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Medical Forum / General / Vision / June 2008

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Wearing an eye-patch.

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Peter Jason - 28 May 2007 02:12 GMT
I have had strasbismus in my left eye all my
life.

And so I look out of my right eye and
suppress completely my left eye.

My good eye (the right) sometimes feels
strained, and so I ask:

Should I wear an eye patch over my right eye
to exercise the left one and also give the
right one a rest?

Please help/
Dr Judy - 28 May 2007 03:42 GMT
> I have had strasbismus in my left eye all my
> life.
[quoted text clipped - 8 lines]
> to exercise the left one and also give the
> right one a rest?

The poor vision will create more strain.  Unless you are under the age
of 12, patching the right will not improve the left.

The right eye strain is more likely related to a right eye problem,
not the strabismus.  Have an eye exam and ask the doctor to check you
for dry eye and blepharitis.

Dr Judy

> Please help/
Peter Jason - 28 May 2007 04:37 GMT
> On May 27, 9:12 pm, "Peter Jason"
> <p...@jostle.com> wrote:
[quoted text clipped - 27 lines]
>
>> Please help/

Thanks.  I notice the strain when working at
the computer a lot.

I have a flat screen 1280 x 1024 pixels which
I was told was pretty good.

Would there be something about the screen
which would be causing the problem, and if so
can I upgrade to something better.

Peter.
Don W - 28 May 2007 08:49 GMT
> The right eye strain is more likely related to a right eye problem,
> not the strabismus.  Have an eye exam and ask the doctor to check you
> for dry eye and blepharitis.
>
> Dr Judy

Seems like it would be quite an unusual patient not to be able to
"see" if he had either dry eye or blephartis.  Like doc, is my eye
red?

Don W.
Neil Brooks - 28 May 2007 15:03 GMT
> Seems like it would be quite an unusual patient not to be able to
> "see" if he had either dry eye or blephartis.  Like doc, is my eye
> red?

I think there's a lot about dry eye that you don't understand.

The precorneal tear film layer HAS a refractive index of its own.
Optimal visual acuity depends on the tear film layer being intact.

People with dry eye syndrome have blurred, and variable, vision very
frequently.  This causes eyestrain, tension around the eyes, "foreign
body" sensation, headaches, fatigue, light sensitivity, and a host of
other symptoms.
Don W - 28 May 2007 16:18 GMT
> I think there's a lot about dry eye that you don't understand.

That is probably true.

> The precorneal tear film layer HAS a refractive index of its own.
> Optimal visual acuity depends on the tear film layer being intact.
[quoted text clipped - 3 lines]
> body" sensation, headaches, fatigue, light sensitivity, and a host of
> other symptoms.

The above two I understand.

"HAS" ???

Don W.
Jan - 28 May 2007 21:00 GMT
Neil Brooks schreef:

> The precorneal tear film layer HAS a refractive index of its own.
> Optimal visual acuity depends on the tear film layer being intact.

Neil, the refraction index of the tearlayer is nearly the same as is the
cornea and so not that important optically speaking.

However you are quite right in mentioning the importance of this layer
when it comes to vision acuity.
It 'smooths' the optical surface of the cornea epitheliumlayer and keeps
it transparent (among other important things)

Jan (normally Dutch spoken)
Don W - 28 May 2007 22:29 GMT
> > The precorneal tear film layer HAS a refractive index of its own.
> > Optimal visual acuity depends on the tear film layer being intact.
>
> Neil, the refraction index of the tearlayer is nearly the same as is the
> cornea and so not that important optically speaking.

 Well, the tear film has a thickness several orders of magnitude less
than the cornea, so the refractive index difference would not matter
too much, it seems.  No eye model incorporates it, that I have seen.

Don W.
Jan - 28 May 2007 23:42 GMT
Don W schreef:

>   Well, the tear film has a thickness several orders of magnitude less
> than the cornea, so the refractive index difference would not matter
> too much, it seems.  No eye model incorporates it, that I have seen.
>
> Don W.

The thickness of this tear layer is of no importance Don and forget what
I said about the difference in indices between the tearlayer and the
cornea....

tearlayer 1.336
cornea 1.376

The fact the curvature of the front and back of the tearlayer (plano)
are the same as the frontcurvature of the cornea counts.

Jan (normally Dutch spoken)

BTW, a very slim lens is still a lens.
michael toulch - 28 May 2007 14:02 GMT
> I have had strasbismus in my left eye all my
> life.
[quoted text clipped - 10 lines]
>
> Please help/

you probably should not bother. suppression of your left eye prevents
you from seeing double which is a good thing.
billyclaremore@aol.com - 30 Jun 2007 15:33 GMT
> I have had strasbismus in my left eye all my
> life.
[quoted text clipped - 10 lines]
>
> Please help/

What would it hurt if you switched and see if it helps.
I have had strasbismus for 3 years now due to Myasthenia Gravis. I
usually keep my patch on my left eye since it droops sometimes, but if
my right eye feels strained, I will change it for awhile and it always
seems to help. I then will change it back. I am not going against the
doc's advice, it is good to check out other possible problems too, I
am just going from my own experience.

Billy
RajdiPs - 29 Jun 2008 18:49 GMT
Hey, From my personal experience you try out isotine eye drops, which is
ayurvedic preperation and 100% safe to use. Won't leave any side effect, if
no improvment stop using aftr a month... but i have used it and it is really
effective.

for more details about  isotine:
http://www.isotineeyedrops.com/

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