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EYE ADVICE: Professional Papers



By increasing our knowledge of the normal physiology of the eye, we would be better positioned to understand refractive problems. This would enable a pro-active approach to be used in prescribing, which would lead to better long-term results.

Knowledge of the subject of MA and routine keratometry on refractive patients will indeed enable the practitioner to have a better understanding of the processes involved in the refractive make-up of the eye and thus achieve higher rates of successful prescribing. It is this success which will ultimately provide the individual practitioner with the proof of the existence of MA.

My own strong belief in MA arises from the explanation which I have been able to find for both the satisfied patients and those with complaints. My search for the anatomical and physiological basis of MA was made in the hope that it may increase the chances of the theory of MA being taught to all students of refraction.

I wish to thank Dr B Pierscionek for her advice and comments. I also wish to thank Tina Wright for typing the manuscript and Lorraine Lipson for her library assistance in the VCO, Melbourne Australia.






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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