Saturday, November 15, 2008

Mainos Articles

One advantage of doing a blog, is that from time to time you can be somewhat self indulgent. In this case, I'm going to make available a semi-list of articles I've written either abstracts or full text. Forgive me this indulgence....if you are interested, enjoy...if not, well that's OK...just wait for my next blog posting that is more interesting... DM


The Airlines’ Manual of Practice Management for Optometry


The Seven Habits of Highly Successful Writers


Optometry: A Primary Eye AND Vision Care Profession for All Ages

"he tan, he epi tas" With This or Upon This

Playing the Game

The Hero

It's Small! It's Alive! And It's in your Chair!

Stereo Sue(lutions)!

Diversity thy Name is Optometry

Limited Research and Education on Special Populations in Optometry and Ophthalmology

Myopia: Can Its Progression Be Controlled?

Effect of CX516, an AMPA-modulating compound, on cognition and behavior in fragile X syndrome: a controlled trial.

Cognitive and visual processing skills and their relationship to mutation size in full and premutation female fragile X carriers.

Alport syndrome: a review.

Side effects of chemotherapeutic oculo-toxic agents: a review.

Ocular anomalies of individuals with mental illness and dual diagnosis.

Ocular anomalies of individuals with mental illness and dual diagnosis.

The fragile X female: a case report of the visual, visual perceptual, and ocular health findings.

Effect of resisting tonometry on intraocular pressure.

Prader-Willi syndrome.

Ocular manifestations of Sotos syndrome.

Angelman syndrome.

Optometric findings in the fragile X syndrome.

Mental retardation syndromes with associated ocular defects.

Ocular anomalies in fragile X syndrome.

Poland-Möbius syndrome: a case report.

The mentally handicapped patient: a perspective.

Microcomputer mediated visual developmental and perceptual therapy.

OK...happy reading! DM


Pickwell LD, Hampshire R. Convergence insufficiency in patients taking medicines. Ophthalmic Physiol Opt. 1984;4(2):151-4.

The incidence of convergence insufficiency in patients taking medicines is compared with its incidence in patients taking no therapeutic drugs, in a sample of 648 taken from a normal optometric practice. It is found that the incidence was significantly higher in those patients on medicines considering the group as a whole. It is also found to be higher in older patients, and that most of the older patients were taking medicines whilst the younger patients were not. However, the increase in the incidence of convergence insufficiency in the older patients taking medicines was disproportionately high. It is concluded that age is not the only factor in the increased incidence, and that the taking of medicines as a possible indicator of poor general health, is also an important factor in the cause of convergence difficulties.

Comments: I work with adults who have mental illness and intellectual disability...AKA the Dually Diagnosed. All are on multiple major neuro-psychotropic meds. I haven't noticed more CI....but I haven't particularly looked for it either! I will from now on!

CI is not a problem that affects only children. We need to diagnose and treat adults as well.

Watch for an article in Optometry, the Journal of the American Optometric Association, about this special group of patients and their ability to express symptoms/complaints related to their visual systems. ICO faculty member, Robert Donati, PhD and I just submitted our "rewrite" to the editors/peer reviewers of the journal. Hopefully, this will be accepted for publication soon. DM

A Test for Macular Degeneration

I know...usually I have information here about childrens' vision....but this seemed worthwhile to pass along to my "adult" readers! DM

CI Clinical Trial

If you haven't read and fully committed to memory the outcomes of the CITT randomized, placebo controlled clinical trial that shows in-office optometric vision therapy is the one best treatment for convergence insufficiency....please do if right now by clicking right here! DM

Friday, November 14, 2008

Information From COVD

Upcoming Meetings

CNBC Friday Seminar:
Atypical Visual Development in Infants at Risk for Autism Spectrum Disorders (ASD)
December 5, 2008 at 12:30 pm
CNBC Conference Room 115
Mellon InstitutePittsburgh, PA
Contact: Patricia Lemer

Southern California Vision Therapist Forum
April 17-18, 2009
Handlery Hotel
San Diego, California

Robert Wold, Southern California Behavioral Vision Seminar
Presenting: Carl G. Hillier, O.D., FCOVD
April 19-20, 2009
Handlery Hotel
San Diego, California

77th International Conference on Light and Vision
College of Syntonic Optometry
April 30-May 2, 2009
Fallsview MarriottNiagara Falls, Ontario, Canada
Contact: Ron Wahlmeier

COVD 39th Annual Meeting
College of Optometrists in Vision Development
October 13-17, 2009
Denver Marriott Tech Center
Denver, Colorado
COVD 40th Annual Meeting

College of Optometrists in Vision Development
October 12-16, 2010
Rio Mar Beach ResortRio Grande, Puerto Rico

Charles Bonnet syndrome

From AOAs First Look...

U.K.'s Royal College of Ophthalmologists issues guidelines on Charles Bonnet syndrome.

On its website, BBC News (11/14) reports that patients with Charles Bonnet syndrome, "a purely medical condition in which the brain tries to make sense of the signals from damaged eyes," may typically "see patterns of grids or figures, depending on which areas of the brain are being stimulated by the damaged nerves." Others have seen "gargoyle faces appearing from the television, packs of black dogs in their homes, and strange figures in wartime dress in their gardens." These hallucinations may cause people to "fear they are becoming mentally ill or suffering dementia." Even though the condition affects "up to 100,000 people in the U.K.," still "many people who lose their sight, through conditions, such as macular degeneration" or cataracts, "are not warned that they are likely to experience" these hallucinations. Therefore, the Royal College of Ophthalmologists is now "issuing new guidelines to all eye specialists to explain the condition" to their patients.

Education May Protect Against Alzheimer's

Education May Protect Against Alzheimer's

Greater education may help buffer against amyloid plaques and other brain pathology linked to Alzheimer's disease, U.S. researchers said. Scientists at the Alzheimer's Disease Research Center at Washington University School of Medicine in St. Louis found some study participants whose brain scans revealed brain plaques deposits of protein that have been linked to Alzheimer's disease still performed well on tests of their c ognitive ability....

Comments: Education at any age NEVER goes to waste. I hope to continuing my learnging forever. DM

Healthy Eating: Artificial food additives affect children’s behavior

...Research from a study of 297 children published in The Lancet found a significant number of children became more inattentive, impulsive and hyperactive when given a test drink with artificial additives. (The subjects were from the general population, not diagnosed with attention deficit hyperactivity disorder.) In England, where the study was conducted, people are calling for the additives to be banned from the food supply because the effects can lead to reading and other problems in school....

Comment: One study should not be enough to call for the ban of's an example of folks going overboard because a study supports their beliefs. Whoa! Let's look at all the studies that have been done and then decide on a course of action. DM

Thursday, November 13, 2008

For children, refractive options abound

...Cataract surgery, LASIK, and phakic IOL insertion all can be challenging enough to perform successfully in the adult population. Those challenges can intensify in the pediatric population, but they must be embraced when a child is at risk for amblyopia and cannot tolerate spectacle wear....

Comments: All of the above must ONLY be considered as a LAST resort. Because children are still growing...and have many years to do so...we have no idea what the final outcome and risks are. Go into this most carefully! DM

Wednesday, November 12, 2008

Robots Show That Brain Activity Is Linked To Time As Well As Space

...Humanoid robots have been used to show that that functional hierarchy in the brain is linked to time as well as space. Researchers from RIKEN Brain Science Institute, Japan, have created a new type of neural network model which adds to the previous literature that suggests neural activity is linked solely to spatial hierarchy within the animal brain. Details are published November 7 in the open-access journal PLoS Computational Biology....

Gene Expression In The Brain Can Be Altered By Social Interactions,

...Our DNA determines a lot about who we are and how we play with others, but recent studies of social animals (birds and bees, among others) show that the interaction between genes and behavior is more of a two-way street than most of us realize. ...

Pycnogenol Cut Jetlag Symptoms In Half For Passengers Taking 7- To 9-hour Flights

...A new study published in the journal of Minerva Cardioangiologica reveals Pycnogenol, pine bark extract from the French maritime pine tree, reduces jetlag in passengers by nearly 50 percent. The two-part study, consisting of a brain CT scan and a scoring system, showed Pycnogenol lowered symptoms of jetlag such as fatigue, headaches, insomnia and brain edema (swelling) in both healthy individuals and hypertensive patients. Passengers also experienced minimal lower leg edema, a common condition associated with long flights. ...

Comments: Now they tell me! As you know, I just got back from Norway....I certainly could haved used some Pycnogenol!! DM

Homeopathy: New Evidence

...Two new studies conclude that a review which claimed that homeopathy is just a placebo, published in The Lancet, was seriously flawed....

Unusual Use Of Toys In Infancy A Clue To Later Autism

...Researchers at the UC Davis M.I.N.D. Institute have found that infants later diagnosed with autism exhibited unusual exploration of objects long before being diagnosed. Studying a group of children at high risk for developing autism, the researchers found that those eventually diagnosed with the disorder were more likely to spin, repetitively rotate, stare at and look out of the corners of their eyes at simple objects, including a baby bottle and a rattle, as early as 12 months of age. ...

Link Found Between Brain Injury When Young And ADHD

....researchers have found that early head injury is indeed associated with a subsequent diagnosis of ADHD....

Sleep Disorders and the Eye

...One of the most common sleep disorders, obstructive sleep apnea, has been associated with a variety of eye diseases, including glaucoma, nonarteritic anterior ischemic optic neuropathy, floppy eyelid syndrome, papilledema, and continuous positive airway pressure–associated eye complications. Nocturnal lagophthalmos manifests during sleep and is defined as the failure to fully close the eyelids at night. Finally, blindness is associated with increased risk of circadian rhythm disorders. ....

Comments: Sleep well. Sleep often. I am a big fan of naps...almost any time! DM

Tuesday, November 11, 2008

CITT Study in AOA News


I have no financial interest in this conference....but I do know many of the speakers. If you need/want/desire good practice management presentations. These folks should do an excellent job!

The speakers include but are not limited to:

DR. MARK Wright


Kraskin Invitational Skeffington Symposium on Vision


Dear Colleague:

I am pleased to invite you to attend and participate in the 54th Annual Kraskin Invitational Skeffington Symposium on Vision. The Symposium will be held on Saturday, Sunday, Monday, January 24, 25, 26, 2009. The Symposium will be held at a new location - the Hyatt Regency Bethesda in Bethesda, Maryland (in the Washington, DC area). The Symposium is sponsored by the Institute for Behavioral Optometry (IBO) and under the auspices of the Optometric Extension Program Foundation, Inc.

You are invited to present a paper on vision and/or visual training, clinical or theoretical, although this is not a requisite for attendance. To present, please see Registration Information and complete the Presentation Registration Form. Papers must be registered by December 20, 2008. A copy or synopsis of your paper must be received no later than January 14, 2009, so that our moderators may arrange a proper sequence of presentations.

The first twenty-five registered presenters will be guaranteed a presentation time. Requests for “day certain” and/or “time certain” presentations will be considered in the order received. It is expected that all presenters will be available throughout the duration of the Symposium.

The Symposium will begin PROMPTLY at 1:00 PM on Saturday, January 24, and conclude no later than 4:00 PM on Monday, January 26. Evening hours are scheduled on Saturday and Sunday. Registration includes Saturday dinner and the Sunday Symposium brunch. Pre-registration is strongly recommended and requested.

To register, see Registration Information complete the Registration Form and return. For Hyatt hotel reservations, please see Hotel Information, or directly contact the Hyatt Regency Bethesda at 1-301-657-1234 indicating that you are attending the “Skeffington Symposium”. Special Symposium hotel room rates have been arranged.

Cordially yours,

Jeffrey L. Kraskin, OD

South Florida Study Group

South Florida has an official monthly study group. We are getting together usually the second Tuesday of each month at NOVA at 7pm. If anyone is visiting the area we welcome you to join us. If anyone is living in the area and would like to come please let me know and I will be happy to send details of the next meeting. Contact Pauline at paulinekbuck@BELLSOUTH.NET for more info.

Last night we met and were joined by a local audiologist.
One very interesting take home thought was that when she is working children through the primitive reflexes she often uses music of low frequencies such as Gregorian chants to help stimulate the integration of the reflexes.

I have already found an online radio station playing and will give it a try today.

Just wanted to share the knowledge.
Have a great day.

Pauline K. Buck, OD, FAAO
Miami, Fl

VTOD List is Back!

The VTOD email mailing list is back and as strong as ever. However, you do have to send your email address to Dr. Bill Rainey to join...send this to Bill at and he will sign you up for the list! Do it!

Monday, November 10, 2008

Trends in the Prevalence of Chronic Medication Use in Children: 2002–2005

In the first quarter of 2002, prescription prevalence rates for ADD/ADHD medications were 3 times greater in males than females across all age groups. Consistently, unadjusted disease prevalence rates in a nationally representative US sample of children aged 8 to 15 years, were significantly higher in boys (11.8%) than girls (5.4%).

For females, however, rates of growth from 2002 to 2005 were approximately double those of males resulting in a narrowing of the gap from a 3.1 to a 2.5 male/female ratio by the end of 2005. Several reasons may explain this trend. By 2002, studies had suggested that the prevalence of inattentive-type ADHD, much less likely to be identified and treated, was higher in females than males, possibly leading to increased efforts by physicians to identify ADHD in females. In addition, some studies suggest internalizing behaviors and psychological symptoms among adolescent girls with ADHD are more common relative to younger girls and adolescent boys with ADHD. This may lead to increased referral for psychological care in adolescent girls, which allows for the diagnosis of ADHD to be made. ...

Comments: Drugs are easy...other forms of treatment difficult. It is unfortunate that many MDs use drugs before considering other forms of treatment. Drugs tend to be easy to use. They give us a quick fix...which if it works may be a good idea. We shoulds also remember that other forms of treatment are available as well. In the case of ADHD....many children exhibit binocular vision problems that should be diagnosed and treated.

About 60 percent of students identified as problem learners have undetected vision problems

The relationship between convergence insufficiency and ADHD.


Chicago Art Exhibition Ends

I had the pleasure of showing some of my photographs along with a group of artists associated with the Italian Cultural Center of Casa Italia (Stone Park, Il) at the Cook County Treasurer's Office in downtown Chicago over the past 4-6 weeks. If you would like to see some photos of this event and a YouTube video, please go to

Let me know what you think!


Sunday, November 9, 2008

Oculomotor studies of cerebellar function in autism.

...increased amplitude of intrusive saccades and reduced latency of target refixation after intrusive saccades were observed in individuals with autism, especially when subjects maintained fixation of remembered target locations without sensory guidance. The atypical metrics of intrusive saccades that were observed may be attributable to faulty functional connectivity in cortico-cerebellar networks.

Patterns of visual sensory and sensorimotor abnormalities in autism vary in relation to history of early language delay.

Visual motion perception and pursuit eye movement deficits have been reported in autism. However, it is unclear whether these impairments are related to each other or to clinical symptoms of the disorder. High-functioning individuals with autism and 46 control subjects participated in the present study. ...The autism group with delayed language acquisition had bilateral impairments on visual motion discrimination tasks, whereas the autism group without delay showed marginal impairments only in the left hemifield. Both autism groups showed difficulty tracking visual targets, but only the autism group without delayed language acquisition showed increased pursuit latencies and a failure to show the typical rightward directional advantage in pursuit. We observed correlations between performance on the visual perception and pursuit tasks in both autism groups. However, pursuit performance was correlated with manual motor skills only in the autism group with delayed language, suggesting that general sensorimotor or motor disturbances are a significant additional factor related to pursuit deficits in this subgroup. These findings suggest that there may be distinct neurocognitive phenotypes in autism associated with patterns of early language development.