"Yet the only proof that it works comes from a study of just 33 Japanese children in 1965, and from studies on chicks in the 1990s. And these studies have since been attacked as lacking rigour or relevance. In their trial, O'Leary and his colleagues at the National University of Malaysia in Kuala Lumpur, undercorrected the sight of half the children and fully corrected the rest. Then they measured the length of the eyeball with ultrasound every six months. To their surprise, they found that the eyeball elongates faster when vision is undercorrected. As a result, the team reports in a paper that will appear in Vision Research, on average the vision of the 47 children with undercorrected myopia deteriorated more rapidly than those given full correction. Yet full correction has long been out of fashion. 'I had to go back to 1938 to find someone in the literature saying a full correction should be made,' O'Leary says. The explanation for his results, O'Leary speculates, is that the eye cannot tell whether the focal point is in front of the retina or behind it. It just grows backwards if the image is out of focus - which means that not wearing glasses might be even worse than undercorrection. 'Any blurred vision will make myopia worse,' he says."
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And dont forget to leave a comment and contribute to some lively eye chat!
Thank you for your valued time. Enjoy.
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2 comments:
I went and looked up the full article. It's certainly something I have never really thought about. I reckon optometrists still tend to undercorrect; my optometrist told me once that he didn't make my prescription as strong as it needed to be. Hmm.
I'm curious as to what you, the author of this blog, thinks about undercorrecting vision. I mean, has there been further research? What would you actually do, in practice?
Undercorrecting the prescription is a form of prescribing that i personally undertake with SOME of my patients. Undercorrecting the prescription can be done if it has excessively changed. A drastic increase in lens stregth could potentially be very difficult to adapt to and hence cause eyesytrain etc. An undercorrection would therefore eliminate the adaptive problems and ensure clear enough vision to function and see as expected. This type of undercorrection requires careful monitoring and is done with a careful consideration of occupation, prev history of prescription changes, age, ocular health, driver?, vdu? etc....
e.g: an elderly person who may have a developing cataracts could potentially experience a large change in prescription. Elderly people are normally more sensitive to large prescriptive changes and therefore a compromise undercorrection might be required to counteract the adaptive problems.
COnversly, with regards to undercorrecting without any clinical need is something that i would advise against. As the article concludes, it is an excercise that leads to unwanted progression of myopia. My opinion on this matter is correcting the myopia so the eyes are balanced and NOT under or over corrected!
I am unsure if further research has been done regarding this subject. However, Prof Dan O'Leary (the author of the study) is a world leading authority on Myopia. He has lectured me on this subject at university and is a reliable, knowledgeable source. I have discussed/debated this with him in the past and he soundly agrees with what i have outlined......
I have tried to keep it as simple as possible and this is my personal opinion and in no way am i saying that anyone elses methods are incorrect.
Regards.
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