Common Eye Care Questions: Health Insurance Coverage and Treatment Concerns - Ophthalmology

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Some questions and issues regarding health insurance coverage?


Hello, Doctor.
I would like to ask a few questions:
1.
A few days ago, an eyelash fell onto my eyeball.
At first, I was a bit anxious and tried to use a cotton swab to remove it.
Could this cause any harm to my eye (it was located quite close to the pupil)? I eventually managed to flush it out with slow running water.
2.
Last week, I visited a larger clinic.
In addition to a dilated eye exam, they arranged for a device that had a green light which changed position and emitted a strong light.
Is this the OCT (Optical Coherence Tomography) exam? I had previously scheduled an OCT and visual field test at another hospital, so I’m wondering if this will result in needing to pay out of pocket for the upcoming OCT exam.
3.
After the dilated exam and instrument check at the clinic last week, the doctor mentioned that my peripheral retina is thinner (I currently have -6.00 diopters of myopia) and that my optic nerve appears to be somewhat degenerated.
4.
I am currently using eye drops to lower my intraocular pressure (Alphagan, 0.01%) for about two weeks now.
However, during my recent visits, the doctors still indicated that my eye pressure is on the higher side, and I continue to experience swelling and pain in my eyes (initially, I sought help because of swelling and pain in my left eye).
Now, my right eye has also started to swell and hurt, and I occasionally have headaches.
Would it be better to change my medication? Thank you!

Peter Tsai, 20~29 year old female. Ask Date: 2017/04/06

Dr. Cai Wenyuan reply Ophthalmology


Hello, I was a bit anxious and tried to use a cotton swab to remove it, which could potentially harm my eyes.
The hospital has scheduled an OCT and visual field examination soon.
I am unsure if this will result in needing to pay out of pocket for the OCT examination later.
If there are applicable indications, it should not be necessary, but I want to conserve health insurance resources and avoid duplicate tests.
Currently, I am continuing to use eye drops to lower intraocular pressure (Alphagan P, Brimonidine 0.01%) for about two weeks now.
However, during my recent visits, the doctors still mentioned that my intraocular pressure is generally high, and this issue needs to be assessed through actual examination.
Wishing you peace and health.
Sincerely, Dr.
Tsai Wen-Yuan, Chief of Ophthalmology, Taoyuan Hospital, Ministry of Health and Welfare.

Reply Date: 2017/04/06

More Info


Hello! Thank you for your questions regarding eye care, health insurance coverage, and treatment concerns. Let's address each of your queries in detail.

1. Removing a Lash from the Eye: It's understandable to feel anxious when something like an eyelash gets into your eye. Using a cotton swab to try to remove it can be risky, especially if you are not experienced. The cotton swab can potentially scratch the cornea or push the lash further into the eye, which could lead to more complications. However, since you ultimately used water to flush it out, that was a safe and effective method. In the future, if something gets in your eye, it's best to avoid using any objects and instead rinse your eye gently with clean water or saline solution. If irritation persists, consult an eye care professional.

2. OCT and Other Eye Exams: The device you described with a green light that changes position and emits strong light sounds like it could be an Optical Coherence Tomography (OCT) machine. OCT is a non-invasive imaging test that uses light waves to take cross-section pictures of your retina, allowing doctors to see its layers and detect any abnormalities. If you had an OCT scan at another facility, it’s important to inform your current doctor, as they may have access to your previous results. Generally, if the tests are performed within a short time frame, they may not require additional payment, but this can vary by insurance policy. Always check with your insurance provider for specifics regarding coverage.

3. Thin Peripheral Retina and Nerve Degeneration: The findings of a thinner peripheral retina and some degree of optic nerve degeneration are significant. High myopia (like your -6.00 diopter prescription) can lead to structural changes in the eye, including thinning of the retina and potential optic nerve issues. It’s crucial to monitor these conditions closely, as they can increase the risk of retinal detachment and other complications. Regular follow-ups with your eye care provider are essential to manage these risks effectively.

4. High Eye Pressure and Medication: It sounds like you are experiencing ongoing issues with elevated intraocular pressure (IOP) despite using eye drops. If your eye pressure remains high and you are experiencing symptoms like swelling and pain, it may be time to discuss alternative medications with your eye doctor. There are various classes of medications available for lowering eye pressure, and sometimes a change in medication can lead to better control of IOP and fewer side effects. Additionally, if you are experiencing headaches, it’s important to communicate this to your doctor, as it could indicate that the current treatment is not effective or that there are other underlying issues that need to be addressed.

In summary, your concerns are valid, and it’s essential to maintain open communication with your healthcare providers regarding your symptoms and treatment options. Regular check-ups, adherence to prescribed treatments, and proactive discussions about your eye health are key to managing your condition effectively. If you have further questions or if your symptoms worsen, do not hesitate to seek immediate medical attention. Your eye health is paramount, and addressing these issues early can prevent more serious complications down the line.

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