Myopia progression

Discussion in 'Optometry Archives' started by flitz, Dec 26, 2005.

  1. flitz

    flitz Guest

    I have 2 stories Otis Brown and followers may wish to speculate on.

    1. A 30 something male with -3.50 prescription enters graduate school and
    exits with -7.00 prescription.
    Later got laser correction.
    2. 60+ male with stable prescription of -4.00 for 15 yrs or so has a heart
    transplant and now sees 20/20 with no distance glasses.

    Others who consider themselves "true scientists or doctors" are welcome to
    respond also.
    flitz, Dec 26, 2005
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  2. flitz

    acemanvx Guest

    1. He overused the minus lense and ruined his eyes badly. I bet he was
    using his -3.5 glasses even for reading when he can see perfect for
    near. I dont understand why some people wear glasses even for reading
    when there absolutely is NOOOOOO need to! I bet he had a good deal of
    pseudomyopia as well as axial myopia. If his lasik corrected more than
    his cycoplegic refraction, he will be back in glasses full time once
    presbyopia starts creeping.

    2. This makes no sense to me, the two arent even related.
    acemanvx, Dec 26, 2005
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  3. flitz

    CatmanX Guest

    For starters, you need to post prior results as William states. Do we
    take your word that this is true? Of course both can happen. The grad
    school guy could have easily deteriorated over 2-3 years. He could also
    have been -7.00 on entry and too stupid to notice the blur until he
    failed his driving test. I see that one all the time. The other guy
    could have been over corrected, poorly tested afterwards, given second
    sight by god, whatever. You have not shown evidence of anything.

    dr grant
    CatmanX, Dec 27, 2005
  4. flitz

    acemanvx Guest

    "Would you care to tell us which anatomical structure was "ruined?"

    axial myopia due to close work

    "Just because it doesn't "make sense," how does that mean it never
    Many doctors will tell you they've seen huge hyperopic shifts after
    anesthesia, and major trauma."

    Can science explain how this is the case? I could see it something to
    do with removing pseudomyopia but how does it physically affect axial
    acemanvx, Dec 27, 2005
  5. flitz

    otisbrown Guest

    Dear Flitz,

    My interests are in the PREVENTION
    of nearsightedness -- BEFORE you
    begin wearing a strong minus lens.

    Since perhaps 90 percent of the development
    of a negative refractive state for the natural
    eye occurrs between the age of
    5 to 25, it follows that prevention must start
    at that point -- if the individual has the
    interest and motivation to do the
    work "correctly", and if necessary,
    under his own control. See:


    for details.

    Your case #1.

    The 30 somthing male most likely
    got down-to -3.5 dioters by wearing
    an over-prescribed minus in high school
    and college. But "picking up" an
    additional -3.5 diopters is completely
    consistent with the eye placed in
    both a "confined" enviroment, "enhanced"
    by a stronger minus lens.

    Case #2. My discussion only concerns
    the young eye. Therefore no comment.


    otisbrown, Dec 27, 2005
  6. flitz

    CatmanX Guest

    Funny, I never knew axial myopia was a structure. Given most myopes I
    know don't have their eyes falling out, I would hardly call them

    That's the point dickhead, pseudomyopia is not axial myopia. Ciliary
    tone has been lost.

    dr grant
    CatmanX, Dec 27, 2005
  7. flitz

    p.clarkii Guest

    so far your reasoning seems fine. but where you go off track is you
    think that you know what a good prevention scheme actually is. the
    truth is no effective prevention scheme has ever been found. bifocals,
    contacts, plus lenses, undercorrection, overcorrection, NONE of those
    things work. time to try something else. time to think of plan B.
    why can't you accept the data and join the hunt for a REAL prevention
    scheme instead of clinging to what has already been disproven.

    do you have fear of change? do you fear getting left behind while the
    world moves on?
    sorry, but working hard and "correctly" at something that is totally
    ineffective is a task for fools.
    p.clarkii, Dec 28, 2005
  8. flitz

    flitz Guest

    Ok. a little more detail then, and think a little harder about this, this
    first round was rather disappointing. Or stop letting your techs do your
    refractions and taking your case histories.
    Story 1.
    No glasses until after high school. -1.00 both eyes, gradually accepts more
    minus over time.
    Of course, cyclo'd before Lasik. Stable refraction of monovision -1.50 and
    plano last 8 years. Subject now 50yo. Uses reading glasses occasionally for
    comfort when reading long periods of time.

    Story 2.
    Presbyopic male without evidence of pathology as could be detected by FA,
    OCT or fundus exam. Prior to surgery, 20/20 with -4.00 and +2.00 add, then
    5 months after transplant reports for an exam because he noticed that after
    surgery, he didn't need his glasses anymore, then as he became mobile,
    discovered his glasses made is vision blurry for driving. Now. plano with
    +2 add.

    "Enjoy glorious speculation between all or nothing."
    flitz, Dec 28, 2005
  9. flitz

    CatmanX Guest

    Is there a point to this?

    I can make up stories too. Once upon a time.......

    dr grant
    CatmanX, Dec 28, 2005
  10. flitz

    Ann Guest

    Because we don't just sit and read and do nothing else. We work and
    need to move our gaze from paper to computer screen to the people we
    are talking to. Some of us read on the bus and need to keep an eye
    out as to where we are on our journey. Your suggestion is simply

    I also think that giving one extreme example does nothing for the
    discussion. One swallow doesn't make a summer.

    Ann, Dec 29, 2005
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