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Medical Forum / General / Vision / December 2006

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Myopia & hyperopia

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Andi - 17 Dec 2006 06:58 GMT
Why is it that my mother with her +3 prescription for distance can see better
without her glasses than I can without my -2.75?  She also has some stronger
glasses for reading.
Dr. Leukoma - 17 Dec 2006 11:28 GMT
> Why is it that my mother with her +3 prescription for distance can see better
> without her glasses than I can without my -2.75?  She also has some stronger
> glasses for reading.

Easy.  She has pinpoint pupils.

DrG
otisbrown@pa.net - 17 Dec 2006 15:32 GMT
Shooting from the hip again, eh, Leukoma.

> > Why is it that my mother with her +3 prescription for distance can see better
> > without her glasses than I can without my -2.75?  She also has some stronger
[quoted text clipped - 3 lines]
>
> DrG
Neil Brooks - 17 Dec 2006 17:03 GMT
> Shooting from the hip again, eh, Leukoma.

pot ... kettle ... black.
Mike Tyner - 17 Dec 2006 17:35 GMT
> Shooting from the hip again, eh, Leukoma.

Why not. You shoot without looking.

-MT
Dr. Leukoma - 17 Dec 2006 18:25 GMT
> Shooting from the hip again, eh, Leukoma.

I would say that even from the hip, I hit the target more often than
you do.

Actually, if the mother is presbyopic, she should not be able to
accommodate through 3 diopters of hyperopia, and her distance visual
acuity should be approximately the same as her son's 2.75 diopters of
myopia.  The size of the blur circle ought to be about the same.
Miosis, however, occurs when the ciliary muscle tries to accommodate.
That, plus the miosis that naturally occurs with age, would tend to
support my theory that the mother would enjoy the benefits of greater
depth of field.

Do you have anything constructive to say?

DrG
Mike Tyner - 17 Dec 2006 12:23 GMT
> Why is it that my mother with her +3 prescription for distance can see
> better
> without her glasses than I can without my -2.75?  She also has some
> stronger
> glasses for reading.

You see *much* better than she does up close; she sees better far away.

-MT
Andi - 17 Dec 2006 18:11 GMT
Yes she does have tiny pupils!!
Years ago she was told by her optician that she should wear her glasses
constantly but she never has. Perhaps she never really needed to?
William Stacy, O.D. - 17 Dec 2006 18:28 GMT
OK then she likely has both accommodation and depth of field working for
her. Depending on her age, one factory may be more effective than the other.

w.stacy, o.d.

> Yes she does have tiny pupils!!
> Years ago she was told by her optician that she should wear her glasses
> constantly but she never has. Perhaps she never really needed to?
William Stacy, O.D. - 17 Dec 2006 18:18 GMT
I am surprised by the answers, which might have some truth to them, but
don't address the obvious answer.  Obviously we have to make some
assumptions about your ages, and I'll guess you are a teenager and she's
 40ish.  If so, and if she's under age 55, she has a significant amount
of accommodation she can use to focus through her hyperopia.  You can't
do this because there is no such thing as "reverse" accommodation.  You
cannot focus any farther away than about 35 cm.  Accommodation for you
only focuses you NEARER than that, which is obviously counterproductive
when gazing at more distant objects.  Pupil size might play a minor role
here (smaller pupils increasing depth of field) because she likely has
smaller pupils than you, although that is speculation. I seriously doubt
that she has "pinhole" pupils.

w.stacy, o.d.

> Why is it that my mother with her +3 prescription for distance can see better
> without her glasses than I can without my -2.75?  She also has some stronger
> glasses for reading.
Dr. Leukoma - 17 Dec 2006 18:28 GMT
The man said his mother has small pupils.  I win!

In fact, I win twice because Otis responded to my post and made a fool
of himself...hehehe.

DrG

> I am surprised by the answers, which might have some truth to them, but
> don't address the obvious answer.  Obviously we have to make some
[quoted text clipped - 14 lines]
> > without her glasses than I can without my -2.75?  She also has some stronger
> > glasses for reading.
William Stacy, O.D. - 17 Dec 2006 18:50 GMT
A reasonable assumption, although I've seen some young hyperopic mothers
who have pretty good sized pupils.  Re otis, he actually posted some
decent items lately, but then unfortunately relapsed into his droning
mantra on myopia, now even claiming hyperopia prevention. Next he'll be
curing astigmatism, presbyopia and heterotropias.  The man is indeed a
fool, although I'm not sure the post you're talking about is a good
example of that. It's those little glimmers of apparent intelligence
that occasionally peek through his haze of dementia that puzzle me.

Maybe it's like ocean sailing.  Long periods of relaxing boredom broken
by occasional episodes of startling terror, fortunately not long
lasting.  In dementia, long periods of irritating nonsense broken by
occasional episodes of startling lucidity, unfortunately not long lasting.

w.stacy, o.d.

> The man said his mother has small pupils.  I win!
>
[quoted text clipped - 21 lines]
>>>without her glasses than I can without my -2.75?  She also has some stronger
>>>glasses for reading.
Dr. Leukoma - 17 Dec 2006 23:47 GMT
Even a stopped clock tells the correct time twice a day.

DrG

> Maybe it's like ocean sailing.  Long periods of relaxing boredom broken
> by occasional episodes of startling terror, fortunately not long
> lasting.  In dementia, long periods of irritating nonsense broken by
> occasional episodes of startling lucidity, unfortunately not long lasting.
Salmon Egg - 18 Dec 2006 05:58 GMT
On 12/17/06 3:47 PM, in article
1166399249.446890.86890@t46g2000cwa.googlegroups.com, "Dr. Leukoma"
<drg@leukoma.com> wrote:

> Even a stopped clock tells the correct time twice a day.

That statement is certainly true, but the typical stopped clock provides
zero information! Put another way, You cannot rely upon a stopped clock for
navigation. While a slightly slow or fast clock (every clock is either slow
or fast) can be used to navigate for a considerable time after it has been
set correctly. Thus, aphorisms such as the one quoted above have no real
utility.

Bill
-- Fermez le Bush
Dr. Leukoma - 18 Dec 2006 12:55 GMT
> That statement is certainly true, but the typical stopped clock provides
> zero information! Put another way, You cannot rely upon a stopped clock for
> navigation. While a slightly slow or fast clock (every clock is either slow
> or fast) can be used to navigate for a considerable time after it has been
> set correctly. Thus, aphorisms such as the one quoted above have no real
> utility.

If a person glances at a stopped clock, and doesn't know that the clock
is stopped, the person might conclude that the clock is indeed
providing the correct time, in which case the clock was providing
misinformation if the person acted on it.  The person would only know
the clock was stopped if they looked at the clock again some time later
and the time it signified was still the same.

For exactly two moments everyday, the clock is indeed signifying the
correct time.

DrG
Salmon Egg - 19 Dec 2006 05:53 GMT
On 12/18/06 4:55 AM, in article
1166446557.384085.299500@48g2000cwx.googlegroups.com, "Dr. Leukoma"
<drg@leukoma.com> wrote:

> If a person glances at a stopped clock, and doesn't know that the clock
> is stopped, the person might conclude that the clock is indeed
[quoted text clipped - 5 lines]
> For exactly two moments everyday, the clock is indeed signifying the
> correct time.

It is this kind of logical process that causes me to question everything you
aver. No matter how you cut it a stopped clock is useless for any purpose.
An inaccurate clock can be used for measuring time differences with little
error. Indeed, chronometers were labeled with their average error rate. That
enabled them to be used for months or even years of navigation with
reasonable accuracy even though they ALWAYS read incorrectly.

Bill
-- Fermez le Bush
Burke Gilman - 19 Dec 2006 07:31 GMT
> On 12/18/06 4:55 AM, in article
> 1166446557.384085.299500@48g2000cwx.googlegroups.com, "Dr. Leukoma"
[quoted text clipped - 19 lines]
> Bill
> -- Fermez le Bush

Sometimes, dear navigator, clocks are just used to tell time.  -bg
 
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