Medical Forum / General / Vision / December 2006
Scientists state that pseudo-myopia leads to axial myopia.
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otisbrown@pa.net - 22 Dec 2006 04:23 GMT Dear Prevention-minded freinds,
There are two opinions about the prevention of myopia:
The second-opinion, that on the threshold, if you could prevent incipient myopia before a minus lens is applied, you could prevent axial-myopia. Or, prevention is always impossible.
Here is an analysis provided by Alex Eulenberg for your interest.
==============
Vision scientists George Hung (Rutgers Dept. of Biomedical Engineering) and Kenneth Ciuffreda (SUNY College of Optometry) are claiming that the "temporary" blurry distant vision that comes from reading too long, too hard, is a step on the way to permanent myopia.
This may seem obvious to many of us, but then again, there are many in the eye care profession who would deny this, or at least express the opinion that there is room for doubt.
The article is "Incremental retinal-defocus theory of myopia development-Schematic analysis and computer simulation" (in press)
http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=pubmed&cmd=Retrieve&dopt=Abstra\ ctPlus&list_uids=17150204&query_hl=1&itool=pubmed_docsum
>From the abstract: "In addition, the theory has been able to explain how repeated cycles of nearwork-induced transient myopia leads to repeated periods of decreased retinal-image defocus, whose cumulative effect over an extended period of time results in an increase in axial growth that leads to permanent myopia."
I must admit, since I have not read the article, that I am at a loss as to what these two mean by "decreased retinal-image defocus," but it is of little matter. What is striking here is the confidence in the way the authors present their theory. These are two prominent vision scientists and co-authors of a vision science textbook ("Models of the Visual System"). They are staking their reputations on the existence of a causal chain from near work to temporary myopia to permanent myopia. No "may lead" or "could result" here. I think this is a significant moment in the history of vision science.
Alex
Neil Brooks - 22 Dec 2006 04:36 GMT > Dear Prevention-minded freinds, > > There are two opinions about the prevention of myopia: Otis's and everybody else's.
> The second-opinion, that on the threshold, if you could prevent > incipient myopia before a minus lens is applied, you could > prevent axial-myopia. Or, prevention is always impossible. > > Here is an analysis provided by Alex Eulenberg for > your interest. Who?
> ============== > [quoted text clipped - 30 lines] > myopia. No "may lead" or "could result" here. I think this is a > significant moment in the history of vision science. Gee, Otis. A theory. How marvelous.
YOU, too, have a theory. Unfortunately, it fails to hold up in HUMAN clinical trials AND it induces DOUBLE VISION in people naive enough to listen to you.
Let's go back ... once again ... to Scientific Method 101 for Dummies like yourself:
Recognize the problem
Observe the problem
Formulate a hypothesis (this is as far as you've ever gotten)
Devise and conduct experiments to test the hypothesis (using the results of this testing to inform and revise your hypothesis. You seem to detest this part)
Come to a conclusion based on the testing.
Hurting unsuspecting people (or the children of desperate parents), helping nobody (ask your myopic niece), mangling statistics, and occasionally throwing out Greek letters doesn't make you a scientist.
Not even close.
otisbrown@pa.net - 22 Dec 2006 04:53 GMT Dear Neil,
Since you are un-employed, and have a lot of free time on your hands, you might enjoy reading further analysis of this issue by Dr. Hung. See:
http://www.worldscibooks.com/engineering/4652.html
Also, Alex Eulenberg is the author of
www.i-see.org
for the enhancement of vision.
Otis
> > Dear Prevention-minded freinds, > > [quoted text clipped - 72 lines] > > Not even close. Neil Brooks - 22 Dec 2006 05:09 GMT > Since you are un-employed, and have a lot of free time > on your hands, Never let the facts get in the way of a good story, Otis.
Why don't you make THAT your permanent Usenet signature?
p.clarkii@gmail.com - 22 Dec 2006 11:51 GMT > Also, Alex Eulenberg is the author of > [quoted text clipped - 3 lines] > > Otis Who friggin' cares! do you think that statement is some kind of credential that builds credibility? that website is a bunch of "alternative medicine" freaks (and thats being kind) who believe all sorts of wacky unproven notions.
William Stacy - 22 Dec 2006 17:35 GMT I'm old enough to remember when Alex hung out around sci.med.vision. After several years, he finally gave up and left.
At least he was intelligent and would answer questions and challenges put to him, unlike some of the present characters.
> > [quoted text clipped - 13 lines] > > Dr. Leukoma - 22 Dec 2006 20:08 GMT > I'm old enough to remember when Alex hung out around sci.med.vision. > After several years, he finally gave up and left. > > At least he was intelligent and would answer questions and challenges > put to him, unlike some of the present characters. Well, I'm waiting for Otis to read the study so he can tell us just how it supports his paradigm. This should be good.
DrG
Scott Seidman - 22 Dec 2006 20:40 GMT "Dr. Leukoma" <drg@leukoma.com> wrote in news:1166818120.242940.30100 @f1g2000cwa.googlegroups.com:
> Well, I'm waiting for Otis to read the study so he can tell us just how > it supports his paradigm. This should be good. I seem to recall trying to lead him through one of Cuiffreda's models before.
 Signature Scott Reverse name to reply
Dr. Leukoma - 22 Dec 2006 13:24 GMT Now that Otis has discovered this article by Hung and Ciuffreda, I am eager to see where he goes with it. I must say that quoting Alex Eulenberg -- who himself has not read the article, is not a very encouraging sign.
Otis and Alex have now taken hold of the proverbial rope. Let's see just how long it will take them to hang themselves with it.
DrG (who has read the entire article)
> Dear Prevention-minded freinds, > [quoted text clipped - 43 lines] > > Alex otisbrown@pa.net - 22 Dec 2006 20:10 GMT Dear Prevention minded friends,
Subject: Professor Hung's theory -- simplified.
In order to understand this "de-focus" theory, you should review the animation of it produced by Dr. Wildsoet on:
http://vision.berkeley.edu/wildsoet/myopiaprimer.html
What the theory predicts is that if you place a -3 diopter lens on the eye, it will change its refractive STATE by -2 diopters in six months.
[See the refractive change on the blue-tinted eye on this site.]
Here is Dr. Hung's verbal description of that proven process the eye uses to control its refractive STATE.
Best,
Otis
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A unifying theory of refractive error development.
Hung GK, Ciuffreda KJ.
Department of Biomedical Engineering, Rutgers University, 617 Bowser Road, Piscataway, NJ 08854-8014, USA.
shoane@rci.rutgers.edu
While retinal defocus is believed to be myopigenic in nature, the underlying mechanism has remained elusive.
We recently constructed a theory of refractive error development to investigate its fundamental properties. Our Incremental Retinal-Defocus Theory is based on the principle that the change in retinal-defocus magnitude during an increment of genetically-programmed ocular growth provides the requisite sign for the appropriate alteration in subsequent environmentally-induced ocular growth.
This theory was tested under five experimental conditions: lenses, diffusers, occlusion, crystalline lens removal, and prolonged nearwork.
Predictions of the theory were consistent with previous animal and human experimental findings. In addition, simulations using a MATLAB/SIMULINK model supported our theory by demonstrating quantitatively the appropriate directional changes in ocular growth rate. Thus, our Incremental Retinal-Defocus Theory provides a simple and logical unifying concept underlying the mechanism for the development of refractive error.
PMID: 11127515 [PubMed - indexed for MEDLINE]
Ghung8.txt
Incremental retinal-defocus theory of myopia development-Schematic analysis and computer simulation.
Hung GK, Ciuffreda KJ.
Department of Biomedical Engineering, Rutgers University, Piscataway, NJ 08854, USA.
Previous theories of myopia development involved subtle and complex processes such as the sensing and analyzing of chromatic aberration, spherical aberration, spatial gradient of blur, or spatial frequency content of the retinal image, but they have not been able to explain satisfactorily the diverse experimental results reported in the literature.
On the other hand, our newly proposed incremental retinal-defocus theory (IRDT) has been able to explain all of these results. This theory is based on a relatively simple and direct mechanism for the regulation of ocular growth.
It states that a time-averaged decrease in retinal-image defocus area decreases the rate of release of retinal neuromodulators, which decreases the rate of retinal proteoglycan synthesis with an associated decrease in scleral structural integrity.
This increases the rate of scleral growth, and in turn the eye's axial length, which leads to myopia.
Our schematic analysis has provided a clear explanation for the eye's ability to grow in the appropriate direction under a wide range of experimental conditions. In addition, the theory has been able to explain how repeated cycles of nearwork-induced transient myopia leads to repeated periods of decreased retinal-image defocus, whose cumulative effect over an extended period of time results in an increase in axial growth that leads to permanent myopia.
Thus, this unifying theory forms the basis for understanding the underlying retinal and scleral mechanisms of myopia development.
PMID: 17150204 [PubMed - as supplied by publisher]
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> Dear Prevention-minded freinds, > [quoted text clipped - 43 lines] > > Alex Dr. Leukoma - 22 Dec 2006 20:31 GMT > What the theory predicts is that if you place > a -3 diopter lens on the eye, it will change its > refractive STATE by -2 diopters in six months. No it doesn't. You didn't read the paper. The abstract is misleading. Read the paper before you start, because when you do, you will be embarrassed that you wrote the above.
DrG
Dan Abel - 23 Dec 2006 18:31 GMT > > What the theory predicts is that if you place > > a -3 diopter lens on the eye, it will change its [quoted text clipped - 3 lines] > Read the paper before you start, because when you do, you will be > embarrassed that you wrote the above. Otis won't be embarrassed. He posts the most ridiculous things without it.
Mike Tyner - 22 Dec 2006 23:55 GMT > What the theory predicts is that if you place > a -3 diopter lens on the eye, it will change its > refractive STATE by -2 diopters in six months. Gosh... I've prescribed lots of -3 lenses. I can't remember any of them needing -5 six months later.
If the theory predicts it, and it doesn't happen, what does that mean?
-MT
otisbrown@pa.net - 23 Dec 2006 00:09 GMT Effcorr.txt
Subject: The Effects of "Corrective" Lenses: Insight and Comment From Eye Doctors
Mike> If the theory predicts it, and it doesn't happen, what does that mean?
Mike, it means your believe that the natural eye is NOT dynamic, and that a minus lens has NO EFFECT on the refractive STATE of all natural eye -- against the objective scientific facts. And that is your majority-opinion.
The second-opinion recognizes the fact that no clinical or statistical studies have ever demonstrated the long-term safety of a (minus) "corrective" lens.
In fact, a certain percentage of doctors believe that -- as the second-opinion -- "corrective" lenses (also known as "compensatory" negative lenses) usually create dependency and make the eyes move more rapidly in a negative refractive direction.
These concerns have been voiced in the professional literature by concerned doctors who support the concept the "second opinion" to do work for the prevention of nearsightedness with a plus lens.
Here are sample excerpts from the professional literature voicing concerns about the safety of "corrective" lenses:
++++++++++++++++++++++++++++++++++++++
"The use of compensatory lenses to treat or neutralize the symptoms does not correct the problem. The current education and training of eye care practitioners discourages preventive and remedial treatment." R.L. Gottlieb, Journal of Optometry and Visual Development, 13(1):3-27, 1982.
"The emphasis on compensatory lenses has posed a problem for many years in our examinations. These lenses do not correct anything and may not serve the patient in his best interests over a period of time." CJ. Forkiortis, OEP Curriculum, 53:1, 1980
"There are frequently ignored patterns of addiction to minus lenses. The typical prescription tends to overpower and fatigue the visual system and what is often a transitory condition becomes a lifelong situation which is likely to deteriorate with time." S. Gallop, Journal of Behavioral Optometry, 5(5):115-120, 1994
"Single-vision minus lenses for full-time use produce accommodative insufficiency associated with additional symptoms until the patient gets used to the lens. This is usually accompanied by a further increase in myopia and the cycle begins anew." M.H. Birnbaum, Review of Optometry, 110(21): 23-29, 1973.
"Minus lenses are the most common approach, yet the least likely to prevent further myopic progression. Unfortunately, they increase the near-point stress that is associated with progression." B. May, OEP Publications, A- 112, 1984.
It seems that Professor Hung's concept of the dynamic eye is closer to scientific truth that your "belief" that the eye does not respond to an applied -3 diopter lens. (Over-prescribed if you like). And even the safety of that minus is an open question at this point.
Best,
Otis
> > What the theory predicts is that if you place > > a -3 diopter lens on the eye, it will change its [quoted text clipped - 6 lines] > > -MT Mike Tyner - 23 Dec 2006 01:25 GMT > Mike> If the theory predicts it, and it doesn't happen, what does that > mean? [quoted text clipped - 3 lines] > of all natural eye -- against the objective scientific facts. And that > is your majority-opinion. No, idiot. In this country, the majority of people wearing -3.00 glasses NEVER reach -5.00.
How can it be *me* who's ignoring objective facts? Sometimes I wish you could make better arguments.
> The second-opinion recognizes the fact that no clinical or > statistical studies have ever demonstrated the > long-term safety of a (minus) "corrective" lens. This is a lie, a misrepresentation revealing ignorance or intent to defraud.
> In fact, a certain percentage of doctors believe that -- as the > second-opinion -- "corrective" lenses (also known as > "compensatory" negative lenses) usually create dependency and > make the eyes move more rapidly in a negative refractive direction. Somewhere there are doctors who still believe in Laetrile.
The percentage of doctors with your "second opinion" has DECREASED DRAMATICALLY in the last 30 years. You really should keep up.
> These concerns have been voiced in the professional > literature by concerned doctors who support the concept > the "second opinion" to do work for the prevention of nearsightedness > with a plus lens. Despite the fact that nobody's made it work?
> "The use of compensatory lenses to treat or neutralize the > symptoms does not correct the problem. The current education and > training of eye care practitioners discourages preventive and > remedial treatment." R.L. Gottlieb, Journal of Optometry and > Visual Development, 13(1):3-27, 1982. It isn't taught because it doesn't work.
> "The emphasis on compensatory lenses has posed a problem for > many years in our examinations. These lenses do not correct > anything and may not serve the patient in his best interests over > a period of time." CJ. Forkiortis, OEP Curriculum, 53:1, 1980 25 years ago he thought it MIGHT work. It doesn't.
> "There are frequently ignored patterns of addiction to minus > lenses. The typical prescription tends to overpower and fatigue > the visual system and what is often a transitory condition becomes > a lifelong situation which is likely to deteriorate with time." S. > Gallop, Journal of Behavioral Optometry, 5(5):115-120, 1994 Where is it found that myopes wearing glasses suffer more than myopes who don't?
> "Single-vision minus lenses for full-time use produce > accommodative insufficiency associated with additional symptoms > until the patient gets used to the lens. This is usually > accompanied by a further increase in myopia and the cycle begins > anew." M.H. Birnbaum, Review of Optometry, 110(21): 23-29, 1973. Because 33 years ago, some doctor said it might, in an unjuried commercial monthly.
> "Minus lenses are the most common approach, yet the least > likely to prevent further myopic progression. Unfortunately, they > increase the near-point stress that is associated with > progression." B. May, OEP Publications, A- 112, 1984. "least likely to prevent" has been disproven. "Near-point stress" is not a measurable quantity subject to regression statistics.
> It seems that Professor Hung's concept of the dynamic > eye is closer to scientific truth that your "belief" that > the eye does not respond to an applied -3 diopter lens. > (Over-prescribed if you like). And even the safety > of that minus is an open question at this point. Oh yeah, how's old Don doing with his FDA petition? That ever go anywhere?
So, if the theory predicts -3 myopes becoming -5 myopes, WHY DOESN'T IT HAPPEN?
-MT
p.clarkii@gmail.com - 23 Dec 2006 04:40 GMT > Effcorr.txt > [quoted text clipped - 8 lines] > of all natural eye -- against the objective scientific facts. And that > is your majority-opinion. Dr. Tyner is simply stating his observations that his patients who wear -3.00 D lenses do not progress to -5.00 myopes. i must corroborate that MY -3.00D myopes also do not progress in that fashion. that does not mean we choose to believe one theory or another theory, it is simply a statement of our observations on our patients. if your theory is correct, then why don't our patients behave as your theory predicts (hint: your theory could be incorrect).
> The second-opinion recognizes the fact that no clinical or > statistical studies have ever demonstrated the > long-term safety of a (minus) "corrective" lens. there is no such thing as your term "second-opinion". this is a phrase YOU choose to use to describe your personal believe and it is not supported by any evidence. you like to try to give your notions some credibility by claiming there is a larger group of others who also concur with you. sorry-- "second-opinion" = Otis' personal opinion and nothing more. you are just a lonely newsgroup internet troll.
> In fact, a certain percentage of doctors believe that -- as the > second-opinion -- "corrective" lenses (also known as [quoted text clipped - 38 lines] > increase the near-point stress that is associated with > progression." B. May, OEP Publications, A- 112, 1984. have you noticed that your supporting articles are from 20-30 years ago? indeed some real legitimate researchers considered this theory as plausible in the past but then something called the "scientific method" was used to examine it and it didn't hold up to testing.
why haven't you moved on like the rest of the legitimate vision researchers did?
do you believe the earth is flat?
while you are at best illogical and at worst psychologically ill, you are indeed persistent!
Dr. Leukoma - 23 Dec 2006 14:37 GMT This is a dynamite paper, by the way, and should appeal to any person who calls himself an engineer. Unfortunately for Otis, it won't support most of his ideas, especially as it pertains to the use of strong plus for the prevention of myopia. In fact, it puts Otis into an even tighter corner.
Remember how we have been discussing the concept of retinal defocus as opposed to accommodation, and how Otis keeps dragging us back to the junkheap of outdated ideas? This paper makes that even more obvious.
DrG
> Dear Prevention-minded freinds, > [quoted text clipped - 43 lines] > > Alex
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