Understanding Prolonged Blurriness After Pupil Dilation in Diabetic Patients
Pupil Dilation Issues Hello, doctor. I have undergone vitrectomy in both eyes due to diabetic proliferative retinopathy. Currently, I still have silicone oil in my eyes. I would like to ask: the hospital states that the effect of the dilating drops generally lasts for 4-6 hours, ...
Dr. Gao Pilin reply Ophthalmology
Hello: For diabetic patients, the slower recovery from mydriasis may be due to the effects of diabetes on the optic nerve and ocular tissues. This could include a slowdown in nerve conduction velocity or vascular issues that affect the normal constriction and dilation response of...[Read More] Understanding Prolonged Blurriness After Pupil Dilation in Diabetic Patients
Understanding Eye Floaters: Black Spots and Retinal Concerns
Seeing dark spots? Hello, doctor. I have myopia in my left eye of -6.75 and -5.25 in my right eye, along with floaters. 1. Recently, I've been seeing small black spots when looking at things; sometimes they appear as a dot and other times as a small blot, but they are alwa...
Dr. Gao Pilin reply Ophthalmology
Hello: 1. Regarding the small black objects you described, this may be a condition known as floaters. Floaters are typically caused by changes in the gel-like substance within the vitreous humor of the eye, which creates shadows or spots that you see in your field of vision. Th...[Read More] Understanding Eye Floaters: Black Spots and Retinal Concerns
Understanding Eye Exams: Differences Between Refraction and Dilation
Vision examination Hello, doctor. A few days ago, I got new glasses, and my prescription increased by less than one diopter in each eye, while my astigmatism remains unchanged at 2.00. I've heard that it's quite normal for prescriptions to increase slightly during high ...
Dr. Gao Pilin reply Ophthalmology
Hello: 1. It is quite common to experience a slight increase in prescription during high school, especially after prolonged reading or eye use. This may be related to changes in myopia, but it does not necessarily indicate pseudomyopia. To gain a clearer understanding, it is reco...[Read More] Understanding Eye Exams: Differences Between Refraction and Dilation
Understanding Floaters and Light Shadows in Vision: When to Seek Help
Vitreous degeneration & retinal degeneration Hello doctor, I have recently experienced a significant increase in floaters, so I went to a large hospital for an examination. I had a fundus photography done, and the doctor said that my retina looked fine, advising me to have re...
Dr. Gao Pilin reply Ophthalmology
Hello: Based on your description, you experience a phenomenon of light shadows at the edges of your vision when turning to the far left or right. This condition may be related to certain physiological phenomena of the eyes. One possible reason is that slight changes in the vitreo...[Read More] Understanding Floaters and Light Shadows in Vision: When to Seek Help
Post-Laser Surgery: Understanding Shadows in Your Vision
The appearance of shadows after laser surgery? Hello Doctor, I underwent peripheral retinal laser treatment yesterday. The doctor mentioned that it was performed due to thinning, and there were no holes. After the procedure, when I enter a brightly lit area, I notice a shadow at ...
Dr. Gao Pilin reply Ophthalmology
Hello: This situation may be a temporary symptom caused by the treatment process, which typically improves within a few days to a week after the procedure. After laser treatment, the eyes may need some time to adjust, and experiencing some temporary visual disturbances is a relat...[Read More] Post-Laser Surgery: Understanding Shadows in Your Vision
Managing Recurrent Corneal Erosion: Challenges and Treatment Options
Recurrent corneal erosion, but no preventive measures can be identified? Hello, Doctor! My wife experienced her first corneal abrasion in February of last year. She received treatment from a cornea specialist, who prescribed artificial tears and a tear film ointment, but she stil...
Dr. Gao Pilin reply Ophthalmology
Hello: First, your wife's medication regimen already includes artificial tears and a tear film ointment, which are standard treatments for dry eye syndrome. However, if her eyelids are still sticking together during sleep and exacerbating her symptoms, it may be necessary to...[Read More] Managing Recurrent Corneal Erosion: Challenges and Treatment Options
Understanding Pupil Dilation Exams: What They Reveal About Eye Health
Pupil Dilation Examination I apologize for bothering the doctor. A few days ago, I went to the ophthalmologist for a dilated eye exam. At that time, there were no signs of retinal tears or detachments. The doctor explained that the flashes I was experiencing were part of a pullin...
Dr. Gao Pilin reply Ophthalmology
Hello: I understand your situation. First, through a dilated eye exam, the physician can examine various parts of the eye, including the fundus, to ensure the health of the retina and other structures. The flashes you are experiencing may be caused by changes in the retina or vit...[Read More] Understanding Pupil Dilation Exams: What They Reveal About Eye Health
Managing High Eye Pressure: Should You Stop Medication Before Follow-Up?
In cases of elevated intraocular pressure, if the follow-up diagnostic appointment is scheduled too far in the future, should the medication be paused first? Hello Doctor, I spontaneously decided to visit a nearby ophthalmology clinic on Monday evening for an eye examination, as ...
Dr. Gao Pilin reply Ophthalmology
Hello: 1. Timing for discontinuing medication: If your intraocular pressure has significantly decreased after using eye drops, and you plan to undergo a visual field test, the doctor may recommend stopping the medication, believing that your current examination situation does not...[Read More] Managing High Eye Pressure: Should You Stop Medication Before Follow-Up?
Understanding Post-Laser Treatment: Shadows and Concerns for High Myopia Patients
Local shadowing after retinal laser treatment? Hello Dr. Gao, I am a patient with high myopia and have been regularly undergoing fundus examinations. Three days ago, I was diagnosed with a retinal tuft in the lower nasal quadrant of my right eye, and I underwent preventive retina...
Dr. Gao Pilin reply Ophthalmology
Hello: 1. Location of fluid accumulation: When fluid accumulation occurs after laser treatment, it is usually located beneath the retina. Generally, this type of fluid accumulation does not directly lead to retinal detachment or necrosis. 2. Resolution of fluid accumulation: The ...[Read More] Understanding Post-Laser Treatment: Shadows and Concerns for High Myopia Patients
Understanding Early Glaucoma: Concerns and Monitoring Strategies
About glaucoma? Hello, Doctor. I previously had an OCT examination, and although the doctor said there was no immediate danger, I am still concerned about the possibility of glaucoma due to the cupping of the optic nerve head and some degeneration around the optic nerve. I consul...
Dr. Gao Pilin reply Ophthalmology
Hello: First, the cupping of the optic disc and surrounding degeneration are characteristics of glaucoma, but these features alone are not sufficient for a diagnosis of glaucoma. Other assessments, including intraocular pressure, visual field testing, and corneal thickness, are i...[Read More] Understanding Early Glaucoma: Concerns and Monitoring Strategies
Post-Vitreous Surgery: Understanding New Eye Bleeding Concerns
Recurrent intraocular hemorrhage after vitrectomy? My wife underwent a vitrectomy on January 11, and today, January 15, she returned for a follow-up appointment to receive an injection. The doctor did not specify what type of injection it was, but mentioned that the cost is not i...
Dr. Gao Pilin reply Ophthalmology
Hello: Based on what you mentioned, this is just my preliminary opinion without a physical examination. The best course of action is to have an eye examination to ensure you receive the most accurate diagnosis and treatment recommendations. 1. Regarding the issue of eye bleedin...[Read More] Post-Vitreous Surgery: Understanding New Eye Bleeding Concerns
Glaucoma and Corneal Transplant: Treatment Options for Elderly Patients
Glaucoma and Corneal Transplantation Due to a family history of glaucoma, my father is also a glaucoma patient and is currently receiving treatment at a major hospital in central Taiwan, where he is using eye drops to control his intraocular pressure. My father's left eye ha...
Dr. Gao Pilin reply Ophthalmology
Hello: Regarding corneal transplant surgery, this treatment is typically applied to corneal-related diseases, rather than glaucoma or macular degeneration. For glaucoma, topical medications to lower intraocular pressure are a common approach. If control is inadequate, surgery or ...[Read More] Glaucoma and Corneal Transplant: Treatment Options for Elderly Patients
Understanding Prescription Changes and Eye Health Concerns
Regarding prescription and eyewear issues? Hello, Director Gao! I apologize for the interruption. I recently experienced some issues with my eyes and would like to seek your advice. I have high myopia in my right eye (over -900 degrees) and moderate myopia in my left eye (over -6...
Dr. Gao Pilin reply Ophthalmology
Hello: 1. Muscle aging can lead to slower focusing, and increasing the prescription of your lenses may help improve focusing speed. New glasses can provide clearer vision, reduce muscle fatigue, and thereby enhance focusing performance. As you are approaching 40 years old, you ma...[Read More] Understanding Prescription Changes and Eye Health Concerns
Understanding Eye Discomfort: Causes of Pressure When Removing Glasses
Eye discomfort? Doctor, I have myopia of about -6.00 diopters, and my glasses prescription is -5.00 diopters. Recently, I have noticed that when I take off my glasses to look at distant objects, my eyes feel strained. What could be the reason for this?
Dr. Gao Pilin reply Ophthalmology
Hello: Based on your description, one possible reason for the feeling of pressure in your eyes after removing your glasses is that your eyes are straining to adjust their focus for distant objects. For myopic individuals, the lens of the eye needs to adjust to ensure that the foc...[Read More] Understanding Eye Discomfort: Causes of Pressure When Removing Glasses
Swollen Right Eyelid After Past Injury: When to Seek Eye Care?
When touching the eyelid of the right eye while it is closed, it is noticeably more swollen than the left eye? Hello, doctor. About three years ago, while cleaning, I accidentally hit my eye with a refrigerator shelf, causing noticeable redness and swelling around the eye area. H...
Dr. Gao Pilin reply Ophthalmology
Hello: Based on your description, it seems that you did not experience any significant sequelae from your eye injury three years ago, but recently you have noticed noticeable swelling of the eyelid when closing your right eye. Although you did not mention any other ocular discomf...[Read More] Swollen Right Eyelid After Past Injury: When to Seek Eye Care?
Understanding Glare Caused by Dry Eye Syndrome: Causes and Solutions
Glare caused by dry eye syndrome? Hello Doctor: Since I started working in early September last year, I have been experiencing visual disturbances at night, such as seeing beams of light and halos around streetlights. I have visited multiple hospitals for ophthalmic examinations,...
Dr. Gao Pilin reply Ophthalmology
Hello: Based on your description, you have experienced some unusual phenomena when seeing lights at night. After an ophthalmic examination, issues related to the cornea and conjunctiva have been ruled out, and the doctor mentioned that it may be due to dry eye syndrome. Dry eye s...[Read More] Understanding Glare Caused by Dry Eye Syndrome: Causes and Solutions
Understanding Retinal Laser Treatment and Its Effects on Floaters
Retinal laser treatment Hello Doctor, I am the person who developed a significant amount of floaters after retinal laser treatment. Recently, it seems that the floaters have increased, and I occasionally see flashes of light. I am really going crazy. I have an appointment and wil...
Dr. Gao Pilin reply Ophthalmology
Hello: 1. For laser treatment of the retina, it is typically focused on specific areas, and the physician will have very precise localization during the procedure. The area treated with laser is different from the area affected by floaters, so it is not possible to assess the sit...[Read More] Understanding Retinal Laser Treatment and Its Effects on Floaters
Understanding Thin Peripheral Retina: Concerns and Management for High Myopia
The peripheral retina is very thin? Dear Doctor, I have high myopia in both eyes (L: 900, R: 1000) and high astigmatism (L ~ 400, R ~ 400). Both my left and right eyes underwent retinal laser treatment this year. During a retinal examination yesterday, the doctor noticed somethi...
Dr. Gao Pilin reply Ophthalmology
Hello: Based on the situation you described, the physician recommends regular monitoring and observation, which is reasonable. Here are some suggestions to improve eye health and reduce the risk of retinal tears: 1. Maintain regular follow-ups: According to the physician's...[Read More] Understanding Thin Peripheral Retina: Concerns and Management for High Myopia
Understanding Post-Scleral Buckling Symptoms and Recovery Guidelines
Post-scleral buckle surgery intraocular examination? Hello, Doctor. I would like to ask: 1. When looking at bright areas, such as a blue sky on a sunny day, I see many small white dots moving around. Is this a normal phenomenon? (Both eyes experience this, but it seems more pro...
Dr. Gao Pilin reply Ophthalmology
Hello: 1. The phenomenon you described of seeing small white spots in bright places may be due to vitreous floaters or other retinal issues. It is recommended to visit an ophthalmologist as soon as possible to determine if further treatment or monitoring is necessary. 2. The r...[Read More] Understanding Post-Scleral Buckling Symptoms and Recovery Guidelines
Post-Scleral Buckling Surgery: Common Concerns and Recovery Tips
Post-scleral buckle surgery Hello, Doctor. I underwent a left eye scleral buckle procedure on December 22, and I would like to ask: 1. Will the sutures on the eyeball fall out? They feel a bit protruding and uncomfortable, like a foreign body. 2. Is it normal to see the scleral...
Dr. Gao Pilin reply Ophthalmology
Hello: 1. Regarding the sutures on the eyeball, it is normal to experience a foreign body sensation after scleral buckle surgery, typically caused by the sutures used during the procedure. This sensation may persist during the recovery period but may become less noticeable over...[Read More] Post-Scleral Buckling Surgery: Common Concerns and Recovery Tips