Dr. He Jianxian reply Ophthalmology Question - Page 35

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Thyroid Disease and Its Impact on Eye Protrusion and Retinal Health

Thyroid disease can cause proptosis (exophthalmos)? Hello, Doctor He: I had retinal detachment surgery over a decade ago, and I have since recovered. However, I have a thyroid condition that causes proptosis (bulging eyes). I would like to ask the doctor: Does proptosis due to th...


Dr. He Jianxian reply Ophthalmology
The mechanism of exophthalmos caused by thyroid disease is completely different from that caused by high myopia, and therefore, there is no increased risk of retinal detachment. If the thyroid condition is treated, the eye symptoms should improve; however, this does not mean that...

[Read More] Thyroid Disease and Its Impact on Eye Protrusion and Retinal Health


Understanding Flashing White Lights in Vision: When to Seek Help

The white light circles in the eyes are flashing? Hello Doctor: My mother has diabetes, which later led to diabetic retinopathy. Due to persistent bleeding, the doctor recommended surgery. She underwent surgery and laser treatment in April and September of this year. Recently, my...


Dr. He Jianxian reply Ophthalmology
In such cases, it is advisable to take appropriate precautions (such as wearing sunglasses) and it should not be necessary to consult a physician.

[Read More] Understanding Flashing White Lights in Vision: When to Seek Help


Understanding High Astigmatism: Do You Need Contact Lenses?

High astigmatism? I have over 200 degrees of myopia in my right eye and over 150 degrees in my left eye. My right eye has a retinal tear, but it has been repaired. Should I use toric contact lenses to correct my astigmatism? If my astigmatism worsens, could it lead to retinal det...


Dr. He Jianxian reply Ophthalmology
Your astigmatism is not considered high, and it is generally not significantly related to the condition of the retina. The degree of astigmatism is also not easily changeable, so you need not worry about it.

[Read More] Understanding High Astigmatism: Do You Need Contact Lenses?


Understanding Glaucoma Checks: Concerns and Recommendations

Glaucoma examination Hello, I would like to ask you three questions. 1. I recently went to the hospital for an ophthalmology examination, and the doctor arranged for the technician to perform a visual nerve examination. The first technician was not familiar with the equipment a...


Dr. He Jianxian reply Ophthalmology
1. The normal examination process will not harm your eyes, so you can rest assured. 2. If you are still concerned, you may seek a second opinion from another physician, as they have not personally examined you and may hesitate to provide a definitive answer. 3. Dry eye drops gene...

[Read More] Understanding Glaucoma Checks: Concerns and Recommendations


Can Vision Nerve Damage from Metronidazole Be Reversed?

Drug-induced optic neuropathy Hello, due to a gastric ulcer, I have been on a 14-day treatment regimen (metronidazole 1200mg daily + clarithromycin 1000mg daily), taken in two doses. I found online that taking metronidazole can lead to optic neuropathy. I would like to know if th...


Dr. He Jianxian reply Ophthalmology
According to medical information, if there are any pathological changes, most of them are reversible once the medication is discontinued. It is recommended that you monitor any changes in your vision.

[Read More] Can Vision Nerve Damage from Metronidazole Be Reversed?


Red and Itchy Eyes: Causes, Concerns, and When to See a Doctor

Red and itchy eyes? Hello, I was petting my puppy and forgot to wash my hands. When I woke up, I rubbed my eyes and now they are completely red and very itchy. What should I do? Is there a chance that something could have gotten into my eye? Is this serious? I applied some eye dr...


Dr. He Jianxian reply Ophthalmology
Rubbing your eyes can cause them to become red and itchy, but this does not necessarily indicate an infection. However, it is still advisable to avoid rubbing your eyes casually. If you must rub them, make sure to wash your hands thoroughly first.

[Read More] Red and Itchy Eyes: Causes, Concerns, and When to See a Doctor


Blurred Vision in Left Eye for Mid-Distance Reading: Causes and Solutions

Blurred vision in the left eye with clear vision at a distance? Hello doctor, I have noticed that when I use only my left eye to see text at a medium distance (about 100 centimeters), the text appears blurry. However, when I use my left eye to look at distant objects, it is clear...


Dr. He Jianxian reply Ophthalmology
It is recommended that you go for an eye examination, as this phenomenon should not occur at your age.

[Read More] Blurred Vision in Left Eye for Mid-Distance Reading: Causes and Solutions


Understanding Protruding Eyes: Causes and Concerns for High Eye Pressure

Protruding eyes (Exophthalmos) Dr. He: Hello, I would like to ask about my eyes. They suddenly appeared bulging this morning. I have a prescription of 600 to 700 degrees, and my intraocular pressure is being managed but is still higher than average. I am using eye pressure medica...


Dr. He Jianxian reply Ophthalmology
Protruding eyes can be attributed to various factors, including congenital appearance, high myopia, or metabolic issues such as hyperthyroidism. A true diagnosis of protruding eyes requires professional evaluation; it is not sufficient to simply perceive that the eyes are protrud...

[Read More] Understanding Protruding Eyes: Causes and Concerns for High Eye Pressure


Understanding Uveitis Treatment: Steroids, Side Effects, and Specialist Care

Treatment issues for iritis? Hello Doctor: I am a patient with ankylosing spondylitis, but I have not experienced any inflammation for over ten years and have not been regularly monitored by a rheumatologist. I have also never had any ocular complications, such as iritis. About t...


Dr. He Jianxian reply Ophthalmology
1. The use of steroids does not cause floaters. 2. The first-line treatment for iritis is steroids, which are the preferred choice and rarely lead to side effects when used appropriately. 3. Unless the treatment is ineffective, it is not always necessary to go to a large hospital...

[Read More] Understanding Uveitis Treatment: Steroids, Side Effects, and Specialist Care


Understanding Eye Fatigue and Floaters: Symptoms and Solutions

Eye fatigue and floaters? Hello Doctor, I apologize for taking your time to respond, and I would like to thank you in advance. I have been nearsighted since the fifth grade and have also experienced symptoms of floaters. By the time I reached university, the symptoms of floaters...


Dr. He Jianxian reply Ophthalmology
It is necessary for you to undergo a comprehensive dilated eye exam. I recommend that you consult a different ophthalmologist for this examination, as dilation is considered a standard procedure for your condition.

[Read More] Understanding Eye Fatigue and Floaters: Symptoms and Solutions


Understanding Post-Surgery Floaters After Macular Hole Repair

Postoperative shadowing after macular hole surgery? Hello Doctor, my mother underwent macular hole surgery with vitrectomy and gas tamponade last month. It has been a month since the surgery, but she has recently noticed various black shadows appearing, which are not all round; s...


Dr. He Jianxian reply Ophthalmology
The only way to confirm whether the gas has completely dissipated is to return to the surgeon for a dilated fundus examination, as this will provide a comprehensive answer!

[Read More] Understanding Post-Surgery Floaters After Macular Hole Repair


Understanding Visual Disturbances: When Your Eyes See Static

The vision appears distorted, similar to a poor television signal? Hello Doctor: Occasionally (sometimes once a year, sometimes once a day), I experience visual disturbances where my vision appears to have slight interference, resembling a poor television signal. The disturbances...


Dr. He Jianxian reply Ophthalmology
Based on your description, it is likely a symptom of a subtype of migraine. This condition does not typically involve headaches, but due to abnormal electrical discharges in the brain, it can lead to what is known as "visual aura." There will be no abnormalities found i...

[Read More] Understanding Visual Disturbances: When Your Eyes See Static


Understanding Silicone Oil Removal After Retinal Detachment Surgery

Issues Related to Silicone Oil Removal After Retinal Detachment Surgery Hello, my left eye underwent scleral buckling and vitrectomy due to retinal detachment, and I have had cataract surgery with silicone oil injection. It has been 10 months. I would like to know: currently, whe...


Dr. He Jianxian reply Ophthalmology
Silicone oil removal generally needs to be performed after several years of stability, so it is best not to remove it casually at this time. As for the issue of double vision, it may be necessary to wait until the treatment reaches a certain point of completion before considering...

[Read More] Understanding Silicone Oil Removal After Retinal Detachment Surgery


Understanding Retinal Thinning and Eye Pressure in Dancers

Retina and intraocular pressure? Last week, I noticed an increase in the number of floaters in my vision, so I immediately underwent a dilated fundus examination. The doctor informed me that the retina in my left eye has thinned. I am a professional dancer who performs with a dan...


Dr. He Jianxian reply Ophthalmology
High myopia generally causes thinning of the retina, but as long as there are no tears, there should be no major issues. However, you should avoid rapid rotations, head shaking, and rubbing your eyes to prevent excessive traction on the retina.

[Read More] Understanding Retinal Thinning and Eye Pressure in Dancers


Understanding the Sudden Increase of Floaters in Your Vision: Causes and Concerns

Regarding floaters? Hello, Doctor. I would like to consult you about my condition. I have floaters, but recently, about a month ago, while looking at mostly white web pages on my computer, I suddenly experienced light sensitivity and glare in my right eye, which later led to slig...


Dr. He Jianxian reply Ophthalmology
1. Floaters are shadows cast on the retina by the opacified contents of the vitreous humor after its degeneration when exposed to light. If there is a sudden increase in floaters over a short period, retinal issues must be suspected, and a dilated fundus examination should be per...

[Read More] Understanding the Sudden Increase of Floaters in Your Vision: Causes and Concerns


Understanding Recurrent Retinal Hemorrhage in High Myopia

Recurrent retinal hemorrhage? Hello, doctor. I would like to ask if retinal hemorrhages caused by high myopia can occur repeatedly. Last year, I underwent relevant examinations due to retinal hemorrhage, and it was confirmed that there were no neovascularizations. However, the bl...


Dr. He Jianxian reply Ophthalmology
If there is recurrent bleeding in the fundus, it definitely indicates an issue. It is recommended that you visit a medical center for a comprehensive examination.

[Read More] Understanding Recurrent Retinal Hemorrhage in High Myopia


Understanding Vitreous Liquefaction: Symptoms and Management Tips

Vitreous liquefaction Hello, I have noticed that I have been experiencing vitreous liquefaction for over two months, along with floaters and occasional flashes of white light. After resting for a while, it seems to have improved a bit, as the floaters are less noticeable and ther...


Dr. He Jianxian reply Ophthalmology
Floaters generally cannot be improved through rest or nutritional supplementation; it is recommended that you learn to coexist with them peacefully.

[Read More] Understanding Vitreous Liquefaction: Symptoms and Management Tips


Understanding Amsler Grid Testing for Eye Health: Key Considerations

Amsler grid test issues? Hello, Doctor. I would like to ask about the Amsler Grid test. I used the image from the Ministry of Health and Welfare website and followed the steps to check myself, and I found no abnormalities (http://health99.hpa.gov.tw/OnlinkHealth/Quiz_AmslerGrid.a...


Dr. He Jianxian reply Ophthalmology
You should be wearing glasses, as there may be issues with the edges of your vision. Therefore, if the lines at the periphery of your field of view are too distorted, it is indeed possible to experience slight distortion.

[Read More] Understanding Amsler Grid Testing for Eye Health: Key Considerations


Understanding Retinal Damage: Recovery and Long-Term Effects After Eye Injury

Retinal issues? At the end of June this year, I was struck in the right eye by a badminton shuttlecock, resulting in retinal damage. I went to the hospital for an examination, where a CT scan revealed that the impact hit the center of the retina, causing cell rupture, which led t...


Dr. He Jianxian reply Ophthalmology
Theoretically, blurred vision should not cause dizziness; however, whether your eye condition will improve cannot be determined without examining your actual situation, as it is impossible to make a judgment based solely on your description.

[Read More] Understanding Retinal Damage: Recovery and Long-Term Effects After Eye Injury


Understanding Glaucoma: Eye Pressure, Nerve Health, and Safety Concerns

Glaucoma examination Hello, doctor. Recently, I've been experiencing eye strain and some discomfort in the back of my head. I'm concerned it might be glaucoma, so I went to the hospital for an examination. I have high myopia, approximately -7.00 diopters. My intraocular...


Dr. He Jianxian reply Ophthalmology
1. In high myopia, the optic nerve itself can undergo changes, making it difficult to determine if there are any pathological alterations. If your doctor suspects you may have glaucoma, they will likely schedule a visual field test for you. 2. The fundus examination typically doe...

[Read More] Understanding Glaucoma: Eye Pressure, Nerve Health, and Safety Concerns


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