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Medical Forum / General / Vision / August 2007

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How can I consider the optometry a science if

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lena102938 - 21 Aug 2007 22:03 GMT
There are more and more complications from wearing contacts lens, with
introducing  new contacts lens products.
There are hundreds of completed and   ongoing research showing the
harm causing by soft contacts lenses  (microbial keratitis, papillary
conjunctivitis, bulbar conjunctival changes, epithelial keratopathy,
corneal neovascularization, nonmicrobial corneal infiltrates, and
corneal warpage. Endothelial polymegathism, pleomorphism. Progressive
corneal epithelium and  stroma thinning.)

I know, that there are many good optometrist, who really do their
job, helping people.
What I can not understand, how some of them, knowing all of the above
can conduct research like below and make that type of recomendations:

CONTACT LENSES A GOOD CHOICE FOR CHILDREN 12 AND YOUNGER
COLUMBUS , Ohio - Children 8 to 12 years old are just as adept as
teenagers at handling and wearing contact lenses.
"Optometrists traditionally don't prescribe contact lenses to children
until they are at least 12 years old," said Jeffrey Walline, an
assistant professor of optometry at Ohio State University. "But we
found that younger children are just as responsible with their
lenses."
http://researchnews.osu.edu/archive/kidviz.htm
Dr. Leukoma - 21 Aug 2007 22:19 GMT
> There are more and more complications from wearing contacts lens, with
> introducing  new contacts lens products.
[quoted text clipped - 3 lines]
> corneal neovascularization, nonmicrobial corneal infiltrates, and
> corneal warpage. Endothelial polymegathism, pleomorphism.

What an impressive list of medical jargon.  Do you know what any of it
means?

The fact is that contact lenses are far, far safer now than they ever
have been.  As with any medical device, there are risks, and those
risks are largely avoidable with proper care.  Unfortunately, the
public has been lulled into believing that there are NO risks
associated with contact lenses.  Some people believe that regular eye
exams should not be required for obtaining them.
lena102938 - 22 Aug 2007 22:02 GMT
>> There are more and more complications from wearing contacts lens, with
>> introducing  new contacts lens products.
[quoted text clipped - 4 lines]
>What an impressive list of medical jargon.  Do you know what any of it
>means?

“It has been reported that as many as 60% of the population reports symptoms
of dry eye.”
Not precise enough..

In average less then 20% of  populations reports  one or more  symptoms of
dry eye present at least often.
http://www.tearfilm.org/content/epidemiologydes.pdf, etc,etc.
Personally, I prefer eye drops with preservatives.
???
retinula - 21 Aug 2007 23:34 GMT
> There are more and more complications from wearing contacts lens, with
> introducing  new contacts lens products.
[quoted text clipped - 18 lines]
> found that younger children are just as responsible with their
> lenses."http://researchnews.osu.edu/archive/kidviz.htm

why did you post this?  you have no concept about the safety and
efficacy of contact lenses.
lena102938 - 22 Aug 2007 04:50 GMT
>> There are more and more complications from wearing contacts lens, with
>> introducing  new contacts lens products.
[quoted text clipped - 4 lines]
>why did you post this?  you have no concept about the safety and
>efficacy of contact lenses.

C'est la vie
Provided you have any concept of French.
Mike Tyner - 22 Aug 2007 00:18 GMT
> There are more and more complications from wearing contacts lens, with
> introducing  new contacts lens products.

This is false. Per wearer, the incidence of keratitis and corneal ulcer has
_decreased_ in the past 20 years. Frequent replacement is the biggest factor
explaining the decrease, and silicone hydrogels have also had an effect.

Since your opening premise is false, the rest of your rant must be reworked.

-MT
Neil Brooks - 22 Aug 2007 00:34 GMT
> > There are more and more complications from wearing contacts lens, with
> > introducing  new contacts lens products.
[quoted text clipped - 6 lines]
>
> -MT

For anybody who doesn't know this, or hasn't figured it out by now:
"Lena" is a sort of demigod to Otis (why??), and comes to s.m.v. BY
WAY OF Otis's little website.

It can be presumed that he coaxed her into coming here -- as he
frequently does with others -- in an effort to gain further support
for his ill thought notions and patent dishonesty.
lena102938 - 22 Aug 2007 05:31 GMT
>For anybody who doesn't know this, or hasn't figured it out by now:
>"Lena" is a sort of demigod to Otis (why??), and comes to s.m.v. BY
[quoted text clipped - 3 lines]
>frequently does with others -- in an effort to gain further support
>for his ill thought notions and patent dishonesty.

It was different.
First  I’ve found medKB.Vision, then walking through the posts
found somebody’s nice reference (with a lot of critics) to Otis group.
lena102938 - 22 Aug 2007 04:37 GMT
>Since your opening premise is false, the rest of your rant must be reworked.
>
>-MT

Reworked:

>> There are more and more complications from wearing contacts lens, with
>> introducing  new contacts lens products.
>This is false. Per wearer, the incidence of keratitis and corneal ulcer has
>_decreased_ in the past 20 years.
Yes, opening statement is FALSE.
Per wearer- agree
Reworked : Total incidence of keratitis increased .

>Frequent replacement is the biggest factor
>explaining the decrease,  
Agree
>and silicone hydrogels have also had an effect.
silicone hydrogels, .They are better , but

1.Research group at Berkeley (2006):
“  There was a substantial decrease in to epithelial barrier function (EBF).
EBF during 30-day CW with Si-H lenses, compared with GP lenses. “[1]
2. Deposition of lizosomes and lipids SH deposit lower level of lizosom and
higher Level of lipids than ionic contact lens materials. . SH materials
deposit only small amounts of lysozyme, the degree of lysozyme denaturation
that occurs is higher relative to that seen on ionic lens materials.[2]
3. “Results: During the survey period, 80 and 38 patients presented with NSK
and SK, respectively. The annual incidences (cases per 10 000 wearers) for
each wearing modality and lens type were: DW rigid—NSK 5.7, SK 2.9; DW
hydrogel daily disposable—NSK 9.1, SK 4.9; DW hydrogel (excluding daily
disposable)—NSK 14.1, SK 6.4; DW silicone hydrogel—NSK 55.9, SK 0.0; EW
rigid—NSK 0.0, SK 0.0; EW hydrogel—NSK 48.2, SK 96.4; EW silicone
hydrogel—NSK 98.8, SK 19.8. The difference in SK between EW hydrogel and EW
silicone hydrogel was significant (p = 0.04).”[3]

I am not trying to prove here statement “contacts are bad “

Or"how much better is silicone hydrogels  vs …  “

I DO NOT THINK that it is ETHICAL  to conduct even that type of research,
pushing  to use contacts in small  8, 9,10 years old children !

[1] The Effect of 30-Day Continuous Wear on Corneal Epithelial Barrier
Function: Gas-Permeable vs. Silicone Hydrogel LensesMeng C. Lin, OD, PhD,
FAAO; Tan Truong, OD; Thao Yeh, BS; Carol Hsiao, OD; Guang Wei, BS; Audrey V.
Louis, BS; Kenneth A. Polse, OD, MS
http://spectacle.berkeley.edu/pdf/crc_pdfs/crc-aao2006/crc-aao-poster2006_cw-pdc.pdf

[2] Lysozyme and Lipid Deposition on Silicone Hydrogel Contact Lens Materials.

Eye & Contact Lens: Science & Clinical Practice. 29(1) Supplement 1:S75-S79,
January 2003.
Jones, Lyndon Ph.D., F.C.Optom.; Senchyna, Michelle Ph.D.; Glasier, Mary-Ann
M.S.; Schickler, Jillian B.S.; Forbes, Iain B.S.; Louie, Derek M.S.; May,
Christopher B.S.
[3] Incidence of keratitis of varying severity among contact lens wearers P
B Morgan1, N Efron1, E A Hill1, M K Raynor2, M A Whiting2, A B Tullo2
Lena
Mike Tyner - 22 Aug 2007 13:20 GMT
> I DO NOT THINK that it is ETHICAL  to conduct even that type of research,
> pushing  to use contacts in small  8, 9,10 years old children !

I don't think it's ethical for you to make decisions for everyone else.

-MT
lena102938 - 22 Aug 2007 15:59 GMT
>> I DO NOT THINK that it is ETHICAL  to conduct even that type of research,
>> pushing  to use contacts in small  8, 9,10 years old children !
>
>I don't think it's ethical for you to make decisions for everyone else.
>
>-MT

Unfortunately, decision are not up to me. It is opinion.
They just want word to be better place. They just conduct research.
They run trial on children. The conclusion is  the children are smart enough.
Does anybody here have any doubt in that ? I am not. Sure, they did not have
any third party funds.
At least they should make honest warning that they do not know how long
wearing will influence the child’s eye development. And if it worse it to
subject CHILDREN to
some kind if risk. It is low scientific  level report, it is just promotion.
                                                                  Lena, MS
Physics,MS Computer Science
Scott Seidman - 22 Aug 2007 16:15 GMT
>  They just conduct research.
> They run trial on children. The conclusion is  the children are smart
> enough. Does anybody here have any doubt in that ?

No, the conclusion is not that children are smart enough.  There are very
clear regulations regarding the use of children as subjects.  Perhaps you
should learn them before you criticize the ethics of those that properly
employ them.  

Signature

Scott
Reverse name to reply

Neil Brooks - 22 Aug 2007 16:19 GMT
> >  They just conduct research.
> > They run trial on children. The conclusion is  the children are smart
[quoted text clipped - 4 lines]
> should learn them before you criticize the ethics of those that properly
> employ them.

As I mentioned ... Lena comes to us by way of Otis.

Whatever her background ... whatever her education ... whatever her
particular area of expertise ... you had to expect that she would at
least TEND to start with a conclusion in mind, and then fabricate
facts IN SUPPORT OF that conclusion.

Otherwise ... what WOULD she and Otis talk about?
Zetsu - 22 Aug 2007 16:43 GMT
To pclar: Thank you very much for explained.
lena102938 - 23 Aug 2007 00:44 GMT
On Aug 22, 10:15 am, Scott Seidman <namdiestt...@mindspring.com>
wrote:

> No, the conclusion is not that children are smart enough.  There are very
> clear regulations regarding the use of children as subjects.  Perhaps you
[quoted text clipped - 4 lines]
> Scott
> Reverse name to reply

It is not a legal issues or "properly employ regulations"

That type of research turn on green light for using contacts in small
children.
Then it will became common practice.
Does it worse it if  at least couple , only  couple of kids will have
severe keratitis and even partial vision lost ? I do not mean that
trial, I mean if it will become common.
Why we need multiple  incidences of keratitis?  Just one or two
children is not enough ?
At 8 they can manage contacts but can not make decision if they want
that risk, as adults do.
p.clarkii@gmail.com - 23 Aug 2007 00:57 GMT
> Does it worse it if  at least couple , only  couple of kids will have
> severe keratitis and even partial vision lost ? I do not mean that
> trial, I mean if it will become common.
> Why we need multiple  incidences of keratitis?  Just one or two
> children is not enough ?

no one gets keratitis resulting in vision loss from their contacts
unless they do something stupid like never take them out for months.

you really don't know what you are talking about.  contact lenses are
definitely NOT A PROBLEM when it comes to the public health.  they are
only a problem when idiots start mishandling them and using them in a
way that is not recommended.

why don't you start arguing for world peace instead of getting so
emotional about contact lenses.  really, your concern is out of
proportion to any problems that there are.
lena102938 - 23 Aug 2007 01:40 GMT
On Aug 22, 6:57 pm, p.clar...@gmail.com wrote:

> > Does it worse it if  at least couple , only  couple of kids will have
> > severe keratitis and even partial vision lost ? I do not mean that
> > trial, I mean if it will become common.

> you really don't know what you are talking about.  contact lenses are
> definitely NOT A PROBLEM when it comes to the public health.  they are
> only a problem when idiots start mishandling them and using them in a
> way that is not recommended.

The thing is that the majority of population wash hands, then drop
contacts  into the think or somewhere else , and only after that
isert into the eye.

> why don't you start arguing for world peace instead of getting so
> emotional about contact lenses.

It is probably not a bad idea.
Mike Tyner - 23 Aug 2007 02:51 GMT
> The thing is that the majority of population wash hands, then drop
> contacts  into the think or somewhere else , and only after that
> isert into the eye.

You think that happens every time?

You think it's the WORST thing people get in their eyes?

You think anyone inserts a lens with soap or toothpaste on it TWICE?

-MT
lena102938 - 24 Aug 2007 17:41 GMT
> > The thing is that the majority of population wash hands, then drop
> > contacts  into the think or somewhere else , and only after that
[quoted text clipped - 7 lines]
>
> -MT

If they are so lucky to catch toothpaste from the first drop the
answer - No
L
Neil Brooks - 23 Aug 2007 04:29 GMT
> The thing is that the majority of population wash hands, then drop
> contacts  into the think or somewhere else , and only after that
> isert into the eye.

Lena -- much like Otis -- is also fond of saying what "every eye
doctor" does.

I've asked her how it is that she manages to /know/ what every eye
doctor does.  She hasn't told me yet.

I'm curious about how she /knows/ about the lens handling habits of
"the majority of the population."

Lena, would you like to answer that, or are you just making stuff up
in an effort to support a closely held belief ... like Otis?

Don't be shy ... and ... don't be dishonest.
Zetsu - 23 Aug 2007 11:32 GMT
>I'm curious about how she /knows/ about the lens handling habits of
>"the majority of the population."

She designed questionnaires and handed them to random samples.
Maybe
Scott Seidman - 22 Aug 2007 13:52 GMT
>  I DO NOT THINK that it is ETHICAL  to conduct even that type of
>  research,
> pushing  to use contacts in small  8, 9,10 years old children !

Of course, you're much more qualified to make such an decision than the
institutional research subjects review board, without even having read the
protocal, consent form, and subject recruitment guidelines.

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Scott
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Zetsu - 22 Aug 2007 14:18 GMT
Optometry is the health profession, and ophthalmology is the science,
is it correct?

I know that words what end in 'try' means the health jobs, for example
'dentistry', and also words that ends in 'logy' or 'omy' mean a
science for examples 'astrology' or physiology, or 'astronomy', is
that right?
p.clarkii@gmail.com - 22 Aug 2007 14:54 GMT
> Optometry is the health profession, and ophthalmology is the science,
> is it correct?

no.
optometry is a profession
ophthalmology is a profession
the science is termed "visual science"
Dr Judy - 22 Aug 2007 18:30 GMT
> Optometry is the health profession, and ophthalmology is the science,
> is it correct?
[quoted text clipped - 3 lines]
> science for examples 'astrology' or physiology, or 'astronomy', is
> that right?

No.  Optometry and ophthalmology are both health professions.
Optometrists, by and large, deal with healthy eyes, glasses and
contacts and do not do surgery.  Ophthalmolgists are medical doctors
with extra training in eye surgery; by and large deal with diseased
eyes, do surgery and don't deal with contacts or glasses.  But there
are exceptions.

Both kinds of professionals may also be involved with research at
hospitals, at teaching institutions or in industry.

Vision scientists may be trained in biology, physics, optics,
chemisty, engineering etc and do science only, not patient treatment

And many medical specialties use "logy" ie cardiology, oncology,
neurology.  And physics, optics and chemisty don't end in "logy".

Dr Judy
Scott Seidman - 22 Aug 2007 18:36 GMT
Dr Judy <mpace99@rogers.com> wrote in news:1187803815.149223.285610
@q3g2000prf.googlegroups.com:

> Vision scientists may be trained in biology, physics, optics,
> chemisty, engineering etc and do science only, not patient treatment

It's hard to do both medicine and science, but it is done often enough.  In
fact, there are special NIH programs designed to help dedicated students
through the arduous education required to do both.

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Scott
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Zetsu - 22 Aug 2007 19:53 GMT
Hello,

Dr Judy: Thank you very very much for explained. Do you think I can
become a neuroophthalmologist and also go in-to the visual science
career as well? What is the money I will get per year, please? Is it
lots? Is it more than if I be a dentist? Or is dentist the higher paid
jobs.
Zetsu - 22 Aug 2007 20:05 GMT
Hello,

>C'est la vie

It means: 'that's life'. I think.
lena102938 - 22 Aug 2007 20:11 GMT
> Hello,
>
> >C'est la vie
>
> It means: 'that's life'. I think.

Hellow, Yes.
Lena
Zetsu - 22 Aug 2007 20:24 GMT
Hello,

Please please can you teach me some more French.
lena102938 - 22 Aug 2007 20:42 GMT
>Hello,
>
>Please please can you teach me some more French.

I do't know French good enough.
Probably it is I who needs couple of English lessons
Look at my “Hellow”
Zetsu - 22 Aug 2007 20:59 GMT
Hello,

Do not worry, you have very fine English. Just I advise carry on
reading this forum. I learnt most of my English by reading the posts
on this newsgroup, and using guessworks and observing context and also
plenty of using the dictionary, haha. Also you should practice writing
posts on this newsgroup very much. Now my English is very good and all
my friends and teacher are amazed.
Zetsu - 24 Aug 2007 14:22 GMT
Hello,

Dr Judy, thank you very much for help.
Dr Judy - 24 Aug 2007 14:03 GMT
> Hello,
>
[quoted text clipped - 3 lines]
> lots? Is it more than if I be a dentist? Or is dentist the higher paid
> jobs.

Neuro opththalmologists can also be researchers, long training.  Don't
know how it pays.

Dr Judy
Dan Abel - 24 Aug 2007 21:36 GMT
> > Hello,
> >
[quoted text clipped - 6 lines]
> Neuro opththalmologists can also be researchers, long training.  Don't
> know how it pays.

When I took labor economics many years ago, dentistry was the second
highest paying career, considering the time value of money.  
Construction work was number one.
Churie. - 24 Aug 2007 12:42 GMT
> > Optometry is the health profession, and ophthalmology is the science,
> > is it correct?
[quoted text clipped - 21 lines]
>
> Dr Judy

Dr Judy
Well done as usual.Kudos.
p.clarkii@gmail.com - 22 Aug 2007 15:08 GMT
> I am not trying to prove here statement "contacts are bad "
>
> Or"how much better is silicone hydrogels  vs ...  "
>
>  I DO NOT THINK that it is ETHICAL  to conduct even that type of research,
> pushing  to use contacts in small  8, 9,10 years old children !

contact lenses have little if any significant downside to the patient,
including children, if worn properly.  there is absolutely nothing
wrong with fitting young 8-10 year old children with contact lenses if
they are mature enough to handle them properly.

its great to have your opinion, but its nothing more than an opinion
from a layperson who has little idea about the specifics of the things
they are talking about.

personally, i usually don't go around giving my opinions on subjects i
don't know much about because i've found out it can make a person
appear quite stupid to those who do.  hint.
Scott Seidman - 22 Aug 2007 13:13 GMT
lena102938 <db00qp00@yahoo.com> wrote in news:1187730222.222890.125940
@d55g2000hsg.googlegroups.com:

> There are more and more complications from wearing contacts lens,..

Optometry is an allied health profession, not a science.  There are, of
course, optometrists that are scientists, and many optometrists have a good
understanding of science.

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KlausK - 24 Aug 2007 06:17 GMT
> There are more and more complications from wearing contacts lens, with
> introducing  new contacts lens products.

Optometry is not a science. Ophthalmology is.
Zetsu - 24 Aug 2007 11:09 GMT
Hello,

No, optometry and ophthalmology are both medical professions.

The science line is called 'visual science'.

I know, I thought the same as you too.
lena102938 - 24 Aug 2007 17:30 GMT
> > There are more and more complications from wearing contacts lens, with
> > introducing  new contacts lens products.
>
> Optometry is not a science. Ophthalmology is.

For refference
There is things like that:
"Professor of Optometry Director of Research and Graduate Studies."
"Journal of  Optometry."

Everybody can have endless debates about terminology here .
Journal of Optometry not going to change name.
Optometry is a branch  of Visual Science
Anon E. Muss - 24 Aug 2007 14:52 GMT
>What I can not understand

What I cannot understand is why people continue to keep feeding the
trolls.

    <http://tinyurl.com/o7x2q>
Deidara - 24 Aug 2007 17:30 GMT
Hello,

What is 'Kudos', please?

Does it mean points?
 
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