Understanding Retinal Laser Treatment: Insights and Concerns for Patients
Retinal laser treatment 1. After going to the ophthalmology clinic for an evaluation of my myopia surgery, I discovered that both of my eyes had holes during the retinal examination. The right eye was more severe, showing signs of retinal detachment. The doctor performed laser tr...
Dr. He Jianxian reply Ophthalmology
1. A retinal tear, if accompanied by a localized detachment that is very small, can indeed be treated with laser therapy. Surgery is only necessary if the area of detachment continues to expand after the laser treatment. 2. It is best not to rub the eyes, but if rubbing does caus...[Read More] Understanding Retinal Laser Treatment: Insights and Concerns for Patients
Sudden Blackout in Vision: Causes and When to Seek Help
A brief moment of blackness in the vision lasting less than a second? Hello Doctor: Since last year, my vision has occasionally flashed black for less than a second, about 0.1 seconds, happening a total of five or six times. I have a history of floaters, and when I went to a clin...
Dr. He Jianxian reply Ophthalmology
This phenomenon of visual darkness lasting less than 0.1 seconds does not correspond to any known clinical conditions. The precursor symptoms of a stroke that you referred to as "amaurosis fugax" typically last for several seconds, which is caused by a thrombus obstruct...[Read More] Sudden Blackout in Vision: Causes and When to Seek Help
Understanding Fundus Examination: Common Questions and Concerns
Fundus examination? 1. I recently had a fundus examination at the ophthalmologist. Before dilation, my visual acuity was 20/625 in the left eye and 20/675 in the right eye with astigmatism of 4.00. After dilation, it changed to 20/675 in the left eye and 20/725 in the right eye. ...
Dr. He Jianxian reply Ophthalmology
1. The occurrence of increased refractive error after dilation is indeed rare, but it can still be encountered in clinical practice, and we cannot rule out the possibility of instrument error. 2. Refractive assessment can indeed be performed using this method, but the margin of ...[Read More] Understanding Fundus Examination: Common Questions and Concerns
Post-Retinal Surgery: Safe Exercises and Recovery Tips for Patients
Post-retinal surgery 1. After three months post-retinal detachment surgery, what types of exercise can I engage in? The doctor mentioned that I could do any exercise as long as it’s not too intense, but I’m afraid and haven’t dared to do any exercise. Could you please provide som...
Dr. He Jianxian reply Ophthalmology
1. Basic activities such as running, stretching, and walking are generally fine as long as the impact is not significant, but caution is advised with sports like basketball. 2. Sudden exertion or strong impacts should be avoided. 3. Typically, stability is achieved after about si...[Read More] Post-Retinal Surgery: Safe Exercises and Recovery Tips for Patients
Understanding Eye Fatigue: Causes and Solutions for Blurry Vision
Eye fatigue Hello doctor, my eyes seem to be having some issues. When I look at things for a long time, they become blurry. For example, after looking at my phone for about 20 to 30 minutes, my vision becomes unclear. When I focus on products (silver metal products) at work, it a...
Dr. He Jianxian reply Ophthalmology
This is a common presbyopia issue. If you need to work up close for extended periods, it is advisable to adjust your glasses to include the prescription for presbyopia. Dr. He Jianxian, Department of Ophthalmology, Nantou Hospital.[Read More] Understanding Eye Fatigue: Causes and Solutions for Blurry Vision
Understanding Nighttime Visual Obstructions: Eye Symptoms Explained
When sleeping, I feel that part of my vision near the corner of one eye is obstructed by a shadow and is not visible? Hello Doctor, I have floaters and high myopia. Recently, when I lie in bed at night (with the lights off), I feel like one eye has a part of my visual field block...
Dr. He Jianxian reply Ophthalmology
The symptoms you are currently experiencing cannot be clinically explained. I recommend that you undergo a formal dilated eye examination at an ophthalmology department. If no abnormalities are found, there is no need to worry too much. Director He Jian-xian, Nantou Hospital Opht...[Read More] Understanding Nighttime Visual Obstructions: Eye Symptoms Explained
Managing Eye Pressure and Blood Pressure: Concerns During Pregnancy
About Avodart? Hello, doctor. I would like to ask about my situation. I have an intraocular pressure of 24 and my myopia is between 900 and 1000. I have been using Aifume for three months now, and I have been returning for follow-up visits with OCT and visual field tests. My intr...
Dr. He Jianxian reply Ophthalmology
If there are concerns about the adverse effects of medication on the fetus, temporarily discontinuing the medication and resuming it once the fetus is larger could be a reasonable option. Regarding intraocular pressure-lowering medications, there is a possibility that they may al...[Read More] Managing Eye Pressure and Blood Pressure: Concerns During Pregnancy
Managing Acute Angle-Closure Glaucoma: Treatment and Care Strategies
Acute angle-closure glaucoma management and treatment options include: 1. **Medications**: Immediate treatment often involves medications to lower intraocular pressure. These may include carbonic anhydrase inhibitors (e.g., acetazolamide), topical beta-blockers (e.g., timolol),...
Dr. He Jianxian reply Ophthalmology
In the case of an acute glaucoma attack, it is generally necessary to urgently lower intraocular pressure. If the pressure can be successfully reduced, subsequent treatment involves laser iridotomy, and emergency surgery becomes an unavoidable option. After the acute phase of tre...[Read More] Managing Acute Angle-Closure Glaucoma: Treatment and Care Strategies
Common Eye Issues: Concerns About Steroid Use and Dry Eye Management
Eye problems 1. Hello, I would like to ask about my previous long-term use of Betamethasone eye ointment on my eyelids for four years. I later learned that it contains steroids and should not be used long-term, so I stopped using it immediately. I had a fundus examination, and my...
Dr. He Jianxian reply Ophthalmology
If the examination shows no abnormalities in intraocular pressure or the optic nerve, discontinuing treatment typically does not lead to secondary glaucoma. Regarding dry eyes, using eye ointments can often lead to blockage, so it is important to maintain regular cleaning. There ...[Read More] Common Eye Issues: Concerns About Steroid Use and Dry Eye Management
Understanding Temporary Eye Shadows: A Guide for High Myopia Patients
Eye floaters? Hello, doctor! I am a patient with high myopia (left eye -12.25; right eye -11.00) and I also have floaters. I am currently thirty years old. When I move my left eye, I experience a brief shadow that lasts for about less than a second. In my right eye, when I move i...
Dr. He Jianxian reply Ophthalmology
Your description seems to indicate a phenomenon known as "floaters." If you have undergone a dilated eye exam and no issues were found, there is likely no need for excessive concern. Regular follow-up appointments to check the retina should suffice. Dr. Ho Chien-Hsien, ...[Read More] Understanding Temporary Eye Shadows: A Guide for High Myopia Patients
Glaucoma Diagnosis Dilemma: Trusting Competing Eye Care Opinions
Glaucoma Diagnosis After being diagnosed with glaucoma at a clinic after years of regular check-ups, I went to another clinic for a one-time examination, which stated that I only have ocular hypertension. Which diagnosis should I trust? Currently, both clinics agree that I need t...
Dr. He Jianxian reply Ophthalmology
If the cornea is thicker, intraocular pressure (IOP) measurements may be less meaningful. The primary assessments should focus on Optical Coherence Tomography (OCT), visual fields, and the condition of the optic nerve head. If these evaluations show no abnormalities, it is recomm...[Read More] Glaucoma Diagnosis Dilemma: Trusting Competing Eye Care Opinions
Understanding Symptoms of Floaters and Flashing Lights in the Eye
Vitreous floaters and flashes? A month ago, I noticed a prominent deep black line in my right eye along with hundreds of tiny black dots surrounding it. Additionally, when I turned my head from left to right in the dark, I saw an arc-shaped flash of light at the outer edge of my ...
Dr. He Jianxian reply Ophthalmology
The sudden appearance of a large number of floaters should indeed raise concern. However, since you have undergone dilated fundus examinations twice without any issues being detected, it is likely that everything is fine. As for the flashes of light you see when turning your head...[Read More] Understanding Symptoms of Floaters and Flashing Lights in the Eye
Understanding Early Macular Degeneration: Risks and Vision Impact
Early-stage macular degeneration I have high myopia with a prescription of -12.75 in the left eye and -12.00 in the right eye. The doctor mentioned that I have early-stage dry macular degeneration and I am currently waiting for confirmation at the Veterans General Hospital. I wou...
Dr. He Jianxian reply Ophthalmology
Hello, the term macular degeneration is somewhat vague; some cases can be quite severe while others may only involve mild degeneration. It would be wiser to wait for the results and then consult your physician about the subsequent developments. Dr. Ho Chien-Hsien, Ophthalmology D...[Read More] Understanding Early Macular Degeneration: Risks and Vision Impact
Understanding Macular Pucker: Questions and Insights on Eye Health
Macular degeneration Hello Dr. He, I am #180537. Thank you for your reply. I had a follow-up appointment at the hospital three months ago, where the doctor performed an OCT and a fundus examination, but did not conduct a fluorescein angiography. I was only informed that there is ...
Dr. He Jianxian reply Ophthalmology
Generally, the criteria for considering surgery for macular folds include significant vision loss or severe distortion of vision, even to the point of having a gap in the central vision. If these conditions are not present, regular monitoring is recommended, as surgery does not g...[Read More] Understanding Macular Pucker: Questions and Insights on Eye Health
Understanding Visual Distortions: Is Eye Fatigue the Culprit?
Macular degeneration Hello, Doctor. Last week, I experienced a distortion in my vision where objects appeared to be enlarging and shrinking due to staying up late the night before. I also noticed that the shadows of the beams and columns on the ceiling seemed to soften, pulsating...
Dr. He Jianxian reply Ophthalmology
Regarding your specific condition, there have not been any similar cases encountered in clinical practice, so I am unable to provide any insights. Dr. Ho Chien-Hsien, Ophthalmology Department, Nantou Hospital.[Read More] Understanding Visual Distortions: Is Eye Fatigue the Culprit?
Understanding Blue-tinged Sclera: Causes and When to See a Doctor
The sclera appears bluish? This afternoon, I suddenly noticed that the whites of my eyes appear bluish. I'm not sure if it's related to wearing contact lenses, as I haven't worn them in a long time. I researched online and found that it could be chronic anemia, but...
Dr. He Jianxian reply Ophthalmology
If the sclera appears bluish, it may be clinically associated with certain connective tissue diseases. It is recommended that if there are any concerns, one should visit a rheumatology clinic for further evaluation. Dr. Ho Chien-Hsien, Department of Ophthalmology, Nantou Hospital...[Read More] Understanding Blue-tinged Sclera: Causes and When to See a Doctor
Post-Surgery Exercise Guidelines for Macular Hole Repair Recovery
Postoperative exercises after macular hole surgery? It has been six months since my macular hole surgery, and I am still using eye drops. What types of exercise can I do now? I have noticed some muscle weakness due to lack of exercise, but I am concerned that exercising might aff...
Dr. He Jianxian reply Ophthalmology
In general, there should not be significant contraindications to regular exercise, unless the activity is excessively intense or strenuous. This is for your reference. Dr. Ho Chien-Hsien, Ophthalmology Department, Nantou Hospital.[Read More] Post-Surgery Exercise Guidelines for Macular Hole Repair Recovery
Understanding Macular Fold: Can Surgery Improve Aniseikonia Symptoms?
Macular folds I have been suffering from an eye condition for the past year, which has actually been developing for over 10 years. My symptoms are known as aniseikonia, where the images seen by both eyes are of different sizes and distances. It feels like I am wearing a poorly fi...
Dr. He Jianxian reply Ophthalmology
Macular folds can indeed cause image distortion or magnification or reduction of images. To improve the condition, it is necessary to remove the membrane causing the macular folds, which requires surgical intervention. This is for your reference. Dr. Ho Chien-Hsien, Ophthalmology...[Read More] Understanding Macular Fold: Can Surgery Improve Aniseikonia Symptoms?
Understanding Macular Degeneration: OCT vs. Fluorescein Angiography
Macular degeneration Hello, doctor. Due to my high myopia, I have been regularly visiting the hospital for check-ups, including Optical Coherence Tomography (OCT) and dilated fundus examinations by the doctor. Can dry or wet macular degeneration be detected through OCT, or is it ...
Dr. He Jianxian reply Ophthalmology
Macular folds and age-related macular degeneration (AMD) are fundamentally different conditions. The latter is classified into dry and wet forms, which can usually be distinguished through a fundus examination. If that is not possible, Optical Coherence Tomography (OCT) can assis...[Read More] Understanding Macular Degeneration: OCT vs. Fluorescein Angiography
Understanding Visual Disturbances: Flickering and Brightness Changes Explained
There is a slight shaking phenomenon around objects when looking at them? Hello Doctor, I am 43 years old with myopia of approximately -6.50/-8.50. 1. Since 2021, I have noticed a slight shaking sensation on the outer side of my eyes when looking at things (there is a feeling of ...
Dr. He Jianxian reply Ophthalmology
If all examinations have been completed, you should feel reassured. The flickering sensation in your peripheral vision may be caused by vitreous degeneration, but this is merely a hypothesis, and I, as a physician, cannot determine the exact cause. Regarding the changes in bright...[Read More] Understanding Visual Disturbances: Flickering and Brightness Changes Explained