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  #20  
Old 12-30-2006, 03:31 AM
Mike Tyner
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Default Re: Can difference in vision be explained?


<otisbrown[at]pa.net> wrote

- quote -

> I would bet that if this two-year old were the
> daughter of some of these ODs -- they
> would do a lot more checking before
> they put their child into a -10 diopter lens.

So this two-year-old was checked only once?

And she's wearing them because an OD recommended it?

- quote -

> In fact I do believe that some children have
> an adverse reaction to these drugs, that
> "freeze" the accommodation at the
> maximum "near" position of -10 diopters.

Some children accommodate excessively after cyclopentolate? That would make
a nice article, if you could find one.

- quote -

> But let us say that some second-opinion
> optometrists would suggest "holding off"
> on plunging a child that age
> into a -10 diopter lens.

And some would say we did.

And some would say it isn't your business.

-MT


Alt 12-30-2006, 03:31 AM
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  #19  
Old 12-30-2006, 03:17 AM
Dr. Leukoma
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Posts: n/a
Default Re: Can difference in vision be explained?

I have noticed that Otis always likes to make that last post at night,
here in the U.S. He does this, no doubt, for all of his fans in Asia,
who can then ponder his deep thoughts about the second opinion.

DrG

otisbrown[at]pa.net wrote:
- quote -

> Good question.
> There are Snellens that have pictures. By these means
> an estimate of visual acuity can be obtained.
> I would bet that if this two-year old were the
> daughter of some of these ODs -- they
> would do a lot more checking before
> they put their child into a -10 diopter lens.
> In fact I do believe that some children have
> an adverse reaction to these drugs, that
> "freeze" the accommodation at the
> maximum "near" position of -10 diopters.
> But let us say that some second-opinion
> optometrists would suggest "holding off"
> on plunging a child that age
> into a -10 diopter lens.
> Second-opinions vary on this subject.
> Otis
> Salmon Egg wrote:
> > On 12/29/06 7:41 AM, in article
> > 1167406898.484719.25500[at]i12g2000cwa.googlegroups.com, "otisbrown[at]pa.net"
> > <otisbrown[at]pa.net> wrote:
> > > > For instance, one 2 year-old had a Snellen of
> > > 20/60 -- which is functional for a child of that age -- and
> > > a retinoscope/cycloplegic of -11 diopters.
> > > How can you even rely upon a 2 year-old to read a Snellen chart correctly?
> > > Bill
> > -- Fermez le Bush

  #18  
Old 12-30-2006, 02:12 AM
otisbrown@pa.net
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Posts: n/a
Default Re: Can difference in vision be explained?


Good question.

There are Snellens that have pictures. By these means
an estimate of visual acuity can be obtained.

I would bet that if this two-year old were the
daughter of some of these ODs -- they
would do a lot more checking before
they put their child into a -10 diopter lens.

In fact I do believe that some children have
an adverse reaction to these drugs, that
"freeze" the accommodation at the
maximum "near" position of -10 diopters.

But let us say that some second-opinion
optometrists would suggest "holding off"
on plunging a child that age
into a -10 diopter lens.

Second-opinions vary on this subject.

Otis





Salmon Egg wrote:
- quote -

> On 12/29/06 7:41 AM, in article
> 1167406898.484719.25500[at]i12g2000cwa.googlegroups.com, "otisbrown[at]pa.net"
> <otisbrown[at]pa.net> wrote:
> > For instance, one 2 year-old had a Snellen of
> > 20/60 -- which is functional for a child of that age -- and
> > a retinoscope/cycloplegic of -11 diopters.
> How can you even rely upon a 2 year-old to read a Snellen chart correctly?
> Bill
> -- Fermez le Bush

  #17  
Old 12-30-2006, 01:51 AM
Nicolaas Hawkins
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Posts: n/a
Default Re: Can difference in vision be explained?

On Fri, 29 Dec 2006 18:36:05 -0800, Dan Abel <dabel[at]sonic.net> wrote in
<news:dabel-E177A4.18360529122006[at]cor8-ppp5025.per.dsl.connect.net.au> :

- quote -

> In article <QN2dnWfu16wm-AjYnZ2dnUVZ_o-knZ2d[at]giganews.com> ,
> "Mike Tyner" <mtyner[at]mindspring.com> wrote:
> > <otisbrown[at]pa.net> wrote
> > > > In fact there are two DIFFERENT methods of judging
> > > a person's refractive STATE.
> > > Yes but your two "methods" don't really address her question, do they?
> > > She is asking why you can't predict VA from refraction.
> My wife was a chemist. Her boss was also. He wanted a formula to
> convert volume into weight. She couldn't do that.

I bet she couldn't write him a formula to calculate the length of a piece
of string, either...

--
Regards,
Nicolaas.


.... The real art of conversation is not only to say the right thing at the
right time, but also to leave unsaid the wrong thing at a tempting moment.
  #16  
Old 12-30-2006, 01:46 AM
Neil Brooks
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Posts: n/a
Default Re: Can difference in vision be explained?

Dan Abel wrote:
- quote -

> In article <QN2dnWfu16wm-AjYnZ2dnUVZ_o-knZ2d[at]giganews.com> ,
> "Mike Tyner" <mtyner[at]mindspring.com> wrote:
> > <otisbrown[at]pa.net> wrote
> > > > In fact there are two DIFFERENT methods of judging
> > > a person's refractive STATE.
> > Yes but your two "methods" don't really address her question, do they?
> > > She is asking why you can't predict VA from refraction.
> My wife was a chemist. Her boss was also. He wanted a formula to
> convert volume into weight. She couldn't do that.

Otis could.

He's the poster child for density.
  #15  
Old 12-30-2006, 01:36 AM
Dan Abel
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Posts: n/a
Default Re: Can difference in vision be explained?

In article <QN2dnWfu16wm-AjYnZ2dnUVZ_o-knZ2d[at]giganews.com> ,
"Mike Tyner" <mtyner[at]mindspring.com> wrote:

- quote -

> <otisbrown[at]pa.net> wrote
> > In fact there are two DIFFERENT methods of judging
> > a person's refractive STATE.
> Yes but your two "methods" don't really address her question, do they?
> She is asking why you can't predict VA from refraction.


My wife was a chemist. Her boss was also. He wanted a formula to
convert volume into weight. She couldn't do that.
  #14  
Old 12-29-2006, 11:28 PM
Mike Tyner
Guest
 
Posts: n/a
Default Re: Can difference in vision be explained?


"VicTek" <abc[at]xyz.com> wrote

- quote -

> I have noticed for a long time that my distance vision, which is corrected
> with glasses, is degraded when driving at night. Is the above the
> explanation for that? If so how can one compensate for the problem -
> different prescriptions for day and night use?

You could, but a precise prescription should work for both.

In your circumstances, it's often that the glasses are a little off but it's
only evident when the pupils are large and depth-of-field is short.

-MT


  #13  
Old 12-29-2006, 10:25 PM
VicTek
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Posts: n/a
Default Re: Can difference in vision be explained?


- quote -

> are too weak or when they don't have them. Similarly, flip on the
> overhead lighting and the pupils constrict, giving better acuity. Turn
> all lights off, and they do worse.

I have noticed for a long time that my distance vision, which is corrected
with glasses, is degraded when driving at night. Is the above the
explanation for that? If so how can one compensate for the problem -
different prescriptions for day and night use?


  #12  
Old 12-29-2006, 10:04 PM
Scott Seidman
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Posts: n/a
Default Re: Can difference in vision be explained?

William Stacy <wstacy[at]obase.net> wrote in news:b4hlh.41115$wc5.587
[at]newssvr25.news.prodigy.net:

- quote -

> This is why you see myopes squinting a lot when their glasses
> are too weak or when they don't have them

But doesn't the squinting cause the eyeball to shrink and cure the myopia??


Sorry Bill, long week, and no self control left


--
Scott
Reverse name to reply
  #11  
Old 12-29-2006, 09:58 PM
William Stacy
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Posts: n/a
Default Re: Can difference in vision be explained?

Oh, and this effect can be (and often is) utilized to distort acuity
measurements. Allow the patient to squint (squeeze the lids together),
and the reduction in the "aperture" will allow him to see smaller
letters. This is why you see myopes squinting a lot when their glasses
are too weak or when they don't have them. Similarly, flip on the
overhead lighting and the pupils constrict, giving better acuity. Turn
all lights off, and they do worse. The other big difference is
psychological. Some people are far more profoundly bothered by blur
than others. Some will feel completely happy in a -3 fog while others
will feel like a fish out of water.

w.stacy, o.d.

William Stacy wrote:

- quote -

> Take the pinhole away and they'd be lucky to get 20/200.
 

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