Understanding Post-Cataract Surgery Complications: Retinal Detachment Insights
Retinal detachment after cataract surgery Hello, doctor. I have been following up on my cataracts at Cheng Ching Hospital for over three years. During this time, I underwent laser repair for a retinal tear. On April 17 of this year, I had cataract surgery and received a multifoca...
Dr. He Jianxian Reply:
Dear Mr. Tian, 1. Since your eyes have not been examined, it is not possible to clearly determine your condition. 2. A monofocal intraocular lens does not have a lower chance of displacement; rather, it has a greater tolerance for displacement. 3. The referral is likely for addr...[Read More] Understanding Post-Cataract Surgery Complications: Retinal Detachment Insights
Post-Surgery Exercise Guidelines for Diabetic Retinopathy Patients
Postoperative exercise Hello, Director: I am a patient with diabetic proliferative retinopathy and total retinal detachment, and I have recently undergone surgery. I am also experiencing symptoms of glaucoma. Given my condition, what types of exercise can I do? Is it safe for me ...
Dr. He Jianxian Reply:
Dear Mr. Tsai, Theoretically, your retinal degeneration should be classified as tractional retinal detachment. In this condition, engaging in weight training after surgery should generally not pose a problem. However, it is still essential to consult your surgeon, as the complex...[Read More] Post-Surgery Exercise Guidelines for Diabetic Retinopathy Patients
Managing Macular Degeneration with Intravitreal Injections: A Patient's Journey
Intravitreal pharmacotherapy for macular degeneration with neovascularization? Hello, Doctor. My mother, who is 72 years old, was diagnosed with macular degeneration with neovascularization in her right eye this January. She is undergoing intravitreal injections, and after approv...
Dr. He Jianxian Reply:
Dear Ms. Li: 1. Scabbing is an irreversible condition, and there is currently no appropriate treatment available. 2. Based on your description, the condition can only be stabilized and cannot be restored to the state prior to the illness. Director He Jianxian, Ophthalmology,...[Read More] Managing Macular Degeneration with Intravitreal Injections: A Patient's Journey
Understanding Macular Degeneration with Vascular Changes: Key Insights and Management
Macular degeneration with vascular involvement? Hello, doctor. I recently had an eye examination, and the doctor mentioned that I have several blood vessels in my macula. Currently, there is no fluid accumulation, and the thickness is acceptable with some scarring, which may be r...
Dr. He Jianxian Reply:
Dear Mr. Chuang, 1. It is not only wet macular degeneration that can cause fluid accumulation; other conditions may also lead to this issue. 2. The clinical physician recommends that you only need to undergo monitoring, and there are no treatment suggestions at this time. If you...[Read More] Understanding Macular Degeneration with Vascular Changes: Key Insights and Management
Navigating Eye Health: Managing Cataracts and Glaucoma After Retinal Detachment
After monocular retinal blindness, the other eye has cataracts and glaucoma? Five years ago, I underwent surgery (gas tamponade) for a retinal detachment in my right eye at a well-known ophthalmology clinic. After the surgery, I experienced distorted vision, and the doctor attrib...
Dr. He Jianxian Reply:
Dear Mr. Sun, There is no such thing as a guarantee of surgical safety; surgery inherently carries certain risks. Even with the latest equipment available to assist, there are still risks involved. If your vision has deteriorated to the point that it severely affects your daily ...[Read More] Navigating Eye Health: Managing Cataracts and Glaucoma After Retinal Detachment
Understanding Visual Floaters: Causes and When to See an Eye Doctor
Seeing visual afterimages? This morning, I woke up and noticed a faint blue-purple light spot in my right eye that flickered and later formed a visual afterimage. Initially, it was just a point that I didn't pay much attention to, but it later elongated into a vertical bar s...
Dr. He Jianxian Reply:
Hello Ms. Chen: If the episodes persist, it is recommended that you undergo an examination. The aura symptoms you suspect related to migraines are indeed possible, but cannot be confirmed. Dr. He Jianxian, Ophthalmology Department, Nantou Hospital.[Read More] Understanding Visual Floaters: Causes and When to See an Eye Doctor
Understanding Conjunctival Issues: When to See an Eye Doctor
Conjunctival issues? Hello Doctor, today something dirty got into my eye, so I went to look in the mirror. After pulling down my lower eyelid of the right eye, I noticed a few small round bumps in a deeper area of the conjunctiva (the area that is closer to the eyeball after pull...
Dr. Gao Pilin Reply:
Hello, thank you for your inquiry. Based on your description and the situation depicted in the image, the small round bump you have noticed on your lower eyelid conjunctiva could be caused by several different factors. 1. Allergic conjunctivitis: In this case, the conjunctiva m...[Read More] Understanding Conjunctival Issues: When to See an Eye Doctor
Understanding Post-Retinal Laser Surgery: When to Seek Help
Post-retinal laser surgery? Hello Doctor, on June 19th, I underwent retinal laser treatment due to a detected tear that had developed into a hole. During the first three days of resting at home, I noticed a significant reduction in the flashes of light. However, on the fourth day...
Dr. Gao Pilin Reply:
Hello: It is possible to experience some flashes of light during the recovery period after retinal laser surgery. Here are a few key points and recommendations: 1. **Retinal Stabilization**: After retinal laser surgery, the retina requires a certain amount of time to stabilize ...[Read More] Understanding Post-Retinal Laser Surgery: When to Seek Help
Understanding Visual Afterimages: When to Seek Eye Care
Seeing visual afterimages or bright spots? When I close my eyes, I can see some small bright spots and dark dots that appear and disappear. Some of them can also be seen when my eyes are open, resembling visual afterimages. They are most noticeable when I blink, and some change f...
Dr. Gao Pilin Reply:
Hello: The symptoms you mentioned, including seeing small bright spots and dark spots when your eyes are closed, as well as experiencing fleeting shadows upon opening your eyes, may be related to issues with the retina or vitreous body. These phenomena can sometimes be considered...[Read More] Understanding Visual Afterimages: When to Seek Eye Care
Understanding Retinal Detachment Risks for High Myopia Patients
Retinal issues Hello, doctor. I would like to ask: I have high myopia of -600 degrees, and I sometimes worry about retinal detachment. I read online that sudden exertion can cause a rapid increase in intraocular pressure, leading to retinal detachment. Can you please tell me if e...
Dr. Gao Pilin Reply:
Hello: High myopia (greater than -6.00 diopters) is indeed one of the high-risk factors for retinal detachment. Due to the longer axial length of the eyes in individuals with high myopia, the retina becomes thinner, increasing the risk of retinal tears or detachment. Certain acti...[Read More] Understanding Retinal Detachment Risks for High Myopia Patients
Understanding Eye Fatigue and Macular Degeneration: Key Insights
Eye fatigue? Macular degeneration? Hello, doctor. I have high myopia (around 1000 degrees). Last month, I had a comprehensive eye examination at an ophthalmology clinic, which included dilation and OCT. Aside from experiencing symptoms of floaters, everything else was normal. Rec...
Dr. Gao Pilin Reply:
Hello: Based on your situation, there are several points to consider: 1. Eye Strain: Prolonged exposure to electronic screens can easily lead to eye strain, especially in individuals with high myopia. This strain may cause visual distortions, such as slight tilting of images or...[Read More] Understanding Eye Fatigue and Macular Degeneration: Key Insights
Understanding Visual Disturbances: Flickering Lights and Floaters Explained
Upon waking up, I noticed that the wall seemed to be swaying, and there was a slight flickering sensation? Hello Doctor: Recently, I have been troubled by flashes of light. I have undergone multiple dilated eye examinations and ultra-widefield fundus photography, but no issues we...
Dr. Gao Pilin Reply:
Hello: Based on your symptoms, there are several possible explanations to consider: 1. Vitreous Degeneration: You mentioned seeing transparent objects resembling amoebae on sunny days, which is typical of floaters, commonly associated with vitreous degeneration or degeneration....[Read More] Understanding Visual Disturbances: Flickering Lights and Floaters Explained
Understanding High Eye Pressure: Insights on Diagnosis and Treatment
Ocular hypertension Hello, Dr. Gao. Due to high myopia, with prescriptions of -800 and -700 diopters, my tonometry readings have reached a maximum of 24 mmHg, mostly ranging between 21 and 22 mmHg. When using a handheld tonometer, the readings are around 18 and 17 mmHg. I have co...
Dr. Gao Pilin Reply:
Hello: Based on the detailed information you provided, here are my recommendations and explanations: 1. Should you continue using eye drops? Given your high myopia and elevated intraocular pressure, you belong to a high-risk group for glaucoma, making the preventive use of intra...[Read More] Understanding High Eye Pressure: Insights on Diagnosis and Treatment
Understanding Post-Retinal Laser Surgery: When to Seek Help
Post-retinal laser surgery Hello, doctor. On June 19, I underwent retinal laser treatment due to a detected tear that had developed into a hole. During the first three days of resting at home, I noticed a significant reduction in the flashes of light. However, on the fourth day, ...
Dr. Gao Pilin Reply:
Hello: It is possible to experience some flashes of light during the recovery period after retinal laser surgery. Here are a few key points and recommendations: 1. **Retinal Stabilization**: After retinal laser surgery, the retina requires a certain amount of time to stabilize ...[Read More] Understanding Post-Retinal Laser Surgery: When to Seek Help
Common Eye Issues: Understanding Shadows, Light Sensitivity, and Glaucoma
Eye-related issues? Doctor, I have some questions I would like to ask: 1. Recently, whenever I am in sunlight (even just a little), I see dark, shadow-like lines in front of my eyes. Could this be due to my long eyelashes casting a shadow that I am perceiving? Is this a possibi...
Dr. Gao Pilin Reply:
Hello: 1. Seeing black streaks in sunlight: This condition is likely what you are experiencing as "floaters." Floaters are caused by changes in the vitreous body of the eye and typically become more noticeable with age. While it is possible that your eyelashes may cas...[Read More] Common Eye Issues: Understanding Shadows, Light Sensitivity, and Glaucoma
Understanding Strabismus: Surgery, Treatment, and Insurance Coverage
Strabismus issues? Hello, I would like to inquire about strabismus-related issues! I was diagnosed with esotropia in the second year of junior high school and was referred to National Taiwan University Hospital for further evaluation. After a series of examinations, no underlying...
Dr. Gao Pilin Reply:
Hello: (1) The angle of strabismus and surgical recommendations: Physicians typically decide whether to perform surgery based on the degree, type of strabismus, and the individual circumstances of the patient. Generally, if the strabismus angle exceeds 15 to 20 prism diopters (PD...[Read More] Understanding Strabismus: Surgery, Treatment, and Insurance Coverage
Seeing Afterimages Upon Waking: Possible Causes and Concerns
Waking up in the middle of the night with afterimages? Hello Doctor, I have a sleeping environment with a small night light and a ceiling fan. For the past three days, when I wake up in the middle of the night and open my eyes, I see a faint afterimage of the fan illuminated by t...
Dr. Gao Pilin Reply:
Hello: Based on your description, you see afterimages of the fan when you open your eyes in the dark or dimly lit environment, and these afterimages disappear after a few seconds. You have a history of dry eye syndrome and retinal tears, and you are taking cold medication and pro...[Read More] Seeing Afterimages Upon Waking: Possible Causes and Concerns
Understanding Steroid Use in Eye Care: Risks and Considerations
Corticosteroids Hello, Doctor. I previously had recurrent styes, and using a regular eye ointment (without steroids) and eye drops helped them disappear in about 4 to 5 days. However, there was one occasion when a stye was particularly large, and after applying treatment for two ...
Dr. Gao Pilin Reply:
Hello: 1. Long-term use of topical corticosteroids and their effects on the eyes: Using a corticosteroid cream for six weeks can indeed have a certain degree of impact on the eyes. Corticosteroids can reduce inflammation, but prolonged use carries a low risk of increasing the c...[Read More] Understanding Steroid Use in Eye Care: Risks and Considerations
Do Car Headlights Harm Babies' Eyes? Expert Insights on Eye Safety
The baby suddenly closed their eyes tightly upon seeing the headlights? Hello, doctor. When my baby was 6 months old, after we parked the car, we pushed the infant carrier stroller (with the baby in the carrier) past a car with its headlights on. The baby was lying in the carrier...
Dr. Cai Wenyuan Reply:
It should be fine; you can observe the situation. If any symptoms arise, seek medical evaluation.[Read More] Do Car Headlights Harm Babies' Eyes? Expert Insights on Eye Safety
Understanding Glaucoma Medications and Eye Health Concerns
Glaucoma medications and eye-related conditions? Hello, Doctor Gao! I've been anxious for a while and would like to ask you a few questions: 1. I previously visited a glaucoma specialist and had a test called an Epithelial Map. I found online that the epithelial cell layer...
Dr. Gao Pilin Reply:
Hello: 1. The epithelial thickness measured by the Epithelial Map is typically around 50 micrometers, while your upper layer has reduced to 28 micrometers, indicating a significant thinning of the corneal epithelium, possibly related to previous corneal abrasion. As for the Pac...[Read More] Understanding Glaucoma Medications and Eye Health Concerns