I mentioned in earlier posts about the effects of nearwork on vision, especially with young people. One of the more dramatic changes I have seen was with a ten year old boy. He was basically 20/20 last year. Over the last 12 months his vision has dropped to about 20/200. He can achieve 20/20 with glasses. Part of this may be genetic. However, the father states his son is constantly doing a lot of hand held video games. Think how close the device is to the boy's eyes and how small the text is. I am confident that among texting, video games and normal computer viewing, the changes in vision I will see among my patients will be very significant.