Understanding Vision Loss: Causes, Treatment Options, and Expert Advice
Causes and Management of Vision Loss I have been unable to see clearly even while wearing my glasses, and I have consulted two ophthalmologists. The first doctor said, "I do not recommend getting new glasses; both eyes have cataracts, and there are no other issues. I suggest...
Dr. Gao Pilin reply Ophthalmology
Hello: Thank you very much for providing such detailed information. Here are the responses to your questions one by one: 1. Different cataract conditions in the left and right eyes: Yes, based on your description, the cataract in the left eye appears to be more severe than in t...[Read More] Understanding Vision Loss: Causes, Treatment Options, and Expert Advice
Expert Recommendations for Macular Hole Treatment in Taipei
Macular hole 1. Could you recommend any specialists in macular hole at hospitals in Taipei? 2. Which doctors at Taipei Veterans General Hospital's ophthalmology department are recommended for macular holes? 3. I currently have a stage II macular hole in my left eye and a...
Dr. Gao Pilin reply Ophthalmology
Hello: 1. Ophthalmologists specializing in macular holes in the Taipei area: You may consider visiting the ophthalmology departments at Taipei Veterans General Hospital, Taipei Tzu Chi Hospital, or Taipei City Hospital (Zhongxing Branch), where you can consult with retinal spec...[Read More] Expert Recommendations for Macular Hole Treatment in Taipei
Is Frequent Vision Testing Safe for My 4-Year-Old Child?
Issues with the phoropter? Hello, doctor: I would like to ask about my child's eye condition. In the past month, we have visited different clinics and hospitals for examinations four times, each time involving a refraction test. It seems that the refractor uses infrared dete...
Dr. Gao Pilin reply Ophthalmology
Hello: Refraction is a method used to assess visual acuity and measure the refractive error of the eyes, and it is typically one of the routine examinations performed by ophthalmologists when evaluating vision problems. For children, refraction does not harm their vision, and fre...[Read More] Is Frequent Vision Testing Safe for My 4-Year-Old Child?
Understanding Moderate Dry Eye Syndrome: Symptoms and Management Tips
Dry Eye Syndrome Issues On Monday, December 18, 2023, at 7:30 PM, I visited an ophthalmologist for an eye examination. He mentioned that my eyes are somewhat dry, but the astigmatism is particularly high. I would like to ask the doctor, I do notice that my eyes appear drier when ...
Dr. Gao Pilin reply Ophthalmology
Hello: You mentioned experiencing some soreness and redness in your eyes upon waking up in the morning. This may be due to prolonged eye closure during sleep, which reduces tear production and leads to dryness in the eyes upon waking. Additionally, prolonged use of digital device...[Read More] Understanding Moderate Dry Eye Syndrome: Symptoms and Management Tips
Adjusting Contact Lens Prescription: Is It Safe for Eye Health?
Contact lens prescription issues? Hello, doctor. About a year ago, I had my glasses prescription checked, which was -8.00 for the left eye and -9.00 for the right eye, with mild astigmatism in the left eye. Currently, my contact lens prescription is -7.50 for the left eye and -8....
Dr. Gao Pilin reply Ophthalmology
Hello: Theoretically, adjusting the prescription of contact lenses from -8.50 to -8.00 for the right eye may help reduce discomfort, particularly the sensation of increased intraocular pressure. However, there may be a slight imbalance between the two eyes initially, but you will...[Read More] Adjusting Contact Lens Prescription: Is It Safe for Eye Health?
Understanding Eye Floaters: Causes and When to Seek Help
There are bright, thread-like lines in front of my eyes? Hello, Director Gao. Sometimes my eyes are very itchy, and after rubbing them, I notice a lot of bright, string-like lines moving in front of my eyes for a moment. They disappear completely after a few seconds to about a mi...
Dr. Gao Pilin reply Ophthalmology
Hello: It is possible that there is pressure on the retina causing discharge phenomena, or that the vitreous is moving and pulling on the retina. In most cases, these symptoms do not require specific treatment. However, if you suddenly experience a significant increase in floater...[Read More] Understanding Eye Floaters: Causes and When to Seek Help
Assessing Risks of Retinal Tears and Detachment in High Myopia Patients
Check for the risk of retinal perforation or detachment? Dear Dr. Gao, I am seeking a preventive examination at the Taoyuan General Hospital due to my high myopia. Currently, there are no abnormalities when viewing the Amsler grid. The main purpose of the examination is to check...
Dr. Gao Pilin reply Ophthalmology
Hello: 1. The Taoyuan General Hospital is a regional teaching hospital, so there should be no issues with retinal examinations and laser treatments. Preventive laser therapy typically carries very low risk. 2. Generally, fluorescein fundus photography is not necessary, so there i...[Read More] Assessing Risks of Retinal Tears and Detachment in High Myopia Patients
Can Dry Eye Syndrome Cause Sunken or Deepening Eye Sockets?
Can dry eye syndrome lead to sunken or deeper eye sockets? Recently, I felt a foreign body sensation in my eyes and visited an ophthalmologist nearby. After diagnosis, it was determined that I have dry eye syndrome, which caused a corneal abrasion. Within a week, the affected eye...
Dr. Gao Pilin reply Ophthalmology
Hello: Based on the situation you described, corneal abrasion and dry eye syndrome may be causing discomfort and other symptoms in your eyes. Dry eye syndrome can lead to insufficient lubrication on the surface of the eye, which may result in symptoms such as eye pain, a foreign ...[Read More] Can Dry Eye Syndrome Cause Sunken or Deepening Eye Sockets?
Understanding Unilateral Strabismus in Children: Symptoms and Concerns
Strabismus (crossed eyes) in one eye? Hello, doctor. My child is currently three years old and has a condition of intermittent strabismus in one eye, which occurs more frequently while eating. During a recent cold, I consulted a pediatrician who mentioned the possibility of a tum...
Dr. Gao Pilin reply Ophthalmology
Hello: Tumors are relatively rare; more common conditions include: 1. Ocular muscle imbalance: The muscles within the eye fail to coordinate properly, which may result in one eye not aligning correctly with the other. 2. Refractive errors: Hyperopia can cause one eye to turn inwa...[Read More] Understanding Unilateral Strabismus in Children: Symptoms and Concerns
How to Determine Effective Control After Pupil Dilation Treatment?
After dilation treatment, how can it be determined that it has been controlled? Hello: After my child was diagnosed with myopia, the first cycloplegic examination showed 50 degrees in the right eye and 75 degrees in the left eye. After three months of long-acting cycloplegia, the...
Dr. Gao Pilin reply Ophthalmology
Hello: In ophthalmic assessments, changes in refractive error are typically based on the initial examination data. A difference of 25 degrees is considered within the margin of error in ophthalmic evaluations, although this also depends on the patient's age, the growth of th...[Read More] How to Determine Effective Control After Pupil Dilation Treatment?
Tips for Accurate Eye Pressure Measurement for Anxious Patients
Intraocular pressure measurement Hello, Doctor Gao: I am a person who gets nervous easily. Every time I have my intraocular pressure checked, I keep blinking, making it difficult to cooperate with the examination. Even when the nurse uses a cotton swab to hold my eyelids open, my...
Dr. Gao Pilin reply Ophthalmology
Hello: During intraocular pressure (IOP) testing, some individuals may indeed experience discomfort or anxiety, leading to blinking or tightly closing their eyes. This can affect the accuracy of the test results, as proper IOP measurement requires the eyes to remain still and rel...[Read More] Tips for Accurate Eye Pressure Measurement for Anxious Patients
Understanding Chalazion: Symptoms, Treatment, and Recovery Time
Chalazion issues Hello, Doctor Gao. I would like to inquire about my previous eye pain. After an examination, it was found that there was a stye developing at the eyelash line of my upper eyelid. I have been using eye drops and ointment, and applying warm compresses, which have i...
Dr. Gao Pilin reply Ophthalmology
Hello: Sebaceous gland carcinoma of the eyelid is a rare cancer that often presents as a recurrent chalazion, possibly accompanied by redness, swelling, hard lumps, and other unusual symptoms. Considering that your condition has improved and there are no signs of ongoing deterior...[Read More] Understanding Chalazion: Symptoms, Treatment, and Recovery Time
Green Laser Pointers and Eye Safety: What You Need to Know
Green laser pointer shining into the eyes? Hello doctor, I am the person who was accidentally shone with a green laser pointer during class. I went to an ophthalmology clinic for an examination, and the doctor said that my cornea was not injured. However, they did not dilate my p...
Dr. Gao Pilin reply Ophthalmology
Hello: When exposed to a laser pointer, the duration is usually very short, and the likelihood of eye injury is low. Moreover, since a significant amount of time has passed and if there has been no change in vision, it is likely that there has been no damage, so you can rest assu...[Read More] Green Laser Pointers and Eye Safety: What You Need to Know
Understanding Black Circles in Vision During Uveitis Treatment
During the treatment process for uveitis, a black ring may appear in the vision? Hello Doctor, I have been experiencing pain in my left eye, photophobia, and intermittent tearing, so I visited an ophthalmology clinic. The doctor diagnosed my left eye with acute and subacute irido...
Dr. Gao Pilin reply Ophthalmology
Hello: The appearance of dark circles and visual distortion is not a normal phenomenon during the treatment process. It could be a change in the condition, and it is unlikely that the medication is causing this. It may also be a result of the mydriatic agent tropicamide, as dilat...[Read More] Understanding Black Circles in Vision During Uveitis Treatment
Persistent Chalazion: Why Won't It Go Away After Treatment?
The chalazion has not resolved? Hello Doctor: I have had a chalazion for about six months. I have been treated four times at the ophthalmology clinic, but it still hasn't resolved. My last treatment was on December 6th, and I can still feel a lump on my eyelid. Is this becau...
Dr. Gao Pilin reply Ophthalmology
Hello: It is possible that there are recurrent episodes, as some individuals may have a predisposition to this. Here are a few suggestions: 1. Additional treatment options: Consult with an ophthalmologist to see if there are more effective or different types of treatment availabl...[Read More] Persistent Chalazion: Why Won't It Go Away After Treatment?
Understanding Occasional Flashing Lights in the Eye: Should You Worry?
Occasional flashes of light in the peripheral vision? Hello, Doctor. I have had floaters in my right eye for about six years, and there hasn't been much change during that time. However, in the last couple of days, I've noticed a brief flash of light that resembles a sh...
Dr. Gao Pilin reply Ophthalmology
Hello: Based on your description, the brief appearance of rapid lights or flashes is usually caused by the retinal surface or some internal structures of the eye. However, it is not possible to determine whether this is related to retinal detachment or a tear based solely on this...[Read More] Understanding Occasional Flashing Lights in the Eye: Should You Worry?
Understanding Blurry Vision: Causes and When to Seek Help
Blurred vision A few years ago, my father experienced episodes of sudden blurred vision that would resolve quickly. He visited an ophthalmologist, but the examination did not reveal any significant issues, and he was prescribed some eye drops. However, in the past 2-3 months, his...
Dr. Gao Pilin reply Ophthalmology
Hello: Based on the situation you described, your father is experiencing sudden blurred vision that does not improve with glasses, and no significant issues were found during the ophthalmic examination. Such symptoms can arise from various factors, some related to the eyes themse...[Read More] Understanding Blurry Vision: Causes and When to Seek Help
Understanding Negative Dysphotopsia After Cataract Surgery: Key Concerns
Arc-shaped shadows after cataract surgery? Thank you, doctor, for your previous response. I have a few questions to ask. 1. Is there a high risk of experiencing negative dysphotopsia post-surgery if it could not be detected preoperatively? 2. Is it completely impossible to adj...
Dr. Gao Pilin reply Ophthalmology
Hello: It is not possible to fully predict whether an individual will experience negative dysphotopsia prior to ophthalmic surgery. This is a rare but potential side effect that can occur after cataract surgery. This condition typically manifests as unexpected glare or visual dis...[Read More] Understanding Negative Dysphotopsia After Cataract Surgery: Key Concerns
Can Neuromodulation Therapy Improve Dry Eye Symptoms?
Improvement of Dry Eye Syndrome Can neuromodulation therapy improve dry eye syndrome?
Dr. Gao Pilin reply Ophthalmology
Hello: The treatment for dry eye syndrome varies from person to person, and different treatment methods may have different effects on different patients. Some individuals may respond positively to neurostimulation therapy, while others may not experience significant benefits. I a...[Read More] Can Neuromodulation Therapy Improve Dry Eye Symptoms?
Post-Retinal Detachment Surgery: Understanding Eye Symptoms and Concerns
Inquiry about the condition of the eye after retinal detachment surgery? Hello Doctor, 1. Why is it that after retinal detachment surgery, when I close my eyes to sleep at night and hear sounds (such as a neighbor closing a door, raindrops, or the sound of a motorcycle revving)...
Dr. Gao Pilin reply Ophthalmology
Hello: 1. Increased sensitivity to sound and rapid photic response along with elevated heart rate when closing the eyes at night: After retinal detachment surgery, some individuals may experience heightened sensitivity to light and sound during the recovery period. This could b...[Read More] Post-Retinal Detachment Surgery: Understanding Eye Symptoms and Concerns