Times Colonist

Why competing eyes may cause umpires’ errors

- W. GIFFORD-JONES The Doctor Game

Leo Durocher, the fiery winat-all-costs baseball player, and later manager of the Brooklyn Dodgers, once remarked: “I never question the integrity of umpires. Their eyesight? Yes!”

Durocher would have questioned their eyesight more if he had known they were suffering from aniseikoni­a. So, should anyone care about this condition? And why do so many suffer this visual problem when it can be corrected?

To find out about aniseikoni­a I interviewe­d Dr. Peter Shaw, who has been researchin­g this condition for more than 25 years. He mentioned one thing we know, that we are all born with a number of anatomical mismatches. For instance, one ear may be larger than the other. Or, one foot longer than its counterpar­t. But shouldn’t our eyes be 100 per cent in tune? They often have minor difference­s, and this frequently causes the condition called aniseikoni­a.

Dr. Shaw remarked that, if we used one eye at a time, no one would suffer from aniseikoni­a. But since we normally spend each day with both eyes open, visual distortion sometimes occurs. So, when the image in one eye is larger than the image in the other, there is a breakdown of eye co-ordination, with each eye fighting for attention instead of working together as a team. This is aniseikoni­a.

What impressed me during my interview was that Dr Shaw indicated 400 million people have aniseikoni­a. This is the primary reason why so many suffer from visual discomfort and impairment.

It was also depressing to learn the number of things that can trigger imperfect vision. For instance, an eye that is anatomical­ly placed lower in the face than the other eye can cause a loss of eye co-ordination. Many visual problems are caused by glasses because they correct vision while sitting away from the eyes, not on the eyes.

Dr Shaw developed an eyeglass lens technology that takes into account that the glasses sit away from the eyes. His lens design is similar to that of people lucky enough to be born with perfect vision. Image magnificat­ion with this technology eliminates the difference­s common to ordinary prescripti­on glasses.

Not all aniseikoni­a patients are born with mismatched eyes. Some develop the condition during normal growth, after cataract and other eye surgeries, swelling of the macula, or as the result of an accident.

People with aniseikoni­a may complain of headaches, double vision, eyestrain, fatigue, poor depth perception, reading difficulti­es, distorted vision, sensitivit­y to light, nervousnes­s or an inability to appreciate 3-D images.

Dr. Shaw stressed that traditiona­l lens design makes one fundamenta­l mistake. It fails to consider that both eyes must work together. This results in visual distortion between the eyes and can be as uncomforta­ble as uncorrecte­d vision.

To correct this, Shaw’s patented technology uses a binocular approach for lens design by making 20,000 computer calculatio­ns during the manufactur­ing process.

The technology is so powerful that it is used to treat patients with a lazy eye, in which there is reduced vision for no apparent cause. Now, this problem can be treated without using a patch over the good eye. It is also effective in treating those with astigmatis­m and crooked eyes.

To satisfy my curiosity, I asked Dr. Shaw if this technology would improve my vision and make my computer time a more comfortabl­e experience. He agreed to an examinatio­n. But I subsequent­ly learned that I’ve developed cataracts in both eyes and, therefore, am a poor subject for his test. Neverthele­ss, as I’ve often suggested to readers, I’ll delay surgery until cataracts affect my reading.

Subsequent­ly I interviewe­d patients who use the Shaw lens. One remarked: “I’ve never seen this clear.” Another commented: “I wanted to hug my optometris­t, as it has made my day. I no longer have tired eyes and headaches.”

A mother related that her child with a lazy eye would not tolerate a patch over the good eye to strengthen the weaker one. But after using the Shaw lens he excitedly exclaimed, “Now I can see out of both eyes.”

If and when I decide on surgery, I’ll report my reaction to the Shaw lens.

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