Medical Forum / General / Vision / May 2007
How to identify an incipient Detached Retina
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otisbrown@pa.net - 20 May 2007 04:32 GMT Subject: Vision Concern.
An sudden increase in floaters can indicate incipient detached retina. See:
http://www.sightwise.org/
If you over -6 diopters myopic, the risk of a detached retina is 1 in 20.
Just one man's opinion.
Otis
Ms.Brainy - 20 May 2007 05:13 GMT On May 19, 8:32 pm, "otisbr...@pa.net" <otisbr...@pa.net> wrote:
> Subject: Vision Concern. > [quoted text clipped - 9 lines] > > Otis Otis,
Is it true that you had a detached retina? Was it before or after (or perhaps while)you cured your myopia? Do you have data of the risk of reformed myopes? Please tell!
otisbrown@pa.net - 21 May 2007 02:45 GMT Dear Ms.Brainy,
Subject: Reject the word "cure". Just say prevent a negative refractive STATE for the natural eye.
Let me answer your questions this way:
Dr. Raphaelson spelled out his efforts with the general public for prevention, and their reaction to it -- in the "Printer's Son".
I concluded that you could NOT deliever plus-prevention with the public walking in off the street and expecting very, VERY sharp vision in five minutes. I simply do not get into that type of argument.
On the basis of pure science, I say the following:
1. If you take a population of fundamental eyes, and place a -3 diopter lens on them, they will change their refractive STATE by -2 diopter in less than six months. This proves the dynamic quality of the natural eye.
2. I accept this as SCIENTIFIC proof. This does indicate that while the minus works in five minutes, and is impressive in that sense, it does have a serious secondary problem.
3. So we are ONLY talking about prevention, or avoidance of a negative refractive STATE, and BEFORE any minus lens is applied.
4. I agree that it is only preventable, and that once you begin wearing that wretched minus, you will not be able to get out of it, or in your parlence, there is no "cure", only prevention if you have the motivation for it.
To further clarify:
Brainy> Otis,
Is it true that you had a detached retina?
Otis> Incipient detached retina. I had a burst of floaters, and curved lines that I knew were straight. Since I was at -6 diopters I was aware how risky that situation was for me. I contacted a retina specialist, who checked, and used a laser to attach the retina to the sclera. Thus this was a PREVENTIVE issue for me.
Brainy> Was it before or after (or perhaps while)you cured your myopia?
Otis> Read the above. Once you START with the minus, you will, not be able to get out of it. While there is some prospect of clearing your vision from 20/60 (if you have the motivation), beyond that point you can not get out of it. Thus the discussion with my nephew, and his choice in the matter.
Brainy> Do you have data of the risk of reformed myopes?
Otis> If by "myopes" you mean a Snellen of 20/60, and a refractive STATE of -1.25 diopters, then the data-base is very small.
Please tell!
Otis> I will post the remarks that Dr. Perkins made on the "Morbidity of Myopia", in due course.
Otis> In fact, AVOID entry to myopia, is a major reason why a parent should be interested in helping his child in the use of PREVENTIVE methods, that are far more important that "the plus".
Otis> In effect, these methods (that can involve the plus) must be taught to the parent and child, understood and acted on.
Otis> Just one man's opinion.
> On May 19, 8:32 pm, "otisbr...@pa.net" <otisbr...@pa.net> wrote: > [quoted text clipped - 17 lines] > perhaps while)you cured your myopia? Do you have data of the risk of > reformed myopes? Please tell! Neil Brooks - 21 May 2007 02:59 GMT > Subject: Reject the word "cure". Just say prevent > a negative refractive STATE for the natural eye. > > Let me answer your questions this way: a/k/a "ducking them."
> Dr. Raphaelson spelled out his efforts with the general > public for prevention, and their reaction to it -- in the "Printer's > Son". Oh, God. Not that again.
> I concluded that you could NOT deliever plus-prevention with > the public walking in off the street and expecting very, VERY > sharp vision in five minutes. I simply do not get > into that type of argument. Or explain the deficiencies in your argument, or keep up with modern science, etc., etc.
> On the basis of pure science, I say the following: That my myopic niece, Joy, unequivocally PROVES that the plus lens doesn't work.
Thank you.
> Otis> Read the above. Once you START with the minus, you > will, not be able to get out of it. While there is some prospect > of clearing your vision from 20/60 (if you have the motivation), > beyond that point you can not get out of it. Thus the > discussion with my nephew, and his choice in the matter. But I never speak of his (illegitimate?) myopic sister, Joy. For her, it didn't work. Hmm. Sort of shoots apart the theory, no?
Dr. Leukoma - 21 May 2007 03:02 GMT > Dear Ms.Brainy, > [quoted text clipped - 101 lines] > > - Show quoted text - I agree with the emphasis on preventive methods. Unfortunately, a proven universal preventive method -- other than the use of atropine -- is lacking. Therefore, unless you are advocating the use of atropine or pirenzepine, then you are misleading people by inferring that universal myopia prevention is possible. Even pirenzepine doesn't work universally.
You have myopic genes. Therefore, your entry into myopia was unavoidable.
DrG
p.clarkii@gmail.com - 21 May 2007 05:21 GMT > Dear Ms.Brainy, > On the basis of pure science, I say the following: [quoted text clipped - 5 lines] > > 2. I accept this as SCIENTIFIC proof. This does indicate well then your criterion for the acceptance of something as scientific proof is pathetic. the decades old study that you keep quoting proves that a species of monkey, who has a -3.00 diopter lens sutured onto its eye even though it had no refractive error, developed an apparent myopia later when the lens was removed and its eye was refracted.
now what does that say about humans?
now what does that say about humans who definitely are myopic and need a minus lens to focus light from distant objects on the retina so as to simulate emmetropia and properly correct their vision?
obviously your extrapolation of an old experiment where monkeys were cruelly-treated and had excessively-strong minus lenses sewed onto their eyes does not AT ALL relate to humans wearing accurately measured prescription glasses.
and then there is that experiment, that WAS performed in humans, where excessive minus lenses WERE applied to children's eyeglass prescriptions, and showed that no increase in myopia occurred. (Goss, D. (1984) http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=pubmed&dopt=Abstra ct&list_uids=6703013&query_hl=3)
why don't you just give up otis? why are you coming back to this forum to be thoroughly discredited and embarrassed again?
Kazekage - 20 May 2007 10:26 GMT Dear Ms. Brainy,
Oftentimes, the cause of detached retina is nothing difficult to understand. Yet we continually and most unnecessarily choose to complicate it. Allow me to quote the words of Kiesling;
"People often ask how much their vision can be improved. Here's the answer.
Our eyes are capable of focusing over a wide range, from pretty close up to a virtually infinite distance (20 feet away or farther is functionally the same as infinity). This is universally accepted as far as it applies to people with normal vision. But in fact it's true for people with myopia, hyperopia, or astigmatism too. The appropriate focus adjustment takes place all by itself. It's taken care of by your body. Imagine how inconvenient it would be to have to deliberately adjust your focus for every distance you glance at. It would take up so much of your energy just to see. The wonderful thing is the system works perfectly unless it's disrupted somehow, and then when the disruption has ceased, it works perfectly again. Misusing your eyes is by far the most common disruption, the only other major ones being a severe blow to the eye or a disease condition. The misuse of the eyes consists of conscious attention and effort put into moving and focusing your eyes. This only serves to disrupt the whole system, and as long as you continue to do it from second to second, your focus continues to be off, ie: you have myopia, or hyperopia, or astigmatism. The amazing thing is this often continues for years and years, and the strain becomes so chronic that it drifts away from conscious awareness, even when the strain becomes so great as to exert enough force to literally break the eye (detached retina). The process of the Bates method has to do with simply learning to stop this strain and allow the eyes to do their job without undue interference.
So the question of how much your vision can improve is more a question of how much something can be cleaned when it has gotten dirty. Nothing has to be fixed, so it isn't even a question of how much the eyes are capable of changing. The real question is "How deep am I willing to go in recognizing the abuse I'm continually inflicting on my eyes, and stopping it?""
-iblindness.org
Posted today at: http://www.iblindness.org/forum/index.php/topic,516.0.html
Just one kid's opinion,
-Kaze
p.clarkii@gmail.com - 20 May 2007 15:27 GMT > Dear Ms. Brainy, > > Oftentimes, the cause of detached retina is nothing difficult to understand. > Yet we continually and most unnecessarily choose to complicate it. Allow me > to quote the words of Kiesling; the original title of this thread is about the signs and symptoms of retinal detachment. and now you make a stupid statement like "the cause of a detached retina is nothing difficult to understand" and then proceed to talk a bunch of hogwash about vision improvement. why would a supposed "kid" even post on a topic about retinal detachment-- just admit you don't know anything about it. And why does Otis post on the topic-- he doesn't know anything about it except what he might have read from experts who have written about it. As we all know, Otis has ZERO training in vision and the eye and ZERO clinical experience. he just has a pet theory and he thrusts it on everyone whether they want to hear it or not.
regarding the issue of the signs and symptoms of retinal detachment: - abrupt increase in the number of floaters - sensations of flashing lights - reduced vision in a sector of the visual field ("like a veil covering a portion of the visual field") - reduced vision or blur in one eye of recent onset
there are others. and vision improvement has NOTHING to do with it.
and don't try that BS crap about myopia progressing to retinal detachment so therefore we should all try some kind of vision improvement scheme. THERE IS NO VISION IMPROVEMENT SCHEME THAT HAS BEEN SHOWN TO WORK. don't try to claim that the "majority opinion" tries to ignor vision improvement blah blah blah. the majority opinion also ignors the notion of alien abductions. if you want the scientific/medical community to recognize what you believe THEN PROVE IT!
> "People often ask how much their vision can be improved. Here's the answer. > [quoted text clipped - 25 lines] > changing. The real question is "How deep am I willing to go in recognizing > the abuse I'm continually inflicting on my eyes, and stopping it?"" this is simply the most moronic piece of writing I have ever read.
why don't you two go back to your iblindness forum and just stay there. or is it because not many people post there (wonder why?) and you are trying to come over here and troll around to get your jollies.
DoctorRick - 20 May 2007 15:32 GMT >Subject: Vision Concern. > [quoted text clipped - 9 lines] > >Otis What are you trying to do? Is this some kind of ridiculous scare tactic to get people interested in your dumb plus lens theories? Are you just trying to stir up a little hornets nest here so you can get your daily dose of mental masturbation? Go away you old fool.
otisbrown@pa.net - 20 May 2007 18:47 GMT Dear Dr. Rick,
Subject: The doctors who provid no warnings about RISK.
I am sorry you do not provide honest facts about the risk a person faces who is at -6 diopters. But this is EXACTLY what the person said who was examined by an optometrist BEFORE he developed that detached retina. It is this ATTITUDE of yours that is the problem, and I think you have proven my point.
And yes, you are "nowheresville" as you so elequently state.
And yes, there are second-opinion optometrist who DO CARE about this issue, and help their own childern avoid entry into a negative refractive STATE:
www.chinamyopia.org
Otis
> On 19 May 2007 20:32:49 -0700, "otisbr...@pa.net" <otisbr...@pa.net> > wrote: [quoted text clipped - 17 lines] > you just trying to stir up a little hornets nest here so you can get > your daily dose of mental masturbation? Go away you old fool. Ms.Brainy - 20 May 2007 19:43 GMT > Dear Dr. Rick, > [quoted text clipped - 43 lines] > > - Show quoted text - Dear Otis,
The guys here say that you avoid answering inconvenient questions. Is that true? If it is, you certainly wouldn't do it to me, would you? Because if you would, I might start to believe what they are saying about you. Ne, it couldn't be, because you seem to always be polite and civilized. So would you please answer my question above re your own detached retina?
I really am not just trying to tease you. As somebody who has recently experienced this ultimate nightmare of detached retina, I have a sincere and genuine interest in the subject. Did it happen to me because I was a bad girl with bad reading habits? Could I have avoided it by listening to Kaze and let nature or you direct me? But most importantly, could I have changed permanently the shape of my elongated myopic eyes (though only moderately myopic and not in the high risk category), like you did, thus skipping the macular hole, retinal detachment and cataract altogether?
Please Otis, prove the old guys here wrong and don't ignore me and my questions. Tell me and the millions of myopes about your own detached retina. Thanks.
otisbrown@pa.net - 21 May 2007 03:23 GMT Dear Ms. Brainy,
Subject: Children and their wretched reading habits (reading at -10 diopters or more) -- as a habit, and for long periods of time.
I think both the parents and child should be informed in a competent of the risks of allowing their children to read in this manner.
http://www.geocities.com/otisbrown17268/ReadDist.html
This is NOT a medical subject at this time. But rather a matter of intelligence and judgement of the parents about the proven effect that a long-term NEAR envirornment on the refractive STATE of the fundamental eye.
The question is, "...who is responsible". I think this is more a matter of education, that it is a medical issue.
Just teaching the child to always keep his eyes at LEAST 12 inches from the page at all times would be a start.
But this sort of understanding places more responsibility on parent and the child.
But I respect the issue in this way. Is it the responsibility of the N.I.H. to prevent obesity in young children -- or is the responsibilty of the parent and the child?
I think THAT is the issue.
To further respond:
> > Dear Dr. Rick, > [quoted text clipped - 48 lines] > The guys here say that you avoid answering inconvenient questions. Is > that true? Otis> No they avoid all questions related to testing the fundamental eye for its dynamic quality and charistic. This is a matter of them avoiding proven scientific facts, or trying to deflect them for the convenience of quick-fixing the public with a minus lens in five minutes. (But keep in mind the "Printer's Son", and ask the question how could ANYONE help the printer's son when the only thing he understood was a quick-fix with that minus? The responsibility must rest with the person himself, if he wants to change this situation for his child.
> If it is, you certainly wouldn't do it to me, would you? Otis> Acpting the proven dynamic behavior of the natural eye, then I answered your questions on a scientific level. Or, in terms of the preventive second-opinion as experessed by Steve Leung.
Because if
> you would, I might start to believe what they are saying about you. Otis> You are free to believe anything you wish.
> Ne, it couldn't be, because you seem to always be polite and > civilized. Otis> As compared to the foul mouth some of the majority-opinion have -- when they see they will lose the argument on scientific grounds.
So would you please answer my question above re your own
> detached retina? Otis> As I have.
> I really am not just trying to tease you. Otis> And I am not trying to give you a hard time either. But just presenting the second-opinion -- in case you have children, and they do not wish to follow your foot steps.
As somebody who has
> recently experienced this ultimate nightmare of detached retina, I > have a sincere and genuine interest in the subject. Otis> Same for me. That is the reason (among others) to follow the logic of Jacob Raphaelson's second-opinion.
Did it happen to
> me because I was a bad girl with bad reading habits? Otis> See the graphic. It develops because BOTH OF US, have that habit of starting to read at -3 diopters, but slowly putting our eyes on the book (almost), and reading at -10 diopters.
Could I have
> avoided it by listening to Kaze and let nature or you direct me? Otis> No, Brainy, you would have to think for yourself, and make your own choice in this matter.
But
> most importantly, could I have changed permanently the shape of my > elongated myopic eyes (though only moderately myopic and not in the > high risk category), like you did, Otis> I explicitly stated that I am FOR avoiding ENTRY into a negative refractive STATE, and suggest that it is possible. These majority-opinion ODs claim that avoiding ENTRY into a negative state is IMPOSSIBLE.
Otis> They further state that reading at -10 diopters for long period of time has NO EFFECT ON THE REFRACTIVE STATE OF THE NATURAL EYE. I disagree for the reasons of science, and scientific facts.
thus skipping the macular hole,
> retinal detachment and cataract altogether? > > Please Otis, prove the old guys here wrong Otis> If they would hold up the reaction of the "Printer's Son", then I would agree that prevention is impossible for them, because of the ignorance of the father in that case. You can not have BOTH a quick-fix and prevention. You will have to make an intelligent choice on the threshold as Dr. Stirling Colage did.
and don't ignore me and my
> questions. Otis> I am not. Read and understand the above. But do a lot more thinking with that brain of yours.
Tell me and the millions of myopes about your own detached
> retina. Thanks. Otis> That is INCIPIENT detached retina.
Just one man's opinion
Otis
- Hide quoted text -
> - Show quoted text - Neil Brooks - 21 May 2007 04:04 GMT > Subject: Children and their wretched reading habits > (reading at -10 diopters or more) -- as a habit, > and for long periods of time. If only that were all that you did ....
> I think both the parents and child should be > informed in a competent of the risks of > allowing their children to read in this manner. Optometrists talk visual hygiene all the time. You just don't know that.
> This is NOT a medical subject at this time. But rather > a matter of intelligence and judgement of the parents > about the proven effect that a long-term NEAR envirornment > on the refractive STATE of the fundamental eye. Nobody knows what that means--least of all you.
> The question is, "...who is responsible". I think this > is more a matter of education, that it is a medical > issue. So ... who ruined Joy's eyesight? Was it you?
> Just teaching the child to always keep his eyes at LEAST > 12 inches from the page at all times would be a start. Visual hygiene is taught by optometrists all the time. Just because you're unaware of that doesn't make its converse true.
> But this sort of understanding places more responsibility > on parent and the child. [quoted text clipped - 4 lines] > > I think THAT is the issue. No. Not really. The issue--as always--is: what has been proven to be both safe and effective. That's what gets prescribed, advised, dispensed, and directed.
The "system" doesn't tend to support sales of snake oil.
> > > I am sorry you do not provide honest facts about the > > > risk a person faces who is at -6 diopters. I'm sorry you weren't allowed to pursue your dream of being a commercial pilot, but ... pretending to know the standards of practice in optometry is reprehensible. You do it, quite obviously, only an element to buttress your conspiracy theory. It's rather shameful, really.
> > > And yes, there are second-opinion optometrist > > > who DO CARE about this issue, and help their > > > own childern avoid entry into a negative refractive > > > STATE: > > > >www.chinamyopia.org What's Leung doing for HIS kids that you didn't do TO your niece, Joy? How come Joy's a myope with a restricted license, then?
Where's Leung's published data, anyway?
Hello?
Ms.Brainy - 21 May 2007 06:24 GMT > Dear Ms. Brainy, > [quoted text clipped - 3 lines] > > Otis Dear Otis,
Let's roll back. You began this thread by telling us the high risk of myopes developing detached retina. Did you post it just to alarm all for the danger? Had it been so, I would say you should be commended. Indeed, until several months ago I, together with most people, never even heard of retinal detachment since it's not a subject that's discussed outside of forums like this, and I have been in this forum only a couple of months.
But I suspect that your intention was different. Somehow I feel that there was a hidden message in your post. What you REALLY wanted to say is that myopia is a dangerous and not so benign condition, therefore preventing (if not "curing") myopia is very desirable as it may save many of us from the misfortune of retinal detachment, which may bring to blindness if not treated promptly.
I have also noticed that you are very active on the "i-see" yahoo group, although it seems that even there nobody endorses your "plus" theory, as they are all preoccupied with various methods of myopia cure by eye exercise of various kinds, and some of them even report personal success.
My response to you was aimed at finding out whether you, or they, claim change in eye shape as a result of your (or their) treatment. Because if the myopic elongated eye can be brought back to a perfect spherical shape, then perhaps myopia cure (or prevention, as you wish) may save us from the dreaded detached retina, but otherwise I have no idea what your purpose was in starting this thread.
Oh, I hope you know that I am not part of the "conspiracy", since I don't make my living from selling spectacles to innocent victims and have no invested interest in increasing the rate of myopia in the universe.
When you answer, I would appreciate straight answers. Thanks.
otisbrown@pa.net - 21 May 2007 15:13 GMT Dear Brainy,
More than you, I do PREFER STRAIGHT scientific answers concerning the dynamic behavior of a population of natural eyes.
If I ask the question, "...is the natural eye dynamic, and will it always change its refractive STATE when I place a -3 diopter lens on it." -- then the STRAIGHT answer is in this blue-tint model of the FUNDAMENTAL EYE.
This is in terms of measured refractive STATE, NOT in terms of assumed "error".
http://vision.berkeley.edu/wildsoet/myopiaprimer.html
The animation is conceptually accurate, and is as straight an answer as you will ever get from pure scientific considerations.
Just respect the natural eye as a dynamic system in the first place.
Are you going to tell me that the natural eye is NOT DYNAMIC for some reason? Are you going to insist that the nature eye does NOT change its refractive STATE by -2 diopters (after six months) after I place a -3 diopter lens on it. Are you going to insist that the refractive STATE did not change at all?
Otis
> > Dear Ms. Brainy, > [quoted text clipped - 40 lines] > > When you answer, I would appreciate straight answers. Thanks. Neil Brooks - 21 May 2007 15:42 GMT On May 21, 7:13 am, "otisbr...@pa.net" <otisbr...@pa.net> wrote:
> Dear Brainy, > > More than you, I do PREFER STRAIGHT scientific > answers concerning the dynamic behavior of a > population of natural eyes. a) you wouldn't know one if it bit you right in the Lithium;
b) but, but, but ... you categorically refuse to GIVE a straight scientific answer
> If I ask the question, "...is the natural eye dynamic, ...then you'll be both dodging the REAL questions AND ... attempting to change the dialog and terminology to fit your theory. A sign of a weak and untenable argument, if ever there was one.
> and will it always change its refractive STATE when > I place a -3 diopter lens on it." -- then the STRAIGHT > answer is in this blue-tint model of the FUNDAMENTAL EYE. Drifting off into irrelevance again. See:
http://nbeener.com/NDB_OSB_Qs.txt
> This is in terms of measured refractive STATE, NOT in > terms of assumed "error". Again: changing the vocabulary won't change the outcomes. They don't support your position.
> http://vision.berkeley.edu/wildsoet/myopiaprimer.html Wildsoet doesn't agree with you. I'd bet money that she would think you're deranged.
> The animation is conceptually accurate, and is > as straight an answer as you will ever get from > pure scientific considerations. > > Just respect the natural eye as a dynamic system in the > first place. Your hypotheses--even from an engineering standpoint--are faulty, as always.
> Are you going to tell me that the natural eye is NOT DYNAMIC > for some reason? Are you going to insist that the > nature eye does NOT change its refractive STATE > by -2 diopters (after six months) after I place > a -3 diopter lens on it. Are you going to insist > that the refractive STATE did not change at all? Back to your only refuge: a leading, loaded question. Uncle Otie? Why do you hate your niece, Joy? Why did you ruin her vision? Have you stopped beating your wife yet??
p.clarkii@gmail.com - 22 May 2007 00:50 GMT On May 21, 10:13 am, "otisbr...@pa.net" <otisbr...@pa.net> wrote:
> Dear Brainy, > [quoted text clipped - 4 lines] > > http://vision.berkeley.edu/wildsoet/myopiaprimer.html do you know christine wildsoet? i do!
this animation does not depict scientific answers-- it depicts a theory based upon animal studies. many people think that there is a period in early childhood where emmetropization influences human children-- approximately ages 5-8.
why do you try to make more from this website animation than what it is? why do you act like emmetropization in human children supports your idiotic plus lens theory? this notion is understood and accepted by all eye doctors and it taught in optometry and medical schools. have you noticed that christine's lab is at the university of calif, berkeley? you know, where they crank-out class after class of "first opinion" eye doctors.
otis, you are a laughable old fool.
otisbrown@pa.net - 21 May 2007 15:16 GMT BrainLAT
Dear Brainy,
More than you, I do PREFER STRAIGHT SCIENTIFIC answers concerning the dynamic behavior of a population of natural eyes.
If I ask the question, "...is the natural eye dynamic, and will it always change its refractive STATE when I place a -3 diopter lens on it." -- then the STRAIGHT answer is in this blue-tint model of the FUNDAMENTAL EYE.
This is in terms of measured refractive STATE, NOT in terms of assumed "error".
http://vision.berkeley.edu/wildsoet/myopiaprimer.html
The animation is conceptually accurate, and is as straight an answer as you will ever get from pure scientific considerations.
Just respect the natural eye as a dynamic system in the first place.
Are you going to tell me that the natural eye is NOT DYNAMIC for some reason? Are you going to insist that the nature eye does NOT change its refractive STATE by -2 diopters (after six months) after I place a -3 diopter lens on it. Are you going to insist that the refractive STATE did not change at all?
Otis
> > Dear Ms. Brainy, > [quoted text clipped - 40 lines] > > When you answer, I would appreciate straight answers. Thanks. DoctorRick - 21 May 2007 04:48 GMT > But >most importantly, could I have changed permanently the shape of my [quoted text clipped - 5 lines] >questions. Tell me and the millions of myopes about your own detached >retina. Thanks. Sorry to hear about your detachment.
I suppose you now realize that Otis never answers questions directly. I think he is incapable of maintaining a linear comprehensible train of thought.
Otis would have us believe that literacy, leading to reading, which leads to myopia, and then leads to retinal detachment, is the cause. We should all avoid reading or otherwise we will all have retinal detachments.
And by the way Otis is significantly nearsighted. His technique failed to work on him, or his neice Joy. Otis is full of hot air.
Dr. Leukoma - 20 May 2007 23:32 GMT > Dear Dr. Rick, > [quoted text clipped - 43 lines] > > - Show quoted text - No. Our position is that you are wrong and your outdated theories badly irrelevant.
Of course, feel free to carp about the perils of myopia. Nobody wants to be myopic, or hyperopic for that matter. We all want our children to be perfect in every way. Somehow nature gets in the way of a good plan. As I recall, you wanted to be a pilot, but your bad eye genes spoiled those plans.
Have a nice day.
DrG
p.clarkii@gmail.com - 21 May 2007 05:04 GMT > As I recall, you wanted to be a pilot, but your bad eye genes > spoiled those plans. its all for the better what with his obvious psychological disorders
DoctorRick - 21 May 2007 05:00 GMT >I am sorry you do not provide honest facts about the >risk a person faces who is at -6 diopters. And how would you know how I counsel my patients?
>And yes, there are second-opinion optometrist >who DO CARE about this issue, and help their >own childern avoid entry into a negative refractive >STATE: > >www.chinamyopia.org Steve Leung is a freak. No one accepts what he says. There is no proof for it. Please provide us a longer list of "second opinion" experts aside from the strango living in the far east that you treat as a god.
And how come you are nearsighted; can't you cure yourself? And how come your niece is nearsighted; you started treating her "at the threshold" and it still didn't work? And how come published studies show that plus lenses, undercorrection, taking glasses off to read, and use of bifocals are ineffective at preventing myopia? Why should you expect people to believe an old washed-up retired engineer who has nothing better to do all day than post bullcrap on the internet compared to numerous highly-regarded academic research groups studying myopia around the world? NONE of them agree with your theory. It was disproved decades ago.
Now please, tell us about some of your conspiracy theories. Those are the most entertaining and serve to solidify everyones impressions that you are a paranoid psychopath.
>Otis > [quoted text clipped - 19 lines] >> you just trying to stir up a little hornets nest here so you can get >> your daily dose of mental masturbation? Go away you old fool. Anon E. Muss - 21 May 2007 05:47 GMT [snip]
> If you over -6 diopters myopic, the risk of a detached retina is 1 > in 20. [snip]
Not true.
Ms.Brainy - 21 May 2007 06:26 GMT > On 19 May 2007 20:32:49 -0700, "otisbr...@pa.net" <otisbr...@pa.net> > wrote: [quoted text clipped - 7 lines] > > Not true. Do you have any statistical data?
p.clarkii@gmail.com - 21 May 2007 12:02 GMT > > On 19 May 2007 20:32:49 -0700, "otisbr...@pa.net" <otisbr...@pa.net> > > wrote: [quoted text clipped - 9 lines] > > Do you have any statistical data? data? otis?
ha!
otisbrown@pa.net - 21 May 2007 13:42 GMT Dear Ms. Brany,
Subject: Statistical data on refractive STATES more negative than -6 diopter.
Yes, the title of the paper is, "Morbidity from Myopia", by E. S. Perkins, M. D.
"High myopia is recognized as a significant cause of ocular disease, but most ophthamologists look upon lower degrees of myopia as little more than a mild social disability withiout any serious consequences.
It is it purpose of this paper to review the morbidity of myopia and to suggest that even the lower degrees of myopia are associated with conditions resulting in significant ocular morbidity.
Dr. Perkins
> > On 19 May 2007 20:32:49 -0700, "otisbr...@pa.net" <otisbr...@pa.net> > > wrote: [quoted text clipped - 9 lines] > > Do you have any statistical data? Scott Seidman - 21 May 2007 13:58 GMT > "High myopia is recognized as a significant > cause of ocular disease, but > most ophthamologists look upon lower degrees > of myopia as little more than a mild social disability > withiout any serious consequences. Perhaps its because mypia and high myopia really seem to be two different beasts. Just being myopic is no indication that you will progress onward to being a high myope.
 Signature Scott Reverse name to reply
William Horatio Bates - 21 May 2007 15:11 GMT Dear 'Nature Blamer' ,
"Of course, feel free to carp about the perils of myopia. Nobody wants to be myopic, or hyperopic for that matter. We all want our children to be perfect in every way. Somehow nature gets in the way of a good plan. As I recall, you wanted to be a pilot, but your bad eye genes spoiled those plans. "
The myopic blur that surrounds your pathetically ignorant mentality is beyond belief. Allow me to invite some Zen into your mind; Please read carefully;
"Allah! There is no god but He - the Living, The Self-subsisting, Eternal. No slumber can seize Him Nor Sleep. His are all things In the heavens and on earth. Who is there can intercede In His presence except As he permitteth? He knoweth What (appeareth to His creatures As) Before or After or Behind them. Nor shall they compass Aught of his knowledge Except as He willeth. His throne doth extend Over the heavens And on earth, and He feeleth No fatigue in guarding And preserving them, For He is the Most High. The Supreme (in glory)."
Open your Eyes and See. Open your Mind and Think.
- Hyuuga, Neji
Scott Seidman - 21 May 2007 15:51 GMT > The myopic blur that surrounds your pathetically ignorant mentality is > beyond belief. Allow me to invite some Zen into your mind; Please read > carefully; You have now enlightened me, and I find the number of philosophies you misunderstand to be astonishing.
***PLONK***
Please extend me the small favor of posting under one identity, so my plonk finger does not become fatigued.
 Signature Scott Reverse name to reply
Dr. Leukoma - 21 May 2007 16:07 GMT On May 21, 9:11 am, William Horatio Bates <Kyazek...@googlemail.com> wrote:
> Dear 'Nature Blamer' , > [quoted text clipped - 8 lines] > beyond belief. Allow me to invite some Zen into your mind; Please read > carefully; Ah, I see. This is alt.zen.vision. I thought it was sci.med.vision. My mistake.
DrG
William Horatio Bates - 21 May 2007 16:57 GMT Dear Dr L,
Subject: A House Built on Sand
That the results of the present method of treating defects of vision are far from satisfactory is something which no one would attempt to deny. It is well known that many patients wander from one specialist to another, seeking vainly for relief, while others give up in despair and either bear their visual ills as best they may without assistance, or else resort to Christian Science, mental science, osteopathy, physical culture, or some of the other healing cults to which the incompetence of orthodox medicine has given birth. The specialists themselves, having daily to handle each other's failures, are scarcely better satisfied. Privately they criticize each other with great asperity and freedom, and publicly they indulge in much speculation as to the underlying causes of this deplorable state of affairs.
At the recent meeting of the Ophthalmological Section of the American Medical Association, Dr. E. J. Gardiner, of Chicago, in a paper on The Present Status of Refraction Work, finds that ignorance is responsible for the largest quota of failure to get satisfactory results from what he calls the "rich heritage" of ophthalmic science, but that a considerable percentage must be attributed to other causes. Among these causes he enumerates a too great dependence on measuring devices, the delegation of refraction work to assistants, and the tendency to eliminate cycloplegics, in deference to the prejudices of patients who have a natural objection to being incapacitated by "drops."
On the same occasion, Dr. Samuel Theobald, of Johns Hopkins University, noted a tendency to "minimize the importance of muscular anomalies" as an important cause of many failures to give relief to eye patients. Among cases that have come into his hands after glasses had been prescribed by other ophthalmologists he has often found that "though great pains had been taken to correct even minor faults of refraction, grave muscular errors had been entirely overlooked." From this fact and from the small number of latent muscular defects noted in the hospital reports which he has examined, the conclusion seems to him inevitable that such faults are in large measure ignored.
Dr. Walter Pyle, of Philadelphia, laid stress on "necessary but often neglected refinements in examination of ocular refraction." "Long practice, infinite care and attention to finer details," he said, "are imperative requisites, since a slight fault in the correction of a refractive error aggravates rather than relieves the accompanying asthenopic symptoms." This care, he says, must be exercised not only by the oculist but by the optician, and to the end that the latter may be inspired to do his part, he suggests that the oculist provide himself with the means for keeping tabs on him in the form of a mechanical lens measure, axis finder and centering machine.
Dr. Charles Emerson, of the Indiana University School of Medicine, suggested a closer co-operation between the ophthalmologist and the physician, as there were many patients who could not be helped by the ophthalmologist alone.
The fitting o£ glasses by opticians is usually condemned without qualification, but in the discussion which followed these papers, Dr. Dunbar Roy, of Atlanta, said that the optician, just because he does not use cycloplegics, frequently fits patients with comfortable glasses where the ophthalmologist has failed. When a patient needs glasses, said Dr. Roy, he needs them when his eyes are in their natural or normal condition and not when the muscle of accommodation is partially paralyzed. Even the heavy frames used in the adjustment of trial lenses were not forgotten in the search for possible causes of failure, Dr. Roy believing that the patient is often so annoyed by these contrivances that he does not know which is causing him the roost discomfort, the frames or the glasses.
Nowhere in the whole discussion was there any suggestion that this great mass of acknowledged failure could possibly be due to any defect in fundamental principles. These are a "rich heritage," the usefulness of which is not to be questioned. If they do not produce satisfactory results, it must be due to their faulty application, and it is taken for granted that there are a select few who understand and are willing to take the trouble to use them properly.
The simple fact, however, is that the fitting of glasses can never be satisfactory. The refraction of the eye is continually changing. Myopia, hypermetropia and astigmatism come and go, diminish and increase, and the same adjustment of glasses cannot suit the affected eyes at all times. One may be able, in many cases, to make the patient comfortable, to improve his sight, or to relieve nervous symptoms; but there will always be a considerable number of persons who get little or no help from glasses, while practically everyone who wears them is more or less dissatisfied. The optician may succeed in making what is considered to be a satisfactory adjustment, and the most eminent ophthalmologist may fail. I personally know of one specialist, a man of international reputation, who fitted a patient sixty times with glasses without affording him the slightest relief.
And even when the glasses do what is expected of them they do very little. Considering the nature of the superstructure built on the foundation of Donders. and the excellent work being done by leading men, Dr. Gardiner thinks the present status of refraction work might be deemed eminently satisfactory if it were not for the great amount of bad and careless work being done; but I do not consider it satisfactory when all we can do for people with imperfect sight is to give them eye crutches that do not even check the progress of the trouble, when the only help we can offer to the millions of myopic and hypermetropic and astigmatic. and squinting children in our schools is to put spectacles on them. If this is the best that ophthalmology can do after building for three-quarters of a century upon the foundation of Donders, is it not time that we began to examine that foundation of which Dr. Gardiner boasts that "not one stone has been removed"? Instead of seeking the cause of our failure to accomplish even the little we claim to be able to do in the ignorance and carelessness of the average practitioner, great as that ignorance and carelessness often are;in the neglect of cycloplegics and the refinements of lens adjustment: in the failure to detect latent muscular anomalies; in the absence of co-operation between specialist and general practitioner: would it not be wiser to examine the foundation of our superstructure and see whether it is of stone or of sand?
Think for yourself.
- Hyuuga, Neji
Neil Brooks - 21 May 2007 17:22 GMT On May 21, 8:57 am, William Horatio Bates <Kyazek...@googlemail.com> wrote:
> Dear Dr L, > > Subject: A House Built on Sand Ruh-roh. Starting to type AND sound like Elevator Boy. Tragic.
> That the results of the present method of treating defects of vision > are far from satisfactory is something which no one would attempt to > deny. It is well known that many patients wander from one specialist > to another, seeking vainly for relief, while others give up in despair [snip]
Verbal diarrhea. DEFINITELY reminiscent of Uncle Otie.
Welcome to sci.med.vision.
For those of you who are new here: there's this thing called nearsightedness, or myopia. Nobody wants it, really. Most people would probably prefer perfect 20/20 vision at all viewing distances.
Unfortunately, there's no method proven safe and effective for either reversing it or preventing it.
Great strides are being made with antimuscarinics and with Atropine-- neither of which has yet been proved totally safe or totally effective.
Sadly, the rest is snake oil to one degree or another.
Be careful out there.
Dr. Leukoma - 21 May 2007 19:45 GMT On May 21, 10:57 am, William Horatio Bates <Kyazek...@googlemail.com> wrote:
> Dear Dr L, > [quoted text clipped - 113 lines] > > - Hyuuga, Neji *snicker*
DrG
Anon E. Muss - 22 May 2007 07:04 GMT >> On 19 May 2007 20:32:49 -0700, "otisbr...@pa.net" <otisbr...@pa.net> >> wrote: [quoted text clipped - 9 lines] > >Do you have any statistical data? Let me state than the following article in eMedicine does support that claim:
<http://tinyurl.com/2cgdad>
[...] "Patients with high myopia (>6 diopters), a condition that is more common in males than in females have a 5% risk" [...]
My problem is that I was thinking about annual incidence versus lifetime risk.
The lifetime risk of developing a retinal detachment (RD) is 1:300. My anecdotal real-world experience says that is a solid stat. A >-6D myope would have to have a 300/20 = 15X greater risk of developing a RD over their lifetime than the general population. My anecdotal real-world experience says that is a solid stat too.
Therefore I no longer dispute that as a solid stat.
FYI, here are some statistics -- and here's where my thinking probably went wrong. Someone help me if my math is off.
Annual incidence of rhegmatogenous retinal detachment (RRD) in the general population -- the type by far most common in myopes -- is 10-15 per 100,000 people.
That is, at most, 0.015%.
Myopes do have more than half of the non-traumatic RRDs. Myopes > 3D have a 10X higher risk than the general population.
Although I have no statistics for myopes > 6D, to have a 5% risk of RRD, they would have to have a 323X higher risk than the -3D myopes and a 333X greater risk than the general population.
From my anecdotal real-world experience examining many patient with retinal detachment, I just don't see the risk being that much higher in myopes >-6D.
Ms.Brainy - 22 May 2007 08:32 GMT > >Do you have any statistical data? > > Let me state than the following article in eMedicine does support that > claim: > > <http://tinyurl.com/2cgdad> Thanks for the link. It answers many of my questions.
Neil Brooks - 22 May 2007 15:42 GMT > > >Do you have any statistical data? > [quoted text clipped - 4 lines] > > Thanks for the link. It answers many of my questions. Important to note: while the incidence of myopia AND the POSSIBILITY of detached retina ARE two realities, they are--sadly--only used as scare tactics by Otis who seems to think that the mere existence of a problem is, somehow, proof of his hypothesis.
He also believes that the entire world of optometrists, opticians, and ophthalmologists sacrifice the eyes of their own children to maintain the Vast Ocular Conspiracy.
Sadly, none of Otis's beliefs (once you get past the concept that myopia exists, and in large numbers in some part of the world) is supported by facts.
Ms.Brainy - 22 May 2007 00:39 GMT > On 19 May 2007 20:32:49 -0700, "otisbr...@pa.net" <otisbr...@pa.net> > wrote: [quoted text clipped - 7 lines] > > Not true. When I asked for statistical data, it was directed to you, AnonE- Muss. You said that Otis' risk statement (1 in 20 for -6D myopes) is not true. Do you know the rate for that group, or for any other group?
Actually, the only place I found any data re retinal detachment risks was on the "sightwise" link given by Otis. Nowhere else. And I have wondered about it for sometime now. I believe the risk does not jump up at -6D, but probably increased gradually (but nor linearily) from no mypoia to higher degrees of nearsightedness. I also wonder about statistical data of second detachment in the same eye and in the second eye, as well of the risk following other eye surgeries. The only data I have found was re cataract surgery (I believe it's .25%). My detachment was a complication after a successful macular hole surgery (the hole closed, but the retina detached), however nobody ever mentions such cases, or at most they say that "rarely" the retina may detach. What the hell is "rarely"?
otisbrown@pa.net - 22 May 2007 02:37 GMT Dear Brainy,
You can see the dislike of the Perkins report by the majority-opinion ODs on sci.med.vision.
There were several posters who posted a "burst" of floaters.
No one suggested that COULD BE preliminary to a detached retina. They all kept their mouth shut.
You ask why I posted the site discussing this issue.
Let us say that the person with the "burst" of floaters takes it seriously, and goes to a good ophthamologist who does this speciality.
The OD checks for retina "pucker" (their word), and other issues. They stich the retina to the sclera, and the person does NOT develop a detached retina with major complications.
Thus, while you hate the idea that I posted for the person's benifit -- that is why I did it. This issue SHOULD be public knowledge -- a reason for concern.
To further respond:
> > On 19 May 2007 20:32:49 -0700, "otisbr...@pa.net" <otisbr...@pa.net> > > wrote: [quoted text clipped - 12 lines] > not true. Do you know the rate for that group, or for any other > group? Otis> Yes, let use hear that AnonEmuss' statistics -- for comparison with the Perkins data.
> Actually, the only place I found any data re retinal detachment risks > was on the "sightwise" link given by Otis. Nowhere else. And I have > wondered about it for sometime now. I believe the risk does not jump > up at -6D, but probably increased gradually (but nor linearily) from > no mypoia to higher degrees of nearsightedness. Otis> This is what Perkins spelled out in his paper.
Brainy> I also wonder about
> statistical data of second detachment in the same eye and in the > second eye, as well of the risk following other eye surgeries. Otis> Perkins stated that any intrusion of this nature can provoke a secondary detached retina. Although I think most ophthamologists are aware of this -- and should tell you so.
Brainy> The only data I have found was re cataract surgery (I believe it's .25%).
> My detachment was a complication after a successful macular hole > surgery (the hole closed, but the retina detached), however nobody > ever mentions such cases, or at most they say that "rarely" the retina > may detach. Otis> They should ALWAYS mention the risk of detached retina -- for any intrusive surgery. Why don't they. You should not have to ask.
Brainy> What the hell is "rarely"?
Otis> That is when they choose to ignore the threat, and fail to tell you about it.
Just one man's opinion.
> > On 19 May 2007 20:32:49 -0700, "otisbr...@pa.net" <otisbr...@pa.net> > > wrote: [quoted text clipped - 25 lines] > ever mentions such cases, or at most they say that "rarely" the retina > may detach. What the hell is "rarely"? Neil Brooks - 21 May 2007 15:49 GMT On May 19, 8:32 pm, "otisbr...@pa.net" <otisbr...@pa.net> wrote:
> Subject: Vision Concern. > > An sudden increase in floaters can indicate > incipient detached retina. See: > > http://www.sightwise.org/ Check the site. It's yet another retired engineer teaching/practicing medicine.
These guys get awfully bored when they retire--'specially if they had hoped to be commercial pilots.
Unfortunately, they make the rookie mistake of thinking that everything falls neatly within the discipline of engineering conventions. Sadly, it doesn't.
Overwhelmingly, your sources ... um ... suck, Uncle Otie. But you never read anything scholarly, or anything peer-reviewed, or ... more broadly ... anything that disagrees with you (you're a disciple of faith, not science).
otisbrown@pa.net - 22 May 2007 02:59 GMT Yes Neil, tell these people to ignore a burst of floaters.
Tell them to ignore flashes of light.
Tell them that "engineers" do not "care".
In fact we do care about these issues, even as you give the public very bad advice to IGNORE these indicators.
And you are not even an engineer. Have you received a high school diploma yet?
Why should anone take you seriously. What are your qualifications EXACTLY?
Otis
> On May 19, 8:32 pm, "otisbr...@pa.net" <otisbr...@pa.net> wrote: > [quoted text clipped - 19 lines] > broadly ... anything that disagrees with you (you're a disciple of > faith, not science). Dr. Leukoma - 22 May 2007 03:03 GMT On May 21, 8:59 pm, "otisbr...@pa.net" <otisbr...@pa.net> wrote:
> Yes Neil, tell these people to ignore a burst of floaters. > [quoted text clipped - 39 lines] > > - Show quoted text - Another divisive post from Otis "Aw shucks, I'm just trying to help" Brown.
DrG
Neil Brooks - 22 May 2007 03:27 GMT On May 21, 6:59 pm, "otisbr...@pa.net" <otisbr...@pa.net> wrote:
> Yes Neil, tell these people to ignore a burst of floaters. Ya know, Uncle Otie: the words you try to put in OTHER PEOPLE's mouths are no more intelligent than the ones that emanate from your own.
> Tell them to ignore flashes of light. > [quoted text clipped - 3 lines] > you give the public very bad advice to IGNORE these > indicators. ibid.
You're a moron ... OR deeply disturbed.
Or both.
> And you are not even an engineer. Have you > received a high school diploma yet? Ouch. That one really hurt.
> Why should anone take you seriously. What > are your qualifications EXACTLY? We'll put aside, for the moment, questions about who "anone" is....
To answer your question, though: my qualifications are:
That I'm a great deal smarter than you.
That I know more about vision and eyesight than you.
That I am willing to question my own suppositions AND learn from evidence-based medicine AND sources newer than the 1800's.
That I'm logical.
That I'm rational.
That I'm honest.
That I'm lucid.
These qualifications set me apart from you. Please tell me if you'd like to go on.
Otherwise, how about answering these questions:
http://nbeener.com/NDB_OSB_Qs.txt
Thanks.
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