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EYE ADVICE: Professional Papers


The following papers were written to bring to the attention of eyecare professionals some important but subtle facts that lie behind two quite common ocular conditions. Section A is concerned with the physiology and clinical implications of meridional (astigmatic) accommodation (MA), and offers to explain why eyecare practitioners have been troubled with the correction of astigmatism for as many years as it is known.

Section B highlights the most important cause of chronic infective conjunctivitis (CIC), i.e. chronic nasal/sinus infection. Nasal hygiene is recommended as the most effective means of preventing CIC and other related infections, which are due to spread of infection from the nasal/sinus areas.

The necessary disclaimer

Whilst as much care as possible has been taken in assuring that the information contained herein is accurate, no responsibility can be taken by Eye Advice for any information or recommendations that are given in any of the papers that follow.

Practitioners who wish to comment on the papers given below may e-mail: profinfo@eye-advice.com.au, ensuring that they include their own e-mail address. Practitioners who wish to share their knowledge and place any of their own original work in this division of the Eye Advice website, may send their work to proflit@eye-advice.com.au.

Victorian eyecare and general practitioners, who wish to refer their patients for assessment of their condition, will receive a detailed report with recommendations for their own further management of their patient�s condition. See Eye Advice Clinics division for details of practice locations etc.






Paper 1 - Meridional (Astigmatic) Accommodation Abstract

Physiology of Meridional Accommodation (A) Ciliary Muscle Action and Innervations
(B) Corneal Changes due to Ciliary Muscle Action
(C) Theory of Initiation of Meridional Accommodation

Clinical Implications of Meridional Accommodation


(A) Astigmatic Changes Related to WTR Corneal Toricity (i) Latent Astigmatism
(ii) Primary Accommodative Astigmatism (PAA) (B) Reflex or 2°PMA and Induced ATR Astigmatic Changes
(C) Eye Preference and Meridional Accommodation (i) 1° PMA and Eye Preference
(ii) 2° PMA and Eye Preference (D) Proactive Prescribing for Presbyopia (i) Phakic Presbyopes
(ii) Pseudophakes and ATR Corneal Changes (E) Refractive Techniques and MA (i) Balancing Meridional Accommodation
(ii) Binocular Test of Cylinder Power (F) Further Clinical Subject Areas and Meridional Accommodation (i) Preventing Induced Oblique Astigmatism in Children
(ii) Low Vision
(iii) Keratoconus
(iv) Hard Contact Lenses
(v) PRK and PARK (Photorefractive Astigmatic Keratectomy)



Paper 2 - Common Chronic (Infective) Conjunctivitis and Nasal Rinsing

Paper 3 - Primary Open-Angle Glaucoma

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