Dr. Gao Pilin reply Ophthalmology Question - Page 10

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Post-Cataract Surgery Discomfort: Insights on Vision Issues and Solutions

Monocular vision & refractive error & postoperative discomfort after cataract surgery? Hello, Director Gao. Below is a summary of my medical history regarding my "right" eye (the left eye is normal): 1. In 2001 (at age 20), I experienced significant distortion ...


Dr. Gao Pilin reply Ophthalmology
Hello: 1. Poor visual fusion when using both eyes simultaneously may be related to a previous macular issue in your right eye. Problems with the macula can increase sensitivity to disparity, leading to a decline in visual quality when both eyes work together. This condition may...

[Read More] Post-Cataract Surgery Discomfort: Insights on Vision Issues and Solutions


Overcoming Anxiety in Cataract Surgery: Femtosecond Laser vs. Anesthesia

Cataract surgery Hello, Doctor Gao. I had traditional cataract surgery on my right eye, but I felt very nervous and tense during the procedure. Fortunately, the nurse continuously reassured me to relax, and the surgery was successful. Now, I am considering cataract surgery for my...


Dr. Gao Pilin reply Ophthalmology
Hello: Femtosecond laser cataract surgery is an advanced technique that offers shorter surgical times and faster recovery compared to traditional surgery. This procedure is typically performed under local anesthesia, eliminating the need for general anesthesia. However, patients ...

[Read More] Overcoming Anxiety in Cataract Surgery: Femtosecond Laser vs. Anesthesia


Understanding Cataract Checks: What to Expect During Eye Exams

Cataract examination I would like to ask if a general eye examination typically detects cataracts. If the doctor did not specifically mention it, does that mean there are none? Previously, I experienced blurred vision and went for an OCT examination, where the doctor did not indi...


Dr. Gao Pilin reply Ophthalmology
Hello: A general ophthalmic examination typically includes an assessment of the lens to check for cataracts or other lens-related issues. However, if the ophthalmologist did not specifically mention any abnormalities with the lens during the examination, it may indicate that your...

[Read More] Understanding Cataract Checks: What to Expect During Eye Exams


Post-Retinal Detachment Surgery: Understanding New Symptoms

Post-retinal detachment surgery? Hello doctor, I underwent retinal detachment surgery at Chang Gung Memorial Hospital on March 15 this year. The surgery was successful, but today, on April 17, I woke up to find that there are suddenly two small black circles connected to the air ...


Dr. Gao Pilin reply Ophthalmology
Hello: It is possible that the two small bubbles nearby are not a concern. However, we cannot rule out the possibility of some new issues arising. It is advisable to consult your ophthalmologist as soon as possible if the small black circles persist, in order to determine the cau...

[Read More] Post-Retinal Detachment Surgery: Understanding New Symptoms


Can Trimming Long Eyelashes Affect Eye Health? Expert Answers

About eyelashes? Hello, Dr. Gao: I would like to ask you a question. When I look up and to the right with my right eye, I occasionally see some dark shadows in my peripheral vision. I had a dilated fundus examination last month, and my eyes were found to be normal, so I believe t...


Dr. Gao Pilin reply Ophthalmology
Hello: Q1. Trimming long eyelashes moderately is generally safe, but it requires careful handling to avoid injuring the eyes and the hair follicles. Use specialized eyelash scissors or eyebrow scissors to gently trim the eyelashes, avoiding excessive force or cutting them too sho...

[Read More] Can Trimming Long Eyelashes Affect Eye Health? Expert Answers


Optimal Use Order of Eye Drops: Cycloplegics, Anti-Inflammatories, and Antibiotics

The order of administration for mydriatic agents, anti-inflammatory eye drops, and erythromycin ointment is as follows: 1. Mydriatic agents (to dilate the pupils) 2. Anti-inflammatory eye drops (to reduce inflammation) 3. Erythromycin ointment (to treat bacterial infections) I...


Dr. Gao Pilin reply Ophthalmology
Hello: There is no need to discontinue the mydriatic agent. You can first instill the lubricating eye drops, then the mydriatic agent, and finally apply the ointment. The order of the eye drops is not important; just ensure there is a five to ten minute interval between each medi...

[Read More] Optimal Use Order of Eye Drops: Cycloplegics, Anti-Inflammatories, and Antibiotics


Managing Complex Vision Issues: Myopia, Hyperopia, and Astigmatism in Teens

One eye has myopia with astigmatism, while the other eye has hyperopia with astigmatism, resulting in a significant disparity in vision? The patient is 14 years old, with hyperopia of +3.25 diopters and astigmatism of +0.75 diopters in the left eye, and myopia of -0.75 diopters a...


Dr. Gao Pilin reply Ophthalmology
Hello: 1. The purpose of mydriatic agents is to paralyze the ciliary muscle, temporarily impairing the eye's ability to adjust focus. This helps relax the eye muscles for fitting glasses or examining the fundus, and can effectively suppress the progression of myopia, but it ...

[Read More] Managing Complex Vision Issues: Myopia, Hyperopia, and Astigmatism in Teens


Understanding Temporary Vision Blackouts: Causes and Solutions

Blackout of vision for a second? Hello Doctor, my eyes occasionally experience a sudden blackout, similar to a light bulb flickering, lasting less than a second. This occurs in both eyes simultaneously and the frequency varies (from once every few days to infrequently). This has ...


Dr. Gao Pilin reply Ophthalmology
Hello: This condition is medically referred to as "transient visual obscuration," also known as "temporary vision loss." It is a common ocular symptom that can be caused by various factors, including: 1. Ocular blood supply issues: This is one of the most co...

[Read More] Understanding Temporary Vision Blackouts: Causes and Solutions


Can My Child with Keratoconus and Severe Allergies Apply for Disability ID?

Disability Handbook Hello, my child is in the first year of junior high school and has a vision of only 0.1 and 0.2 due to keratoconus. Due to severe eye allergies, they are unable to wear contact lenses. Can we apply for a disability certificate in this situation?


Dr. Gao Pilin reply Ophthalmology
Hello: Please visit an ophthalmology department at a hospital that can issue a disability certificate. After a physician's evaluation, if treatment is not possible or if vision remains poor after treatment, a certificate can be issued. In summary, you must first undergo an o...

[Read More] Can My Child with Keratoconus and Severe Allergies Apply for Disability ID?


Understanding Vitreous Degeneration and Its Impact on Retinal Health

Vitreous degeneration Hello, doctor. I would like to ask if vitreous degeneration can lead to retinal degeneration. Besides retinal tears and detachment, are there any other possibilities?


Dr. Gao Pilin reply Ophthalmology
Hello: Vitreous degeneration itself usually does not directly lead to retinal degeneration. The vitreous is a transparent gel-like substance within the eye that fills most of the posterior chamber, providing support and shape to the eyeball. As people age, the vitreous may gradua...

[Read More] Understanding Vitreous Degeneration and Its Impact on Retinal Health


Understanding Foreign Body Sensation in Contact Lens Wearers

Contact lenses I have been wearing contact lenses for a while, and recently I've been experiencing a persistent foreign body sensation in my left eye, whether I'm wearing the lenses or not. I've confirmed that there is nothing else in my eye. Sometimes the sensatio...


Dr. Gao Pilin reply Ophthalmology
Hello: The sensation of a foreign body in the eye, whether wearing contact lenses or not, may be caused by several factors: 1. Dry Eyes: Individuals with dry eye syndrome may experience a foreign body sensation both with and without contact lenses. Symptoms of dry eye include d...

[Read More] Understanding Foreign Body Sensation in Contact Lens Wearers


Post-Cataract Surgery: Understanding Vision Changes and Concerns

Post-cataract surgery Last month, my mother underwent cataract surgery on her left eye. She has a history of severe myopia, over 1000 degrees, and had previously undergone laser eye surgery. After the cataract surgery, her cataracts were resolved, but she ended up with hyperopia....


Dr. Gao Pilin reply Ophthalmology
Hello: 1. Interpretation of Zeiss Lens Information According to the information you provided, the model of the intraocular lens implanted in your mother's left eye is the Zeiss AT LARA 829MP, with the following specifications: * Power: +17.5 diopters (hyperopic lens) * ...

[Read More] Post-Cataract Surgery: Understanding Vision Changes and Concerns


Understanding Vitreous Degeneration and Its Impact on Macular Health

Vitreous Macula Hello Doctor: I have vitreous degeneration, which is pulling on the macula and causing a tear. During my last two follow-up visits, the vitreous continued to exert traction, and the tear has been getting larger. The doctor mentioned that a vision of 0.9 is still g...


Dr. Gao Pilin reply Ophthalmology
Hello: 1. Risk of Macular Hole The macula is an important area of the retina responsible for central vision. A macular hole refers to a defect in the macula that can lead to severe vision loss, distortion, and other symptoms. In some cases, a macular hole may result in blindn...

[Read More] Understanding Vitreous Degeneration and Its Impact on Macular Health


Understanding Double Vision and Blurry Vision: Causes and Concerns

Diplopia, blurred vision About seven months ago, my vision was checked and I had 575 in the left eye and 600 in the right eye, with over 100 diopters of astigmatism. Currently, I am wearing daily disposable contact lenses with the appropriate prescription to control my myopia. Ho...


Dr. Gao Pilin reply Ophthalmology
Hello: Based on the symptoms you described, it is indeed possible that they are caused by astigmatism, but other potential eye conditions, such as early-onset cataracts or keratoconus, cannot be ruled out. Visual problems caused by astigmatism may gradually worsen over time, so i...

[Read More] Understanding Double Vision and Blurry Vision: Causes and Concerns


Is Eye Pain After LASIK Surgery Normal? Understanding Long-Term Effects

Myopia laser surgery Is it normal to experience pain when seeing light above the eye after undergoing laser surgery for myopia? This has been ongoing for many years and severely affects my ability to ride a bike and drive.


Dr. Gao Pilin reply Ophthalmology
Hello: Generally speaking, symptoms such as glare, photophobia, and hazy vision after myopic laser surgery typically diminish within three to six months post-operation. However, if these symptoms persist for several years and significantly impact daily life, the possibility of ot...

[Read More] Is Eye Pain After LASIK Surgery Normal? Understanding Long-Term Effects


Understanding Vitreous Degeneration: Symptoms, Causes, and Risks

Vitreous degeneration Hello, doctor. I am currently 18 years old. I have myopia of over 100 degrees in my left eye and over 300 degrees in my right eye. A few months ago, I noticed many transparent floaters in my vision, including round dots and thread-like shapes, and sometimes ...


Dr. Gao Pilin reply Ophthalmology
Hello: 1. Yes, based on the symptoms you described, including the appearance of floaters and the results of the dilated fundus examination, this may be a manifestation of vitreous degeneration. The vitreous is the gel-like substance inside the eye, which may gradually degenerat...

[Read More] Understanding Vitreous Degeneration: Symptoms, Causes, and Risks


Training Ciliary Muscles: Risks and Benefits for High Myopia

Ciliary muscle training and retinal tears? Hello, doctor. A while ago, I went to an optical shop to get glasses, and I mentioned to the optometrist that sometimes things appear double. The optometrist suggested that I could train my ciliary muscles by practicing convergence exerc...


Dr. Gao Pilin reply Ophthalmology
Hello: Ciliary muscle training is generally considered a safe and effective method for improving vision. It can help relax the ciliary muscle, alleviate eye fatigue, and improve vision issues such as myopia and presbyopia. However, there is some controversy regarding the suitabil...

[Read More] Training Ciliary Muscles: Risks and Benefits for High Myopia


Understanding Floaters and Light Spots: Are They Related to Myopia?

Occasionally, bright spots appear in the vision; this is known as floaters? Hello Doctor: I have high myopia (both eyes at -10.00 diopters); a few months ago, I noticed symptoms of floaters. Currently, the floaters I see are semi-transparent floating objects, and occasionally, wh...


Dr. Gao Pilin reply Ophthalmology
Hello: Based on the symptoms you described, your eyes may be undergoing some changes that could be related to your high myopia. Floaters typically present as the translucent specks you mentioned, and the rapidly moving gray-black dots you see when tired also align with one of the...

[Read More] Understanding Floaters and Light Spots: Are They Related to Myopia?


Understanding Eye Discomfort: Causes and When to Seek Help

The eye has blood vessels with associated pain? Hello, Doctor. I have been experiencing discomfort in my left eye recently, and here are the details: Symptoms: During spring break, I spent a longer time on the computer due to research and coursework. Four days ago, I started fe...


Dr. Gao Pilin reply Ophthalmology
Hello: 1. The recovery time from eye strain varies from person to person and typically depends on the severity of the symptoms as well as the treatment and rest measures you take. Generally, adequate rest, reducing screen time, regularly using eye drops, and moderate exercise can...

[Read More] Understanding Eye Discomfort: Causes and When to Seek Help


Understanding Asymmetrical Peripheral Vision: Causes and Concerns

Issues with peripheral vision in both eyes? Hello Doctor, I recently noticed that the afterimage in my left eye seems to be clearer than in my right eye. Additionally, I feel like my eyeball has a bit of difficulty turning to the right when looking at the afterimage on that side ...


Dr. Gao Pilin reply Ophthalmology
Hello: 1. The afterimage in your left eye appears clearer than in your right eye, and you feel a slight difficulty in turning your eyeball to the right: This sensation may be related to visual coordination between your eyes. Sometimes, the coordination can be affected, leading ...

[Read More] Understanding Asymmetrical Peripheral Vision: Causes and Concerns


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