yes indeed otis!  I agree whole-heartedly.  if you try to stand-up and
lay claim to Keith as being an example of "plus prevention" then you
must also stand-up and provide an explanation of why is DIDN'T work
for your niece who became myopic despite your treatment!  the reason
for your niece's failure is that refractive outcomes are not affected
in the least by using plus lenses.  that result has been proven in
multiple scientific studies which you seem to ignor.  i'm sure you'll
think of some kind of bullcrap excuse, or perhaps you'll just refuse
to address the question like you always do when you are proven wrong.
a real scientist wouldn't do that, and indeed an honest objective
person of any professional background wouldn't do that-- but Otis
Brown does.  that speaks volumes about your character.

hello odtobe!  perhaps you are not familiar with our resident troll
Otis Brown, engineer.

Otis believes he is an expert in physiological optics and
myopiagenesis even though he has no training, research, or clinical
experience in the topic.  he claims that he has gained insight into
these topics because of a life-long involvement in the field which
includes friendships with many experts.  in fact, when you check up on
his claims by talking to some of these so called "friends", like Dr.
Ted Grosvenor,  they have never heard of Otis Brown and furthermore
they do not believe in any of the outdated concepts that Otis adheres
to.  curious, is it?  Otis likes to name-drop.  perhaps once these
experts studied the possibility that plus lenses might reduce
accommodative strain and minimize myopia development, or that
excessive minus lens prescriptions might increase myopia, but being
objective men of science they have discarded that theory because it
was disproven decades ago.  But Otis is stuck in the past and will not
accept the pile of research data that clearly demonstrates that myopia
development is a little more involved than his simple-minded scheme.

And when you confront Otis with straight-out scientific proof that his
theory is wrong he ignors you or either he instead offers an anecdotal
story about "Mike" or "Jane" or some such other person he has talked
to that relays a personal story that for some reason he holds in
higher esteem to real objective scientic studies.  in the past, one of
his so-called personal success stories actually saw what he was
writing and confronted Otis on this newsgroup.  He relayed that Otis
was misrepresenting his personal experience as proof that plus lens
therapy actually worked in his case when in fact the opposite was
really true-- his myopia persisted.

yet still, despite public humiliation, otis fights on.  he is nothing
if not persistent.  he tries to describe a difference between
"medical" scientific studies and "engineering" scientific studies that
is puzzling and ridiculous.

as clueless as Otis is he is actually a kind of fixture around this
newsgroup.  don't try to reason with him-- his mind is made up and he
doesn't want to be confused by the facts.

actually I am not in complete agreement with this statement.  many
patients with this low level of astigmatism don't really notice a
significant improvement in their VA when you correct their
astigmatism.  the patient may achieve 20/20- with a spherical
correction and get only a slight boost from additionally correcting
the cylinder component. sometimes that boost is visually insignificant
to the patient.  -0.75 cyl just isn't that much.

and it is obvious that RGPs are going to be less successful than
disposable SCL.  not due to any optical considerations but due to the
fact that 80-90% of patients who first put in an RGP and not happy
with the comfort of the lens regardless of whether they can see a
sharp image or not.  trying to fit such a patient in an RGP is a good
way to ensure that the patient will not return to your office for
their next appointment, or for any appointments, in the future.

in this case I would usually give the patient a trial pair (disposable
SCL) of spherical lenses and a trial pair of toric lenses and ask them
to compare them at home for approximately a week and then return to my
office for a check appointment wearing their favorite pair.

this is just my way of doing it, and what my personal experiences are.

cheers.