Medical Forum / General / Vision / September 2006
Eyeballing the Vision Workout
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otisbrown@pa.net - 12 Sep 2006 17:19 GMT Dear Friends,
Subject: Washington Post Article on Vision, 9/12/06
Re: "Eyeballing the Vision Workout."
This may be of interest to you. It is about the "See Clearly" method -- and related subjects.
Does it work?
Ace - 13 Sep 2006 03:30 GMT > Dear Friends, > [quoted text clipped - 6 lines] > > Does it work? NVI addresses pseudomyopia and can also stop further axial myopia progression. Children with 20/40 vision have cleared 20/20 and avoided stair-case myopia
otisbrown@pa.net - 13 Sep 2006 04:51 GMT Ace,
You are correct -- vision clearing is possible.
Here is the discussion. I do think that $350 is "steep". But as long as they return your money promptly ...
Otis
++++++++++++
Subject: Eyeballing the Vision Workout
Advertising Pitches for the 'See Clearly Method' Claim That Simple Exercises Can Improve Your Vision Naturally. Plenty of Experts Aren't Buying It.
By Ranit Mishori
Special to The Washington Post
Tuesday, September 12, 2006; Page HE01
The sales pitch for the See Clearly Method (SCM) is ubiquitous: An optometrist-created system of eye exercises is so effective at improving vision, according to promotions on local radio stations and across the Internet, that you may be able to throw away your glasses for good. In fact, the ads claim, regular eyeglasses may actually be making your eyesight worse . The SCM kit costs $350.
Iowa's attorney general, Tom Miller, is not buying it. His office filed a consumer fraud lawsuit last summer against Vision Improvement Technologies (VIT), the Iowa company that developed and markets the See Clearly Method. Among other things, the suit says assertions that SCM users can "quickly and easily free themselves of having to wear glasses or contact lenses" are false and misleading.
Treatments for Poor Vision Approximately 14 million Americans over the age of 12 suffer from visual impairment, according to the National Health and Nutrition Examination Survey (NHANES). The most common forms are the refractive disorders myopia and hyperopia.
In addition, the Better Business Bureau (BBB) for northeastern Indiana has put SCM on its watch list. A year ago, Wisconsin's Department of Agriculture, Trade and Consumer Protection issued a warning to consumers after finding that of the more than 1,850 Wisconsin customers who bought the kit, half attempted to return it for a refund.
Also last year, VIT agreed to make a minor modification to its advertising, according to the Electronic Retailing Self-Regulation Program. This BBB-affiliated review group found that almost all the the company's promotional claims had been presented legitimately as opinion. However, it also concluded that one statement -- that the See Clearly Method could "eliminate . . . poor vision due to aging" -- "was not entirely consistent with the opinions espoused by the authors and should be modified accordingly." Cliff Rose, VIT's founder and marketing director, says the product is effective and many users are satisfied. "You've got to talk to our customers who thank me every day," he says. "Every week I hear from people who thank me from the bottom of their hearts."
The SCM Web site offers a 30-day free trial of the technique for those who pay a shipping/handling fee of $9.95. But the Iowa lawsuit alleges that customers who wanted to return their kits had had trouble arranging their money-back guarantees. In February, an Iowa judge issued a temporary injunction ordering VIT to change its refund system.
According to Dominick Maino, an optometrist and professor in the Pediatrics and Binocular Vision Service of the Illinois Eye Institute and the Illinois College of Optometry, no independent scientific studies have proved SCM's or similar products effective at treating nearsightedness or farsightedness. Karla Zladnik, professor in optometry and physiological optics at the Ohio State University College of Optometry, says eye exercises to correct vision have been "long out of favor" among most vision professionals. Their use "is not accepted by mainstream optometry," she says.
Henry Ettinger, a New York optometrist who serves as a consultant for VIT, defended the product in an e-mail, arguing that some dissatisfied customers may not be performing the exercises correctly or consistently enough. "Some of my patients and some other consumers around the country have been pleased with the results using the SCM," Ettinger wrote. "Some have been able to function without glasses; others have been able to reduce or stabilize their prescription."
The Iowa lawsuit states that VIT's promotional materials make selective use of customer satisfaction reports. The lawsuit alleges that in one 54-day sampling of consumer contacts, six were favorable and 49 were complaints. The lawsuit further alleges that some people whose names appear in ads as satisfied customers had stopped doing the exercises and were back to wearing glasses.
Vision training programs have been around for decades. Some are loosely based on what's known as the Bates system, named for New York ophthalmologist William Horatio Bates, who, in 1920, published "Perfect Sight Without Glasses," a book of exercises that Bates believed could "normalize vision."
Bates didn't like eyeglasses; he thought they were ugly. He also hypothesized that wearing glasses actually made vision problems worse. His idea spawned an industry -- one that, even while the understanding of the causes and treatments of eye disorders have changed dramatically, continues to attract practitioners. Often they have been accused of quackery and, sometimes, fraud. The eye works like a camera. The parts in the front of the eyeball, the cornea and lens, focus light on the retina, located on the back inside wall of the eye. Once the retina receives an image, it transmits a signal through the optic nerve to the brain.
In nearsightedness and farsightedness -- considered the most common vision problems -- the eye does not properly bend, or refract, the light directly onto the retina. The image sent to the brain looks blurry. When the eyeball (as seen from the side) is too long, objects farther away are blurry. When the eyeball is too flat, closer images are blurry.
The question is whether these problems can be exercised away. Exercises and vision therapy are not discounted entirely by the medical mainstream. They are often prescribed for certain eye problems, such as eye movement disorders (those in which the eyes don't work together in a coordinated way) or when one eye is "lazy" (a condition known as amblyopia). In these cases optometric vision therapy -- exercises supervised and directed by an optometrist -- can make significant improvements. Vision therapy has also been used, though not without controversy, in the treatment of children with learning disabilities and ADHD.
Ohio State's Zladnik says some parts of the See Clearly Method are also found in optometry vision therapy, "but they are not really [intended to] improve your vision."
Maino, of the Illinois Eye Institute, concurs that SCM uses some fairly common vision therapy techniques, but they "have not been shown to take someone who's nearsighted and to eliminate it."
In fact, there is a basic lack of evidence supporting vision training for these problems. SCM spokesmen Ettinger and Rose do not dispute this. "No knows for certain how it works," Ettinger says. (The See Clearly Web site explains that the exercises "strengthen and relax the eye muscles responsible for focusing so your vision can improve naturally.") Rose adds: "We have never said that it's supported by any research. . . . All we have to go by is the anecdotal evidence that we have from people who have improved their vision." The first controlled study of SCM, which involved 30 participants, found no benefit. Ohio State graduate student Tracy Bildstein, working with Zladnik, presented her findings at last year's annual conference of the American Academy of Optometry. It has not been published.
The study concluded that "using the SCM for one month did not have a significant effect on distance or near uncorrected visual acuity or refractive error." Bildstein's participants were asked -- as anyone purchasing the kit off the Internet or over the phone would be -- to follow the manual provided in the SCM kit. It spells out a series of techniques that include biofeedback, eye massage, "palming" techniques (in which the eyes are rested on the palms of the hands), hot compresses over the eyes, visualization and personal affirmations. The more demanding exercises in this orbital regimen involve focusing and unfocusing on objects and rotating the eyes in clock-like motion. Rose says these exercises "work on the extra-ocular muscles and the ciliary muscle," which are located around the eye. "You have to exercise these muscles to keep them strong and flexible."
States the SCM Web site: "Just as you can improve your health and fitness by exercising your body, we believe you can improve your vision by exercising your eyes."
This doesn't make sense to Eugene Helveston, emeritus professor of ophthalmology at the Indiana University School of Medicine, who wrote a 2005 article in the American Journal of Ophthalmology about visual training.
His conclusion is blunt: "Muscles have nothing to do with problems such as nearsightedness or farsightedness." Though the ciliary muscle controls the movement of the lens, Maino says simply exercising that muscle will have no benefit.
"You've got to get out of your head the idea of training the muscles," he explained in an interview. "There's no such thing as an Arnold Schwarzenegger ciliary muscle."
The consensus of most eye professionals is that nearsightedness and farsightedness are structural problems, correctable only with eyeglasses, contacts or laser surgery.
Rose thinks that the consensus is more like a conspiracy. "People are selling glasses and contact lenses and surgery," Rose says. "This is a multi-billion-dollar market. So some people are very threatened by us. So they are attacking us. . . . Don't be so quick to condemn us just because we can't line up all kinds of research."
But it is clear the lack of research hurts, and Rose says his company has commissioned a formal study of SCM, though he would not discuss details of the study design.
But proof is what the Iowa attorney general wants. It's what Zladnik believes consumers should ask for before they part with $350. It's what, Helveston believes, professionals and patients alike should seek. "All you can do," Maino says, "is state the facts, and the people will decide."
Ranit Mishori last wrote for the Health section about the changing roles of fathers in the delivery room.
> > Dear Friends, > > [quoted text clipped - 10 lines] > progression. Children with 20/40 vision have cleared 20/20 and avoided > stair-case myopia Mike Tyner - 13 Sep 2006 08:33 GMT > Here is the discussion. I do think that > $350 is "steep". But as long as they > return your money promptly ... Steep? Nonsense. How much would YOU pay to see clearly?
And all you have to do to separate rubes from their money is to claim you can clear their vision without glasses or surgery. You don't have to offer any proof and you don't have to guarantee any results.
All you need is a few idiots on the internet selling your concept for you. Do you get paid, or are you just public-spirited?
-MT
Dr Judy - 13 Sep 2006 14:00 GMT > Ace, > [quoted text clipped - 3 lines] > $350 is "steep". But as long as they > return your money promptly ... But they don't return the money promptly or at all ... hence the lawsuit
Dr Judy
otisbrown@pa.net - 13 Sep 2006 04:57 GMT Also, Ace, here is some commentary:
http://www.myopia.org/
that is critical of the use of a minus lens on the threshold.
Wow!
Enjoy,
Otis
> > Dear Friends, > > [quoted text clipped - 10 lines] > progression. Children with 20/40 vision have cleared 20/20 and avoided > stair-case myopia Mike Tyner - 13 Sep 2006 08:37 GMT > Also, Ace, here is some commentary: > that is critical of the use of a minus lens on the threshold. > > Wow! I looked and I couldn't find any explanation.
Nobody seems to explain why Grosvenor, Ong, Parssinen and Shotwell were unable to find this "staircase myopia."
Perhaps you could tell us? How these subjects showed no acceleration from wearing glasses?
-MT
Simon Dean - 13 Sep 2006 19:22 GMT > Also, Ace, here is some commentary: > [quoted text clipped - 7 lines] > > Otis Oh look, that's the 50 billionth time you've posted that link here, each time, you make it to sound as fresh as the first, like it has some new information! Keep up the good work Otie!
Mike Tyner - 13 Sep 2006 08:40 GMT > NVI addresses pseudomyopia Agreed.
> and can also stop further axial myopia > progression. Unproven, despite decades of trying. You know this, therefore your statement is fraudulent.
-MT
otisbrown@pa.net - 13 Sep 2006 18:31 GMT Dear Ace,
Mr. Rehm requested that the "minus" have a warning applied to it -- in effect -- to be "careful" with that minus -- and state that a certain "risk" exists in wearing it, i. e., stair-case myopia as the secondary consequence.
The FDA turned down his request.
Here is Mr. Rehm's response.
Best,
Otis
++++++++++++++++++++
FDA REJECTION LETTER COMMENTS
September 11, 2006
Re: Docket No. 2005P-0166
I have received the letter of August 2, 2006 from your deputy, Linda S. Kahan, in which the FDA rejects my petition to require a warning to the public that prolonged close work is the cause of myopia and that minus lenses increase the rate of myopia development. The petition, your decision, and this letter are now available to the world on the Internet at www.myopia.org/fda.htm. Also at www.myopia.org, you will find the whole story about the myopia tragedy, including a similar brush-off letter I received from the National Eye Institute years ago when I sought their help in testing the Myopter further. Both letters show a similar lack of concern for human suffering.
It appears that you have spent 15 months thinking up every possible reason to do nothing, while hundreds of millions of children around the world continue to be made into visual cripples by tens of thousands of eye doctors. They do this because that's where the money is. This is the biggest consumer fraud in the history of the world; yet to you it is not worthy of any action. By this decision, the FDA has established itself as a major player in the worldwide conspiracy to hide the truth from the public.
I believe this is just another example of how the money of big business has corrupted our government, and the FDA is a shining example of putting business interests before public health. Are you solely responsible for this decision? Is the FDA Commissioner, Andrew von Eschenbach, orchestrating this tragedy? Or did it go as far as the Secretary of Health and Human Services, Mike Leavitt? It is difficult to believe that either of these two persons had the time to investigate this matter in depth. Or did the word come down from the White House that this petition should be squashed because the optical industry and doctors are big contributors to the Republican Party and they want it that way? Isn't that how our government works these days? The public has a right to know who actually made this decision and is hiding in the background.
The FDA has a history of doing the dirty work of optical interests. In the early 1990's, the FDA sent armed agents to raid the businesses of a few small vendors of pinhole glasses. These devices have been in use for centuries and were being sold via newspaper ads and even on the early Internet. The products were destroyed and the businesses closed down. This outrageous action was done under pressure from eye doctors and optical companies who didn't want the public to know about or have access to this inexpensive method of correcting vision. That is why such glasses are not offered in optical stores. Prescription lenses are much more profitable.
So, the FDA sent out armed goons who used violence to keep harmless pinhole glasses away from the public while it now refuses to lift a finger to even warn the public about the vision-destroying capability of minus lenses. This is just one of many shameful events in the FDA's history. If you want to refresh your memory, you can read about this at www.myopia.org/conspiracy.htm . Now, with the expansion of the Internet, such glasses can be bought from many sources, even overseas, and the FDA would have a tough task trying to suppress them any longer.
Working with a Pittsburgh optometrist, I was the first person to prove that myopia could be prevented and reversed. These results were included in my petition and published in my book, The Myopia Myth. We didn't need a fancy study and a million dollars. We just did what everyone in the business said couldn't be done. The National Eye Institute refused to assist in further studies, even though I sat across the table from Carl Kupfer, the NEI Director at that time, and pleaded for his assistance. Yet it will fund studies for things as "looking for the gene that causes myopia." This would be comical if it wasn't so tragic. The NEI pretends to look for an answer to the myopia problem, but it actually does everything in its power to hide the truth. It is run for the benefit of optical business interests, not for the benefit of the public. The children using the Myopter were examined by a qualified, well-respected optometrist using conventional refractive techniques. Yet, on page six you dismiss this study as "anecdotal." You don't even know the meaning of the word. You can find my disgusting experience with the NEI related on www.myopia.org/nei.htm .
Your brush-off reply is so full of lies, distortions and omissions that it would take far too long to deal with all of them. But here are a few obvious comments:
1. You say you refuse to require a warning on minus lenses or place any limitations on what doctors do. You say you don't have the authority. But you also refuse to alert the public in any way. There is nothing preventing you from holding a press conference and giving the public such information as:
A. Monkeys, with eyes just like ours, develop myopia when kept in a visual-confining environment, proving that prolonged accommodation causes myopia.
B. A study of Eskimos showed that over 60% of the children were myopic while their parents and grandparents were not. The reason was that the children had the benefit of compulsory education. Their parents and grand parents were illiterate. This proves that myopia is not inherited.
C. Hold the book or other viewed object as far away as possible.
D. Use adequate light to reduce accommodation.
E. Take a break from close work frequently and look into the distance.
F. Don't use minus lenses unless absolutely necessary, since they increase accommodation.
G. Allowing myopia to develop increases the risk of retinal detachment, macular degeneration and glaucoma.
H. Discuss with your doctor the possible use of plus lenses to prevent myopia.
2. On page one, you state that "we believe that the current regulations provide adequate assurance of the safety and effectiveness of these devices." But, there ARE NO regulations concerning minus lenses. Doctors can prescribe them without regulation. That is the problem. And how can you say that minus lenses are safe? What proof do you have? There is no such proof.
3. On page three, you state that enforcement action is the duty of the individual states. Yet the states say that the FDA is the proper place to deal with this matter. How convenient for both of you to be able to place the responsibility elsewhere and wash your hands of everything. You say you have no authority to "interfere with the authority of a health care practitioner to prescribe or administer any legally marketed device to a patient for any condition or disease within a legitimate health care practitioner-patient relationship." But we are asking for a label just like those used with prescription drugs. Requiring a label with prescription drugs is not interfering with the practice of medicine. It is a safety warning to the public. The public needs to be informed about the danger of minus lenses as well.
4. On page four, you say you are supporting the use of drugs which are placed in the eyes daily to paralyze the accommodation. For one thing, these drugs are toxic. Secondly, how are these children going to read without their accommodation? They will obviously need lenses with a +3 add. So why not just give them the plus lenses and omit the drugs? Thirdly, you claim there is no evidence that prolonged accommodation causes myopia. Then why are you supporting the use of these drugs? This whole approach is idiotic. You are talking out of both sides of your bureaucratic mouth.
5. On page five, you state that the "FDA is unaware of any large, multicenter trial that incorporates the recommendations you suggest." Of course you aren't. Neither am I. And there will never be such a study because optical interests would never let it get off the ground. Such a study would mean the death of the genetic theory of myopia development. That would threaten this multi-billion dollar industry. Even if such a study was done, it would be ignored by the eye doctors, just as they have ignored all of Francis Young's marvelous, pioneering research. If I were to bring you ten blind children and within 30 days have them all seeing again, would you dismiss what you see before your eyes because no multicenter trial had been done? Anyone can reverse acquired myopia within 30 days, just as I did. But there is absolutely no interest in doing so.
6. On page six, you mention a study that "provides evidence that under-correction of myopia may actually increase its progression." In other words, they claim that a beginning myope will become more myopic if minus lenses are not prescribed. That's idiotic. This asinine study has been quoted far and wide by defenders of the status quo, but it has been completely discredited. That you would even mention this "study" shows how superficial and slanted your analysis is. Why don't you state that "the findings may have been subject to bias", as you stated about the Hong Kong study and the Francis Young study?
7. On page six, you say, "Without corrective lenses, myopic children cannot see distant objects clearly and would be at a significant visual disadvantage in schools, sports, and other activities of daily life." No kidding! Don't you understand that this whole thing is about PREVENTING children from becoming myopic in the first place? And don't you understand that they will also be at somewhat of a visual disadvantage when they go blind from the effects of an abnormal growth of the eye, caused by minus lenses?
In summary, common sense and science seem to count for nothing in your world. You seem to think that the eye doctors will police themselves and do nothing wrong. Does the tobacco industry police itself, or does it do everything in its power to make our children addicted to tobacco products? The same thing is happening in the optical business. Children are being victimized and made into lifelong, addicted customers. Your letter is obviously a political decision that is designed to protect the multi-billion dollar profits of the eye doctors and the optical industry.
In short, both the FDA and the NEI act as if your salaries are paid by the optical industry, rather than by the taxpayers you are supposed to serve. What kind of monsters are you? How do you live with yourselves? What do you use for a conscience? If we lived in a just world, the officials at the FDA and NEI would be taken into court and charged with crimes against humanity.
Donald Rehm President The International Myopia Prevention Association
+++++++++++++++++
> > Dear Friends, > > [quoted text clipped - 10 lines] > progression. Children with 20/40 vision have cleared 20/20 and avoided > stair-case myopia Mike Tyner - 13 Sep 2006 18:43 GMT > Mr. Rehm requested that the "minus" have a warning applied > to it -- in effect -- to be "careful" with that minus -- and > state that a certain "risk" exists in wearing it, i. e., > stair-case myopia as the secondary consequence. > > The FDA turned down his request. Just as we've been telling you... it's a vast conspiracy.
The FDA, the NEI, all the eye doctors, all the PhD researchers and all the opticians in the US and all over the world say that you are wrong.
Perhaps if you presented, hmm, maybe ONE controlled study showing that minus makes myopia worse?
Just one.
No? Can't find one? Why is that?
Grosvenor, Shotwell, Ong and Parssinen all designed studies that should show glasses make myopia worse. Why didn't it?
Otis has no comment.
-MT
p.clarkii@gmail.com - 13 Sep 2006 04:46 GMT > Does it work? No
==== Iowa Attorney General Sues "See Clearly" Marketers for Fraud Stephen Barrett, M.D.
The See Clearly Method is claimed to enable people to see more clearly; eliminate or reduce nearsightedness, farsightedness, astigmatism, poor vision due to aging and eyestrain; strengthen the eye muscles; eliminate or reduce the need for glasses and contacts; and prevent further deterioration of vision. There is no logical reason to believe that any of these claims is true [1]. Moreover, the Vision Improvement Technologies, Inc. (VIT), which markets the product, has an unsatisfactory record with the Better Business Bureau due to "a pattern of complaints" and "failing to correct the underlying reason for the complaints."[2]
The program, which costs about $300, includes manuals, charts, and tapes or CDs that demonstrate eye exercises and other techniques. The exercises and "techniques" included focusing eyes using special charts or props, facing a bright light with eyes closed at a distance of a few inches, covering eyes with hands for sustained periods, and applying hot and cold wash cloths over closed eyes. The method is based in part on the work of William H. Bates, M.D., whose ideas have been dismissed by mainstream eye-care professionals for decades [1].
http://www.quackwatch.org/01QuackeryRelatedTopics/seeclearly.html http://www.consumeraffairs.com/news04/2005/ia_vision_improvement.html http://www.consumeraffairs.com/news04/2006/02/ia_vision_improvement.html
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