Need Help - Desperate to Help 8 year old with myopia

Discussion in 'Optometry Archives' started by ally down, Oct 16, 2005.

  1. ally down

    Dan Abel Guest


    You should try reading this group. A large percentage of the posts here
    are about just this.



    Right.


    My wife has amblyopia. There's nothing wrong with her right eye, she
    just never learned how to use it and now she's too old to learn. Seems
    a little odd to me, but that's how it is.

    A similar thing happened to my son. He had hearing problems when very
    young, and so never learned how to say certain sounds. He's now 22 and
    still has speech problems. We knew that kids with hearing problems
    develop speech problems, so we put him in speech therapy starting at age
    3.
     
    Dan Abel, Oct 19, 2005
    #81
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  2. Ok Dicky, contact Ponce De Leon for help on this, but meanwhile make
    arrangement to have your head frozen...

    w.stacy, o.d.
     
    William Stacy, Oct 19, 2005
    #82
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  3. It's always the simplifications that get people wondering. What's
    really up with amblyopia is that we have 2 eyes and in order for the
    brain to "fuse" the separate images from each into one useful image, it
    develops a very fine alignment ability. This get messed up when one eye
    can't line up (strabismus) or when one eye is out of focus
    (anisometropia). Not being chameleons, we cannot focus our eyes
    independtly, only in a "yoked" fashion. So what does the young,
    developing brain do when faced with strab or aniso? It has a choice.
    Ignore one image (the blurred or misaligned one), or see double. Double
    vision is not a happy thing for the brain, so it goes so far as to
    actually supress the central input from the amblyopic eye. Doing this
    in the first 5 years of life basically causes the brain to never learn
    how to aim the amblyopic eye accurately: amblyopia ex anopsia. Sometimes
    agressive therapy on such an eye can actually cause the diplopia (double
    vision) that the brain was trying to avoid in the first place.

    w.stacy, o.d.
     
    William Stacy, Oct 19, 2005
    #83
  4. ally down

    Dick Adams Guest

    Well, I was asking some questions!
    I feel that I have been more of a victim than a contributor, when it
    comes to visual health. But that is a lifetime thing, is not intended
    to obliquely implicate any present company, nor the implant surgeon
    who restored me to what he calls 20/20 very recently.
    Fashion? -- is that the name of your game?

    I am sorry that I mentioned that I am old. By that, and by the fact that
    I mentioned cataracts, you might conclude that I am senile.

    You may disregard my posts.
     
    Dick Adams, Oct 19, 2005
    #84
  5. ally down

    ally down Guest

    antimetropia with mixed astigmatism.. Could someone please tell me what
    that is?? How can you tell all that from the RX. What does that
    mean?? should I be really worried
     
    ally down, Oct 19, 2005
    #85
  6. ally down

    ally down Guest

    antimetropia with mixed astigmatism.. Could someone please tell me what
    that is?? How can you tell all that from the RX. What does that
    mean?? should I be really worried
     
    ally down, Oct 19, 2005
    #86
  7. ally down

    Dan Abel Guest


    I almost gave this kind of an answer, but fortunately didn't, because it
    isn't correct. I'm not happy with eye doctors, because they can't agree
    on how to write down an eye prescription. I think that this method is
    particularly confusing. A "plus" means one thing if there is no second
    number, but something different if there is.


    So, your daughter is not myopic, and not hyperopic. She is astigmatic.
    Her vision problems will cause problems at any distance, not just near
    or far.
     
    Dan Abel, Oct 19, 2005
    #87
  8. ally down

    RM Guest

    antimetropia with mixed astigmatism.. Could someone please tell me what
    Don't worry about this. This is simply a naming convention. What is
    important is simply that your daughter has astigmatism, a lot more in her
    left eye than her right eye.
    No. I get the impression you worry too much.

    Your daughter is fine. She has astigmatism. In general, when a persons
    vision is blurry its usually due to nearsightedness, farsightedness, or
    astigmatism (or a combination). In your daughters case its astigmatism. It
    simply means, most likely, she has an irregular curvature to her corneal.
    NO BIG DEAL! Just have her wear her glasses and take her to see her eye
    doctor when scheduled.

    Relax. You are probably getting eyestrain from looking at your computer too
    much ;)
     
    RM, Oct 19, 2005
    #88
  9. ally down

    RM Guest

    WHAT!! Now something else for me to worry about.. I kind of like what
    You stress too much.

    There is no proven prevention for astigmatism, myopia, or any refractive
    error. Your eye is simply going to do whatever its going to do. Much of it
    is genetic, and whatever isn't has never been determined sufficiently to
    plot out a preventative treatment plan. Simply take her to the eye doctor
    annually and change her prescription to keep up with the natural changes
    that occur in her refractive error. You cannot influence the changes. And
    changes are quite commonplace in adolescents.
     
    RM, Oct 19, 2005
    #89
  10. ally down

    Dan Abel Guest


    I want to thank everyone who has posted about my wife's amblyopia.
    However, she is very clear that contacts aren't an option, and I don't
    see that anything else would help. As she told me, she's been one-eyed
    her whole life and she's used to it.
     
    Dan Abel, Oct 19, 2005
    #90
  11. No you shouldn't. It's just a concise way to express her condition
    without resorting to the numbers. Useful for coding insurance claims and
    talking to other docs. Sounds like gibberish to you, but does impart
    information. That's all. However, I still think she is headed into
    myopia and you should keep an eye on her, so to speak.

    w.stacy, o.d.
     
    William Stacy, Oct 19, 2005
    #91
  12. Now there's another patient reported diagnosis that I'd be skeptical of
    until I saw if for myself...

    w.stacy, o.d.
     
    William Stacy, Oct 19, 2005
    #92
  13. ally down

    Dan Abel Guest


    This has got to be the understatement of the year on this newsgroup!

    :)
     
    Dan Abel, Oct 19, 2005
    #93
  14. ally down

    Dan Abel Guest


    Why would that be? Are you quibbling about "whole life"? Another
    oversimplification. She was diagnosed with amblyopia at the age of 10.
    She was treated, but frankly, wasn't compliant. She is now 55.

    I saw the DMV form that the OD filled out. It was pretty clear.
     
    Dan Abel, Oct 20, 2005
    #94
  15. Not at all. About the "one-eyed" bit. Just trying to point out (with a
    little failed humor) how patients and doctors sometimes speak different
    languages, and it's easy to get misunderstood (both ways).
     
    William Stacy, Oct 20, 2005
    #95
  16. ally down

    LarryDoc Guest

    That's the way I do it! Start from zero, generate my own objective and
    subjective data, then look at the previous info for comparison.

    --LB, O.D.
     
    LarryDoc, Oct 20, 2005
    #96
  17. ally down

    Dan Abel Guest

    Sorry. I was trying to be nice about this, but the truth of the matter
    is that my wife doesn't like visiting doctors, and she's gotten pretty
    hostile about this. I just lost my sense of humor about this, and
    didn't recognize what you were trying to do.
     
    Dan Abel, Oct 20, 2005
    #97
  18. ally down

    otisbrown Guest

    Dear William,


    Not quite. See my last post. The precise diagnosis is complex:

    antimetropia

    with mixed astigmatism. She is more myopic than hyperopic.


    Otis> Is this a new term "antimetropia". I have not
    seen it in any text at this point.
    Or is this just a slip of the keyboard (that I am
    prone to do.)

    Best,

    Otis
     
    otisbrown, Oct 20, 2005
    #98
  19. ally down

    Dick Adams Guest

    Because I had said:

    I think my utterance was a bit more tentative than your comment suggests.

    The theory would be that long-term accomodation (changes in the focusing
    range as the eye grows) is related to the ciliary process, and involves a
    irreversible stretching of collagenous elements, which, for us myopes,
    for one reason or another, goes too far. Usually, I suspect, myopia is
    due at least in part to reading or to other close work. Undoubtedly the
    theory is not new or unique, but I did come by it independently. It is
    based on the history of my own eyes and some education in science.
    And, to some extent, on reading, and on observations among my
    colleagues.

    I did get finally succeed to download the article you suggested I read,
    http://www.optometrists.asn.au/gui/files/ceo865276.pdf
    and am reading it carefully. It seems to say that eyeballs may
    adapt to changes during early years to adolescence, by growing
    longer in response to certain signals, so as to keep seeing well.
    It seems to suggest that a way to prevent the development of
    myopia might be to prevent the eyeballs from growing too long,
    which they might do if the get their signals mixed. Studies on
    chickens are described.

    Well, I might mention that most of the myopia I suffered occurred
    during adulthood, not counting the 2nd sight phenomenon in later
    years. In any case, I do not think the eyeballs grow longer to
    any appreciable extent during adulthood.

    The conviction that myopia is caused by too-long eyeballs won't
    seem to go away, and must be convenient for persons dedicated
    to the eyeglasses solution. Maybe there is a study somewhere
    which will show me that everybody with long eyeballs is myopic?
     
    Dick Adams, Oct 20, 2005
    #99
  20. ally down

    Dr. Leukoma Guest

    Dick, I don't think you read so well. The discussions in this group
    have included axial and accommodative myopia. Either one, or both, can
    exist in a given individual. The evidence that "axial" myopia is
    caused by elongation of the posterior chamber is so well-established
    that it is beyond discussion. Whether you choose to believe it or not
    makes no difference. And, furthermore, it goes almost without saying
    that there are and have been various "solutions" for the problem
    ranging from vision therapy, biofeedback, and "Bates" to drugs,
    eyeglasses, contact lenses, and surgery. The latter three are optical
    solutions, and only the optical solutions have been found to be
    reliably and universally effective. And that's just the way it is,
    Dick. Nature really doesn't care what you think.

    DrG
     
    Dr. Leukoma, Oct 20, 2005
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