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Ok, so you're saying that since the image does not get clearer when I pin-hole, it means the blurriness is not due to over-accommodation as the doctors suggested?
That's what I'm trying to get at with this question.
Because, if it's not due to over-accommodation, what could it be?
...and we can rule out all permanent conditions, like cataracts, retina, etc, because I can make the distant image very clear simply by straining (I'm not referring to squinting), although this becomes tiresome and give me a bad headache.
(They said I have no refractive error, no cataracts, healthy retina, healthy brain MRI, and my astigmatism is insignificant, yet the largest letter on the chart is just a blur, unless I strain really hard or I'm dilated)
Right, that's what I'm saying my question is. Please take another read.
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Yes, I'm still waiting on an answer to find out what could be causing my blurry vision if it's not due to over-accommodation.
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Yes, this is what I thought also and why I think the issue is not due to accommodation like they suggested. And this is the reason I'm asking the question. Thanks for taking the question, do you know the answer?
"...and we can rule out all permanent conditions, like cataracts, retina, etc, because I can make the distant image very clear simply by straining (I'm not referring to squinting), although this becomes tiresome and give me a bad headache.
(They said I have no refractive error, no cataracts, healthy retina, healthy brain MRI, and my astigmatism is insignificant, yet the largest letter on the chart is just a blur, unless I strain really hard or I'm dilated)"
That's ok, there must be a problem with the website that it is not showing you my question, which I sent to JustAnswer several times. It was: "what could be causing my blurry vision if it's not due to over-accommodation?" I already knew the answer to the pin-holing question, I was just confirming it prior to asking my question.
(The drops I've used are Atropine for 2 weeks. Are they strong enough like the drops you mentioned? What I don't understand, is the drops made distance less blurry, which suggests over-accommodation, but pin-holing does not improve distance, which suggests it's not over-accommodation.)
I can not read the largest letter on the chart, so I'm guessing that is worse than 20/30? If that's the case, then is sounds like it's something more than over-accommodation, and so I'm looking to know what it may be.
Thanks. Yes, the issue is present in both eyes equally, while the other is covered. (this means it's not due to alignment, right?)
It was not sudden. It began faintly in 2006 when I noticed I got tension headaches from straining when at places like movie theaters. It has gotten worse each year, and now I can barely see at all. The only time I notice it change, is that it gets worse when there is much going on visually, like when in a car or the isle of the supermarket. It also gets worse when I notice the blurriness and think about the fact it's occurring.
Regarding the pin-hole, it does not make the image clear, but I do notice that when pin-hole it requires less straining and effort to get the blurry image into focus. So to express this observation in another way... with no pin-hole it requires a lot of straining to get image into focus, and with the pin-hole it requires a medium amount of straining.
Yes, I am giving the highest rating now. And then we can continue with this follow-up:
I am able to get images much clearer by straining. Using pin-hole reduces the amount of straining required and results in an even clearer image than without pin-hole, but the fact remains that straining is required.
So what I understand you saying, is since clarity is possible (by combining straining and pin-hole), it's a "refractive" issue and should be correctable? It seems to make sense that my issue might be due to over-accommodation (though I would expect more improvement from pin-hole if that were the case). Does over-accommodation sound like the likely cause in my case, and if so, how can I stop it from occurring? Maybe specific eye drills I can do each day?
I tried -4.50 lenses, and they make distance clearer, but then I can't see anything near to me. I tried dilating drops, but then I'm too photo sensitive and can't see screens or when outside, even with dark sunglasses. Also, with my pupil that large, my lasik scar (15 yrs ago) causes distortion. So being dilated was just as bad or worse than not dilated.
Thanks for making me aware of the technique Accommodative Rock. I've researched it, and see it can be done with flippers or near and far Hart charts, but it seems this technique is designed to increase the patient's ability to accommodate as well as speed up the accommodative response. They say it will help the patient achieve focus at reading distance, and quickly switch from distance to near. I think I need the opposite... meaning a technique to release/relax the state of accommodation, and help me switch from near to distance. So in that case, what technique would be good to use?
(e.g. a method to decrease the tendency of positive accommodation and restore the ability of effortless negative accommodation.)
I notice that when my eyes are over-accommodated, they are also over-converged (crossed). I'm thinking the over-convergence will resolve as the over-accommodation is resolved because it's just following in harmony with the accommodative system? Or should a technique be used to address the convergence issue as well?
When you said:
"Accommodative Rock usually is used for a lack of convergence"
did you mean:
"Accommodative Rock usually is used for a lack of positive accommodation"
because that's what it looks like the technique is used for.
When you say: "These trainings can be used exactly in opposite to stimulate divergence and relaxation", how does one use them in the "opposite"?
OK, thanks. I will give another excellent rating.
but I asked how to do them "opposite" and your reply was to do them "in the reverse". These terms do not make it clear to me how specifically I should do them differently than they were designed.
Great, I gave an excellent rating for that one too.
When I went to places like Mayo and University of NY, they noted it puzzling that my vision changes when switching between my normal “relaxed” state, and a strained state, were the opposite of text books and how the system should supposedly work. (relaxing produced positive accommodation and convergence, while straining produced negative accommodation and divergence). What does the fact that it's the opposite of what's expected tell us?
Does the above observation match up and in agreement with the theory that my blurry vision is due to my muscles being locked in positive accommodation? If yes, then I ask the following:
When I strain very hard (not squint), I can compensate for the fact my accommodative muscles are locked in a tensed state. The feeling of this "staining" is hard to describe, but it's like the muscles of my eye-socket are squeezing the eye-ball, and maybe even increasing its internal pressure.
What am I doing to accomplish this? Could I be coordinating the tensing of all the extraocular muscles simultaneously in order to pull the eye inward and shorten the distance between the lens and the retina, therefor compensating for the excess lens curvature caused by the tensed accommodative muscles? What other structural mechanisms are there? Does there exist other muscles of the eye, that when tensed, could act to flatten the lens?
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still waiting for answer from current expert.
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OK, hopefully he responds.
For many years I've had problem of red eyes just like you see here:
I avoid "red-eye" drops, because the relief is only temporary and don't want to make the situation worse by weakening the blood vessels and creating a rebound effect. I eat healthy, take vitamins, anti-oxidants, flax oil, etc, and have tried using artificial tears.
The pictures you posted appear to be mild forms of episcleritis, which is a condition that causes an engorgement of the blood vessels on the front white surface of the eye. Episcleritis usually is not painful and is not associated with any discharge of the eye. It usually affects only a section of the white part of the eye.The pictures you displayed are not associated with a mass of tissue called a pinguecula, which is much more common than episcleritis. Check this picture to see if it resembles your eyes. http://lasereyesurgeons.net/pingueculaLook for an elevated region or even a yellowing underneath the dilated blood vessels. If it is a pinguecula then it can be removed via surgery.Episcleritis requires treatment, usually with steroid drops, which would require a visit to your optometrist or ophthalmologist. Differentiation between the two conditions (episcleritis or pingeucula) can be easily made with an examination.
There's no elevation or yellowing, so I don't think it's pinguecula.
Also, it's not a particular area of the eye like episcleritis.
It's more so visible vessels spread evenly around all white areas of both eyes. Like: http://i.istockimg.com/file_thumbview_approve/10078342/2/stock-photo-10078342-close-up-blood-shot-eye.jpg
So not Acular or something else?
Some sources suggest it could be a symptom of my Crohn's Disease. Could the other vision issues be from Crohn's too, or no?
ok, thanks, XXXXX XXXXX rate now.
To be sure I understand:
1. To clarify, my issue is not pain, just redness (maybe my dust allergy is a contributor, though they do not itch). Would Acular still not apply? If it does apply, is there a disadvantage to long-term use?
2. So you're saying Crohn's could be causing my blurry/double vision issues, or you're saying no, because if that were the case I would notice waxing and waning over the months?
ok, so I guess the botXXXXX XXXXXne is there's nothing I can do to reduce the red in the whites of my eyes?
From what I understand, they are giving you credit for each of these you answer; so if that is the case, I have another one for you that's right up your ally.
I bought some boxes of contacts, based on a trial pair I have, and I'm thinking I should take advantage of my opportunity to return them and get a full refund. Please give your comment based on the situation...
Contacts are mild Proclear Torics:
PL | -0.75 | 130
+0.5 | -0.75 | 30
They give me a small improvement in distance clarity, so that once I do correct the main issue of over-accommodation by straining (or in the future, vision therapy), they provide the small additional correction needed as determined by cycloplegic refraction exams.
But my question is this, they tend to drift around my eye creating frequent blurriness, and the next day my eyes are VERY dry for some reason, before I even put them back in. These two negatives seem to out weigh the small added clarity they provide. Are these things always going to exist for me because it's how I personally mix with contacts, or will these negatives go away after a few weeks? (I don't remember having these negatives when I wore contacts 20 years ago, but that was a long time, so I could have forgotten.)
I'm thinking to NOT use them... unless you feel these issues always go away, and perhaps the extra clarity they provide will help prevent my therapy-corrected accommodation problem from coming back?
ok thanks, XXXXX XXXXX plan to return the contacts, because you're saying their discomfort/movement and dryness are not likely to go away after a period of time, right?
And you're also saying there's nothing I can do to reduce the red in the white's of my eyes? right?
I found a source like this for flippers:
But wondering two things..
1. If I was to buy 3 of them, which powers should I get?
2. Since my issue requires use of the plus powers, couldn't I just get readers from my local store and lift them up and down in front of my eyes to create cycles?
(and here's a site with lots of options: https://www.good-lite.com/Details.cfm?ProdID=733&category=0&Secondary=0 )