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Author Another long reply
Ace

2006-07-26, 8:26 am


Tom Lucas said:
> Oh people shouldn't listen to what I say, I'm only here to avoid doing
> any work ;-)

Youd be supprised


> Well of course it would be major but not that long ago Lasik was a
> far-out dream. I'm sure it is not beyond humanity to work out a way to
> safely reshape an eyeball. After all, it managed to get mishapen all by
> itself without bursting - very few people are born with -10 myopia.

Trying to shorten an eyeball is like shortening a finger. Wont happen.
I know an enlongated eye can sometimes led to a burst/detached retina.
That can often be fixed and in the future there will be labatory grown
retinas to replace damaged ones. There is also talk of making retinas
with higher density rods/cones for vision in the 20/5 to 20/2(!) range!



> We both agree that Lasik is not suitable for everyone but I'm know that
> some presbyopes with myopia less than -3 are keen to have it done so
> that they can see for mid to long range and only have to worry about
> glasses for close too. My dad is one of these people and he wears
> contacts a lot of the time these days but before that he was
> continuously swapping glasses.

I have news for you, presbyopes once they get to age 55+ have no
accomodation and report that things are blurry out to 6+ feet or 2
meters! Anyone can easily simulate this by overcorrecting themselves
with glasses. I was shocked how blurry everything was at 3, 5, even 8
feet away but way, way out in the distance, like looking at the trees
20+ feet away they were so clear I could see every leaf and branch! An
overcorrection does NOT improve BCVA, its the same as the proper
correction that makes me plano, it just blurs things that arent far
away. With even *more* overcorrection, even distance vision gets
blurry. Presbyopes that end overcorrected at *all* will need bifocals
or better yet progressive glasses. If they end exactly plano, they will
see fine from 2 meters, 6-7+ feet away.
I can show you a couple stories on the net of presbyopes with low
myopia who regretted it. I also know in person several low myopic
presbyopes who consider their myopia a blessing and they smile when
they brag how they can read and see from near without those danged
readers!


> I honestly think that most myopic presbyopes I've met are irritated by
> their myopia but don't give two thoughts to the presbyopia. Even though
> their myopia mitigates the presbyopia a little, they would much prefer
> to have to use readers a bit more often if they could do away with the
> distance glasses. These are the sort of people that Lasik can help. They
> are not interested in monovision and are fine with readers but they
> would just like to be able to drive and walk in the country and that
> sort of thing.

Its the opposite from what ive seen. A presbyope that is -2 sees as
well as someone who is plano wearing +2 readers. Readers isnt the real
problem, not seeing clearly at 2 meters or less is. Youd need
progressives all the time for anything 2 meters and closer. Lasik can
help if they spend most of their time playing sports, fishing, hunting.
But many people spend time on the computer, reading or stuff like
knitting. Presbyopic people with low myopia have the least to gain.


> This is what I've been saying. A myopic presbyope would nearly always
> need readers and distance glasses because the world is not perfect and
> the myopia may not completely counter the presbyopia. Getting Lasik to
> go more myopic may get rid of the readers but your distance vision would
> be greatly reduced and you would probably have distance glasses on most
> of the time. However, having the myopia reduced will mean stronger
> readers will be needed but it is then possible to do away with the
> distance glasses. I believe that is preferable to a lot of people.


I disagree, myopia compenstates for presbyopia in the same way readers
do. Next time you see an old myope, let him/her demostrate his/her
ability to read without any glasses! Any myopia of -1.5 or more will
counteract presbyopia enough to eliminate dependancy on readers. Myope
of -.5 to -1 will reduce dependancy on readers. You are forgetting the
fact mild myopia does NOT blur distance vision much. You, for example
can do most things without minus glasses, yet you dont need readers and
wont for a long time if you keep your myopia(which you wont if you get
enhanced) I think slightly blurred distance vision is a "fair" price
and "worth" it in order to keep out of readers, but thats my opinion.
You can always wear minus glasses for driving or watching movies but
its nice not to need readers for everything or carry them like a
necklace, see pictures below. I see old people everywhere that wear
their readers like a necklace!


http://www.headcovers.com/newimages...ss-necklace.jpg

*aww isnt she pretty? She probably is just becomming presbyopic too as
she doesnt look that old*


http://www.funspecs.com/images/cover2.jpg


http://altura.speedera.net/ccimg.ca...cts/8960466.jpg


> In that case, would you mind dating some ugly chicks to get them off the
> market for the rest of us ;-)

ill take the thick full figured ones with wonderful ample curves which
for some reason, not everyone finds attractive. You can keep the skinny
ones, dont want em.


> Do your eyes have no focal accomodation at all then? Mine were about as
> myopic as yours and even with the wrong prescription I still managed to
> see fine close up and far away. Perhaps all your natural eye improvement
> exercises have left you stuck up at one end of your focal capacity?



Nah, my accomodation is improving or rather, I am accepting less minus.
I have tonic accomodation, pseudomyopia, accomodative spasms, etc. This
means I may be a -3 in axial myopia under cycloplegia but a -5 if you
include pseudomyopia under manifest. some of my accomodation is "tied
up" or "stuck"


> That's as maybe but is is no use when the drops wear off and you go back
> to -5ish. I'd be wary of measuring yourself in abnormal conditions
> because with the right tests you can get any answer you look for.

They wont go back if I learn to relax my accomodation. Whatever myopia
I have under a 4 day regime of atropine is my real myopia. Because I
can see quite well from near with my -3.25 glasses, I may only be
around a -3 in real myopia. Right now I do need -5 to see perfect in
distance but they "overcorrect" me for near.


> It may well be better but you need to paralyse your eye to do it. I'm
> not sure this is the right road to follow.

not the entire eye, just the ciliary muscles. You know when you look at
something up close, it becomes clear in a split second then if you look
away quickly, its blurry for a split second? Ive looked at near so much
my muscles have become overworked and too tense so they dont relax
fully and I am stuck in accomodation. Optometrists have been telling me
this for a while now and that I have little or no presbyopia, but tonic
accomodation's symptoms include "presbyopia" that will go away once I
relax it. I know what presbyopia is because of this and realize how
useful myopia is in counteracting presbyopia.


> In which case I would say that those complication are not a big deal.

Then they are lying. Even if they are happy in spite of their
complications, they still wished their lasik went perfect then they
would be ten times happier.


*countinued on post below*

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