„The crime against humanity“, „the tragedy which has no parallel, not even on the global scale“, „the case which emergently deserves to be addressed to the tribunals such as the EU Court of Justice,“ these are some of the words by which dr Kaisu Viikari, Ph.D. describes the situation in the eye care practice.
Dr Kaisu Viikari is the Finnish ophthalmologist, born in 1922, who during her long practice realized that majority of eye care practitioners maltreat our eyes instead of healing them and that it is so absurd that for many people it would be much better to instantly buy plus glasses from the local drugstore for close work then visit ophthalmologists who do not hesitate to prescribe those injurious minus lenses without performing refraction tests in accordance with lege artis. Even in 2015, age 93, this extraordinary scientist and human, fluent in German, English , Finnish and Swedish has been raising her voice against this intolerable practice and managed to use computer and internet helping “the maltreated patients” from all over the world without any remuneration.
Her very thoroughly elaborated findings were published in Tetralogia (1972), Panacea(1978) but her subject was faced with the reluctance of the most influential ophthalmologists in Finland. Obviously she addressed the taboo subject and faced with denial of scientific freedom of speech as she elaborated in “The Struggle: Never to be forgotten” published in 2011.
The crucial concept in this story is pseudomyopia (spasm of accommodation), i.e. false nearsightedness, which is produced by the accommodative strain which manifests in inability to see clearly distant objects due to the cramp of ciliary muscle. The significance of pseudomyopia is intentionally overlooked and pushed aside under the influence of profit interest in this field. According to dr Viikari when she addressed this issue at the congress held in Finland nobody of her Finnish colleagues could even understood what the pseudomyopia is.
Pseudomyopia (false nearsightedness) is also termed spasm of accommodation, accommodative excess, spurious myopia and because of strong eyepain some researchers also use the term painful accommodation and is crucial for understanding prevention of nearsightedness (myopia).
Myopia was very rare condition till the 20th century and it is progressively increasing. Early theories that genetic factor is the cause of myopia nowadays clearly proved as wrong. Namely, the real cause of myopia is accommodative strain which is caused by focusing to close distances for prolonged periods of time. “Stressed organ will become ill”. Such stress causes focusing muscle (ciliary muscle) to get into cramp (spasm) which manifests by pseudomyopia, i.e. false nearsightedness. If refraction is incorrectly done it is very possible that wrongfully minus glasses or too strong minus glasses would be prescribed which just fuel oil to the fire and increase the accommodative strain further. Accommodative strain may cause not only the blurred distance vision but also eyestrain, pain in and around the eyes, headaches, double vision (diplopia), migraines, blurred distance vision and finally to the elongation of the eyeball (true myopia) which is some kind of adaptation of organism to the constant close work visual demands.
Human eyes are not designed for the conditions we currently live in. Untill the 20th century majority of people were illiterate and spent almost all the time outdoors. Nowadays, in the era of digital technology, almost all people spend almost all their time doing close work. Naturally, people are born with hyperopia (farsightedness) and broad amplitude of focusing power which enables us to get the clear picture both at far and close distances. As we get older this focusing power decreases and manifest in blurred close vision and this condition is named presbyopia when plus (reading) glasses become necessary for close work.
After expansion of refractive surgery (LASIK, PRK, etc.) direct financial interest of eyecare professionals appeared majority of whom became not interested in preventing myopia but moreover in its development in order to force as many people as possible to undergo refractive surgery.
Impact of money on eye care professionals is clearly stated by the authors of the only one book ever written in Serbian language specially dedicated to refraction “Correction of refractive anomalies of the eye (Korekcija refrakcionih anomalija oka)“, by Aleksandar Parunovic and Dobrosav Cvetkovic, published in 1995, in which these distinguished professors of Faculty of Medicine, Belgrade University stated:
“From day to day the development of civilization demands from our eyes increasingly more. From the computer at workplace till TV at thome the man must see clearly, without strain and, of course, without damage to the eyes. It is understandable that everybody has the wish to see clearly, without strain but sometimes at any cost.
The fulfillment of these human needs are wholeheartedly offered by the army of manufacturers of glasses and contact lenses, opticians and also ophthalmologists. Beside the wish to help the patient all of them also find their own interest. The question is raised whether always everything is being done in the spirit of Hippocratic oath „I shall do everything in the best interest of the patient“ or in this there are some other interests. It is the task of ophthalmologists that, armed with knowledge and experience, protect not only the interest, but firstly the health of their patients.”
Refractive surgery is often advertised as some kind of routine “cosmetic” intervention but all the risks are not fully disclosed to the patients. That’s why many lawsuits around the world were started with high amounts of damages awarded by the courts for this kind of malpractice in cases of severe complications. Because of the quantity of patients who suffered damages from refractive surgery some law offices specialized in this subject of litigation.
dr Viikari stated in her “Struggle -never to be forgotten” that her work was much influenced by awareness of the significance of latent hyperopia (hidden farsightedness) and, in general, a deficiency in the plus direction, and the advice for prescribing glasses which she was taught and which goes back for centuries which was ringing in her ears:
“The strongest plus glasses, the weakest minus ones”
The confirmation of this statement was found in Charles McCormick’s “Neurology and Metaphysics” (1905) who stated:
“The two greatest faults among oculist and opticians are that they rarely get on enough plus and often give too much minus lenses.”
It can be also found in “Refraction and How to Refract” by James Thorington from 1904:
„The beginner in ophthalmology should be on his guard for these „pseudo-myopias“ and not be guilty of putting concave (minus) lenses on hyperopic (farsighted) eyes“.
How then explain not obeying this so obvious rules of prescribing glasses in 2015 by majority of eye practitioners?
The answer is clearly stated by dr Viikari...
“The gleam of money in eyes blinds, if the intellect is lacking!”
The page will be updated soon. In the meantime you can find more information at http://kaisuviikari.com/wordpress/