Dear Ace,
Subject: You got most of this "right".
>From a long time ago, I knew of medical doctors who were
VERY RELUCTANT to put a minus lens on a kid.
There "intuitive" sense was right on target!
The would attempt to keep the minus OFF the kid -- until
their eye-chart went below 20/40.
It is tragict that they couild not have been more "articulate".
They were right in their "good sense".
The other part of this "equation" is the matter of the
parents and child ACCEPTING the use of the
plus at that delicate stage. That is the real
difficulty of true prevention.
I indeed when through this with my nephew, Keith,
explaining how difficult "prevention" is.
He had a "minus" prescription at age 13. (I said
that this was provided in "good faith" but he
had to "trash" the prescription an accept
the "intutive" (now science-based) second-opinion.
But agressively using the plus -- he cleared his vsiion
to always pass all legal visual requirements.
He is now 40 years old, and has children of his
own. I think he will monitor them for the
"bad" visual habits some children develop.
By doing this, and avoiding that over-prescribed
minus -- I would hope that they learn the
technique of effective prevention.
This is obviously a matter of PERSONAL choice -- and
if done correctly --- the person avoids that stair-case
myopia -- but avoiding that first "step".
As far as I am concerned our "bad habits" get us
slightly into it. But over-prescribing is what
"kicks" you down that flight of stairs.
It is indeed a difficult "lesson" to learn.
Not all of this is "OD responsibility" Some
of it is OUR responsibility -- to take
prevention seriously, and if necessary
learn to do it ourselves.
This is truly the "second opinion" -- however
difficult it will be to implement.
Merry Christmas,
Otis
__________________
(E-Mail Removed) wrote:
> "And, for that matter, keep the
> minus off -- unless absolutly
> necessary."
>
>
> I wish I could keep the minus off but being -4.5 diopters and having
> around -.5(half) diopter astigmastim, my uncorrected vision is just too
> poor. I however do take my glasses off and read at 10 inches which is 4
> diopters so its very slightly blurry which is the whole point to
> improving my vision. This guy however is only a -2.5 so id imagine he
> could forgo glasses around the house, for reading and possibily for the
> computer too.
>
>
> "If you can read the eye chart at
> 20/50, (-1.25 diopters) then
> I would strongly suggest that
> you never use that minus lens
> whilst reading."
>
> Actually, id reccomend you read without the minus lense even if you
> have as much as -5 diopters myopia. I am -4.5 and I read just fine from
> 10 inches without the minus lense. High myopes could either get
> bifocals or use their old glasses for reading. -1.25 does correlate to
> 20/50 for most people, but for some they can see 20/40 or even 20/30
> but then they are seeing better than 20/20 with glasses! I have a
> friend whos -1.5 in one eye and sees 20/40 uncorrected, 20/15 with
> glasses. His other eye is much worse. He does NOT wear glasses full
> time, smart guy I tell ya
He does want lasik in the worse eye but
> will leave the 20/40 eye alone, giving him monovision and keeping him
> out of reading glasses.
>
>
> "If you get the second image with glasses, then you might need to get
> another eye exam.
>
> It does not appear to be normal."
>
>
> You will see for yourself when you approach the age of 40. I am younger
> but it can happen earlier. Actually, I bet youll see clearer if you
> read without glasses. I told some of my myopic friends to read without
> glasses and they are amazed how clear and crisp words are! If you like
> seeing a little blurry from near and making your eyes worse, thats your
> loss. Most myopes take their glasses off to read.