Helping the world see a bit farther. Treating Nearsighted, Farsighted, Astigmatism and those who need bifocals.
Wednesday, November 13, 2013
Tuesday, November 12, 2013
I put together a page with great information, take a look!
Bookmark
this page to read new reports and studies about AOK and controlling
Nearsightedness in children. I will keep it updated with new
information. Share this post with your friends to help spread the
word. Our children are becoming more and more nearsighted every year,
and that is leading to higher risks of eye and vision problems
Thursday, February 7, 2013
If you think smoking and high blood pressure are bad ...
In today’s post you will see a
controversial point which supports some of my previous posts about
Nearsightedness being a risk factor for certain sight threatening eye
diseases. I will be sharing a note I received from the very wise
doctor Richard L. Anderson, OD, FIAO. What you will
read below is a comparison of cardiovascular disease to ocular
disease and you will see how the risk factor (Myopia /
Nearsightedness) has a significant “Odds Ratio, OR” for
contributing to eye diseases such as glaucoma, retinal detachments,
and maculopathy. This is one reason, I feel treating children early
and preventing or slowing down the rate of their nearsighted
progression is important.
It's time to treat myopia as a disease process that is a threat
to ocular health from a myriad of related disease processes. No
longer can we treat myopia as an inconvenience to be compensated for
with glasses or contacts. Myopia is a risk factor for other sight
threatening diseases that is "far in excess of any identifiable
population risk factor for cardiovascular disease." That's from
a paper
D.I. Flitcroft. (2012) The complex interactions of retinal, optical and environmental factors in myopia aetiology. (ABSTRACT) Progress in Retinal and Eye Research VOL 31 (2012) 622-660 doi: 10.1016/j.preteyeres.2012.06.004
What does this mean? It means that myopia as a risk factor for vision loss is worse than any risk factor known for cardiovascular disease. That's from Flitcroft, not me.
Take a look at the tables - they even appear in the abstract in the link.
An "Odds Ratio" of 1.5 means that the second factor is 1.5X as likely to happen if the first factor is present.
There is no "safe" level of myopia. Forget about the idea of pathological myopia starting at -6.00. It's all pathological.
What do I think?
D.I. Flitcroft. (2012) The complex interactions of retinal, optical and environmental factors in myopia aetiology. (ABSTRACT) Progress in Retinal and Eye Research VOL 31 (2012) 622-660 doi: 10.1016/j.preteyeres.2012.06.004
What does this mean? It means that myopia as a risk factor for vision loss is worse than any risk factor known for cardiovascular disease. That's from Flitcroft, not me.
Take a look at the tables - they even appear in the abstract in the link.
An "Odds Ratio" of 1.5 means that the second factor is 1.5X as likely to happen if the first factor is present.
There is no "safe" level of myopia. Forget about the idea of pathological myopia starting at -6.00. It's all pathological.
Myopia of -1.00 to -3.00 has an OR of 2.3 for glaucoma.
Myopia of > -3.00 has an OR of 3.3 for glaucoma.
Myopia of -.75 to -2.75 has an OR of 3.1 for retinal detachment
Myopia of -6 to -8.75 has an OR of 21.5 for retinal detachment
Myopia of -1.00 to -2.99 has an OR of 2.2 for myopic maculopathy
How does this compare to cardiovascular disease risk factors?
Myopia of > -3.00 has an OR of 3.3 for glaucoma.
Myopia of -.75 to -2.75 has an OR of 3.1 for retinal detachment
Myopia of -6 to -8.75 has an OR of 21.5 for retinal detachment
Myopia of -1.00 to -2.99 has an OR of 2.2 for myopic maculopathy
How does this compare to cardiovascular disease risk factors?
Systolic BP of 150-159 has an OR of 2.2 for stroke risk.
Systolic BP of >160 has an OR of 3.2 for stroke risk.
Smoking >20 cigarettes a day has an OR of 2.9 for stroke risk.
Systolic BP < 140 on Rx has an OR of 2.6 for myocardial infarction
Systolic BP of >160 has an OR of 3.2 for stroke risk.
Smoking >20 cigarettes a day has an OR of 2.9 for stroke risk.
Systolic BP < 140 on Rx has an OR of 2.6 for myocardial infarction
What do I think?
Myopia is a disease.
The compensation of myopia by prescribing glasses is an outdated vision related service.
The treatment of myopia by the prescription of specific myopia control procedures is a medical service whose benefit is the reduction of sight threatening disease processes.
Any attempt to place myopia treatment in the realm of vision services makes no more sense than considering glaucoma treatment a standard vision exam.
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