Wednesday, September 1, 2010

cual es mejor? uno o dos?

When I mention that I am an optometrist most people either don't know what that is, or at least don't know how to react to the answer of what I do for a living. When you are a little kid it is stereotyped that you want to grow up to be a fireman or teacher... My sister at one point wanted to be a Burger King "giver-outer" aka the minimum wage job at a drive through. We are proud she made it a little further. Most kids dont say eye doctor. It was a little random how I got into it, but I honestly love my profession.

After Ive mentioned my job, of the people who know what it is I do, usually tell me they hate "the 1 or 2, which is better" Well, let me tell you... I HATE it more. Refraction is a big part of our profession. It is a part that seperates us from ophthalmology. Note to any who read - do not go to an ophthalmologist for glasses, they are eye surgeons. Everyone knows 20/20 is the end goal. That means you can see something at 20 feet that someone with "normal" vision sees at 20 feet. Lots of things can make this number difficult to attain. The larger the denomenator, the worse the vision. The leading cause of blindness in the world is cataracts. Now everyone and their mother comes into the office petrified to have cataracts. Well sorry folks, if you are over 60, you most likely have them! They are normal and natural aging process. And thanks to Charles Kelman, taking them out is a quick and easy process. Cataract surgery was actually described in the east by Sushruta in the 6th centry BC. But after this long tangent, let me wrap this together. If you are old you have cataracts, if you have cataracts your vision is less than 20/20, and after working a year at a VA I like having an end point of 20/30 and having that be ok.

Which is better? one or two? Cual es mejor? Uno o dos? You hate this portion of the exam? Well, I just asked for you to chose between one of two choices. The answer is one or it is two. The answer is not 'No', it is not 'none', it is not '3'. I cant help you, if you cant help yourself. Well, actually I can. I know what your prescription is, whether I do retinoscopy or cop out and use an autorefractor. Ive got an idea of what you would like to see, but Im being nice and asking you to fine tune it.

I have nothing funny or about boys today - sorry folks!

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