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  #15  
Old 11-25-2005, 10:59 PM
William Stacy
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Default Re: Prism correction

Charles wrote:
It just seemed more than reasonable to me that
- quote -

> perhaps straining to cross the eyes over the long term might actually
> pull on the eyeball in one dimension causing elongation and
> astigmatism.

If you look at the anatomy of the extraocular muscles, you'll find they
exert primarily a tangential pull on the eye, which causes it to turn,
not to elongate.


The anatomy of the eye would say whether this is even
- quote -

> possible, and which dimension the astig would be in if it were
> possible. I'm a total lay person, so if you say the data and/or
> anatomy doesn't support this, I believe you.

The anatomy speaks for itself. That is not to say that what you are
suggesting is "impossible", and I do believe that small forces over long
periods of time can and do influence the shape of the eye.

- quote -

> Is there data on the astigmatism impacts of extreme close work? I say
> "extreme" because my theory was that if I'm starting with eyes that
> want to tend more outward than normal, "normal" close work might affect
> my visual system in the same way as repairing watches (or whatever)
> would for the average person.

In over 30 years of practice and monitoring thousands of eyes developing
over time, I've seen little change in most peoples' astigmatism. I've
seen large changes in myopia, but relatively little in astigmatism
(except for eyes that are injured or diseased, or those that have been
subjected to long term contact lens wear).

w.stacy, o.d.
Alt 11-25-2005, 10:59 PM
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  #14  
Old 11-25-2005, 01:24 AM
Mike Tyner
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Default Re: Prism correction

"Charles" <nospam[at]nospam.com> wrote

- quote -

> while I'm converging them for the tranaglyph. If those muscles were
> having trouble, how would that make my vision blurry? Isn't that
> determined by different muscles, the ones that do the actual focusing?

You're right about that.. the outside (pointing) muscles are hugely
different from the ring-shaped inside muscles that you use to focus. But
they are hardwired together so that you can't converge without
accommodating, and vice versa. You use the same effort to produce both
effects, in a predictable ratio.

-MT


  #13  
Old 11-25-2005, 12:40 AM
Charles
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Default Re: Prism correction

William Stacy wrote:

- quote -

> > > > > Muscle tonus. Totally understandable and expected.
> > > w.stacy, o.d.
> > > > I'm sorry, what does this mean?
> > Human skeletal muscle, when continuously stimulated, tends to retain
> a semi contracted state for a period after such stimulation.

Help me to understand. The muscles you are considering here are the
ones that "point" the eyes, right? These are the ones under stress
while I'm converging them for the tranaglyph. If those muscles were
having trouble, how would that make my vision blurry? Isn't that
determined by different muscles, the ones that do the actual focusing?

--

  #12  
Old 11-25-2005, 12:30 AM
Charles
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Posts: n/a
Default Re: Prism correction

William Stacy wrote:


- quote -

> > I don't disagree that extended computer use has precipitated an
> increase in myopia. I've obvserved it over the years. I think you
> were referring to short term stresses doing the same thing, which is
> what I challenged.

You're the expert. It just seemed more than reasonable to me that
perhaps straining to cross the eyes over the long term might actually
pull on the eyeball in one dimension causing elongation and
astigmatism. The anatomy of the eye would say whether this is even
possible, and which dimension the astig would be in if it were
possible. I'm a total lay person, so if you say the data and/or
anatomy doesn't support this, I believe you.

Is there data on the astigmatism impacts of extreme close work? I say
"extreme" because my theory was that if I'm starting with eyes that
want to tend more outward than normal, "normal" close work might affect
my visual system in the same way as repairing watches (or whatever)
would for the average person.
  #11  
Old 11-25-2005, 12:21 AM
Charles
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Posts: n/a
Default Re: Prism correction

CatmanX wrote:

- quote -

> What do you expect from a usenet group? Everyone to listen to your
> arguement and agree??

Absolutely not. I just hoped that I would not be mocked when I feel
that my "theory" is at least conceivable. An explanation of why I'm
wrong (for example, is the anatomy of the eye such that straining to
cross the eyes could temporarily flex the eyes and change their shape,
or not?), or a statement that research has proved otherwise, would
suffice. Better yet, a plausible explanation (besides pure randomness)
of the symptoms I'm seeing, like my vision getting worse when I started
doing more close work, would be great.

- quote -

> There is plenty of research showing astigmatism developing according
> to the direction of eye movement, but it relates more to the lid
> pressure than anything else, not eye muscles.

Okay. Interesting how previous replies would indicate that I'm a moron
for even considering that how the eyes are used could affect
astigmatism at all. Something about peoples' ears not changing shape
from listening too hard.

- quote -

> Secondly, the problem you have is convergence insufficiency, not
> exophoria. In CI, you ability to converge is impaired. The vision

Help me understand the difference. I think the diagnosis was made
based on my explanation of symptoms and the movement of each of my eyes
when covered. Possibly also based on my verbal indication of when it
became difficult for me to maintain convergence/divergence with prism
lenses (I'm assuming, she didn't tell me what was actually happening
all the time). How are the symptoms different between brain related
convergence problems and physiological issues (exophoria?).

- quote -

> therapy you are doing is to train your system to be able to converge
> with ease. Prism correction will not achieve anything as the
> underlying issue is an inhibitory centre in your brain and this
> inhibitory pathway must be overridden in order to get you working
> comfortably for close work.

If the natural resting state of my eyes is slightly outward, is prism
appropriate? If not, when is it?

--

  #10  
Old 11-24-2005, 07:36 PM
Dan Abel
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Posts: n/a
Default Re: Prism correction

In article <Sckhf.597045$xm3.317069[at]attbi_s21> ,
"Charles" <nospam[at]nospam.com> wrote:

- quote -

> Dan Abel wrote:

> > I try to walk three hours a day. I often do more. This is very good
> > for my health. Of course, I have to realize that all this walking is
> > going to shorten my legs. Isn't it?
> > > Wait a minute! Doesn't exercise make things bigger? Shouldn't my
> > legs actually get longer because of my walking?
> > > I am anxiously waiting all of your expert opinions about whether my
> > legs are going to get shorter or longer because of all my walking.
> > After all, should I stock up on longer or shorter pants?
> > > :-)
> Wow, I'm pretty disappointed in this group. Is it really inconceivable
> to the point of absurdity that if you use your eyes in ways that strain
> and pull them that they might change shape slightly? As I said, it may
> not actually be true, but you need to either do better than this or
> just keep quiet about it.

I was just trying to make a point, that just because something *seems*
like it ought to work a certain way, that doesn't mean that it actually
works that way.

--
Dan Abel
dabel[at]sonic.net
Petaluma, California, USA
  #9  
Old 11-24-2005, 06:55 PM
CatmanX
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Posts: n/a
Default Re: Prism correction

What do you expect from a usenet group? Everyone to listen to your
arguement and agree??

There is plenty of research showing astigmatism developing according to
the direction of eye movement, but it relates more to the lid pressure
than anything else, not eye muscles.

Secondly, the problem you have is convergence insufficiency, not
exophoria. In CI, you ability to converge is impaired. The vision
therapy you are doing is to train your system to be able to converge
with ease. Prism correction will not achieve anything as the underlying
issue is an inhibitory centre in your brain and this inhibitory pathway
must be overridden in order to get you working comfortably for close
work.

grant

  #8  
Old 11-24-2005, 01:35 PM
Charles
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Posts: n/a
Default Re: Prism correction

Dan Abel wrote:

- quote -

> In article <RC6hf.568917$x96.4862[at]attbi_s72> ,
> "Charles" <nospam[at]nospam.com> wrote:
> > from their relaxed state. A better analogy might be, would your
> > arms get longer if you started hanging lead weights from your hands
> > all the time.
> I'm retired now. I recommend it highly, although the pay isn't great.
> :-)
> I try to walk three hours a day. I often do more. This is very good
> for my health. Of course, I have to realize that all this walking is
> going to shorten my legs. Isn't it?
> Wait a minute! Doesn't exercise make things bigger? Shouldn't my
> legs actually get longer because of my walking?
> I am anxiously waiting all of your expert opinions about whether my
> legs are going to get shorter or longer because of all my walking.
> After all, should I stock up on longer or shorter pants?
> :-)

Wow, I'm pretty disappointed in this group. Is it really inconceivable
to the point of absurdity that if you use your eyes in ways that strain
and pull them that they might change shape slightly? As I said, it may
not actually be true, but you need to either do better than this or
just keep quiet about it.

--

  #7  
Old 11-24-2005, 12:23 PM
William Stacy
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Posts: n/a
Default Re: Prism correction

Charles wrote:

- quote -

> Here's a link to the article. Are you saying it's garbage? I
> contacted the author a while back and he still stands by it and is at
> least reaosnably well, if not highly, respected in the field as far as
> I can tell:
> http://www.babousa.org/Symphony.htm

He may be a prolific writer, but I think he is pretty far out of the
mainstream of thinking in the field, or at least he was when the article
was written 18 years ago.

- quote -

> Besides, I simply find it very hard to believe that my eyes randomly
> got worse in the course of a year or two after starting ~8 hour per day
> computer work (after being 20/20 for 24 years). Anything's possible,
> it just seems unlikely and I'm not hearing any other explanations.

I don't disagree that extended computer use has precipitated an increase
in myopia. I've obvserved it over the years. I think you were referring
to short term stresses doing the same thing, which is what I challenged.

- quote -

> Does anyone have data that correlates the number and severity of
> prescriptions with the amount of reading and close work a person does?
> I work in an environment where everyone reads and uses computers
> constantly, and 2/3 of us wear glasses. Maybe other people just don't
> care about blurry vision, I don't know.

There are loads of data on this. Everyone knows that myopia is largely
an effect of excessive close environment of the post-industrial age. The
devil is in our inability to prevent it.

- quote -

> Who knows. I bet if you stretched yourself on a rack 8 hours a day,
> you'd be a few inches taller after a year. I also think you'd settle
> back after a while if you stopped.

No argument there.


- quote -

> > > Muscle tonus. Totally understandable and expected.
> > w.stacy, o.d.
> I'm sorry, what does this mean?

Human skeletal muscle, when continuously stimulated, tends to retain a
semi contracted state for a period after such stimulation.

w.stacy, o.d.
  #6  
Old 11-24-2005, 04:07 AM
Dan Abel
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Posts: n/a
Default Re: Prism correction

In article <RC6hf.568917$x96.4862[at]attbi_s72> ,
"Charles" <nospam[at]nospam.com> wrote:



- quote -

> from their relaxed state. A better analogy might be, would your arms
> get longer if you started hanging lead weights from your hands all the
> time.


I'm retired now. I recommend it highly, although the pay isn't great.


:-)


I try to walk three hours a day. I often do more. This is very good
for my health. Of course, I have to realize that all this walking is
going to shorten my legs. Isn't it?

Wait a minute! Doesn't exercise make things *bigger*? Shouldn't my
legs actually get longer because of my walking?

I am anxiously waiting all of your expert opinions about whether my legs
are going to get shorter or longer because of all my walking. After
all, should I stock up on longer or shorter pants?

:-)

--
Dan Abel
dabel[at]sonic.net
Petaluma, California, USA
 

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