Understanding Risks and Solutions for Retinal Tear Laser Treatment
Follow-up questions regarding retinal tear laser treatment? Hello, Doctor: I have high myopia (650 degrees in both eyes) and have undergone cataract surgery in both eyes. During a recent follow-up visit, I was found to have a retinal tear, and the doctor advised me to undergo las...
Dr. He Jianxian reply Ophthalmology
1. Laser treatment generally carries very low risks and is unlikely to produce side effects, and the claim that it is more likely to cause retinal detachment is unfounded. 2. The notion of addressing vitreous traction issues is fundamentally misguided, as it requires surgical int...[Read More] Understanding Risks and Solutions for Retinal Tear Laser Treatment
Understanding Choroidal Neovascularization: Eylea Treatment and Recovery Tips
Choroidal neovascularization Hello, doctor. I have high myopia that has led to the proliferation of blood vessels in the macula. Three days ago, I received an Eylea injection treatment, and the doctor informed me that the medication may take 1 to 2 weeks to show effects. I would ...
Dr. He Jianxian reply Ophthalmology
After the administration of the medication, it indeed takes several weeks to see effects. The expected therapeutic outcomes include the regression of neovascularization and improvement in visual distortion. Dr. Jian-Hsien Ho, Department of Ophthalmology, Nantou Hospital.[Read More] Understanding Choroidal Neovascularization: Eylea Treatment and Recovery Tips
Understanding Brief Blackouts and Visual Disturbances in High Myopia
The eyes may briefly flash black for a moment (a few seconds), and when the eyes are unfocused, there is a sensation of something moving in the periphery? I have high myopia (left eye 650 / right eye 800) and experience floaters. Almost every weekday, I have a brief moment (0.x s...
Dr. He Jianxian reply Ophthalmology
Hello, if all the tests are normal, I cannot provide a better explanation. Theoretically, there should be no issues. Director He Jianxian, Ophthalmology, Nantou Hospital.[Read More] Understanding Brief Blackouts and Visual Disturbances in High Myopia
Understanding Complications of High Myopia: New Vascular Issues Explained
High myopia can lead to issues related to neovascularization? Hello, I have a high degree of myopia in both eyes, and about two years ago, I started noticing a blind spot in my left eye, with straight lines near the blind spot appearing distorted. A year ago, I underwent examinat...
Dr. He Jianxian reply Ophthalmology
You should have undergone all the necessary examinations, which are quite thorough. Any issues should have been detected. As for questions regarding health insurance coverage, I am not an expert in that area and cannot provide an answer. Director He Jian-xian, Department of Ophth...[Read More] Understanding Complications of High Myopia: New Vascular Issues Explained
Post-Retinal Laser Surgery: Recovery, Work Limitations, and Eye Health
Post-retinal laser surgery Hello Doctor, I work in construction and I suffered a retinal detachment due to an impact. My job involves heavy lifting, typically between 20-50 kg. I had surgery over a month ago, and my vision has recovered well. 1. Am I unable to perform heavy lab...
Dr. He Jianxian reply Ophthalmology
Based on your description, the surgery you underwent appears to be laser treatment. Generally, one month after laser treatment, the retina should be quite stable, and there should not be significant restrictions on regular activities. Regarding your question about whether myopia ...[Read More] Post-Retinal Laser Surgery: Recovery, Work Limitations, and Eye Health
Managing Severe Anisometropia: Coping with 1500-Diopter Difference
Binocular disparity exceeds 1300 diopters? I have high myopia of about -1300 diopters and developed macular degeneration in one eye at the age of 20, which worsened my vision. By the age of 50, that eye experienced retinal detachment, and one year after surgery, I was diagnosed w...
Dr. He Jianxian reply Ophthalmology
One solution is to wear contact lenses, which can reduce discomfort caused by aberrations. Wearing glasses can be difficult to adapt to due to significant aberrations. Alternatively, if the other eye develops cataracts in the future, surgery could be performed to also correct the...[Read More] Managing Severe Anisometropia: Coping with 1500-Diopter Difference
Understanding Dry Eyes: Can They Cause Rainbow Vision?
Please help me! Hello Doctor, I would like to ask about an issue I experienced two weeks ago. I woke up with sudden pain at the outer corner of my right eye. After visiting a clinic, I was told that I might be developing a stye. Later, the pain turned into a sensation of dryness ...
Dr. He Jianxian reply Ophthalmology
True rainbow vision is caused by corneal edema and occurs only in acute glaucoma; it does not happen in other types of glaucoma. Fogging of glasses, especially when wearing a mask, can easily lead to similar conditions. Director He Jianxian, Department of Ophthalmology, Nantou Ho...[Read More] Understanding Dry Eyes: Can They Cause Rainbow Vision?
Increasing Eye Floaters and Flashing Lights: When to Seek Further Evaluation
The appearance of flashes of light and an increasing incidence of floaters in the eyes over the years? Hello Doctor, two years ago I was diagnosed with a degenerative retinal tear due to floaters and underwent laser treatment. For the first one to two years after the treatment, I...
Dr. He Jianxian reply Ophthalmology
Generally, when there is a change in the condition of floaters, a dilated fundus examination is necessary. However, if no new findings are observed during the dilation, there is usually no need for excessive concern. Director He Jian-xian, Ophthalmology Department, Nantou Hospita...[Read More] Increasing Eye Floaters and Flashing Lights: When to Seek Further Evaluation
Post-Vitreous Surgery: Is 3-Month Eye Bleeding Normal?
Hemorrhage three months after vitrectomy? Hello, my mother has diabetes and underwent a vitrectomy in May of this year. She hasn't had any issues post-surgery until today (three months after the surgery) when she noticed some bleeding in her eye. Is this normal, or should sh...
Dr. He Jianxian reply Ophthalmology
The bleeding you mentioned is likely a subconjunctival hemorrhage, which is visible on the surface of the eyeball. If it is indeed a subconjunctival hemorrhage, there is no need for concern as it will resolve on its own without leaving any lasting effects. However, if you have an...[Read More] Post-Vitreous Surgery: Is 3-Month Eye Bleeding Normal?
Can You Take Lutein Supplements While Breastfeeding?
Medications during pregnancy Is it safe to take lutein supplements during breastfeeding? I have a history of elevated intraocular pressure, dryness, and mild retinal degeneration, and I have been using eye drops and supplementing with lutein. However, I stopped taking lutein supp...
Dr. He Jianxian reply Ophthalmology
Lutein can also be obtained through diet, so supplementation should generally be fine. However, if there are concerns, it may be advisable to pause supplementation for a while. This is for reference only. Consulting a nutritionist regarding nutritional intake during breastfeeding...[Read More] Can You Take Lutein Supplements While Breastfeeding?
Can Multifocal Intraocular Lenses Improve Vision with Macular Degeneration?
Postoperative visual acuity remains at 0.4-0.5 with multifocal intraocular lenses for cataract surgery? My mother is 74 years old and has been experiencing dry eyes with frequent tearing. In recent years, she has noticed increasing blurriness in her vision. After consulting sever...
Dr. He Jianxian reply Ophthalmology
1. If the macula is severely degenerated, the results of any type of intraocular lens will not be ideal. 2. If you have concerns, the surgery can be postponed, as it is not an emergency procedure. Regarding the intraocular lens, a multifocal lens is generally a more favorable cho...[Read More] Can Multifocal Intraocular Lenses Improve Vision with Macular Degeneration?
Can You Use Different Intraocular Lenses for Each Eye?
Is it possible to use different intraocular lenses in each eye? Hello, I usually spend a lot of time on the computer, read newspapers, and use my phone less frequently, with less emphasis on long-distance vision. However, I have high myopia and over 100 degrees of astigmatism. If...
Dr. He Jianxian reply Ophthalmology
Using different artificial lenses for each eye primarily depends on the individual’s specific condition, which can vary. As long as the patient can adapt, it is not an issue; however, if adaptation is not possible, it can become problematic. This cannot be assessed in advance. Dr...[Read More] Can You Use Different Intraocular Lenses for Each Eye?
Understanding Flickering Shadows in Your Right Eye: Causes and Solutions
Flashing black shadows in the corner of the right eye? In the past week, I have been experiencing frequent flickering black spots (or possibly flashes) in the upper right area of my right eye. It resembles the flickering light effect caused by ceiling fans in old buildings. Initi...
Dr. He Jianxian reply Ophthalmology
Your description resembles photopsia, which is caused by traction on the retina. This phenomenon will disappear once the traction on the retina ceases. If you have already undergone a dilated fundus examination, you can generally feel reassured. However, if you experience an incr...[Read More] Understanding Flickering Shadows in Your Right Eye: Causes and Solutions
Post-Retinal Detachment Surgery: Is Fluid Movement Normal?
Post-retinal detachment surgery Hi, I underwent retinal detachment surgery using gas tamponade on July 20. After the surgery, I have been maintaining a prone or supine position. However, around July 29, I noticed fluid movement in the affected eye. Is it normal for this condition...
Dr. He Jianxian reply Ophthalmology
After injecting air, the gas will gradually be absorbed, so it is normal to observe the gas-liquid interface after some time. Dr. He Jianxian, Ophthalmology Department, Nantou Hospital.[Read More] Post-Retinal Detachment Surgery: Is Fluid Movement Normal?
Can I Get a Second Replacement for My Intraocular Lens?
Can I ask the doctor to replace my intraocular lens for the second time? Dear Doctor, I would like to ask if I can come to you for a secondary intraocular lens exchange, as my original cataract surgeon does not perform this procedure. It has been one month and five days since m...
Dr. He Jianxian reply Ophthalmology
Currently, our hospital does not have a phacoemulsification machine for artificial intraocular lens destruction, so we do not offer this service. We recommend that you go directly to a large medical center, as general medical centers typically have this equipment available for yo...[Read More] Can I Get a Second Replacement for My Intraocular Lens?
Understanding Eye Flashes: Causes and Duration of Retinal Degeneration
Flashes of light in the eyes? Hello, Doctor. I would like to ask about a condition I've been experiencing. Whenever I move my right eye, I see flashes of light in the same spot, and this has been ongoing for over six months. I underwent a dilated eye exam, and the doctor men...
Dr. He Jianxian reply Ophthalmology
The condition you described is clinically referred to as "photopsia." It occurs due to the pressure exerted on the retina by the vitreous gel during eye movement. This phenomenon will resolve only when the vitreous has completely separated from the retina. This informat...[Read More] Understanding Eye Flashes: Causes and Duration of Retinal Degeneration
Understanding High Myopia: Flashing Lights and Eye Health Concerns
High myopia Hello Doctor, I have myopia of 800 degrees and floaters. Recently, when I jump during exercise (like jogging or skipping rope), I experience white flashes of light. I had an eye examination at a clinic four months ago, and there were no issues at that time. I would li...
Dr. He Jianxian reply Ophthalmology
The condition you described is clinically referred to as "photopsia," which is primarily caused by the movement of the vitreous body pulling on the retina, resulting in a pressure response. If a dilated fundus examination has been performed and no issues were found, it ...[Read More] Understanding High Myopia: Flashing Lights and Eye Health Concerns
Understanding Eye Degeneration: Symptoms and Solutions for Myopia
Ocular degeneration I have been experiencing floaters in my eyes for some time, and I have high myopia with mild astigmatism, approximately 600-700 degrees. My eyes are often dry, so I cannot wear contact lenses for long periods; I only wear them when necessary, and most of the t...
Dr. He Jianxian reply Ophthalmology
Based on your description, you are likely experiencing some early signs of presbyopia, which is related to your prolonged use of computers and electronic devices. Regarding your vision significantly deteriorating in low-light conditions, this is likely due to pupil dilation in di...[Read More] Understanding Eye Degeneration: Symptoms and Solutions for Myopia
Understanding Visual Distortion: Causes Beyond Eye Strain
Visual distortion, perceiving straight lines as curved? I have approximately 3 to 400 degrees of vision in both eyes and wear glasses. Recently, I visited two hospitals in the past week where I underwent OCT and fundus examinations. The results showed that my retina and macula ar...
Dr. He Jianxian reply Ophthalmology
Excessive eye use does not cause visual distortion. If there are no issues with the macula or retina, vision should not be distorted. If there is indeed a distortion problem, one must consider causes outside of the eyes. Director He Jian-xian, Ophthalmology Department, Nantou Hos...[Read More] Understanding Visual Distortion: Causes Beyond Eye Strain
Unexpected Vision Changes After Cataract Surgery: What to Do?
The visual acuity after cataract surgery did not meet expectations! Hello, doctor. I just completed cataract surgery on my right eye last month. Before the surgery, I told the doctor that I wanted to maintain a prescription of -2.00 diopters for computer use and reading, but the ...
Dr. He Jianxian reply Ophthalmology
In general, replacing the lens is possible, but it requires specialized instruments. The risks are relatively low; however, the replacement should not be done too long after the previous surgery, as the old lens may become difficult to remove. Dr. He Jianxian, Department of Ophth...[Read More] Unexpected Vision Changes After Cataract Surgery: What to Do?