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#29
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| Christopher Zoettl wrote: - quote - > I have been watching this newsgroup for sometime and always seen quotes
you don't have the best you can get, either the corrective lens is too> that "20/20 vision" is THE best to have. Here in Europe we use a "visus > table". I'll point out: > 20/70 = aprox. Visus of 0.28 > 20/60 = aprox. Visus of 0.3 > 20/40 = Visus of 0.5 > 20/20 = Visus of 1.0 > 20/15 = aprox. Visus of 1.3 > 20/13 = aprox. Visus of 1.6 > My question is why do optometrist only try to correct to 20/20 even > though through full correction much higher vision would be possible? > In europe it is very common to prescribe full correction to maximize > vision. I would like to debate this with the following example: If refractive error is exactly neutralized, you get the best you can get. If strong or it isn't strong enough. In this case (for myopia), I would prefer a lens that isn't quite strong enough, since this at least makes reading more comfortable. If it's too much minus, that doesn't help for any task. -- Robert T. Kopp http://analytic.tripod.com |
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#28
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| Someone here really messed up the forums by providing some fault information. Obviously the people in the know are quite frustrate it and I'm having trouble comprehending when there's exces information about metaphors and semantics. I'll start by trying to answer the actual question 20/20 was determined when the eye is at it's relaxed state, starin into the distance that an object should focus to a point on the bac of the eye. This optimal distance was decided at 20 feet. So measurement of how clear or unclear a person's visual acuity is no measured by 20/20. You see at 20 feet what you SHOULD be seeing a 20 feet. Some people's eyes are capable of seeing things at 20 feet what th norm should be seeing at 15 feet. So you see better!.. and som people eyes are not as good because of one reason or another and the see 20/30.. so you see something sharp at 20 feet when others see i at 30 feet. A lens put in front of your eye, being contact lens or eyeglasses wil "BEND" the light accordingly so that the light focuses where i should. With people who are far sighted, the image focuses past th point where it should. People who are near sighted, the imag focuses before the point where it should. LENSES, help push thi focus point to where it should be for the best vision possible Some people can deal with 20/30 sight because most of their lifestyl maybe more critical for near vision .. and less for far vision. Tha is why some people don't mind it even though it's less than optimal. Optometrists or Ophthalmologists will try to correct for 20/20 .. i you can see better than that, then they will correct for it.. bu most people don't need it. Even if you put a higher prescription i front of someone's eye will not make it sharper for them.. it wil most likely make their eyes more tired by the end of the day. Hopefully that explains things FURTHERMORE, Chris a plus lens... +2.00D does not make things smaller A +2.00 lens is basically a magnifying lens and therefore will mak objects look larger. |
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#27
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| Dear Chris, I see you have the same book that I do -- concerning Kepler's first "assumption" the an un-desired refractive state of the living eye was an "error", and that analysis carried forward through the years to the "Gullistrand" paradigm. And excellent analysis -- of an assumption. Until you realize that you are analizing your false (but honest) assumption about the living eye -- not much preventive-progress can be made. If you "accept" that the living eye must be a dynamic system, and build a "working model" of it -- then the "picture" becomes profoundly different. This type of "change" is called a "paradigm" shift or "change" described by Thomas Kuhn, in "The Structure of Scientific Revolutions". When the "paradigm" changes, then even the word we use to describe the living eye must change also -- which is why I insist on describing the living eye has having "refractive states" -- and completely normal -- as least from -1 to +2 diopters. All these refractive refractive states are called "ametropia" as Dom insists. Thus the effect of the "Kepler" assumption is to make all natural and living eyes "defective" because of our assumptions. And that does include the Gullistrand model. Do not get me wrong. It is nice to calculate curvature to 6 significant figures -- but it does not mean very much because it can not possibly repesent the proven behavior of the primate eye. Further the "accommodation" model -- could never "work", and could NEVER be made to work either. The total power of the eye is controled by micro-blur sensed at the surface of the retina, and the "sharp" image is maintained by continuous feed-back from retina to lens. But that is why you can not specifiy "'length" and should stick to what is measured, i.e., refractive state, and not extrapolate a state into a "length". Best, Otis But what if the cornea has to much refraction. I mean a Gullstrand-Cornea has a refraction of 43.05 dpt, what if an eye has a refraction of 45 dpt? Then no matter if the eye were living or a box camera, the light beams would be to short, because the cornea makes a static refractive error - |
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#26
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| otisbrown[at]pa.net schrieb: - quote - > Dear Chris, > Subject: The dynamic nature of the living eye. > Re: Picture of a "box-camera" use to represent the (presumed) > living eye. > Scientific research proves that the living eye changes its > refractive state (in a negative direction) when you place > a minus lens on it. What this proves that the living eye > is a highly-accurate auto-focused camera. (Refractive state is > measured > with "classical" atropine. Refractive state can be plus or minus, > and the living eye completely normal. Refractive states IN THE WILD > run from zero to +2 diopters, (normal, or gaussian distribution) and > are completely normal.) > You have shown a "frozen" box camera, and the picture would > be true -- if the living eye were proven to be a "box camera". > But no proof exists that the living, or natural eye is like that -- at > all. > Thus if the eye has a refractive state of EXACTLY ZERO (very rare), > then a "plus 2" would in fact blur the eye-chart to about 20/140. > True enough. > For the "near" enviroment, the +2, for objects at 20 inches, would > in effect be moved to optical "infinity". > In fact, if you read NEI advocacy you will find that they realize > that a "near" environment is a "problem" for the living, natural > eye. So they make the statement that you should > "look up" for 6 minutes out of every 60 minutes. (10 percent of > the time looking at "infinity".) > When I suggest that a 2 dipoter plus be used for all this > "close work", it is simply to say that you should be > "looking up" for 60 of the 60 minutes. > And then the majority-opinion OD EXPLODE. > That is clearly not "medicine" nor is this plus lens > a "prescription". > It is simply scientific common sense. > Why do these majority opinion ODs have a problem with that? > In fact, this becomes more a matter of personal choice or > "judgment" that a "medical" issue. Why make it into > a "medical" issue? > Best, > Otis Dear Otis, the eye might not be a box camera, and the lens of the eye may be able to adapt. But what if the cornea has to much refraction. I mean a Gullstrand-Cornea has a refraction of 43.05 dpt, what if an eye has a refraction of 45 dpt? Then no matter if the eye were living or a box camera, the light beams would be to short, because the cornea makes a static refractive error -http://www.usherbrooke.ca/ophtalmologie/images/Predoc/Erreurs_refraction/myopie.jpg What purpose would resolve for me by looking 10% of then time to infinity? If I have a +2 lens infront of me this would resolve only in an angular magnification of 0.5x . Which means everything would get smaller. How should this be helping the eye? Best regards Chris |
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#25
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| acemanvx[at]yahoo.com schrieb: - quote - > Hey Christopher Zoettl, did you see my long reply below your post? I > said everything I had to. I disagreed on alot of what you said! Dear Acemanvx, I also disagree on a lot of what you said. But I respect your opinion. Best regards, Christopher Zoettl |
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#24
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| not to mention ineffective also. |
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#23
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| Dear Mike, Thanks, it is metaphor. Given the "quality" of the post here -- I agree, please prescribe for the sharpest vision possible. That is the only thing that you can do. Any preventive work would truly be impossible. Best, Otis |
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#22
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| On 3 Feb 2006 08:34:08 -0800, otisbrown[at]pa.net wrote: - quote - > When I suggest that a 2 dipoter plus be used for all this
Dear Christopher,> "close work", it is simply to say that you should be > "looking up" for 60 of the 60 minutes. Please disregard Otis. He is not in the medical profession nor in any position to give medical advice. Thank you. Allen |
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#21
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| <otisbrown[at]pa.net> wrote - quote - > A metaphore, is making a statement like, The ship "ploughed" the sea.
If you're going to lecture us on "sematics" as well as medicine and science,> THAT is a metaphore. > The issue is one of sematics -- as the basis of a scientific please check your spelling. -MT |
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#20
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| otisbrown[at]pa.net wrote: - quote - > That is clearly not "medicine" nor is this plus lens
legal disclaimer? just in case it's quackery?> a "prescription". - quote - > It is simply scientific common sense.
Scientific common sense? I didn't know that scienceinvolved common sense. I thought common sense was what you used to make decisions in the absence of objective facts or insufficient information. - quote - > Why do these majority opinion ODs have a problem with
Probably because it's not based on science and you have> that? no common sense? - quote - > In fact, this becomes more a matter of personal choice or
Bzzzt, no legal out here. You're now saying that you're only> "judgment" that a "medical" issue. Why make it into > a "medical" issue? suggesting a personal choice and not addressing a medical issue? Sounds like you're back peddaling. -Quick |
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| 20 or 20, important, vision |
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