Can I get glasses?
Hello, doctor.
I have two questions I would like to ask:
1.
With a binocular disparity of 750 (one eye is normal and the other is myopic at -7.50 diopters), if wearing glasses does not cause dizziness or any discomfort, could this lead to degeneration in one eye? Should the myopic eye switch to contact lenses?
2.
After retinal detachment surgery with silicone oil infusion, can the silicone oil be completely removed without leaving any residue?
Axiang, 60~69 year old female. Ask Date: 2017/08/28
Dr. Cai Wenyuan reply Ophthalmology
Hello: Wearing glasses does not cause eye degeneration.
Wishing you peace and good health.
Sincerely, Dr.
Tsai Wen-Yuan, Director of the Ophthalmology Department, Taoyuan General Hospital, Ministry of Health and Welfare.
Reply Date: 2017/08/28
More Info
When it comes to managing vision discrepancies, especially after retinal surgery, there are several important considerations to keep in mind. Let's address your two questions in detail.
1. Vision Discrepancy and Glasses: You mentioned having a significant difference in vision between your two eyes, with one eye being normal and the other having a myopia of -7.50 diopters. Wearing glasses can certainly help correct the vision in the nearsighted eye, allowing for better overall visual function. However, the concern about whether this could lead to deterioration in the nearsighted eye is valid.
Generally, if you are experiencing no discomfort, such as headaches or dizziness, while wearing glasses, it is unlikely that this will cause the nearsighted eye to deteriorate further. The brain is quite adaptable and can adjust to differences in visual input from each eye. However, if you switch to contact lenses for the nearsighted eye, it could provide a more natural field of vision and potentially reduce any visual discrepancies you might experience with glasses.
It's important to monitor your vision regularly with an eye care professional. If you notice any changes in your vision or if you start experiencing discomfort, it may be worth revisiting your prescription or considering other options, such as multifocal lenses or even refractive surgery, depending on your overall eye health.
2. Silicone Oil Removal After Retinal Surgery: Regarding your second question about the removal of silicone oil after retinal detachment surgery, it is crucial to understand that while surgeons strive to remove as much silicone oil as possible, it is not always guaranteed that every trace can be eliminated. The goal during the procedure is to ensure that the eye is left as clean as possible to promote healing and restore vision.
Silicone oil is often used in retinal surgeries to help stabilize the retina, but it can also lead to complications if not removed properly. Residual silicone oil can potentially cause issues such as increased intraocular pressure or inflammation. Therefore, it is essential to follow up with your ophthalmologist after the procedure to monitor for any complications and to ensure that the eye is healing properly.
In conclusion, wearing glasses can help manage vision discrepancies, and while it is unlikely to cause deterioration in your nearsighted eye if you are comfortable, regular check-ups are essential. As for silicone oil removal, while surgeons aim for a thorough extraction, some residual oil may remain, and ongoing monitoring is crucial for your eye health. Always consult with your eye care provider for personalized advice and treatment options tailored to your specific situation.
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