Author Topic: Singapore Medicine, Plus-Prevention. (Finally a "light" shines though.)  (Read 2730 times)

Offline OtisBrown

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Subject:  There is a vague recognition (in medicine) that it would be wise to START wearing a plus, before you get "too deep", into it.

(For the past 100 years, there has been this recognition.  But each OD or MD is afraid to "say anything".  Do your own learning, science and thinking.

The paper is long, convoluted, and misleading.  I like "EndMyopia", and Jake - because he is making a effort. He believes
that this long-term goal is possible.

http://endmyopia.org/dr-morgan-dr-megaw-preventing-axial-elongation-and-the-development-of-myopia/

Enjoy,


« Last Edit: August 22, 2015, 05:53:00 AM by OtisBrown »

Offline OtisBrown

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Re: Singapore Medicine, Plus-Prevention. (Finally a "light" shines though.)
« Reply #1 on: August 22, 2015, 05:52:14 AM »
Subject: It take a bold, wise person, to truly "commit" to the plus at 20/40.

At best - an OD or MD, is extremely TIMID, in his statements (because he fears legal consequences).

You do not solve difficult problems, by very weak efforts - where you want to "quit" as soon as possible.

Here again, the OD, refusing to face these issues (that you should understand), will simply call for, 'more studies'. 
(At great expense to the tax payer.)

+++++

Jake> Note the cautious tone of the article.  And yet, with all the "oh we do need more studies", look at all that glorious science!  But what about lens-based therapy? 

Otis> I NEVER use the word, "therapy", when I say, "get rid of that near environment with a strong plus".

Jake>  Let's take a look:

Jake> There is a pleasing aspect to this perspective.

Jake> Given that STOP signals are generated by relatively short periods of imposed myopic defocus, it may be possible to develop clinical regimes of regular, but brief, use of plus lenses in spectacle frames.

Jake> These could be applicable to all children growing up in myopigenic environments, and could be delivered as part of the school routine. Early intervention would appear to be desirable, as would regular monitoring of eye development in all children.

Otis>  Unless the educated parent UNDERSTANDS WHY this is necessary, this type of prevention is always impossible.  (I NEVER kid myself on this issue.)

The application of plus lenses and myopic defocus could then be delivered to children in a controlled regime in order to maintain children close to emmetropia, despite the environmental pressures. In this way, modern schooling, which appears to contribute to the development of myopia, may also provide the organisational basis for its ultimate prevention."

Otis> Basic optics.  For a child reading the 20/40, the plus does not create, "de-focus" - EVER.  It is this terrible mis-conception, that makes
a full discussion about WHY wearing a plus is necessary - virtually impossible.

---

Jake> Now look at that.  Somebody should introduce these guys to Alex #endmyopia, and all of you who have found that "may be possible to develop clinical regimes" has indeed already happened.

Otis>  "Clinical".  Unless the person is intellectual, and understands that 88 percent myopic, if you reject plus-prevention at 20/40, there
will. be no  "clinical" work at all.  It is impossible.

Jake> Note that this applies specifically to prevention.  The news that myopia reversal based on some of the theories mentioned in the article is already in action and working, would probably blow these guys' minds.  This site and everything you know, takes all the theory and discussion from research science, and applies it as working myopia rehab therapy. 

Otis> No one, in his office, believes that an intelligent person, reviewing objective science and facts, can "commit" himself to wearing
a plus for all close work.  (This insults my intelligence - and perhaps your intelligence and scientific-sense).  What the "plus" study
of Dr. Young demonstrated, was that the plus (and no minus) had to START when the person could still read the 20/40 line.
The study also proved that long-term plus wear was required - thought the school years.  This is indeed, "not clinical",
and is it not medicine. 

Jake> There are exceedingly few resources like this, especially if you consider ongoing free content, the open support forum, and the many insightful therapist contributions. 

Otis>  All excellent. But is must be the educated person - who begins plus-wear at the 20/40 level - and no OD can do this for you.

Jake> We are gladly doing all this work for you!

Jake> We would also love to see some like numbers next to those social sharing buttons on posts like this one.  It helps keep everybody here motivated, and not feeling like we are creating content into a void. 

Otis> Science (of the dynamic natural eye) only makes sense - when you make sense of the dynamic eye - as objectively proven.  But that
is up to you.   

Jake>  Share science.  Share this article.  It just takes one or two seconds:  Hit the Facebook like button, or the Twitter button, or LinkedIn, or whichever social network you are part of. 

Jake> No single article will be heard alone, but if we just keep repeating the message, eventually it will make it through to people.  I'd really like to see at least a few likes and shares, and in return we will keep bringing you science and strategies to get and keep your eyes health.

Thank you, and cheers!

- Jake Steiner

+++++

Otis> Jake is making a great effort.  More power to him. But final success, depends completely on the person STARTING to wear
the plus at 20/40, and keeping it up though the school years.  People who understand WHY it is necessary (read
Dr. Young's semminal "plus study", will get the idea, and do it. But this "doing it" is not medicine in
any sense of the word.

It is truly difficult.

« Last Edit: August 22, 2015, 07:03:14 AM by OtisBrown »

Offline OtisBrown

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Re: Singapore Medicine, Plus-Prevention. (Finally a "light" shines though.)
« Reply #2 on: August 22, 2015, 07:02:45 AM »
Dear Prevention Optometrist,

It is truly incredible how some people reach the correct answer.

(But, as Raphaelson pointed out, the public will have "none of it".)

That is why it must be an OD who insists that his own child always wear the
plus - during the school years.

Even today, I do not see how an OD could "reach" beyond his own family.

%%%%%%%%%%%

From: Kaisu Viikari
Sent: Saturday, August 22, 2015

Subject: Fwd: Muokattu käännös


Päiväys: Fri, 21 Aug 2015 15:23:34 +0100

Vastaanottaja: ITS WORKING!! <kaisu.viikari@gmail.com>

Hei Kaisu,

Laitan perään käännöksen tekstistäsi.
Terveisin Liisa

Managing accommodation strain

Among all the problems that face the humankind, it would be difficult to
find another causal relationship that is so simple and so easy to manage as
accommodation strain, its fateful consequences and the ensuing tragedies!

The only difficulty is that the abilities dictated by the structure of a
child’s eye will in no way adjust to the increased demands of our time,
while the parents are reluctant to learn about the requirements of this
process and submit to them.

I would also say that you really cannot ask any more of a child without the
support of the parents, but as the parents understand spoken language, they
must learn about the progress of this physiological process.

>From times immemorial, human children have been born dominantly hyperopes,
which met the needs of early humans (considering their life span and the
amount of close work they had to do). As a result the accommodation muscle,
or musculus ciliaris, in our eyes must work continuously in order for us to
perform close work.

When a muscle never gets sufficient rest, it unavoidably ends up in a cramp.
If this cramp is never released, the muscle is locked in a spasm.  This also
continuously tightens the cramp and the eye slides towards myopisation; to
begin with, it exceeds the zero point of refraction, which is called
emmetropia.

At that point, the eye focuses rays of light exactly on the retina, with no
external assistance and with the muscle in a relaxed state.

After this, m. ciliaries keeps on contracting towards greater levels of
minus dioptres, finally reaching extremely high figures of up to 25 or 30!

When the dioptres no longer increase, this only signals that the muscle has
reached the maximum of its ability to contract – which indeed exists.

The younger we are when we develop this cramp – and today, it happens at
increasingly young ages – the more elastic the eyeball is. Its structure
then becomes axially elongated as required by the situation. The eyeball
becomes irreversibly stretched, and at this stage, destructive consequences
also start appearing: retinas that are torn or even completely detached,
which result in complete blindness, haemorrhages, changes in the vitreous
humour, and clouding of the lens.

Fortunately these consequences can be treated better and better as the
techniques improve, however only by wearing glasses and, unfortunately very
frequently, only after irreparable tissue damage has already been caused.

We must learn to understand that it is never too late, especially as ageing
causes changes in dioptres in close vision, to alleviate the situation at
least a little by treatment.

Over time, the requirement of doing close work has increased dramatically,
and now that digitalisation is advancing irrevocably all the time,
accommodation strain is rampant.

As a consequence, younger and younger people need stronger plus glasses.
Young children start drawing, colouring and looking at pictures and books –
and above all, fiddling with different types of mobiles and tablets – at the
very early ages of 1½ to 2 years, while their parents watch over them
proudly!

These natural needs inherent in our children cannot be kept in check by any
power in the world – and neither is it necessary!

As a consequence, the wearing of plus glasses must start very early. My
slightly exaggerated statement, according to which our children should be
born with plus glasses on their noses, thus is not quite so far-fetched!

While most children at this stage can more or less cope with their need to
see, it is difficult to get them to understand why they should put up with
the nuisance of glasses.

Consequently, a key role is played by the child’s parents, who could after
all be expected to understand the message! But this is where we hit a rock
wall!

No particular intervention is needed and very little in the way of
examination, as long as the pupillary distance (PD) is measured as the child
grows older, and the dioptres of the glasses are increased evenly as much as
he or she can manage. But this will not succeed without a good bit of
persuasion by the parents, and in this respect, parental patience is again
required.

But surely the parents would do anything for the best of their children!

Not a word about operative interventions! No permanent improvement can be
achieved by them– on the contrary, they would constitute criminal butchery
of healthy eyes!

As we grow older, the physiology of our eye can change considerably.
Operative interventions cannot keep up with this change or achieve permanent
results, and an eye that has once been “messed with” will never be the same!

xxxxxxx

Unless the professional body of ophthalmologists and opticians is willing to
learn this, it will be their downfall over time, but that must remain their
own concern!

Be it as it may, we can do a lot of good, and we must try in good faith!

Kaisu Viikari


Offline rtdfgdfgdfgdfg

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Re: Singapore Medicine, Plus-Prevention. (Finally a "light" shines though.)
« Reply #3 on: August 24, 2015, 08:37:07 AM »
can a plus lens make a person go longsighted  ?

or is this just a myth ?

Offline OtisBrown

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Re: Singapore Medicine, Plus-Prevention. (Finally a "light" shines though.)
« Reply #4 on: August 24, 2015, 08:54:15 AM »

Hi Rtd,

Do you think myopia is genetic?

http://endmyopia.org/so-is-myopia-genetic-after-all/


can a plus lens make a person go longsighted  ?

or is this just a myth ?

Offline rtdfgdfgdfgdfg

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Re: Singapore Medicine, Plus-Prevention. (Finally a "light" shines though.)
« Reply #5 on: August 24, 2015, 10:13:52 AM »
no, it isn't genetic

ignorance may be genetic

Offline OtisBrown

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Re: Singapore Medicine, Plus-Prevention. (Finally a "light" shines though.)
« Reply #6 on: August 24, 2015, 10:46:47 AM »
Hi Rtd,

Do you think "negative status" is because people do this type of close work all the time?

http://endmyopia.org/ouch-heres-how-you-mess-up-your-eyes/

Or do you think there is some other reason?


no, it isn't genetic

ignorance may be genetic

Offline rtdfgdfgdfgdfg

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Re: Singapore Medicine, Plus-Prevention. (Finally a "light" shines though.)
« Reply #7 on: August 24, 2015, 11:35:08 AM »
yes, myopia is caused by close up

my point and message was, using a plus for close up may cause longsightedness, hyperopia,

or doesn't it ? is my question to you
« Last Edit: August 24, 2015, 11:59:03 AM by rtdfgdfgdfgdfg »

Offline OtisBrown

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Re: Singapore Medicine, Plus-Prevention. (Finally a "light" shines though.)
« Reply #8 on: August 24, 2015, 02:10:24 PM »
Hi Rtd,

I think I can help you with your worry about becoming "farsighted".  What is your current prescription.  I will provide a probability if you will do that.

yes, myopia is caused by close up

my point and message was, using a plus for close up may cause longsightedness, hyperopia,

or doesn't it ? is my question to you

Offline rtdfgdfgdfgdfg

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Re: Singapore Medicine, Plus-Prevention. (Finally a "light" shines though.)
« Reply #9 on: August 24, 2015, 02:29:32 PM »
-3 both eyes

20/250