Dr. He Jianxian reply Ophthalmology Question - Page 28

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Understanding Retinal Detachment: Concerns and Questions for Patients

Retinal issues? I am a patient with high myopia, with both eyes having a refractive error of -1200 diopters (female, currently 34 years old). I had sexual intercourse from September 20 to September 23, and on the evening of September 27, I felt a headache, so I went to sleep. Whe...


Dr. He Jianxian reply Ophthalmology
1. You should be fine unless you engage in very vigorous activities. 2. Heavy weights that significantly increase abdominal pressure are typically those over 5 kilograms; this issue is not permanent and can be managed by gradually increasing the weight as long as the retina rem...

[Read More] Understanding Retinal Detachment: Concerns and Questions for Patients


Can Spinal Surgery Be Performed with Silicone Oil Still in Eye?

If silicone oil has been injected during retinal detachment surgery and has not been removed for a year, can other surgeries be performed? Dear Doctor, My father underwent surgery for retinal detachment about a year ago, and the silicone oil that was injected has not yet been re...


Dr. He Jianxian reply Ophthalmology
There shouldn't be any major issues, as our posture naturally varies in daily life, so this concern is likely unfounded.

[Read More] Can Spinal Surgery Be Performed with Silicone Oil Still in Eye?


Understanding Eye Symptoms: What Does a Bright Line When Blinking Mean?

When blinking, I see a bright line in my vision? Hello Doctor: I have floaters, and ever since I developed them, I often feel anxious whenever something seems off. Recently, I noticed some astigmatism (a diffuse glare similar to a photo effect), so I went for a fundus examination...


Dr. He Jianxian reply Ophthalmology
If there are any significant changes, it is recommended that you return for a dilated eye examination, as this is the most appropriate course of action.

[Read More] Understanding Eye Symptoms: What Does a Bright Line When Blinking Mean?


Understanding Flickering Water Waves in Vision: Causes and Solutions

When you look at the clouds in the sky or at a brightly lit area where sunlight shines, you may see a shimmering effect resembling water ripples? Hello Doctor, when I look at the sky, I experience a flickering light that resembles rippling water, and the flickering occurs very qu...


Dr. He Jianxian reply Ophthalmology
Hello, I am not quite sure what you mean by the shimmering light resembling water waves, so I am unable to recommend which specialty you should see. I apologize for that.

[Read More] Understanding Flickering Water Waves in Vision: Causes and Solutions


Can You Obtain a Diagnosis Certificate for Floaters?

Regarding floaters? The doctor has diagnosed the patient with floaters, but was told that a medical certificate cannot be issued. I would like to inquire whether a certificate can be issued for this condition.


Dr. He Jianxian reply Ophthalmology
Generally, no diagnostic certificate is issued specifically for the issue of floaters, as the physician's examination typically focuses on the presence of any retinal problems, and floaters may not be visually detectable.

[Read More] Can You Obtain a Diagnosis Certificate for Floaters?


Understanding Vision Changes: Is My Eye Health at Risk?

Vision deterioration? Hello, doctor. I am a high school student. Recently, I had my vision tested and found that one eye has a vision of 1.5, while the other has 0.9. My previous vision tests have consistently shown results between 1.0 and 1.5. Is the difference in my vision too ...


Dr. He Jianxian reply Ophthalmology
This level of visual performance is considered normal; however, whether or not there is myopia can only be determined through an eye examination at a medical facility.

[Read More] Understanding Vision Changes: Is My Eye Health at Risk?


Understanding Macular Hemorrhage: Should You Rely on One Eye?

Is it advisable to use the affected eye more frequently after a macular hemorrhage has formed a scar? Hello, Doctor. I would like to ask you a question. I have bleeding in my right eye that has scabbed over, and when I look at things with just my right eye, they appear distorted ...


Dr. He Jianxian reply Ophthalmology
In your case, there is no issue of monocular degeneration, as the visual nerve network in adults is already established and fixed, so there is no "use it or lose it" phenomenon. Since you feel uncomfortable wearing glasses, it is fine not to wear them. Your right eye&#x...

[Read More] Understanding Macular Hemorrhage: Should You Rely on One Eye?


Post-Laser Eye Treatment: Understanding Visual Disturbances and Concerns

After undergoing retinal laser treatment, my eyes feel strange? I have been experiencing fixed shadows in my vision. A couple of weeks ago, I was diagnosed with a retinal tear in both eyes and underwent laser treatment. However, after the laser procedure, I noticed a wavy sensati...


Dr. He Jianxian reply Ophthalmology
After undergoing laser treatment, you should not experience the symptoms you mentioned. However, if you have already had a thorough examination with dilation and no new findings were detected, there is likely no need for concern.

[Read More] Post-Laser Eye Treatment: Understanding Visual Disturbances and Concerns


Understanding Translucent Shadows in Your Vision: Causes and Solutions

Peripheral visual shadows Hello Doctor, around October last year, I accidentally discovered that when I looked to the left or right, both of my eyes would show semi-transparent black shadows in my field of vision, but this does not occur during normal use of my eyes. After a few ...


Dr. He Jianxian reply Ophthalmology
It is recommended to perform another dilated eye examination; if the results are still normal, there should be no significant issues.

[Read More] Understanding Translucent Shadows in Your Vision: Causes and Solutions


Understanding Floaters, Flashes, and Amsler Grid Distortions in Vision

Amaurosis fugax, floaters, flashes? Good evening, I apologize for disturbing you during your busy schedule. First of all, thank you very much for taking the time to answer my questions. I have floaters in my vision and just finished an appointment with an ophthalmologist today, b...


Dr. He Jianxian reply Ophthalmology
1. When examining the Amler's grid, please test without using dilating drops. 2 & 3. If there are no issues found during the dilated examination, there is generally no need for concern. 4. You can basically do whatever you like, and it will not affect your eye health. I ...

[Read More] Understanding Floaters, Flashes, and Amsler Grid Distortions in Vision


Post-Retinal Surgery Concerns: Pain, Pressure, and Recovery Tips

Questions about retinal detachment? First of all, thank you, Dr. He, for your response. It has been 15 days since my retinal surgery performed by Dr. Li Yuan-jie at Hualien Tzu Chi Hospital. I was advised to sleep on my stomach for about ten days, and the doctor said the retina w...


Dr. He Jianxian reply Ophthalmology
Basically, medications for intraocular pressure can be used in combination. If the intraocular pressure is not well controlled, it is necessary to consider adding more medication. Since there is no infection at your wound site, other symptoms should gradually improve. You should ...

[Read More] Post-Retinal Surgery Concerns: Pain, Pressure, and Recovery Tips


Why Am I Changing My Glaucoma Eye Drops Frequently?

Effectiveness of Glaucoma Eye Drops Hello, doctor. I am a glaucoma patient. I was diagnosed last October and started treatment with eye drops, but I have already changed medications twice and may need to switch for a third time. Each time I return for a check-up, my intraocular p...


Dr. He Jianxian reply Ophthalmology
Your intraocular pressure control of 18-20 is within the standard range. Continuously changing eye drops is part of adjusting the medication, not an indication of poor control. Please make sure to have regular follow-up appointments and monitor your eye pressure. Follow your doct...

[Read More] Why Am I Changing My Glaucoma Eye Drops Frequently?


Understanding Post-Laser Treatment Effects for Retinal Tears

Retinal tear and detachment laser treatment? Hello, Doctor. Yesterday, I was diagnosed with a small tear in the upper part of my left eye. The doctor immediately performed laser treatment to seal the hole. However, today I notice that there are more small dark spots in my vision ...


Dr. He Jianxian reply Ophthalmology
It is recommended that you return for a follow-up appointment to undergo another dilated eye exam to monitor any changes in the retina.

[Read More] Understanding Post-Laser Treatment Effects for Retinal Tears


Understanding Eye Flashes and Floaters: When to Seek Medical Advice

The eyes may see a brief flash of brightness or a dark spot that quickly disappears? Hello, doctor. I am severely myopic, around 900/1000 degrees. My right eye has had floaters for several years. I have a few questions: 1. Recently, I sometimes see a brief flash of light or a sm...


Dr. He Jianxian reply Ophthalmology
It is recommended that you seek a different physician for a dilated eye examination and discuss your symptoms in detail for a more accurate assessment.

[Read More] Understanding Eye Flashes and Floaters: When to Seek Medical Advice


Understanding Floaters: Are They a Sign of Serious Eye Issues?

Can the floaters go away, please? Hello Doctor, I have been experiencing floaters for over a year now. Recently, I noticed that whenever I look at bright lights, such as car headlights, and then look away, I still see that light and need to rest my eyes for it to disappear. Addit...


Dr. He Jianxian reply Ophthalmology
The phenomenon you described is likely visual persistence, which is a normal occurrence and not closely related to floaters.

[Read More] Understanding Floaters: Are They a Sign of Serious Eye Issues?


Understanding Eye Symptoms: Are You Experiencing Glaucoma Signs?

Not quite sure if I have glaucoma? Hello doctor, I have floaters in my vision, but recently I've noticed that when I see car headlights or other bright lights, I sometimes see bright flashes of light that disappear after I blink. Additionally, in the mornings when I wake up ...


Dr. He Jianxian reply Ophthalmology
The symptoms you described appear to be a normal visual afterimage phenomenon, which is different from floaters, and there is no need for concern.

[Read More] Understanding Eye Symptoms: Are You Experiencing Glaucoma Signs?


Understanding Eye Strain: Symptoms and Solutions for Digital Fatigue

I hope that in my life, I will never play with my phone again? Hello, doctor. I have been experiencing floaters for about one to two years. Recently, I have noticed that my eyes feel more fatigued and dry, and when I lack sleep, I sometimes see blue light when I wake up and blink...


Dr. He Jianxian reply Ophthalmology
Staring at light for an extended period can cause an afterimage, which is a normal phenomenon of visual persistence. Additionally, using air conditioning or a fan can accelerate the evaporation of tears, leading to discomfort, and should be avoided.

[Read More] Understanding Eye Strain: Symptoms and Solutions for Digital Fatigue


Understanding the Risk of Glaucoma in High Myopia Patients

High myopia glaucoma Hello, I have high myopia with approximately -8.00 diopters in both eyes. In January of this year, I had an examination by a glaucoma specialist at Chang Gung Memorial Hospital. (I had a visual field test two years ago, which showed no defects.) The doctor no...


Dr. He Jianxian reply Ophthalmology
1. There is a possibility, but it is not very high. 2. Your intraocular pressure is not elevated.

[Read More] Understanding the Risk of Glaucoma in High Myopia Patients


Understanding Sudden Blurry Vision: Possible Causes and Next Steps

Sudden blurred vision, unable to see one's own hand in front of the face? Hello, doctor! I am quite confused about what kind of examinations I should undergo for my issues. In 1997, I experienced a sudden episode where my vision went completely black without any warning or s...


Dr. He Jianxian reply Ophthalmology
It is recommended that you first consult a cardiologist to rule out any issues related to atrial fibrillation and thrombosis (though the likelihood of this is low). If those are not present, the most probable issue you are experiencing is a migraine aura (which does not necessari...

[Read More] Understanding Sudden Blurry Vision: Possible Causes and Next Steps


Understanding Retinal Degeneration: Symptoms, Risks, and Solutions

Retinal degeneration Hello Doctor: I have high myopia with a left eye prescription of -1075 degrees (astigmatism -150) and a right eye prescription of -1100 degrees (astigmatism -175). I also have dry eye syndrome and floaters, as well as retinal degeneration (there is a retinal ...


Dr. He Jianxian reply Ophthalmology
Night blindness, aside from being caused by nutritional deficiencies (such as vitamin A deficiency), is mostly related to genetics or hereditary factors, which is why it often manifests from a young age and is less common in older individuals. For your reference, if you experienc...

[Read More] Understanding Retinal Degeneration: Symptoms, Risks, and Solutions


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