Re: Clarifying the statment "over 70 percent myopic"


<otisbrown@xxxxxx> wrote

> What do you tell the parents:
>
> 1. Do not wear that minus lens -- unless absolutly
> necessary. Take it off at all other times.
>
> 2. Wear that -2 diopter lens ALL THE TIME.
>
> What do you recommend?

Parents have enough issues as it is. I recommend NOT creating another issue.

I recommend NOT correcting infants with myopia less than 3 diopters.

I recommend NOT correcting toddlers with less than 2 diopters.

I recommend NOT correcting older children unless their myopia interferes
with their education or well-being.

I recommend parents require myopic children to wear glasses full-time ONLY
if they're likely to lose the glasses by having them off and on.

I recommend parents NOT listen to every Internet lunatic because the best
evidence is that wearing or not wearing glasses makes only a very minor
difference either way.

I recommend AGAINST undercorrection because two large studies found it
potentially detrimental.

I recommend AGAINST bifocals or plus lenses because none of the large
studies employing these techniques have shown significant, reliable effects.

When parent's opinions have been swayed or distorted by weird advice and the
parents don't believe me, I recommend they ask their PEDIATRICIAN, because
if some "therapy" or other were of any benefit to children, it's their job
to know.

-MT


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