Second-Opinion Ophthalmologist describes the minus as "iatrogenic"

Discussion in 'Optometry Archives' started by Otis, Sep 19, 2010.

  1. Otis

    Otis Guest

    Otis> The word, "iatrogenic" means "doctor caused". But I think that
    is more that necessary. I would suggest as Dr. Orfield implies (and
    the dynamic natural eye shows) that the minus is "doctor
    exacerbated". But even Dr. Orfield (in her success) recognized that
    PREVENTION would be difficult.

    Enjoy Dr. Orfield's second-opinion, that on the threshold PREVENTION
    (not cure) could be achieved.


    Dr. Orfield’s Success
    Subject: Even ODs are successful with systematic prevention.

    There is a tendency to insist that even prevention is impossible. It
    is necessary to listen to ODs who, with dedication and effort, have
    managed to get their refractive STATE to change from a negative value
    of -3 diotpers (about 20/200) to normal under THEIR dedicated
    control. A refractive STATE of zero is essentially 20/20.

    Here are some comments by Dr. Orfield on the subject:

    By Dr. Orfield
    Note: The author underwent myopia reduction from a spectacle
    prescription of -3.87 DS and -3.37 DS to -.50 DS and -.25 DS
    over a period of seven years.
    Whenever I am considering a minus lens increase for a progressing
    myope I
    think of Ray Bradbury’s story, “The Man in the Rorschach Shirt,” about
    psychologist who got new glasses and suddenly saw only “pores.” Losing
    his more
    holistic insights, he said: “Have you ever thought, did you know, that
    are for the most part pores..Pores. A million, ten billion .. pores.
    and everyone. People crowding buses, theaters, telephone booths, all
    pore and
    little substance. Small pores on tiny women. Big pores on monster
    men ..”31

    The experience of giving up myopia has made me very conservative
    in lens
    prescribing, especially in new myopes. I see that our instruments and
    rooms and the myope’s tendency to accommodative spasm lead us to
    over-dosing with minus. This then unfortunately determines forever
    after that
    person’s brain program for seeing space.

    Arnold Sherman describes myopic progression as the process of the
    visual system transforming itself so that it is suited fornear, if
    is not possible. Then:

    When an adaptation is decompensated (by stronger minus lenses), a
    readaptation will occur in order to achieve steady state performance
    at near
    tasks, resulting in a further increase of myopia.32

    He calls the continual prescribing of more minus without any
    the “iatrogenic” cause of myopia.

    I would add
    Otis, Sep 19, 2010
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  2. Otis

    Neil Brooks Guest

    So ... why isn't the plus lens that you wear, that I wear, and that
    millions of others wear ... causing "stair-case" hyperopia ?

    You're an idiot for not answering this, but ... you're an idiot,
    either way ;-)
    Neil Brooks, Sep 19, 2010
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  3. Otis

    Otis Guest

    Otis, Sep 19, 2010
  4. Otis

    Neil Brooks Guest

    You're an idiot, Otis.

    A liar, a hypocrite, and an idiot.

    You should be ashamed of yourself.
    Neil Brooks, Sep 19, 2010
  5. Otis

    Otis Guest

    But that is the SECOND-OPINION.

    Otis, Sep 19, 2010
  6. Otis

    Neil Brooks Guest

    You're an idiot, Otis.

    A liar, a hypocrite, and an idiot.

    You should be ashamed of yourself.
    Neil Brooks, Sep 19, 2010
  7. Otis

    Otis Guest

    Otis, Sep 20, 2010
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