The spectacle lens that corrects short sight or myopia is a negative power: light rays from distant objects are bent in such a way that they become more, not less, divergent. The degree of divergence will depend on the power of the lens. When the degree of (artificial) divergence is equal to the degree of short sight, the eye will form a clear image on the retina. A usual degree of short sight is up to —8.00 dioptres. But in fact it is how healthy the back of the eye remains, and how thin the outer coats of the eye become, that determine the future of the shortsighted person. Read the rest of this entry »
Secondly, such rays (peripheral vision) may be scattered by such scarring and cause unusual sensitivity to bright light. The cuts may also damage the very sensitive deeper layers of the cornea creating problems in later life, although the operation is too new to know whether and to what extent this is the case. The effects of cuts cannot easily be measured, while the ability of the tissue to heal totally may prejudice even the short-term benefits. The presence of a small degree of short sight may seem a great inconvenience to a young person, and he or she is often willing to take a long-term risk for the sake of an immediate improvement. Read the rest of this entry »
There have been many research programmes involving humans and primates aimed at finding answers to the sort of question suggested in the preceding paragraph, but generally each attempt has only uncovered a further set of factors making any final solution, any final map of the ‘genes versus environment‘ problem, less and not more likely. Perhaps in some future era when education returns to a system that doesn’t require books, but where knowledge is computer-stored and audio- retrievable, then short-sight, where it occurs, will be more easily explicable. Meanwhile we should teach our children not to hold their heads too close to the printed page, not to read for too long periods, to use good light and to develop their distance vision in outdoor pursuits. Perhaps, too, we should encourage them to develop their thought-processes, rather than seek to fill their heads with useless data as though they were merely memory banks. Read the rest of this entry »
It is known that because of inheritance not everyone will have eyes of the same size and optical power, that some eyes will fail to achieve ‘normal’ functional standards. Thus at least 15 per cent of us will have developed some degree of short-sightedness by the age of twenty-five, owing to the eye not growing in balance with the rest of the optical system seen as a whole. But this statistic applies only to post-industrial populations. The incidence of short-sightedness is much less among preindustrial peoples, and so it cannot be hereditary factors alone that are at work. The correlation is between short-sightedness and socio-industrial development, not necessarily between short-sightedness and race. There are as many short-sighted Japanese as there are short-sighted Europeans. It could be argued that where pre-industrial conditions still exist the mechanics of natural selection have ‘weeded out’ congenital short sight, but it seems much more likely that a tendency-towardsshort-sight-given-certain-conditions is inherited, and inheritable, among all peoples. Read the rest of this entry »
There are further classifications according to lens design, finish, colour, etc., which make the whole subject very confusing. If you want what is best the answer must be, ‘Whatever your practitioner advises as the best optical correction according to your eye sensitivity and required duration of wear.’ The classifications given are in fact properties of the lens, and a combination of them gives a particular kind of lens. Some types are commercially available by trade names on an `off-the-shelf’ basis, others have to be manufactured by specification. They are all made of plastics, however, though some absorb water while others do not. Most absorb and transmit gas, a necessary function to maintain the chemical equilibrium of the eye-system. Read the rest of this entry »
The immediate appeal of contact lenses is social. The desire of spectacle wearers to be ‘normal’, to appear in public without a facial contraption, is very real. In the USA, Europe and Japan most young short-sighted people have, by the age of twenty-five, at least tried contact lenses if their vision requires the daily or continual use of spectacles. Some patients will even persist through considerable discomfort in order to achieve ‘normalization’. And as more and more people adopt contact lenses, it becomes less and less normal to wear glasses. It is as well therefore that, apart from its cosmetic advantages, the contact lens also has some optical advantages. Read the rest of this entry »
Since the retinal nerves radiate from the cup of the optic nerve (the seat of the blind spot) the loss of retinal function tends to occur in a way that is diagnostic. For example: the group of nerve fibres that tend to be affected first are those that function in arches around the centre of vision. The next group to go are those providing vision in the nasal field (the lateral part of the retina). But it is all too possible for a patient to be unaware of these losses of vision, and because the condition is symptom-free in its early stages and only gradually progressive, diagnosis is often difficult. Read the rest of this entry »
In an ideal world the best way to restore an eye to normal would be to replace the cataractous lens with a clear one of the same power lying in the position from which the original lens was removed.
At the Oxford Ophthalmological Congress the eye surgeon Harold Ridley reported the results of eight operations that he had performed to insert a Perspex lens. He thus founded a completely new branch of ophthalmic surgery. Ridley had treated many ocular injuries suffered by members of the Royal Air Force during World War II. Aircraft windshields (made of Perspex) had shattered after explosions or the impact of bullets, and Perspex fragments had penetrated the eyes of plane crews. Ridley had noticed how inert Perspex was in the eye and how little inflammation it caused. Read the rest of this entry »
Squint, or strabismus, is a general term used to describe any one of several conditions in which the two eyes are not properly co-ordinated. One eye focuses on an object, but the other eye fails to align itself to the same fixation. Most commonly the errant eye is aligned inwards (cross-eye or esotropia) or outwards (wall-eye or exotropia); less commonly it looks upwards (hypertropia) or downwards (hypotropia). Other words to describe these conditions are ‘cast’ and ‘turn’. The phrase ‘evil eye‘ has also doubtless been used in association with squint. Where a squint remains uncorrected the person who has it is often forced to adopt an unusual, even grotesque, head- posture, adding to a general impression of unsightliness. But because the squint sufferer has the potential for normal stereoscopic vision the treatment of squint is an important ophthalmic activity. Read the rest of this entry »
Where cataract is due to abnormal body metabolism, then treatment of the metabolic disorder can sometimes prevent development of cataract, or even reverse cataract where cataract has begun. Diabetes mellitus is a good example of this. Otherwise metabolic cataract can be treated by conventional methods. It should be said at once that in most countries of the world eye-drops and medicines of ill-founded clinical value, and rarely backed by any sound medical trials, are still available. Read the rest of this entry »
