A Battlefield of Bad Eyes

"If blind students can earn college degrees, surely we can make arrangements so that myopic children can see the blackboard without resorting to glasses. They can be allowed to sit in the front rows, the teacher can write larger, the blackboard can be better lighted." — Donald S. Rehm, The Myopia Myth, 1981, 2001.

In building out a science report scene for CONES, I researched some stats on eyeglasses. Though the numbers don't always add up and vary from source to source, the consensus is that most adults now wear glasses, and that the number of North Americans with myopia (nearsightedness) has just about doubled in the past 50 years. Most sources agree that the uptick in myopia is due to people spending more time indoors looking at screens, and that more "traditional" activities (i.e., hunting and farming) would be a way for people to prevent myopia.


What people disagree on is what to do to treat myopia. Modern optometry leans toward "correction" through prescription, and a lot the websites advocating for this are run by prescription lens companies and optometrists who do not mention vision therapy and lifestyle changes that could help strengthen the eyes. Meanwhile, more people are asking, "Do glasses make my eyes worse?" The optometry professionals at the top of a search results who say, "No," primarily defend glasses as a solution by citing age-related presbyopia, or farsightedness resulting from the harding of our lenses (the natural ones in our eyes just behind the cornea). But what about the myopia that more and more of us are experiencing earlier in life?

Donald S. Rehm, an engineer and founder of the Myopia Prevention Association, has an interesting treatise on how corrective lenses can make myopia worse. Rehm presents some good optical science and relates it to eye physiology to demonstrate how lenses typically prescribed for nearsighted people can do a lot of damage in attempting to correct a person's vision. While Rehm's view (and earlier, Dr. William H. Bates, who advocated for getting rid of glasses) is unpopular in mainstream optometry, it opens up many questions that many conventional eye doctors have long been silencing: Why has myopia been on the rise? And why do most people with myopia need to get stronger lenses every year?

My experience as a person with myopia is that optometry has been a battleground between these two camps. People like Rehm and Bates (who don't fully agree with each other), or vision therapists like Meir Schneider, are cast to the fringes for their outspokenness (and it doesn't help that most of these guys' websites look like they were designed by 8th graders in the mid-1990s). Many other functional optometrists share these dissenting views, but have learned to keep quiet about it in order to continue working. This is very upsetting to those of us with severe myopia, left as casualties on this battlefield, not knowing whom to turn to for support. This blog and the piece I'm making are a step toward finding that support.