Managing Cataracts in High Myopia: Options for Balanced Vision
High myopia cataract Hello, I am a person with high myopia (suffering from floaters) and have cataracts in my right eye (currently unable to measure accurate refractive error; previously, vision was the same as my left eye). My left eye has a refractive error of -9.00 diopters (c...
Dr. He Jianxian reply Ophthalmology
Dear Ms. Tsui, The choice between single vision or multifocal lenses depends entirely on your work and lifestyle. Neither option has an absolute advantage, and both come with relative disadvantages. Given your situation, I recommend not retaining any prescription after the surge...[Read More] Managing Cataracts in High Myopia: Options for Balanced Vision
Impact of Gas Separation on Recovery After Retinal Detachment Surgery
Retinal detachment surgery - gas tamponade? Hello. I would like to ask, I underwent retinal detachment surgery and gas was injected. Recently, I accidentally shook my head, causing a small bubble of gas to separate. I would like to know if this affects the recovery of the gas. Th...
Dr. He Jianxian reply Ophthalmology
Hello Mr. Lin: Don't worry, it should integrate on its own or form a bubble after a while. Director He Jianxian, Ophthalmology, Nantou Hospital.[Read More] Impact of Gas Separation on Recovery After Retinal Detachment Surgery
Can I Wear Contact Lenses with Early Macular Fold Diagnosis?
Can contact lenses be worn in the early stages of macular folds? Hello, doctor. I am 22 years old and have just been diagnosed with macular folds. During my visit to the hospital, the doctor indicated that it is currently in the early stage, and there is no significant vision los...
Dr. He Jianxian reply Ophthalmology
Dear Ms. Kennis: 1. Macular folds are a retinal issue and have no correlation with the use of corrective lenses. 2. Macular folds cannot be prevented from worsening through other means; they can only be monitored and followed up. Director He Jian-xian, Ophthalmology Departme...[Read More] Can I Wear Contact Lenses with Early Macular Fold Diagnosis?
Understanding Binocular Vision Dysfunction: Symptoms and Solutions
Binocular vision dysfunction When looking at objects within 1 meter, there are no issues. However, beyond 1 meter, when both eyes focus on a single point, the images keep jumping back and forth, and the visuals alternate between the left and right eyes. For instance, when watchin...
Dr. He Jianxian reply Ophthalmology
Hello Mr. Wei: Your condition is somewhat unusual. Typically, when we focus on a certain distance, the dominant eye does not switch randomly. It is quite strange that you keep switching and have double vision. I recommend that you visit a large hospital to see an ophthalmologist ...[Read More] Understanding Binocular Vision Dysfunction: Symptoms and Solutions
Vision Issues in Seniors: Is Cataract Surgery the Right Choice?
Vision problems in the elderly? Hello, doctor. My elderly relative is over 80 years old and has blurry vision for both distance and near. Due to their age, they have chronic conditions such as heart disease and hypertension. They wear glasses for both near and distance vision, bu...
Dr. He Jianxian reply Ophthalmology
Dear Mr. Xiao You: If cataracts are affecting your vision and daily life, relying on corrective lenses may not be very effective. If the situation allows, you might consider addressing the cataract issue, as it could lead to more significant improvement. Director He Jianxian, Oph...[Read More] Vision Issues in Seniors: Is Cataract Surgery the Right Choice?
Understanding the Sparkling Dots in Your Vision: Causes and Concerns
Seeing small bright spots in the sky that resemble stars? Dear Doctor, I started experiencing floaters (transparent specks) this month. At the beginning of the month, I had an eye exam to check my retina, and everything was fine. However, today while looking at the sky, I notice...
Dr. He Jianxian reply Ophthalmology
Dear Mr. Lyon: I am unable to understand what you mean by "light spots." This phenomenon seems to occur only when looking at the sky, which is somewhat unusual. Clinically, I have not encountered similar cases. I recommend that you undergo another retinal examination....[Read More] Understanding the Sparkling Dots in Your Vision: Causes and Concerns
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 Ophthalmology
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 Ophthalmology
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 Ophthalmology
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 Ophthalmology
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 Ophthalmology
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 Ophthalmology
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
Impact of Eye Exams on Vision: Macular Degeneration Concerns
Issues Affecting Eye Examinations Individuals with macular degeneration often undergo dilation and optical scanning examinations before and after surgery. Will this affect their vision or lead to any complications?
Dr. He Jianxian reply Ophthalmology
Hello Mr. Pan R: In theory, there should not be any sequelae; however, if there are, clinical practice will certainly impose restrictions on how long one must wait before undergoing the procedure again. Director He Jianxian, Ophthalmology Department, Nantou Hospital.[Read More] Impact of Eye Exams on Vision: Macular Degeneration Concerns
Understanding Post-Retinal Detachment Surgery Symptoms and Concerns
Post-Retinal Detachment Surgery Hello Director: I have undergone retinal detachment surgery on my left eye, which involved gas injection and vitrectomy. I also had an artificial lens implanted three years ago, and my vision is approximately 0.8 to 0.9. However, for the past three...
Dr. He Jianxian reply Ophthalmology
Dear Mr. Hope: Based on your description, there should generally be no issues with your retina. As for the sensation of movement you are experiencing, I cannot interpret that; I recommend discussing it with your attending physician. Director He Jianxian, Ophthalmology, Nantou Hos...[Read More] Understanding Post-Retinal Detachment Surgery Symptoms and Concerns
Understanding Visual Disturbances: Spots and Flashes After Waking Up
Upon waking, I notice many spots in my vision? Hello Doctor: I have a history of retinal tears in both eyes and have undergone laser treatment. This morning, when the phone rang in the living room, I hurriedly walked from my room and suddenly noticed many round spots of light in ...
Dr. He Jianxian reply Ophthalmology
Hello Miss Xiao Ju: Visual persistence is a common phenomenon. Generally, if it resolves quickly, there is no need to worry too much. However, if you are still concerned, it is advisable to have an eye examination. Director He Jianxian, Ophthalmology Department, Nantou Hospital.[Read More] Understanding Visual Disturbances: Spots and Flashes After Waking Up
Understanding Eye Focus Issues: Near Vision Problems Explained
Eye problems The eyes can focus well on distant and near objects, but there is difficulty focusing on intermediate distances, such as those found in a living room or bedroom. There is no issue when using one eye. Additionally, when viewing objects with both eyes, there is a sensa...
Dr. He Jianxian reply Ophthalmology
Dear Mr. Awei, Regarding the principle of image formation in the eyes, if there are no issues with focusing at both distant and near ranges, there should be no problems at intermediate distances either. It is truly inexplicable why you are unable to focus at intermediate distanc...[Read More] Understanding Eye Focus Issues: Near Vision Problems Explained
Glaucoma or Night Blindness: Understanding Your Eye Condition
Is it glaucoma or night blindness? Hello doctor, I was diagnosed with macular degeneration during my health check-up in January this year. Subsequent follow-up examinations revealed that I have low-tension glaucoma (my eye pressure was approximately 10-15 before using eye drops)....
Dr. He Jianxian reply Ophthalmology
Dear Confused Individual: Due to the complexity of your condition, it is difficult to provide a recommendation. I suggest you go directly to a medical center for an examination, as you may receive a more accurate diagnosis. Dr. He Jianxian, Department of Ophthalmology, Nantou Hos...[Read More] Glaucoma or Night Blindness: Understanding Your Eye Condition
Understanding Eye Safety: Risks of Laser Exposure and Symptoms
Laser light exposure to the eyes? Hello, doctor. A few days ago, a worker came to my house to install an air conditioner. One of the workers suddenly took out a laser distance meter and used it without any warning, pointing it in the direction of people. During the process, the l...
Dr. He Jianxian reply Ophthalmology
Hello Ms. C: Laser injuries occur immediately and will happen at the moment of exposure, and there will be no issues such as headaches. Therefore, if you have any concerns, it is advisable to get checked out directly. Director He Jianxian, Ophthalmology, Nantou Hospital.[Read More] Understanding Eye Safety: Risks of Laser Exposure and Symptoms
Post-Retinal Surgery Recovery: What to Expect and When to Seek Help
Recovery Period After Retinal Surgery Hello, doctor. Due to retinal detachment, I underwent air tamponade surgery and am currently in the recovery phase (over 1 month). The air has not completely dissipated yet. I would like to ask about the impact of occasionally straining durin...
Dr. He Jianxian reply Ophthalmology
Dear Mr. Cheney, If you are concerned that straining may affect the recovery of your retina, you might want to consider using a stool softener. You can ask your physician to evaluate and prescribe it during your follow-up appointment. Sincerely, Director He Jianxian, Ophtha...[Read More] Post-Retinal Surgery Recovery: What to Expect and When to Seek Help
Experiencing Flashing Lights After Running: When to Seek Eye Care?
Experiencing flashes of light in the eyes during rest after running? I would like to ask the doctor about my condition. I have myopia of approximately 800 degrees and have been undergoing regular fundus examinations, with the last one conducted at the end of October last year. Th...
Dr. He Jianxian reply Ophthalmology
Hello Mr. K and Mr. H: Based on your description, it is difficult to determine the exact situation. However, if your vision returns within 30 seconds, it is likely not a serious issue. On the other hand, if your vision goes completely black for several seconds, similar to turning...[Read More] Experiencing Flashing Lights After Running: When to Seek Eye Care?