Medical Forum / General / Vision / June 2007
Child & Contacts - Should I take him to another doc?
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FKS - 24 Jun 2007 01:42 GMT My 12 year old son is near sighted and wants to try contacts because several of his classmates have started wearing them. He has been seeing the same pediatric ophthalmologist since he was born (the doc is good). The way contacts are presribed at his medical group is that his assistant does the fitting and teaches the child how to use contacts.
My son has had two 30 minutes sessions with the female assistant and he has not been able to put them in & take them out. I asked her to give me contacts so that my son could practice at home, but she said, "For safety, I cannot give you contacts unless he puts them in & takes them out in front of me."
So, we have another session next week but I highly doubt that my son can suddenly handle contacts. The point that I'm making is, "Is it a standard procedure not to give contacts to me (and my son) in this situation?" Without contacts, how can my son practice and how can I teach him? I don't know how many sessions my son would need.
Can I ask for the prescription and order contacts on-line? Thanks.
DarkProtoman - 24 Jun 2007 02:49 GMT > My 12 year old son is near sighted and wants to try contacts because several > of his classmates have started wearing them. He has been seeing the same [quoted text clipped - 15 lines] > > Can I ask for the prescription and order contacts on-line? Thanks. Let me tell you something: contacts are very uncomfortable to wear. My friend who wears them --I wear specs-- says that when she first got them, they felt like she had sand in her eyes for weeks. Also, you can lose contacts *very* easily; I doubt your 12yr old would enjoy spending a good 15 minutes looking for a plastic disc the size of a dime, when he could be out playing or studying. Just get him a pair of stylish Flexon --they're the kind you could run over w/ a freight train and they wouldn't break-- glasses w/ lenses that are:
Apochromatic --correct chromatic abberations in all three primary colors; not achromatic, they only correct two primary colors-- Atoric --corrects spherical abberations in all directions; not aspheric, they only correct the x, y, and z axes-- ECM-9 polycarbonate --even thinner than normal CR-39 polycarbonate-- Anti-reflective coating --reduces glare; you can see clearer-- Anti-scratch coating --duh!-- Photochromic coating --makes the lenses change from clear to dark in sunlight; w/ contacts you'd need a pair of superexpensive sunglasses--
Something cool you can do w/ eyeglasses you can't do w/ contacts: widen your eyes, look over the lenses, and sardonically grin and show your teeth; this creeps all my friends out.
If he really doesn't want to wear eyeglasses, get an opthalmologist to do wavefront LASIK on his eyes.
Hope this helps!!!
DarkProtoman - 24 Jun 2007 02:54 GMT > > My 12 year old son is near sighted and wants to try contacts because several > > of his classmates have started wearing them. He has been seeing the same [quoted text clipped - 45 lines] > > - Show quoted text - Almost forgot. Dr. Leif Hertzog in Long Beach, CA is my internist's, and soon to be my, opthalmologist. http://www.hertzogeyeassociates.com
Churie. - 24 Jun 2007 05:27 GMT > > My 12 year old son is near sighted and wants to try contacts because several > > of his classmates have started wearing them. He has been seeing the same [quoted text clipped - 45 lines] > > - Show quoted text - Hi Your suggestion regarding the use of lens instead of contacts was good,but lastly you have rocemended Lasik,which is not right,I'm not sure as to whether you are of the fact that a wave front corneal correction or a Lasik or Zyoptix for that matter can be done only for those who have attained the age of 22 years,with a power stability for two years.Check on this .Read and Refresh for yourself.
You may be a good candidate if you: Feel that spectacles/contact lenses are a nuisance in your job, sporting activities or personal life Suffer from the effect of scattered light (aberrations) Have been told that your pupils are too big, or your corneas too thin,for standard treatment Need vision correction and have a prescription range of up to - 12.00 dioptres sphere and - 7.00 cylinder Have had stable vision for the past 2 years Have healthy eyes, good general health and are not taking medication that affects the healing process Are older than 21 What can Zyoptix correct? Personal factors to consider Career Implications: People in certain occupations - e.g. the Armed Forces or the Police - may be prohibited from undergoing laser treatment. Always ask your employer for advice.
Age: Your surgeon might think it wise to postpone treatment if you are under 21.
Time, after-care and commitment: The treatment itself only takes a few minutes, but all the tests and aftercare visits over a 3-month period will require your time and commitment. You might also need check-ups at 6 and 12 months.
Money Zyoptix may be more expensive than standard LASIK.
PLEASE NOTE: Only your surgeon can determine if you are a suitable candidate for Zyoptix, based on appropriate diagnostic tests and your medical history.
Medical factors to consider You will probably be told you are unsuitable for Zyoptix if you have contraindicated eye or health problems.
Ocular (eye) health: Your surgeon will examine you for severe dry eye conditions, infections, allergies, any corneal abnormalities or eye disease (either existing or within your family) that could affect the healing process.
General health: Your surgeon will check with you that you do not suffer from diseases that prevent you from having laser treatment and may well contact your GP. You will have to postpone your treatment if you are pregnant or breast-feeding.
Medication: Certain medicines might interact with the drops you will be given. Some examples are - medication for migranes (triptans), hormone replacement therapy (HRT) antihistamines and others. Your surgeon will advise you if and how your medication effects laser treatment. Be sure to tell your surgeon about any current or past health problems.
What prescription range can Zyoptix correct? People may not realise how suitable they are for laser treatment, because they wrongly believe that their eyes are not weak enough. In fact, many patients with mild to moderate prescriptions undergo LASIK. But because Zyoptix removes less tissue than Bausch and Lomb standard LASIK, it can be performed on people previously unsuitable for laser eye treatments - such as those with higher prescriptions.
The limit of what can be corrected varies from person to person, from surgeon to surgeon and from machine to machine. As a general guide, the Zyoptix system can correct:
To about -12.00 dioptres of near-sight. The range for astigmatism is up to - 7.00 dioptres (with near-sight) Alternatives if you are not suitable for Zyoptix Most people who want Zyoptix are able to have it, but if not, your surgeon will be happy to discuss alternatives with you. For example, PRK or prescription implanted intraocular lenses may be good alternatives. A few people may have to accept the fact that they are going to need spectacles or contact lenses - and it is worth knowing that Bausch and Lomb manufactures a contact lens that can be worn continuously for up to 30 days. This new range is called PureVision and corrects up to - 9.00 dioptres.
Zyoptix: widening the scope... Zyoptix means that people whose eyes were unsuitable for laser surgery may now be able to undergo treatment... reflecting your outlook
Improving your working life is not the only reason to choose Zyoptix. Many active people who wear glasses or contact lenses feel they can never realise their full potential in the sports and games they enjoy so much... Talk to the clinic today, change your whole perspective. Terms of Use - Privacy Policy - Program Policies - Google Home
DarkProtoman - 24 Jun 2007 05:40 GMT > > > My 12 year old son is near sighted and wants to try contacts because several > > > of his classmates have started wearing them. He has been seeing the same [quoted text clipped - 149 lines] > > - Show quoted text - Oh yeah...
Churie. - 24 Jun 2007 06:45 GMT > > > > My 12 year old son is near sighted and wants to try contacts because several > > > > of his classmates have started wearing them. He has been seeing the same [quoted text clipped - 153 lines] > > - Show quoted text - Sigh of relief or ignorance or both accept and try to be practical.
DarkProtoman - 25 Jun 2007 01:11 GMT > > > My 12 year old son is near sighted and wants to try contacts because several > > > of his classmates have started wearing them. He has been seeing the same [quoted text clipped - 149 lines] > > - Show quoted text - Why does that sound like an ad?
Neil Brooks - 25 Jun 2007 02:51 GMT > Why does that sound like an ad? Churie DOES seem to be pimping Zyoptix lasik around here.
Would he like to divulge an economic interest, by any chance???
Churie. - 25 Jun 2007 14:03 GMT > > Why does that sound like an ad? > > Churie DOES seem to be pimping Zyoptix lasik around here. > > Would he like to divulge an economic interest, by any chance??? Hi Im not doing what you had mentioned.This was the reply given to a wrong post by Dark Portoman to convert him to Light Portoman.The reason being he had recommended Lasik for a twelwe year old,hence the post.
otisbrown@pa.net - 27 Jun 2007 03:08 GMT Dear Churie,
You will have to forgive our resident troll, Neil Brooks.
He has no medical training or experience.
Yet he feels "empowered" with no medical ability to "attack" anyone at random if he feels in his agust none knowledge that you are doing something "wrong" -- by his perverted standard.
Try to ignore his posts, they and NOTHING of worth to this parent's concern for a child's use of a contact lens.
Otis
> > > Why does that sound like an ad? > [quoted text clipped - 7 lines] > reason being he had recommended Lasik for a twelwe year old,hence the > post. Neil Brooks - 27 Jun 2007 03:10 GMT On Jun 26, 7:08 pm, "otisbr...@pa.net" <otisbr...@pa.net> wrote:
> You will have to forgive our resident troll, Neil Brooks. > > He has no medical training or experience. Yet, perhaps miraculously, still know a hell of a lot more about eyesight and vision than you do.
Makes ya' wonder, now, doesn't it.
otisbrown@pa.net - 27 Jun 2007 03:52 GMT See what I mean? He is an arrogant fool, who attacks anyone with no reason and then declares that he "knows more than ANYONE".
I rest my case.
Otis
> On Jun 26, 7:08 pm, "otisbr...@pa.net" <otisbr...@pa.net> wrote: > [quoted text clipped - 6 lines] > > Makes ya' wonder, now, doesn't it. Dr. Leukoma - 27 Jun 2007 04:29 GMT On Jun 26, 9:52 pm, "otisbr...@pa.net" <otisbr...@pa.net> wrote:
> See what I mean? He is an arrogant fool, who > attacks anyone with no reason and then [quoted text clipped - 16 lines] > > - Show quoted text - The critical difference (and there are others) between you and Neil is that Neil is not selling snake oil.
DrG
p.clarkii@gmail.com - 27 Jun 2007 04:41 GMT On Jun 26, 10:52 pm, "otisbr...@pa.net" <otisbr...@pa.net> wrote:
> See what I mean? He is an arrogant fool, who > attacks anyone with no reason and then [quoted text clipped - 14 lines] > > > Makes ya' wonder, now, doesn't it. =================
otis, please go away. not only do you have no training or experience with which to help anyone in this newsgroup, but you recommend disproven methods THAT CAN HARM PEOPLE. What you advocate, i.e. putting plus lenses on all children even though they are not hyperopic, can result in double-vision and headaches in some cases. you do not understand this because you do not understand the eye and the visual system. and even though it has been explained to you, and there exists a list of names and contact information of real people who have been harmed by you which has been turned over to state officials, you do not take heed.
to all innocent people who read this, Otis Brown (at otisbrown@pa.net) has had formal complaints lodged against him in the State of Pennsylvania (http://nbeener.com/OTIS_INVESTIGATION.pdf) for providing medical advise without appropriate licensure. do not be mislead by Otis. I would just ignor any of his posts.
regards, PhD, OD
MsBrainy - 27 Jun 2007 19:18 GMT >See what I mean? He is an arrogant fool, who >attacks anyone with no reason and then [quoted text clipped - 3 lines] > >Otis Otis!!! Neil said he knows more than YOU, not than "anybody". Are you sure you are an engineer, not an unemployed lawyer? Such distortions and misquotes are done routinely by lawyers, so that profession should fit your personality much better. But then, you are not smart enough to build a convincing argument around your fraudulent manipulation of reality, so maybe you should remain unemployed and stick with suduction of little boys who are still trusting suseptible to your false miracle propositions.
 Signature MsBrainy
otisbrown@pa.net - 25 Jun 2007 22:19 GMT This is a typical statement of Neil Brooks:
1. First attack and insult, then
2. Accuse of "hidden" economic interests.
3. And then slather with blather.
Just one man's opinion.
Otis
> > Why does that sound like an ad? > > Churie DOES seem to be pimping Zyoptix lasik around here. > > Would he like to divulge an economic interest, by any chance??? Edwardo Alphonse Elric - 25 Jun 2007 22:51 GMT On Jun 25, 10:19 pm, "otisbr...@pa.net" <otisbr...@pa.net> wrote:
> This is a typical statement of Neil Brooks: > [quoted text clipped - 13 lines] > > > Would he like to divulge an economic interest, by any chance??? LOL
Neil Brooks - 25 Jun 2007 23:04 GMT >LOL It's really quite simple to recognize your posts -- anything that defends or supports Uncle Otie -- and to add your new personas to a kill-file.
[plonk]
Dan Abel - 25 Jun 2007 23:50 GMT > >LOL > [quoted text clipped - 3 lines] > > [plonk] As I've posted before, my newsreader lets me killfile part of a name. Sorry if yours doesn't.
Neil Brooks - 25 Jun 2007 23:52 GMT >> >LOL >> [quoted text clipped - 6 lines] >As I've posted before, my newsreader lets me killfile part of a name. >Sorry if yours doesn't. Can you filter by e-mail address??
If so, what product do you use??
Dan Abel - 26 Jun 2007 01:53 GMT > >> >LOL > >> [quoted text clipped - 10 lines] > > If so, what product do you use?? I use MT-NewsWatcher on a Mac. It is free. I can filter on name. I can filter on 17 things. There are 11 items on the filter menu. If I select "kill author", I will be given several options, including a box with "Neil Brooks <neil0502@yahoo.com>" in it. I can edit the box, leaving just "neil0502@yahoo.com" in it. If you change your name to Neil Crooks or Neil Books, I won't see your post. WhatsHisName seems to keep the same Email address, so one filter gets rid of him.
You might try fiddling with Agent, I would think it would allow something similar. I used Free Agent for a few minutes, but we only have Macs in the house, and I had both a PC and a MAC at work. I only accessed newsgroups with the Mac.
Neil Brooks - 26 Jun 2007 17:31 GMT > You might try fiddling with Agent, I would think it would allow > something similar. Right you are/were. Thanks.
[just staving off the inevitable ... if only for a while....]
Neil Brooks - 25 Jun 2007 23:03 GMT >This is a typical statement of Neil Brooks: Actually, Otis, I seek to understand.
Would you mind answering a few questions for me, please?
1. There seems to be a great deal of evidence that primates have widely differing visual systems. How is it that you feel so secure in saying that "all primate eyes" behave similarly ... in ANY regard?
2. In these monkey studies that you reference, isn't it true that the SAME STUDIES showed that, with even BRIEF periods away from the minus lens, the myopia was prevented?
3. If there was no medical indication that these monkeys needed corrective lenses at all, can you be sure that appropriate CORRECTION of somebody's REFRACTIVE ERROR will have similar results? If so, how?
4. You continually claim that a minus lens causes something that you call "stair-case myopia." Presuming that you mean that it does this in humans, do you have any valid clinical evidence for this claim?
5. You have repeatedly claimed that the Oakley-Young study is "proof" of this "stair-case myopia" phenomenon, but Oakley-Young only establishes that-in some people-myopia can get worse over time. It doesn't even CLAIM that a minus lens CAUSES this. Please explain your position.
6. Also-at least in part, based on the Oakley-Young study-you recommend that people use plus lenses to prevent myopia. Are you aware that the only people in the Oakley-Young study for whom plus lenses made ANY difference were those with diagnosed "near-point esophoria?" This is a convergence disorder. Do you have ANY EVIDENCE that the same result is likely with people who DO NOT HAVE this convergence disorder?
7. You claim to have known Donald Rehm, the founder of the International Myopia Prevention Association, for some decades. I presume that you are familiar with his FDA petition. In it, Mr. Rehm states:
" if we converge without accommodating the appropriate amount, or if we accommodate without converging the appropriate amount, problems can develop for this small percentage of children such as eye fatigue, double vision, or other types of fusion problems. That is, the two images can no longer be fused together without discomfort. Normal binocular vision is interfered with."
Is there a valid reason why you have not attempted to make people aware of these SERIOUS risks of unprescribed plus lenses?
8. You continually cite Fred Deakins as a (questionable) success story. Do you think it is honest NOT to mention that Mr. Deakins is--in truth--myopic, that he is trying to sell a $40.00 product, and that his "testimonial" is used as an inducement to buy this product?
9. Do you have any economic interest in the product sold by Mr. Deakins?
10. You claimed that you were not selling a book--until, that is, I provided links to websites where it WAS being sold for $24.95 (with your home address as the "send check to" address). You then claimed that the entire book was available for free on the internet--until, that its--I pointed out that only approximately four of 14+ chapters were on the internet. Would you please clarify whether or not you have ever received money for a copy of your book, "How to avoid nearsightedness: A scientific study of the normal eye's behavior?" If so, please state how many copies you have sold, and when the last copy was sold. If not, please state how long it has been since you received any money for this book.
11. Do you believe that it is dishonest NOT to mention that you have a commercial interest in inducing people to visit your website?
12. Presuming that you understand the difference between accommodative spasm (pseudomyopia) and axial-length myopia, would you please provide credible proof that either a) pseudomyopia CAUSES axial-length myopia, or that b) relieving pseudomyopia REDUCES axial-length myopia
13. You CONSTANTLY make reference to "Second Opinion" optometrists--presumably meaning those who share your views. Other than the now-infamous Steve Leung, are there ANY OTHER such "second opinion optometrists" in the ENTIRE WORLD? Does any of these people have any evidence to support the claims that you make? Would you please provide it?
14. Mr. Steve Leung is also trying to sell a book. Do you have any economic interest in the book sold by Steve Leung? Do you think it is honest NOT to mention that Mr. Leung is--in truth--myopic, that he is trying to sell a book, and that the "testimonials" on his website, and your repeated referrals TO his website are used as inducements to sell both your and his book?
15. Do you feel that it is HONEST NOT TO admit that--even though your niece, Joy, NEVER WORE MINUS LENSES, and DID USE PLUS LENSES, she is, at this time, a myope with a restricted driver's license? [http://www.chinamyopia.org/otis%20&joy.htm]
16. I have posted, many times, links to the actual summaries of the myopia progression studies that you lie about [http://darwin.nap.edu/books/0309040817/html/62.html]. Why do you tell people that they WILL SHIFT MYOPIC BY 1.3 DIOPTERS during the four years of college when the studies DO NOT SAY THAT AT ALL? Please explain your position and provide citations to the appropriate studies.
17. You enjoy citing the Francis Young 1969 Eskimo study, claiming that it is "proof that near work causes myopia." Are you aware of the contemporary theory that states that, in fact, myopia in the Inuit population was a result of the introduction of a "Western" diet high in simple carbohydrates (junk food)? http://www.second-opinions.co.uk/myopia.html http://www.newscientist.com/article.ns?id=dn2120
18. You enjoy using the term "closed-loop feedback system" to describe your concept of the "dynamic eye," yet (see question #3) the following is a much BETTER representation of a closed-loop feedback system:
Think of your home's oven as an analogy.
You set the thermostat for 350 degrees (F).
If the oven is already at 275F, then the thermostat will signal an INcrease in temperature.
If the oven is already at 425F, then the thermostat will signal a DEcrease in temperature.
IF, however, the oven is already at 350F -- the desired temperature -- then the thermostat will not signal any change.
Please explain why your position is at variance with this analogy.
19. You seem to stop by sci.med.vision for the sole purpose of "roiling the waters--" adding posts designed only to harrass and annoy optometrists who, universally, do not agree with you.
You then excerpt--often improperly and with incorrect attributions-- these conversations on other sites, adding your little 'comments' WITHOUT the doctor having any ability to challenge what you say.
Do you think this is intellectually honest?
If you are interested in debate, exchange, argument, or discussion, wouldn't it be better to actually ANSWER questions directly?
20. Presuming that your theories are based, at least in large part, on the emmetropization process, at what age does this stop in humans? In other words: you are recommending a particular therapy to halt myopia progression that--based on your arguments--should be equally effective at REVERSING it. If so, then why are all of its advocates (and most of its known 'test subjects') myopic?
This seems to be a bit of a paradox, no?
Sibir - 24 Jun 2007 09:10 GMT >> My 12 year old son is near sighted and wants to try contacts because >> several [quoted text clipped - 21 lines] >> >> Can I ask for the prescription and order contacts on-line? Thanks. Your son needs to be able to apply them and remove them before he can have them. That sounds simple enough. No doc who likes keeping his or her license would give an Rx for CLs to someone who couldn't even handle them. Think about it, really!! We are talking about something that can cause SERIOUS problems if the wearer can't follow basic instructions and perform basic tasks!!
> Let me tell you something: contacts are very uncomfortable to wear. My > friend who wears them --I wear specs-- says that when she first got [quoted text clipped - 4 lines] > stylish Flexon --they're the kind you could run over w/ a freight > train and they wouldn't break-- glasses w/ lenses that are: Flexon frames are tough, but they are weak in the same places as any other. The endpieces are another alloy which means stepping on the glasses will pretty much stress the material out. It'll fail the next time if it didn't the first. I've seen enough Flexon and other Nitinol frames (Flexon is a trade name, not a real material,) fail due to people showing them off and / or cleaning them by holding one lens while scrubbing the dickens out of the other. Can we say "metal fatigue"?
> Apochromatic --correct chromatic abberations in all three primary > colors; not achromatic, they only correct two primary colors-- [quoted text clipped - 5 lines] > Photochromic coating --makes the lenses change from clear to dark in > sunlight; w/ contacts you'd need a pair of superexpensive sunglasses-- Quit reading corporate mindwashing hype to the general public. Correcting for most wavelengths of light requires multiple lenses of different indices and different aspheric curves, not to mention about an inch and a half of space. You can't get this in any Ophthalmic lens. All ophthalmic lenses are calibrated to one of two standards depending on whether it is ISO or ANSI. They are both calibrated to a particular wavelength with the understanding that other wavelengths will fall slightly to either side of perfect focus. This is reality. No two surfaces can fully correct every wavelength!!
There are only three axes in physical space: X,Y, and Z; horizontal, vertical, and forward. (backward would be minus .)
CR-39 and polycarbonate are two completely different creatures. ECM-9 is just a brand name for plain old polycarbonate.
> Something cool you can do w/ eyeglasses you can't do w/ contacts: > widen your eyes, look over the lenses, and sardonically grin and show > your teeth; this creeps all my friends out. > > If he really doesn't want to wear eyeglasses, get an opthalmologist to > do wavefront LASIK on his eyes. !!!!!!!!!!!!!!ON A CHILD !!?????!!!!
Carl
> Hope this helps!!! The Real Bev - 24 Jun 2007 19:17 GMT >>> So, we have another session next week but I highly doubt that my son can >>> suddenly handle contacts. The point that I'm making is, "Is it a standard [quoted text clipped - 10 lines] > problems if the wearer can't follow basic instructions and perform basic > tasks!! Moreover, you won't even know if they fit properly until he can wear them for a while. Whenever I've been fitted for contacts, it's taken at least a dozen iterations to find something that MOSTLY works, and even then the results aren't reproducible.
 Signature Cheers, Bev ===================================================================== A: Because it messes up the order in which people normally read text. Q: Why is it such a bad thing? A: Top-posting. Q: What is the most annoying thing on usenet?
DoctorRick - 24 Jun 2007 14:15 GMT >> My 12 year old son is near sighted and wants to try contacts because several >> of his classmates have started wearing them. He has been seeing the same [quoted text clipped - 22 lines] >spending a good 15 minutes looking for a plastic disc the size of a >dime, when he could be out playing or studying. I think you are offering advise based solely on your personal experience and hearsay from your friend.
The majority of patients find soft disposable contact lenses to be quite comfortable. And that is the whole reason for giving trial lenses anyway. A patient can wear lenses for a brief time and then decide whether thats what they want to do or not, without buying anything first (except the professional services for contact fitting and training).
Dan Abel - 24 Jun 2007 15:35 GMT > Let me tell you something: contacts are very uncomfortable to wear. Thank you for your stupid advice. Many people find them comfortable. When I first tried a contact, the doctor asked me how it felt. I replied that I couldn't feel a thing. Of course, other people have different experiences.
> Something cool you can do w/ eyeglasses you can't do w/ contacts: > widen your eyes, look over the lenses, and sardonically grin and show > your teeth; this creeps all my friends out. I'm only surprised that you still have any friends left. I guess they are the kind that like this kind of stuff.
DarkProtoman - 24 Jun 2007 16:51 GMT > In article <1182649791.407115.293...@g37g2000prf.googlegroups.com>, > [quoted text clipped - 11 lines] > I'm only surprised that you still have any friends left. I guess they > are the kind that like this kind of stuff. They are.
p.clarkii@gmail.com - 24 Jun 2007 05:34 GMT > "Is it a standard > procedure not to give contacts to me (and my son) in this situation?" Certainly. the last thing you would want is for your son to get home and not be able to remove his contact lenses. the rule in my office, and in most all other offices I imagine, is that if you can't put your contacts in, then take them out, and then put them in again, then you can't leave the office with them. no one wants to answer an emergency call at midnight because a child can't remove their contact lens.
> Without contacts, how can my son practice and how can I teach him? I don't > know how many sessions my son would need. some people require a long time to learn to put their contacts in. when I started wearing them it took me 2 visits on successive days to learn to get them in and take them out. its difficult to overcome your innate blink reflex.
what part of the contact lens insertion and removal process is the most difficult for your son? if his problem is that he blinks excessively then he can practice at home touching his sclera (white portion of eye) with the edge of his finger to desensitize himself. sometimes it helps to switch contact lens trainers-- someones style or technique in teaching a person may work better for a particular personality.
> Can I ask for the prescription and order contacts on-line? Thanks. if you live in the US, then yes. if your son gets a final approved contact prescription then it is your right under law to get a copy.
FKS - 24 Jun 2007 06:21 GMT <p.clarkii@gmail.com> wrote in message >> Can I ask for the prescription and order contacts on-line? >
> if you live in the US, then yes. if your son gets a final approved > contact prescription then it is your right under law to get a copy. I know that I can order contacts online in the US. Are you saying that my son's contact prescription still need a final approval? The lenses were ordered according to the ophthalmologist's prescription. So, I thought that instead of secheduling sessions with the assistant, I might simply order the same contacts and train my son at home (I'm a long time contact user, so I know what to do.)
Dr. Leukoma - 24 Jun 2007 13:16 GMT > <p.clar...@gmail.com> wrote in message >> Can I ask for the prescription and > [quoted text clipped - 9 lines] > same contacts and train my son at home (I'm a long time contact user, so I > know what to do.) The prescription is not generally given until the fitting process is complete, which includes the follow-up visits. Your son cannot have a follow-up visit unless he has been able to take the lenses home and wear them, and he won't be permitted to take them home until he can handle them. There is no use arguing about this situation, and it appears as though your son is just not ready for contact lenses. Why are you forcing the issue?
There are things you can do with your son at home, including teaching him how to hold his eyes open and touch his eyes.
DrG
Mike Tyner - 24 Jun 2007 17:28 GMT > I know that I can order contacts online in the US. Are you saying that my > son's contact prescription still need a final approval? The lenses were > ordered according to the ophthalmologist's prescription. Did the ophthalmologist ever see the lenses on the eye?
I prescribe, fit and train several young people per week. If my first guess worked well every time, it'd be uncanny. Sometimes lenses don't insert well because they don't fit well. There are no tests or measurements that guarantee which lenses will fit, sight unseen.
That said, first-timers often benefit from "sleeping on it" and sometimes we go two or three visits before they can remove their own lenses. We insist they demonstrate *removal* but let them train for insertion at home. We also make sure that it's the _patient_ who wants contacts, not the parent.
The clenching reaction can be reduced by keeping both eyes open.
Some people do best pinning the upper lashes against the brow.
Looking down into the lower lid, before letting go, can help the lens stay in place rather than "pinch out".
> So, I thought that instead of secheduling sessions with the assistant, I > might simply order the same contacts and train my son at home (I'm a long > time contact user, so I know what to do.) As long as _you_ have no problems removing _his_ lenses, I'd allow that. I can't remember needing to, more than once or twice in 25 years.
Whoever prescribes them, I'd want to know that the lenses are completely comfortable when wearing. He should not feel soft lenses. Comfort is crucial because you want him to notice and remove the lenses when they get uncomfortable. If they're dry every day, or if they ever pop out spontaneously, then as a rule, they don't fit.
-MT, OD
michael toulch - 24 Jun 2007 13:38 GMT > My 12 year old son is near sighted and wants to try contacts because several > of his classmates have started wearing them. He has been seeing the same [quoted text clipped - 15 lines] > > Can I ask for the prescription and order contacts on-line? Thanks. don't give up yet on trying the contacts - he'll eventually get the hang of it. if at the ophthalmologists office it doesn't work out try going elsewhere for another trial/fitiing.
Anon E. Muss - 25 Jun 2007 06:05 GMT >My son has had two 30 minutes sessions with the female assistant and he has >not been able to put them in & take them out. I asked her to give me >contacts so that my son could practice at home, but she said, "For safety, I >cannot give you contacts unless he puts them in & takes them out in front of >me." Smart lady.
>So, we have another session next week but I highly doubt that my son can >suddenly handle contacts. The point that I'm making is, "Is it a standard >procedure not to give contacts to me (and my son) in this situation?" Yes.
>Without contacts, how can my son practice and how can I teach him? I don't >know how many sessions my son would need. He needs to practice at the office and make sure he can do it before he leaves. The DOC doesn't want you calling him at 11:00pm on an "emergency" basis because your son can't get them in or out.
>Can I ask for the prescription and order contacts on-line? Thanks. Sure. ONCE the contact lens examination and fitting process is complete.
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