Correcting lenticular astigmatism by reinstating the correct neuromuscular message

Med Hypotheses. 2013 Jul;81(1):36-40. doi: 10.1016/j.mehy.2013.03.041. Epub 2013 Apr 29.


The problem: The spasm of the oblique muscles can contribute to lenticular astigmatism. The visual cortex interprets the tension of the oblique muscles as an eye that is in near focus mode. It overrides the response to the information generated by depth perception to bring a distant image into focus. Any excessive effort to bring it into focus will not be successful and continuing to make that effort can cause a misalignment in the tension of the rectus muscles. This in turn can directly induce corneal astigmatism and indirectly induce lenticular astigmatism. The astigmatic eye can still bring a near image into focus, but a distant image remains aberrant.

Methodology: The design of a special contact lens to treat lenticular astigmatism is similar to the design of a contact lens to treat corneal astigmatism by means of orthoculogy (or ortho C) as outlined in the paper Correcting Corneal Astigmatism by Reinstating the Correct Neuromuscular Message. The ortho C lens is worn for about two minutes to attend to the blur and distorted aspects of "simple myopic astigmatism". Both of these refractive errors are corrected simultaneously.

Results: Once the oblique muscles become "loose" due to a "contact lens draw", it triggers the visual cortex to reinstate the proper neuromotor message to stimulate the ciliary muscle (the muscle that controls the shape of the crystalline lens) to relax along a certain meridian-which in turn "flattens" the crystalline lens along that meridian to bring a blur and distorted image in the distance into focus. The correction only takes a few minutes because the ciliary muscle of an astigmatic eye was not compromised.

Conclusion: The correction is not strictly due to an ortho C lens. Its design is the same for corneal astigmatism or lenticular astigmatism. The purpose of the design is to "loosen" the oblique muscles in a certain manner depending on the degree of astigmatism instead of a specific type of astigmatism. The visual cortex can discriminate whether to correct for corneal astigmatism or lenticular astigmatism after the "draw" from the lens relaxes the oblique muscles.

MeSH terms

  • Astigmatism / therapy*
  • Humans
  • Models, Theoretical
  • Nervous System Diseases / physiopathology
  • Nervous System Diseases / therapy*
  • Visual Cortex / physiopathology