This paper was published in
The Journal of Optometric Vision Development
. Voloume 34 Number 1, Spring 2003, pages 24 to 30.
Seeing Beyond The Obvious
- Part 1 by Roberto M. KaplanKey Words: nearsightedness, myopia, lenses, vision therapy.
Visual science attempts to explain the development of nearsightedness by examining the components of the physical eye. (1 - 5) Using rationalthinking, theories about the causes and treatments of nearsightednesshave evolved. Many clinicians have accepted these research conclusionsas ´obvious´ facts. For example, when the various optical componentsinteract resulting in an out-of-focus image on the retina, the eye isdescribed as ‘myopic’ or nearsighted. The person has an out of focus eyewhen looking into their distant world.The facts state that an ´obvious´ rational treatment for an out-of-focuseye is to diverge the light rays with a minus lens. Like a medication thatsoothes away a headache, a minus lens gives instant gratification - the blurred view of the distant world comes into illusionary focus for the person. It is therefore no surprise that minus lenses many years ago became the treatment of choice for nearsighted patients.For a person with a busy ‘doing’ life spectacles or contact minus lensesare the prefect quick solution for becoming focused outside of oneself.Gallop says, and many vision therapy oriented clinicians would agree,that “Optometry seems addicted to 20/20 distance acuity.” This“obsession with 20/20 acuity has created acuity addicts.” (6)The difficulty many clinicians have been faced with is that the wearingof minus lenses doesn’t permanently alter the optics of the eye. If the