Human vision, visual correction, and visual science

Bates method

Some interest in the Bates Method of vision improvement appeared in this
group today.  I hope that Bates can be quickly laid to rest.

Bates’ method and his book, _Better Eyesight Without Glasses_, have
enjoyed a bit of a renewal in the last 15-20 years among natural-health
adherents.  (I myself accept many of the concepts of the latter.)  But
enthusiasm for Bates is as misplaced as for homeopathy, a similarly
pseudoscientific quackery.

For one thing, Bates made many claims that were never, and will never be,
supported by well-designed (or any) studies.  He claimed that all
eyesight maladies were a result of the eyes being insufficiently relaxed,
and his exercises were supposed to improve relaxation.  I think he was
wrong on both counts.

Some of what Bates recommended is probably dangerous, such as leaving
eyes unprotected from strong sunlight and letting the sun directly fall
on closed eyelids.

Bates made wild claims for the results of his regimen.  He said that his
patients could view the moons of Jupiter and the crescent phase of Venus
with unaided eyes.  Both of these abilities are probably available to a
tiny fraction of the population; they are not abilities that plausibly
could be gained by many people.  I don’t remember if he also claimed that
his patients could see the rings of Saturn, something that is quite
impossible without a well-made telescope.

Bates also said that eyeglasses make one’s vision progressively poorer,
and that reading deteriorates eyesight acuity.  I’m less sure that either
of these claims is wholly false, although I’ve heard both disputed.  What
do the optometrists on this group think?

Billy Kreuter
bil…@u.washington.edu

Comments (9)




9 Responses to “Bates method”

  1. admin says:

    In article <Pine.A32.3.91a.941027210852.61709A-100…@mead1.u.washington.edu>,
    William Kreuter  <bil…@u.washington.edu> wrote:
    >Some of what Bates recommended is probably dangerous, such as leaving
    >eyes unprotected from strong sunlight and letting the sun directly fall
    >on closed eyelids.

    I’m not sure I understand why it could be dangerous to have the sun
    directly fall on closed eyelids (unless the light is extremely strong,
    like in high altitude mountains (snow reflexion)).

    >Bates also said that eyeglasses make one’s vision progressively poorer,
    >and that reading deteriorates eyesight acuity.  I’m less sure that either
    >of these claims is wholly false, although I’ve heard both disputed.  What
    >do the optometrists on this group think?

    That’s interesting to know that Bates what claiming that reading
    deteriorates eyesight acuity since some of his followers (or
    ppl referring to his work) were claiming exactly the contrary and
    used reading as a treatment method.

    Even though I have been quite disappointed in the result of the
    Bates method and would tend to adopt the current view that "it just
    doesn’t work", I believe that his main idea still hold some truth:
    "a good eyesight is the result of perfectly relaxed organs
    performing uncontrol actions".

    That would tend to corroborate by experience. Before becoming
    myopic (from the age of 16) I remember that I was hardly concious
    of performing any effort to see things. Also, never knew what
    eye strain was. Even though from the age of 11 I had a computer
    I was regularly working (or playing) with, sometime for
    extended period of time, I still didn’t have any sensation/notion of
    my eye being tensed.

    It’s only after becoming myopic that I realized how much I had become
    conscious of my eye in terms of how I was trying to control them and
    also how I could feel them tensed.

    So, I would naturally tend to accept the fact that going back to the
    former state of relaxation and uncontrol of the vision system is
    the right way to improve vision. Of course, my conceptions are
    based mainly on my experience of myopia and is probably not applicable
    to most of other visual problems.

    Beside the Bates method, behavioral optometry and accomodation biofeedback
    are probably more modern and efficient ways to provide this type of
    relaxation, though I don’t believe they are final solutions (given
    their limitations).

    Erol Basturk

  2. admin says:

    William Kreuter (bil…@u.washington.edu) wrote:

    : I don’t think I saw this in the FAQ’s chapter on interpreting Snellen
    : acuity.  Is there any practical way to estimate a person’s Snellen ratio,
    : given their prescription in diopters?  

    Short answer is ‘no’. There are some general ‘rules of thumb’ that can
    be applied to the loss of lines of the chart and the power/prescription.
    But in general this is only a rough guide since compound prescriptions,
    i.e, spherical and astigmatic combinations.

    : One reason why I ask is that
    : Snellens seem to have gone out of use in the Seattle area.  My
    : optometrists don’t seem to think that the ratio is very useful when I ask
    : them what mine is.

    grant

    Grant Sayer
    Optometrist
    EMAIL: gra…@research.canon.oz.au                PHONE: +61-2-805-2937
    SNAIL: Canon Information Systems Research Australia
           1 Thomas Holt Drive, North Ryde, Australia 2113

  3. admin says:

    William Kreuter (bil…@u.washington.edu) wrote:

    : My site just started receiving this group this week, so I apologize if I’m
    : repeating anything from recent threads.  I was interested in the details
    : given in the FAQ of RK and PRK.  These procedures, particularly RK, are
    : widely advertised in the Seattle area.  However, every optometrist that
    : I’ve spoken to (three so far) has strongly advised against these
    : operations.  Although my initial assumption was that it was a pocketbook
    : issue for them, the more I find out, the more skeptical I feel that RK or
    : PRK is a good deal.

    : According to the FAQ, something like 64% of RK patients "don’t need
    : glasses or contacts" after their eyesight has stabilized after surgery.
    : First of all, this implies that for one-third of patients, the surgery is
    : unsuccessful in eliminating the need for correction.  But with regard to
    : PRK, the FAQ also reports, "After 6 months 63% (19 eyes) were within [one
    : diopter] of a zero correction."  Can I safely conclude that for the RK or
    : PRK practitioner, an attained prescription of one diopter needs no
    : correction and ought to be satisfactory for the patient?

    : My own prescription is OD -0.25 -0.75, OS -2.00 -0.75.  Because I highly
    : value seeing fine detail, a few years ago I resumed wearing glasses all
    : the time, even though I pass the driver’s vision test easily with no
    : correction.  The idea that a one-diopter prescription needs no correction
    : doesn’t seem acceptable to me.  My optometrists have also told me that my
    : correction is too slight for the RK surgeons to do much with, particularly
    : in my good (right) eye — so I could spend $2500 and have vision not much
    : better than what I see right now without my glasses.

    : I also don’t see that RK or PRK provides stable results.  My prescription
    : changes about a quarter diopter per year, for better or worse.  There’s no
    : suggestion in the FAQ that it wouldn’t continue to do so.  Again, if one
    : diopter is the standard, then I could expect many years of such
    : "stability."  But if one values high resolution as I do, then an operation
    : that doesn’t prevent a quarter-diopter shift is underperforming.

    : Similarly, is RK or PRK able to prevent the onset of presbyopia?  I’m 39
    : and have perfect reading vision.  In ten years I probably won’t.  Don’t
    : RK and PRK completely ignore this problem?

    : Billy Kreuter
    : bil…@u.washington.edu

  4. admin says:

    In article
    <Pine.A32.3.91a.941027200952.61820A-100…@mead1.u.washington.edu>

    William Kreuter <bil…@u.washington.edu> writes:
    >Similarly, is RK or PRK able to prevent the onset of presbyopia?  I’m 39
    >and have perfect reading vision.  In ten years I probably won’t.  Don’t
    >RK and PRK completely ignore this problem?

    They certainly do — and I think it is absolutely scandalous that this
    industry does not inform potential patients about this problem.

    My evidence comes from reading this group and some others. Many
    peoiple ask about the safety and compliocation rate of the procedures,
    but every one of them so far seems to believe that if the procedure
    works, they will never need glasses.

    I have little accomodation left, but I consider myself fortunate to be
    myopic enough to read without glasses, remove splinters, disassemble
    tiny machinery, etc.  I need glasses for driving, reading distant
    signs, and so forth. So, if I lose my glasses I’m not professionally
    handicapped.  I do wear glasses most of the time anyway, because in my
    exciting life I’ve had lots of close calls with exploding test tubes,
    batteries, glowing chips flying out of grinding machines, and what
    not.  The eyeglasses are Varilux (continuous multifocus) but I take
    them off for reading anyhow because the in-focus field of view is not
    large.

    So, if you have *very* large correction needs, consider corneal
    surgery — but if you’re comfortably near-sighted, and expect to live
    past 40, don’t listen to those repair-hawkers.  In my opinion, because
    of this seemingly universal misconception, the FDA should require all
    advertisments to include a warning line: this "operation will not
    permanently keep you from wearing eyeglasses."

    .

  5. admin says:

    > min…@transit.ai.mit.edu (Marvin Minsky) writes:
    >>  William Kreuter <bil…@u.washington.edu> writes:
    >> Similarly, is RK or PRK able to prevent the onset of presbyopia?  I’m 39
    >> and have perfect reading vision.  In ten years I probably won’t.  Don’t
    >> RK and PRK completely ignore this problem?
    > They certainly do — and I think it is absolutely scandalous that this
    > industry does not inform potential patients about this problem.
    > My evidence comes from reading this group and some others. Many
    > peoiple ask about the safety and compliocation rate of the procedures,
    > but every one of them so far seems to believe that if the procedure
    > works, they will never need glasses.

    The doctor I consulted for PRK emphasised both in the documents he gave me
    and in conversations with him that PRK would not prevent me from needing
    reading glasses when I got older.  All he was willing to promise was that
    there was a good chance (not a guarantee) that I would not need glasses to
    correct myopia after PRK.

    I think you are misinterpreting what people mean when they say RK or PRK
    cured them of needing glasses.  When I say PRK cured me of needing glasses
    what I mean is that I don’t need glasses in order to carry out my day to
    day life.  Naturally as I age various parts of my body will no longer
    function as well as before and I may need assistance – including reading
    glasses.  Needing an aid to perform a particular task is very different to
    needing an aid to function at all.  Prior to PRK I couldn’t do anything
    safely without wearing my glasses, not even walking from the bedroom to the
    bathroom.  Moreover I didn’t _look_ for my glasses on the bedside table
    when I woke up, I _groped_ for them.  It is difficult to describe the
    euphoria I felt when I woke up after PRK, opened my eyes and could _see_.

    Barbara

    b…@syseng.anu.edu.au
    "A hard man is good to find." – Mae West

  6. admin says:

    In article <393k62INN…@life.ai.mit.edu> min…@transit.ai.mit.edu (Marvin Minsky) writes:
    >In article
    ><Pine.A32.3.91a.941027200952.61820A-100…@mead1.u.washington.edu>
    >William Kreuter <bil…@u.washington.edu> writes:

    >>Similarly, is RK or PRK able to prevent the onset of presbyopia?  I’m 39
    >>and have perfect reading vision.  In ten years I probably won’t.  Don’t
    >>RK and PRK completely ignore this problem?

    >They certainly do — and I think it is absolutely scandalous that this
    >industry does not inform potential patients about this problem.

            Being a biology major, Navy Hospital Corpsman (we have no such
            thing as former), and a thinking individual I figured out for
            myself that as I got older I would have the same problems
            people with normal vision at my age have as they got older.
            But my doctor also informed of this and also informed me that
            he tries to keep his patients a little myopic so that as they
            get older they will get closer to 20/20.

    >My evidence comes from reading this group and some others. Many
    >peoiple ask about the safety and compliocation rate of the procedures,
    >but every one of them so far seems to believe that if the procedure
    >works, they will never need glasses.

            ****************************
            It is unfortuante if somebody would think this, but I’m sure that if
            they thought it through they would see that as they got older
            they would need correction just like everybody else.

    >So, if you have *very* large correction needs, consider corneal
    >surgery — but if you’re comfortably near-sighted, and expect to live
    >past 40, don’t listen to those repair-hawkers.  In my opinion, because
    >of this seemingly universal misconception, the FDA should require all
    >advertisments to include a warning line: this "operation will not
    >permanently keep you from wearing eyeglasses."

            I concur, PRK could over adjust and then you’re out of luck.
            As you get older you’ll get more and more far-sighted.
            On the other hand if you’re 20/425 like I was, PRK
            correction to OD 20/30 OS 20/20 is a godsend.

            David

    ——————————————————————–
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  7. admin says:

    In article <BFLS.94Nov1094…@hughes.anu.edu.au> b…@hughes.anu.edu.au (Barbara La Scala) writes:

    >> min…@transit.ai.mit.edu (Marvin Minsky) writes:
    >>>  William Kreuter <bil…@u.washington.edu> writes:
    >> They certainly do — and I think it is absolutely scandalous that this
    >> industry does not inform potential patients about this problem.

    >> My evidence comes from reading this group and some others. Many
    >> peoiple ask about the safety and compliocation rate of the procedures,
    >> but every one of them so far seems to believe that if the procedure
    >> works, they will never need glasses.

    >The doctor I consulted for PRK emphasised both in the documents he gave me
    >and in conversations with him that PRK would not prevent me from needing
    >reading glasses when I got older.  All he was willing to promise was that
    >there was a good chance (not a guarantee) that I would not need glasses to
    >correct myopia after PRK.

            My doctor did the exact same thing, but my own commoon sense
            made this deduction also.

    >I think you are misinterpreting what people mean when they say RK or PRK
    >cured them of needing glasses.  When I say PRK cured me of needing glasses
    >what I mean is that I don’t need glasses in order to carry out my day to
    >day life.  

            I’m 24 so probably for the next 20+yrs I won’t need visual
            assistance.  Well worth US$3000.  While as I aged my vision
            would have gotten better I doubt theat in the next 50yrs my
            vision would have gone from 20/425 to 20/20.

    >Prior to PRK I couldn’t do anything
    >safely without wearing my glasses, not even walking from the bedroom to the
    >bathroom.  Moreover I didn’t _look_ for my glasses on the bedside table
    >when I woke up, I _groped_ for them.  It is difficult to describe the
    >euphoria I felt when I woke up after PRK, opened my eyes and could _see_.

            Hear, hear.  It seems Barbara and I were in the same boat.  SCUBA
            was OK when I wore glasses, fun when I wore contacts and is downright
            exciting now that I need no assistance.  Parachuting, rollerblading,
            biking, going to the bathroom at night :v)  Intimate situations.  I can
            actually look at my alarm claock across the room at night
            and read it!

            I can go someplace and not have to ask my host if they have a
            glass I can put my contacts in and some close-to-sterile-water
            and hope that nobody drinks my contacts as I sleep.

            David

    ——————————————————————–
    David E. Stewart                        Slavic Language DTP
    Mir DeskTop Publishing                  Documentation, Graphics, Flyers,
    2647 Ellendale Pl #201                  Restaurant Menus, Letters
    Los Angeles, CA 90007-2235  USA         Newsletters, Manuals,
    email deste…@usc.edu               Business Cards
    VOX/FAX 213 731 1775                    

  8. admin says:

    Marvin Minsky (min…@transit.ai.mit.edu) wrote:

    : In article <Pine.A32.3.91a.941027200952.61820A-100…@mead1.u.washington.edu>
    : William Kreuter <bil…@u.washington.edu> writes:

    : >Similarly, is RK or PRK able to prevent the onset of presbyopia?  I’m 39
    : >and have perfect reading vision.  In ten years I probably won’t.  Don’t
    : >RK and PRK completely ignore this problem?

    : They certainly do — and I think it is absolutely scandalous that this
    : industry does not inform potential patients about this problem.

    : My evidence comes from reading this group and some others. Many
    : peoiple ask about the safety and compliocation rate of the procedures,
    : but every one of them so far seems to believe that if the procedure
    : works, they will never need glasses.

      Well, I guess I’ll be the first to speak for the other side.  Before
    I had the 2nd operation on either eye, my doctor asked me directly if
    I wanted him to go for 20/20 or if I wanted to be a little near sighted
    to correct for going far sighted in my 40′s.  I choose staying slight
    near sighted, and my sight varies a little either side of 20/30 today.
    I strongly suspect it depends upon the doctor and how long they’ve been
    doing RK’s or PRK’s.  I choose one who had been doing them for about 7
    years as opposed to the dozen or so "me too’s" who have started advertising
    locally the last year or so.

    : So, if you have *very* large correction needs, consider corneal
    : surgery — but if you’re comfortably near-sighted, and expect to live
    : past 40, don’t listen to those repair-hawkers.  In my opinion, because
    : of this seemingly universal misconception, the FDA should require all
    : advertisments to include a warning line: this "operation will not
    : permanently keep you from wearing eyeglasses."

      My sight at the time of the first operation was:

           Sphere     Cyl     Axis
    O.D.    -8.75   +1.50     130
    O.S.    -8.25   +1.50      55

      or so the card I kept as a keepsake says.  I had gotten to the point
    where I had to stare at my computer screen using a small portion of the
    center of my glasses.  If I didn’t scan the screen slightly with my head,
    I got to watch the color dots seperate into static because of the color
    aberations caused by my thick lens.

      I drove my doctor nuts asking questions he’d almost never heard from
    any of his other patients.  He always tried to answer them though and
    was always _more_ than willing to discuss possible problems or drawbacks.


    Brian W. Antoine        "… and all of your family too!" laughed Jon from the
    Senior Networking Eng       center of the crater below me.  I didn’t even stop
    Olivetti North America \|/     to think, I just acted.  Powered by my rage and
    E. 22425 Appleway     –*–     a star, the largest laser in existance flashed
    Spokane, WA 99219      /|\  into being and the Lunar Farside became his grave.
    http://tau-ceti.isc-br.com/ =========== From the Stories of the Family Nas Kan

  9. admin says:

    Barbara La Scala (b…@hughes.anu.edu.au) wrote:
    : The doctor I consulted for PRK emphasised both in the documents he gave me
    : and in conversations with him that PRK would not prevent me from needing
    : reading glasses when I got older.  All he was willing to promise was that
    : there was a good chance (not a guarantee) that I would not need glasses to
    : correct myopia after PRK.

      Mine wouldn’t promise a thing.  All he would give me was 60/40 odds
    that I would be able to qualify to drive a car without glasses, since
    that was my goal when I started.

    : I think you are misinterpreting what people mean when they say RK or PRK
    : cured them of needing glasses.  When I say PRK cured me of needing glasses
    : what I mean is that I don’t need glasses in order to carry out my day to
    : day life.  Naturally as I age various parts of my body will no longer
    : function as well as before and I may need assistance – including reading
    : glasses.  Needing an aid to perform a particular task is very different to
    : needing an aid to function at all.  Prior to PRK I couldn’t do anything
    : safely without wearing my glasses, not even walking from the bedroom to the
    : bathroom.  Moreover I didn’t _look_ for my glasses on the bedside table
    : when I woke up, I _groped_ for them.  It is difficult to describe the
    : euphoria I felt when I woke up after PRK, opened my eyes and could _see_.

      Amen.  Hitting 20/20 on that stupid chart, even though my eye was
    still watering like mad, made it all worth it the morning after the
    first operation.  They didn’t stay 20/20 over time, but they stayed
    good enough that I haven’t worn glasses in over a year now.


    Brian W. Antoine        "… and all of your family too!" laughed Jon from the
    Senior Networking Eng       center of the crater below me.  I didn’t even stop
    Olivetti North America \|/     to think, I just acted.  Powered by my rage and
    E. 22425 Appleway     –*–     a star, the largest laser in existance flashed
    Spokane, WA 99219      /|\  into being and the Lunar Farside became his grave.
    http://tau-ceti.isc-br.com/ =========== From the Stories of the Family Nas Kan

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