Friday, March 7, 2008
Neuroplasticity occurs in the brain:
1- At the beginning of life: when the immature brain organizes itself.
2- In case of brain injury: to compensate for lost functions or maximize remaining functions.
3- Through adulthood: whenever something new is learned and memorized
Comment: It's amazing how functional optometry for decades has been saying you can change the way the brain works by altering the environment thru optometric vision therapy....now everyone is hopping onto the we can the change the brain bandwagon! DM
Larson C. Keeping your brain fit. US News & World Report. 2008;144(4):41-49
Brain Fitness Program
Big Brain Academy
My Brain Trainer
Radica Brain Games and Brain Games 2:
Comment: Optomtrists have been working with those with brain injury for decades using optometric vision therapy to improve patient abilities. Go to http://www.covd.org/ and http://www.nora.cc/ for more info. DM
We studied the benefit of active vision therapy in 910 pseudophakic amblyopic children and young adults suffering from unilateral congenital cataract. It was concluded that noninvasive active vision therapy helps improve visual acuity in the majority of subjects.
Several years ago I published the following articles:
Maino D. Binasal occlusion for the child with Cerebral Palsy. J Ill Optom Assoc 1986;44 (1):12,18. Maino D, Hechtman M, Meltzer P, Weinstein N. Binasal occlusion. Optom Mon 1985;May,208-9.
The Georgia case was "a very special situation in a child who was genetically predisposed" to develop neurological symptoms under stress, according to Julie Gerberding, M.D., the agency's director.
Comment: There is still not clear cut evidence as to what causes autism. It could be many different etiologies....or something we have not yet discovered. DM
Comment: Optometric Vision Therapy and or special computer glasses as perscribed by your optometrist can eliminated many of the problems associated with CVS.
Thursday, March 6, 2008
From:Ophthalmic Epidemiol. 2008 Jan-Feb;15(1):24-36.
The point in a ward round when-despite all efforts to look through the notes or access electronic systems-a particular result cannot be located. (From the world wide web error message "404 document not found.")
The pleasantly decorated and furnished palatial offices of trust management or the dean.
The flurry of pointless emails and paperwork that emanate from the adminosphere.
The (usually vain) attempt to answer the question, "How long have I got, doc?"
A session of mutual recrimination during which a multidisciplinary team attempts to apportion blame for some particularly egregious error.
Comment: It just goes to show you that politicians should not make speeches on subjects they know little about. (and I like McCain!!). I have reviewed the research....and their appears to be several possible links between multiple etiologies and autism. No one knows just yet what causes autism.
The UPI (3/6) reports that according to a survey released by the Health Resources and Services Administration, some "10.2 million U.S. children," or about 14 percent of them, "have special healthcare needs," and "[m]ore than one-fifth of U.S. households with children have at least one child with special needs." Of the reported special-needs cases, approximately "94 percent have a regular source of care when they are sick." In addition, the survey indicated that "families are struggling with the demands of caring for a special-needs child, with 12 percent of families requiring mental healthcare or counseling related to the child's medical, behavioral, or other health conditions."
Comment: All of these children require eye care as well. Many have strabismus, amblyopia, and other functional vision problems.
American Optometric Association says computer vision syndrome becoming more prevalent in Americans.
The Baltimore Sun (3/6, 1C, Cohn) reports, "Doctors say there is too much staring and not enough blinking [among Americans], and it is resulting in an annoying condition the American Optometric Association (AOA) terms 'computer vision syndrome.'" This "syndrome is not one defined disorder, but a collection of symptoms that is affecting people young and old who work, study, and play in front of a screen." Indeed, "[i]ndustry officials believe it's more widespread than repetitive motion injuries, such as carpal-tunnel syndrome." According to Martin Novey, O.D., "I ask about it as part of my [patients'] history when I do an exam now." In addition, the AOA states that "82 percent of respondents in a recent nationwide survey say they frequently use a computer or hand-held device, and 42 percent frequently use them for three or more hours a day." Moreover, the Journal of the American Optometric Association points out that most people fail to "blink or take enough breaks, their lights are too bright and their computer screens are positioned incorrectly," with the result that about "three-quarters of the computer users report eye problems."
Comment: CVS had make your eyes feel dry and fatigued and you may experience blur and seeing double. We at Northwest Optometric Associates can diagnose and treat this disorder. DM
...Dominick Maino, OD, MEd, FAAO, FCOVD-A, a professor at the Illinois Eye Institute and a doctor at Northwest Optometric Associates, says he takes time to sit down with a child to tell them not to put up with a bully. "Kids are sometimes picked on for wearing glasses, especially if they are the first one on the block to be wearing them," he says. Maino teaches kids how to stand up to a bully with role-playing, where he pretends to be the bully. "I explain to the child I'm working with, that if a bully is picking on them for wearing glasses it's because of the bully's own problems," he says. "Then I give the child a stack of my business cards and tell him or her that if the bully is bothering them to say: 'If you have a problem with me wearing glasses, call my doctor and he'll explain it to you!' Then, I tell them to hand over a business card and walk away."In the two decades that Dr. Maino has been using this technique he's gotten just one call from a bully. Most bullies give up—most likely because an authority (a doctor) is now involved, though indirectly. Dr. Maino is right in line with what KidsHealth tells parents to teach their children: when a bully is taunting you show them it doesn't bother you by not reacting, or by using humor, and then simply walk away.
Comment: We always want the very best frames and lenses for our patients and so do many parents! DM
Wednesday, March 5, 2008
The importance of seeing in 3-D extends beyond the movie theater, he continues. 'Any activity requiring depth perception or hand-eye coordination such as riding a bike, climbing stairs or even pouring milk on cereal can be affected if a child has problems seeing 3-D. This can have a profound negative impact on a child's ability to learn.'
Comment: Optometric Vision Therapy can improve your 3D vision. DM
Eye assessments from one in nine infants have shown an overall need for concern, according to new data collected by the American Optometric Association (AOA) via 10,000 InfantSEE(R) assessments conducted during 2006 and 2007. The overall need for concern has increased from one in 14 last year and clearly reveals a growing need for early vision examination in infants.The data also showed that the two groups at greatest risk for abnormal prescription status were those born prematurely and those from ethnic minority backgrounds.InfantSEE(R), a public health program developed by the AOA in partnership with The Vision Care Institute of Johnson & Johnson Vision Care, Inc., was designed to provide professional eye care for infants nationwide at no cost regardless of family income. The program launched in 2005 with support from former President Jimmy Carter, honorary national chair and spokesman. To date an estimated 125,000 to 150,000 babies have had their eye health and vision assessed.
Comments: Infants from 6-12 months can participate in this free public health program. Go to InfantSee's website for more information. Northwest Optometric Associates participates in this program.
Comment: It is now known that children may be patched for as little as 2 hours/day IF active hand-eye home therapy is given. Amblyopia does not only include problems with the clarity of vision (visual acuity) but also accommodation (focusing), visual spatial relationships, binocularity and more. Do not stop treating amblyopia until all the associated problems are also corrected. DM
[Comment: This is NOT true. There has been ample evidence that amblyopia is treatable at any age, but many eye doctors have confused the concept of "critical period" and when neuroplasticity no longer ocurrs. It seems that adults have plenty of time to be treated for lazy eye. DM]
...[amblyopia] affects about nine million people in the U.S. alone.Results from the laboratory study will be published online the week of Mar. 3 in PNAS Early Edition.Patients seeking treatment will need to wait for eye doctors to adopt the non-surgical procedure in their clinics, said Zhong-Lin Lu, the University of Southern California neuroscientist who led the research group.
Comment: Members of the College of Optometrist in Vision Developmemt have been treating adults with amblyopia for some time now....so have the doctors at Northwest Optometric Associates. DM
Comment: It has been found that even mild head injury can result in longterm dysfunction. although this study suggests fairly complete recovery of function, this need not be the case for all individuals.
Tuesday, March 4, 2008
Cognitive and Visual Processing Skills and Their Relationship to Mutation Size in Full and Premutation Female Fragile X Carriers.
Block, Sandra S. OD, MEd, FAAO; Brusca-Vega, Rita EdD; Pizzi, William J. PhD; Berry-Kravis, Elizabeth MD, PhD; Maino, Dominick M. OD, MEd, FAAO; Treitman, Theresa M. Cognitive and Visual Processing Skills and Their Relationship to Mutation Size in Full and Premutation Female Fragile X Carriers. Optometry & Vision Science. 77(11):592-599, November 2000.
Background: The fragile X gene contains an unstable trinucleotide (CGG) repeat that expands as it is passed from female carriers to the affected offspring. Obligate female carriers may have a premutation or full mutation genotype.
Methods: In this study, fragile X premutation and full mutation female carriers were compared on three tasks of visual processing and cognitive skills.
Results: In each case, there were significant differences between premutation and full mutation carriers on a number of the subtests or the full test scores. Specifically, full mutation female carriers performed more poorly in visual-motor processing and analysis-synthesis on the Woodcock-Johnson Psycho-Educational Battery-Revised, The Developmental Test of Visual Motor Integration, and on five of the seven subtests of the Test of Visual-Perceptual Skills. Regression analyses revealed significant negative correlations between mutation size and cognitive ability.
Conclusions: These findings have implications in educational planning decisions for full mutation carriers who may present with specific cognitive deficits.
Monday, March 3, 2008
Noted that: Surgery with preoperative orthoptic/occlusion (optometric vision therapy) therapy had the highest success rates. Surgery with orthoptic/occlusion therapy was more effective in reducing exodeviation (compared with surgery only.
Comment: Surgery can be done at almost any age for strabismus....but if surgery is an option, you may want to conduct optometric vision therapy first to improve your chance of successful outcomes.
Comments: Optometric Vision Therapy is evidenced based treatment for a variety of visual disorders. DM
Comment: There are many unwanted side effects with this drug. The more common side effects include headache, blurred vision and fatugue. DM
Comment: Although I see many children with LD....most have reading problems. We should not ignore those with difficulty in math. DM