what's the effect of over-minusing by -0.50 in children?

Discussion in 'Optometry Archives' started by tammy, Mar 8, 2005.

  1. tammy

    tammy Guest

    Hi i heard from a friend that works as a tech at a private practice
    that has alot of medicaid pts. since medicaid doesn't pay for glasses
    with plano or -0.25 prescription. the doctor would write -0.50 even if
    the child doesn't need glasses. what do you guys think? would that
    make the chilren need glasses later on? TIA
     
    tammy, Mar 8, 2005
    #1
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  2. tammy

    Neil Brooks Guest

    My first thought is that--as long as the patients *never fill* the
    prescription, then all we have is a crooked doctor committing Medicaid
    fraud....

    I'll let others respond to the potential for actually inducing, or
    exacerbating, myopia if an emmetrope wore a minus lens.

    Sheez.
     
    Neil Brooks, Mar 8, 2005
    #2
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  3. tammy

    Dr Judy Guest

    If the children are over the age of 4, highly unlikely to make the children
    need glasses.

    The doctor is highly likely to be charged with fraud if he is selling
    glasses to children who don't need them.

    Dr Judy
     
    Dr Judy, Mar 8, 2005
    #3
  4. tammy

    otisbrown Guest

    Dear Tammy,
    1. The -0.5 diopter over-minus is probably correct -- although no one
    could ever prove it.
    2. When you place a lens on the "natural" eye, or place it in a
    more-confined enviroment the eye will change its refractive state in
    the direction of the minus lens.
    That is the answer to you last question.

    No one will be able to do anything about your statement -- at all --
    because no one checks.

    My opinion is the "second opinion" as reflected in the site:

    www.chinamyopia.org

    The "majority opinion" insists that any lens has on effect on the
    refractive status of the natural eye.

    None of these issues are resolved or settled.

    Best,

    Otis
    Engineering
     
    otisbrown, Mar 9, 2005
    #4
  5. tammy

    Dom Guest

    If the kid is really -0.25 then the -0.50 specs will help him see the
    blackboard, TV etc, and he'll only be over-minused by 0.25 dioptres... not a
    big problem I would have thought.

    If the kid is plano then he can see fine with no glasses and will probably
    refuse to wear them.

    From a business point of view, any doctor who writes prescriptions that
    aren't actually required surely couldn't last long in business as his
    patients would soon work out what the doctor is doing and vote with their
    feet (quite apart from the legal and ethical issues).

    Dom
     
    Dom, Mar 9, 2005
    #5
  6. tammy

    g.gatti Guest

    A GREAT CRIME INSTEAD!!!


    WHY DON'T PEOPLE WEAR GLASSES IF THEY DO NOT NEED THEM?

    FOLLOWING YOUR IDIOTIC LINE OF THOUGHT EVERYBODY SHOULD WEAR GLASSES
    JUST BECAUSE THERE IS SOME IDIOT THAT SELLS THEM.

    IS THIS AMERICAN HUMOR?
    BEAT THE CHILD AND INSTALL THE GLASSES ALL THE SAME!



    THIS IS THE GREATEST OF ALL!!!

    EVERY DOCTOR PRESCRIBES WRONGLY, AS ANYBODY CAN TELL ONCE HE HAS
    SUBMITTED TO THE TORTURE OF GLASSES.

    THE FACT THAT PEOPLE REMAINS SILENT IT IS BECAUSE OF ITS GULLIBLILITY.
     
    g.gatti, Mar 9, 2005
    #6
  7. If you are only -0.25 then you would not need glasses at all, and -0.5 would just
    make things tiring to see.
     
    Adrian Boliston, Mar 9, 2005
    #7
  8. tammy

    RM Guest

    What you say is true (near vision only) for many young adults and folks
    about 40 years old. Not for children, however, who have a very strong
    accommodative system and can usually see fine at distance AND near despite
    being slightly overminused.

    The problems as I see it are:
    1. the childs accommodative system may develop a "resting tone" which
    will cause them to become a slight accommodative myope. Thus they will feel
    dependent on their weak minus lenses even though they really don't need
    them. This will go away if they just don't wear their glasses for awhile,
    and it will subside naturally at around age 40 when ciliary muscle
    contraction becomes less effective.
    2. the doctor who prescribes these glasses is ripping off the system and
    the taxpayer, not to mention the patient. They should be stopped and held
    professionally-accountable for selling people something they don't need.
    They should repay Medicare (+ damages IMHO).
     
    RM, Mar 9, 2005
    #8
  9. tammy

    g.gatti Guest

    This is simply not true.

    The fact that people in advanced years have difficulty in seeing small
    characters is that they do not exercise themselves to read them.

    This thing is recognized by everyone.

    If you keep your visual system in full efficience, the presbyopia will
    be soon a thing of the past.

    On the contrary, you teach people to read only BIG type, which is a
    strain to the eye and a training in eccentric fixation, and in so doing
    you create all the condition for the eye system not to work anymore
    after some years of misuse.

    This is so clear that any un-learned man can recogize it very easily.

    Learned men are against truth because they think that what they have
    learnt may suffice for them, a thing which is not: truth cannot be
    learned, can only be lived.


    Then all the doctors are in this criminal situation, because no
    prescription is good forever, just after a few minutes of wearing the
    prescritpion it becomes less effective because the eye shifts quite
    rapidly.

    This is another fine truth that anybody who is not brainwashed by the
    propaganda of the vested interest can understand very easily.

    If this was not true, then WHY DO YOU CHANGE THE PRESCRITPION?

    The fact that doctors change the prescription is a simple demosntration
    that YOUR science is FULLY BOGUS.

    Either you are criminals or just idiots.

    To call you idiots is to treat you well.
     
    g.gatti, Mar 9, 2005
    #9
  10. tammy

    otisbrown Guest

    Dear RM,

    For once I agree on almost all your points.

    Best,

    Otis
    Enginer
     
    otisbrown, Mar 9, 2005
    #10
  11. tammy

    g.gatti Guest

    Have you ever changed one presctiption to one of your clients?

    Are you able to give a scientific (that is, foreseeable) explanation
    for the change?

    If you can answer me, I will quit from this list.
     
    g.gatti, Mar 9, 2005
    #11
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