventually does stop. w.stacy, o.d. Mine has been slowly but steadily elongating for many years. I am now 56 with a minus 13 or 14. My doctors tell me I ought to be near the end of it. by now. >> Dear Fidelis, >> [quoted text clipped - 10 lines] > > w.stacy, o.d. > Mine has been slowly but steadily elongating for many years. I am now 56 > with a minus 13 or 14. My doctors tell me I ought to be near the end of it. > by now. If you're getting more myopic at your age, it's very likely at least partly, maybe totally due to the common lenticular chages (pre-cataractous) of age. But you really can't know that because nobody is actually measuring your axial lengths, are they? w.stacy, o.d. I don't know what you mean. I get yearly eye exams. Exactly what is measured I'm not sure, but I know I have no cataracts yet. >> Mine has been slowly but steadily elongating for many years. I am now 56 >> with a minus 13 or 14. My doctors tell me I ought to be near the end of [quoted text clipped - 6 lines] > > w.stacy, o.d. > I don't know what you mean. I get yearly eye exams. Exactly what is > measured I'm not sure, but I know I have no cataracts yet. You're guessing that your myopic eye is getting longer, but any increase in myopia at age 56 is more likely due to a steepening of the cornea or to a swelling of your crystalline lens than to additional elongation of the eye. The swelling of the lens can be pre-cataractous, or diabetic, or both. We don't always know for sure which one or combination of the three possibilities is at work since we can't easily measure crystalline lens power or axial length, but at that age, the lens is most likely culprit. You can say you have no cataract, but I can tell you I've never looked at a 56 year old crystalline lens that didn't show *some* decrease in clarity from those of childhood or early adulthood, or indeed, from those of pseudophakia. Call it age, call it wear and tear, 56 year old crystalline lenses are starting to "turn". It's the very reason I'd go along with your idea of having a "cle". w.stacy, o.d. Dear William, How many optometrists measure "axial length" and report it? 90 percent? 50 percent? 10 percent? 2 percent? Other that that -- and you are guessing, or stating an opinion. Otis > > I don't know what you mean. I get yearly eye exams. Exactly what is > > measured I'm not sure, but I know I have no cataracts yet. [quoted text clipped - 16 lines] > > w.stacy, o.d. The only ones I know of are doing it pre-op for a cataract surgeon, and for sure that is fewer than 0.1% of o.d.s. Oh there may be some research o.d.s also doing it. Still rare. Not a guess. I know optometry. It *is* my opinion, and as usual, it is correct. w.stacy, o.d. > Dear William, > [quoted text clipped - 11 lines] > Other that that -- and you are guessing, or > stating an opinion. Ummm, let's see... that would be a professional opinion because you're qualified to make one. Unlike Otis who is not qualified or in any position to do the same right? -Quick > Not a guess. I know optometry. It *is* my opinion, and as > usual, it is correct. [quoted text clipped - 16 lines] >> Other that that -- and you are guessing, or >> stating an opinion. > Does the eye continue to elongate during adulthood (say, after 30) for > pathologic myopes, or does it stop? >From what I read, it can enlongate for life in very severe cases. It never stops getting worse. There have been reports of -40 in the literature! Many people do go blind alltogether from problems with such an enlongated eye(retinal, macular) For others, it stops at 30 to 40 of age. Normal myopes stop worsening at around 20 of age which has been the case for me. > >From what I read, it can enlongate for life in very severe cases. It > never stops getting worse. There have been reports of -40 in the [quoted text clipped - 3 lines] > For others, it stops at 30 to 40 of age. Normal myopes stop worsening > at around 20 of age which has been the case for me. Here we have a retard's professional opinion, and as always, it's wrong. >>From what I read, it can enlongate for life in very severe cases. It > never stops getting worse. Before you post another thing here, Ace, please answer 2 VERY SIMPLE questions. 1. Where exactly did you read that "it can elongate for life"? 2. What exactly do you mean by "it never stops getting worse"? Do you also have a location or URL you could point me to that supports that? Both statements are completely contradicted by real life situations that I see every single day in my office, so I must know where in the universe this is happening. w.stacy, o.d. (wherever it is, for sure I won't go there) >>>From what I read, it can enlongate for life in very severe cases. It >> never stops getting worse. [quoted text clipped - 14 lines] > > (wherever it is, for sure I won't go there) Dr. Stacy, I'm the original poster and the reason why I asked is that I'm curious about whether my post-cataract-surgery vision will worsen from continuing eye elongation (I'm 40 years old). It seems, based on your experience as well as my own research finding, that I don't need to worry about it. > I'm the original poster and the reason why I asked is that I'm curious about > whether my post-cataract-surgery vision will worsen from continuing eye > elongation (I'm 40 years old). It seems, based on your experience as well as > my own research finding, that I don't need to worry about it. No it won't. And, yes, you don't need to worry. Regardless of what Ace or Otie say. You can take that to the bank. w.stacy, o.d. > >>From what I read, it can enlongate for life in very severe cases. It > > never stops getting worse. [quoted text clipped - 14 lines] > > (wherever it is, for sure I won't go there) Here is new things for even an optometrist to learn. I didnt know this either but its true! Thirty percent of all cases of pathological myopia occur at birth. Sixty percent of patients are diagnosed with the condition between the ages 6 and 13, and it continues to progress throughout life. Early examinations of children at risk are crucial, for the failure to detect high myopia in young children may lead to further vision loss from amblyopia. repeat! and it continues to progress throughout life............! link below: http://www.visionww.org/drswindsor-myopia.htm I can find more sources but too tired now. However its *rare* for myopia to never stop progressing which is why *you* have never seen a case. Most_myopes_stop progression around 20 and nearly all in their mid to late 20s. You have never seen a myope higher than -19 and that was more than 10 years ago too. You see a -12 to -15 about once a month. Dont worry about my proof, pathalogic myopia that exceeds -20 and especially -30 is super rare, ditto for myopia that still progresses when you hit 40 of age. To the OP, dont worry, if you are 40 of age, it is *highly* unlikley your eyes will keep worsening. If your eyes have been stable for a couple years or more, they should be stable for life give or take ~1 diopter maybe. >http://www.visionww.org/drswindsor-myopia.htm > > A couple of O.D.s did make the general statement that pathological myopia continues throughout life, and they are wrong. Show me a study that proves it. I doubt one has been done, as you would have to follow myopia progression throughout ones entire lifetime right up until death. The fact that all the ones I've seen level off far before death proves that the statement is incorrect as a generality. I would not be surprised if SOME pathological myopes continue to develop until their death, especially those who experience a premature death. w.stacy, o.d. > >http://www.visionww.org/drswindsor-myopia.htm > > [quoted text clipped - 8 lines] > > w.stacy, o.d. I agree with you. Its extremely rare for myopia to keep progressing past the age 40, period. Its been reported in the literature as the worse of the worse cases of pathalogical myopia. The fact the highest myope youve seen was -19 long ago attests to the rarity. > I agree with you. Its extremely rare for myopia to keep progressing > past the age 40, period. Its been reported in the literature as the > worse of the worse cases of pathalogical myopia. The fact the highest > myope youve seen was -19 long ago attests to the rarity. The retard now agrees with this. Recently he was on board for the lifetime progression of myopia. No wonder he's known as an internet retard, he's even too stupid to track his own lies. |
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