Myopia, Flash Vision, and Styes: Common Eye Issues Explained - Ophthalmology

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Myopia, photophobia, stye?


Q1: Is there no other method to cure myopia besides laser treatment? I previously underwent some eye exercises, and my prescription did improve slightly, but it didn't last.
Is treatment still effective now?
Q2: I recently got new glasses, and my astigmatism has decreased.
I'm curious about how this happened, especially since my last eye exam showed an increase in my prescription.
Q3: When I was in elementary school, I had a stye in my right eye, and I developed a few more during middle and high school.
Now, my right eyelid seems a bit more swollen than my left, and it feels like there's something inside.
Whenever I stay up late or look at a screen for too long, my right eye starts to swell and hurts.
Is this because it hasn't fully healed? What should I do? Thank you.

Xiao Dou, 10~19 year old female. Ask Date: 2010/03/25

Dr. Hu Yusheng reply Ophthalmology


Dear Sir/Madam,
1.
All treatment methods carry potential risks.
Laser treatment, orthokeratology lenses, and massage all have associated risks.
2.
Instrument measurements are not equivalent to trying on glasses.
3.
Please consult a physician to identify the cause before seeking treatment options.
Sincerely,
Dr.
Hu Yu-Sheng,
Director of Ophthalmology, Hsinchu Hospital, Department of Health, Executive Yuan.

Reply Date: 2010/03/25

More Info


Understanding common eye issues such as myopia, flashes of vision, and styes can be crucial for maintaining eye health and addressing any concerns you may have. Let's break down your questions one by one.


Q1: Is there any cure for myopia besides laser surgery?
Myopia, or nearsightedness, is primarily managed through corrective lenses (glasses or contact lenses) or refractive surgery like LASIK. While there are no definitive non-surgical cures for myopia, some methods may help slow its progression, especially in children and adolescents. These include:
1. Orthokeratology (Ortho-K): This involves wearing specially designed contact lenses overnight that reshape the cornea temporarily, allowing for clear vision during the day without lenses.

2. Atropine Eye Drops: Low-dose atropine drops have been shown to slow the progression of myopia in children.

3. Increased Outdoor Time: Studies suggest that spending more time outdoors can help reduce the risk of developing myopia in children.

4. Vision Therapy: Some practitioners advocate for vision therapy, which includes eye exercises aimed at improving visual skills and comfort. However, the effectiveness of these methods can vary, and they are not universally accepted as a treatment for myopia.

If you previously experienced a reduction in your myopia through eye exercises or other treatments, it’s essential to consult with an eye care professional to evaluate the current state of your vision and discuss the best options moving forward.


Q2: Why did my flash vision decrease and then increase again?
Flashes of light, or photopsia, can be caused by various factors, including retinal issues, vitreous detachment, or even migraines. If your flashes decreased after getting new glasses, it could be due to improved visual clarity and reduced eye strain. However, if they have increased again, it may indicate a change in your eye condition that requires further investigation.

It’s essential to have regular eye exams, especially if you notice changes in your vision. Your eye care provider can perform a thorough examination to rule out any serious conditions, such as retinal tears or detachments, which can present with flashes of light.


Q3: Why does my right eye swell and hurt after a stye, and what should I do?
Styes (hordeola) are localized infections of the eyelid glands, often caused by bacteria. If you've had recurrent styes, it could indicate a chronic issue with the glands in your eyelid. The swelling and pain you experience, especially after prolonged screen time or lack of sleep, may suggest that your eyelid glands are still inflamed or that there is residual infection.

Here are some steps you can take to manage and prevent styes:
1. Warm Compresses: Applying a warm compress to the affected eye for 10-15 minutes several times a day can help reduce swelling and promote drainage.

2. Good Hygiene: Ensure you keep your eyelids clean. Avoid touching your eyes with unwashed hands, and regularly clean your eyelids with a gentle cleanser.

3. Avoid Eye Makeup: If you wear makeup, consider avoiding it until the stye resolves to prevent further irritation.

4. Consult an Eye Care Professional: If the swelling persists, or if you experience significant pain, vision changes, or recurrent styes, it’s crucial to see an eye doctor. They may prescribe antibiotics or recommend other treatments to address the underlying issue.


Conclusion
Maintaining eye health is vital, especially if you have a history of eye issues. Regular check-ups with an eye care professional can help monitor your conditions and provide appropriate treatments. While myopia can be managed through various methods, understanding the causes of flashes and styes is essential for effective management. If you have ongoing concerns, don’t hesitate to seek professional advice. Your vision is invaluable, and taking proactive steps can help preserve it for years to come.

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