Managing High Myopia, Glaucoma, and Retinal Issues: Which Specialist to See? - Ophthalmology

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When managing high myopia, glaucoma, and retinal issues, it is crucial to consult with the right specialists to ensure comprehensive care. Given your situation, where you have high myopia (left eye -1000, right eye -1300), glaucoma, and potential retinal problems, the best approach is to see an ophthalmologist who specializes in both glaucoma and retinal diseases.
In your case, Dr. He Zichang at National Taiwan University (NTU) is a good choice, as he is already familiar with your medical history and has been monitoring your condition. Regular follow-ups are essential, especially since you are experiencing changes in your visual field. These changes could indicate progression in either your glaucoma or retinal condition, both of which require careful management.

If you are considering visiting Tzu Chi Hospital in Taipei for easier appointment scheduling, that is also a reasonable option. However, it is important to ensure that the ophthalmologist you see there has experience in managing high myopia and its associated complications, including glaucoma and retinal issues. You may want to inquire about the specific expertise of the doctors at Tzu Chi Hospital before making an appointment.

Regarding your concern about whether NTU has better technology and equipment for potential surgical interventions, it is generally true that larger university hospitals, like NTU, often have access to the latest technology and a wider range of specialists. This can be particularly important if surgery becomes necessary for your retinal issues. Surgical options for retinal problems, such as retinal detachment or tears, require specialized equipment and expertise, which may be more readily available at a major medical center.

In addition to seeing an ophthalmologist, it may also be beneficial to consult with a retina specialist if you have not already done so. Retina specialists focus specifically on diseases of the retina and can provide targeted treatments for conditions that may arise from high myopia, such as retinal tears or detachments.

As for managing your conditions, here are some general recommendations:
1. Regular Monitoring: Continue with regular eye exams to monitor the progression of both your glaucoma and retinal health. This is crucial for early detection of any changes that may require intervention.

2. Medication Compliance: If you are prescribed medications for glaucoma, ensure you take them as directed. This can help manage intraocular pressure and reduce the risk of vision loss.

3. Lifestyle Adjustments: Protect your eyes from excessive strain by taking regular breaks during activities that require intense focus, such as reading or using screens. The 20-20-20 rule is a good guideline: every 20 minutes, look at something 20 feet away for at least 20 seconds.

4. Healthy Habits: Maintain a healthy lifestyle, including a balanced diet rich in antioxidants, regular exercise, and avoiding smoking, as these can all contribute to overall eye health.

5. Emergency Awareness: Be aware of symptoms that may indicate a retinal emergency, such as sudden flashes of light, a significant increase in floaters, or a shadow or curtain over your vision. If you experience any of these, seek immediate medical attention.

In conclusion, continue your follow-ups with Dr. He Zichang while also considering consultations with other specialists if necessary. Your proactive approach to managing your eye health is commendable, and staying informed about your conditions will empower you to make the best decisions for your vision.