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Medical Forum / General / Vision / June 2007

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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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