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Medical Forum / General / Vision / October 2006

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Long term risks of orthoK?

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Ace - 22 Oct 2006 03:24 GMT
In another thread, someone talked to his optometrist who said:

I also had a good long chat with the optometrist about visual
corrections in general but, for balance, it should be remembered that
he
works for a Lasik clinic although he is fairly fresh from university so

he is up to date on current thinking. He believed that OrthoK was a bad

idea and could cause damage to the cornea with long term use.
Apparently
this was also the opinion of the Professor in charge of his school who
is supposedly a world authority on contact lenses. He said that the
repeated compression would eventually damage the elasticity and leave a

permanently mishapen cornea.

What do you optometrists on Sci.med.vision say? How long can someone
safely wear orthoK?
I already know orthoK is 10x to 20x safer than lasik. But im worried
about the long term risks of orthoK. I am interested in orthoK and was
wondering how much time I can use it then discountinue use before long
term damage. Something in the future should be invented to answer the
myopia question and correct my myopia but with todays technology, its
either glasses or orthoK as options. OrthoK can tide me over till
technology has an answer.
CatmanX - 22 Oct 2006 07:11 GMT
Why ask questions when:

a) you will never go ahead with it,

b) You prefer to tell people how to do things even when you know
nothing about it yourself.

Annoyance comes to mind, along with the words w.nker, fool and
brain-dead moron.

Others can add here if they wish.
Ace - 22 Oct 2006 07:30 GMT
> Why ask questions when:
>
[quoted text clipped - 7 lines]
>
> Others can add here if they wish.

Then make that question for the public. Theres thousands others who
would like to know the answer. Its not just about me. You practice
orthoK, youd have experience on the risks.
CatmanX - 22 Oct 2006 12:15 GMT
Yes, but seeing you don't rate, I shan't let you in on the secret.
LarryDoc - 22 Oct 2006 18:55 GMT
> Yes, but seeing you don't rate, I shan't let you in on the secret.

Agreed. No need to reply to anything the Ace child writes. Let him
"converse" with Otis, the only other person here who might care to
engage him and his sickness.

LB
cg_aust - 22 Oct 2006 22:03 GMT
Catman & LarryDoc,

I'm currently doing orthok - last 3 months or so. Love the results. I'd
definitely be interested in learning of long term complications /
possible complications. Say what you like about Ace, (I'm sure you have
& will !), but his question is valid, and certainly of interest to me
for one. Probably many others too. Please share your knowledge on this
subject, and don't let your dislike of Ace deprive the rest of us of
the benefit of your knowledge experience and expertise.

> > Yes, but seeing you don't rate, I shan't let you in on the secret.
>
[quoted text clipped - 3 lines]
>
> LB
LarryDoc - 22 Oct 2006 22:36 GMT
> Catman & LarryDoc,
>
[quoted text clipped - 5 lines]
> subject, and don't let your dislike of Ace deprive the rest of us of
> the benefit of your knowledge experience and expertise.

Then ask Ace and Otis to leave the group.  

This is, after all, sci.med.vision. Read the charter or at least the
weekly "welcome" post. Those of us in the field of science or
medical-related vision post here for two reasons: 1. to help increase
the body of knowledge in the field available to those not in the
professions and 2. to discuss interesting findings that increase *our*
knowledge.

But lately we find those goals to be supplemented with: 3. keep out the
loons and dispel their junk-science and general bull.  And that is
becoming time consuming and now detracts from real and meaningful
discussion.  At least for me.  Most of the time I don't even read the
stuff here anymore, or at least pick and choose to reply to things that
don't require much work on my part or to other replies that might
actually hurt someone. What a change.  What a shame.

So, if you don't like what's going on here, stop replying to the moronic
and useless posts from those who hang out here only to blab and blah,
blah, blah.......

<close soapbox><jump off soapbox>
<go to beach>

ahhhhhh

LB
Charles O - 22 Oct 2006 22:58 GMT
> And that is becoming time consuming and now detracts from real and
> meaningful discussion.

Well if people would just kill file the loons like Otis and Ace instead
of feeding their kook theories with stupid replies it would improve the
discussion. It is true that Otis and Ace are kooks but I don't know
what some of the responders would do for a life if Otis and Ace did
leave the newsgroup.

Signature

Charles

CatmanX - 22 Oct 2006 22:45 GMT
Ask your optometrist. If they are worth their salt, they were at the
OSO conference 2 weeks ago to catch up with the latest info.

dr grant
cg_aust - 22 Oct 2006 22:50 GMT
Gee guys, thanks for your help.

> Ask your optometrist. If they are worth their salt, they were at the
> OSO conference 2 weeks ago to catch up with the latest info.
>
> dr grant
CatmanX - 22 Oct 2006 22:53 GMT
what are you paying your optometrist for?
cg_aust - 22 Oct 2006 23:06 GMT
I believe he's a very good optometrist, I was referred to him by my
regular optometrist, as a leader in this field. I'm in Melbourne
Australia.

I'm simply doing a bit of my own research to try and extend my
obviously limited laymans knowledge. I have asked him these same
questions, but he said no problems long term to worry about. Doesn't
mean someone else doesn't have a contrary view. In fact going by this
website, quite obviously they do.

I'm sure as a professional you're always trying to increase your
knowledge. As a layman and orthtok patient, that's all I'm doing -
without bugging the sh.t out of my optometrist all day by asking
questions he's already answered, and questioning his own
professionalism by doubting his advice.

Sorry if I've offended you or someone else in the group, or broken some
etiquette I'm unaware of.

> what are you paying your optometrist for?
Ace - 23 Oct 2006 03:40 GMT
I know some of you guys dont like me and Otis. We are entitled to
freedom of speech to say what we want. Neither of us insult anyone, we
dont cuss, we dont flame or attack someone, we use good courtesty. You
have a problem with our opinions, well you are entitled to your own
prevailing opinions. There are alot of people and optometrists called
"second opinion" who believe in myopia prevention, vision improvement
and the power of the plus lens. There will always be disagreements
between optometrists who believe nothing can be done about myopia and
those who believe it can be prevented if caught early on and plus lens
used.

But this thread is about the long term risks of orthoK. All of us
reading this would like to know. You optometrists post here to help so
please share your facts. This is a reasonable and serious question. You
dont have to like me, that is irrelevant. It is nothing personal, its
about health and science!

Cg_aust, thanks for asking your optometrist about this. It is
reassuring to know most dont believe there is any long term concerns
and if there are, its probably no worse than daily wear contacts and
far, far safer than lasik.

As for that lady who developed -2d astigmatism, was it gradual? Have
they determined the cause? It could just be coincidental and could go
away by itself. Did she develop any other problems, especially that
glasses couldnt correct?
Dan Abel - 23 Oct 2006 03:56 GMT
> I know some of you guys dont like me and Otis. We are entitled to
> freedom of speech to say what we want.

And other folks on the group have freedom of speech to differ with you
and to ask for substantiation.

> Neither of us insult anyone, we
> dont cuss, we dont flame or attack someone, we use good courtesty. You
> have a problem with our opinions, well you are entitled to your own
> prevailing opinions.

> There are alot of people and optometrists called
> "second opinion" who believe in myopia prevention, vision improvement
> and the power of the plus lens. There will always be disagreements
> between optometrists who believe nothing can be done about myopia and
> those who believe it can be prevented if caught early on and plus lens
> used.

Please name a few of them (and one or two do not constitute "a lot").

Signature

Dan Abel
dabel@sonic.net
Petaluma, California, USA

CatmanX - 23 Oct 2006 13:30 GMT
Like I said, if your optom knows anything about OK, he should have been
in Surfers for the conference. I think I can recall 2 others from Melb
there. OK is very poorly done here due to mostly lousy optoms who can't
fit an RGP lens to save themselves.

Write a list of questions and take them in next time you see your
optom.

If you can't wait, email me the list. I am not going to give Nancy the
satisfaction of my knowledge. Sorry, but he would just twist it.

drgrant@ozemail.com.au

cheers,

grant
cg_aust - 23 Oct 2006 21:25 GMT
Catman,

Sincerely thank you for your response - I will follow your suggestion
about the list of questions for my optom, who I see again in 3 weeks.
If I'm unhappy with his responses I'll pursue the offer of an email to
you.

Thank you again.

> Like I said, if your optom knows anything about OK, he should have been
> in Surfers for the conference. I think I can recall 2 others from Melb
[quoted text clipped - 12 lines]
>
> grant
Ace - 24 Oct 2006 09:09 GMT
> Catman,
>
[quoted text clipped - 4 lines]
>
> Thank you again.

Please let me know all the responses of all the optometrists. Alot of
us out there are wondering the same thing.
Ace - 24 Oct 2006 07:30 GMT
> Like I said, if your optom knows anything about OK, he should have been
> in Surfers for the conference. I think I can recall 2 others from Melb
[quoted text clipped - 12 lines]
>
> grant

Finally some good advice. I already have a list of questions ill show
my own optometrist when I go for my orthoK consultation. You probably
wouldnt waste your time unless you were being paid. If I had to guess,
most if not all orthoK optometrist would not believe the long term
risks to be much to worry about. Those who feel there is a risk are
lasik surgeons(no supprise) and some optometrists who dont even fit
people with contacts.
Charles - 22 Oct 2006 13:15 GMT
I'd like to know the answer give the corneal reshaping I get from RGP.

> In another thread, someone talked to his optometrist who said:
>
[quoted text clipped - 25 lines]
> either glasses or orthoK as options. OrthoK can tide me over till
> technology has an answer.

--
Dr Judy - 22 Oct 2006 15:57 GMT
> In another thread, someone talked to his optometrist who said:

snip

the opinion of the Professor in charge of his school who
> is supposedly a world authority on contact lenses. He said that the
> repeated compression would eventually damage the elasticity and leave a
>
> permanently mishapen cornea.

I have a patient who had ortho K done about 22 years ago, wore the
correcting lenses for 10 to 12 years.  She now has almost 2D of corneal
cyl which did not exist prior to ortho K (I got her old records)

Just one case, maybe she would have developed the cyl anyway ...

Dr Judy
 
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