Dr. He Jianxian reply Ophthalmology Question - Page 44

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Can Dilated Fundus Exam Reveal Floaters in the Vitreous?

Can a dilated fundus examination reveal floaters in the patient's vitreous body? Dear Doctor: Hello, currently patients with vitreous opacities (floaters) are advised to undergo regular dilated fundus exams to determine whether the retina is normal or has other abnormalities...


Dr. He Jianxian reply Ophthalmology
Hello: The primary purpose of a dilated eye exam is to check for retinal tears, while floaters may not always be visible. I hope this clarifies your concerns. Wishing you good health.

[Read More] Can Dilated Fundus Exam Reveal Floaters in the Vitreous?


Managing Macular Holes and Cataracts: Surgical Considerations and Post-Op Care

Macular hole Dear Doctor: In the case of surgery for a macular hole, if there is also mild cataract present, should both conditions be addressed simultaneously? Are there any postoperative precautions to consider to prevent the recurrence of the hole or other complications in the...


Dr. He Jianxian reply Ophthalmology
Hello: Generally, the two surgeries do not need to be performed together. After surgery for a macular hole, patients may experience more discomfort, as they need to maintain a face-down position for about 3 to 4 weeks. As for potential complications, there may be issues such as e...

[Read More] Managing Macular Holes and Cataracts: Surgical Considerations and Post-Op Care


Post-Scleral Buckling Surgery: Managing Acute Glaucoma Risks

Acute glaucoma following scleral buckle surgery? Hello Doctor, I underwent scleral buckle surgery on my right eye ten years ago before the Lunar New Year. After that, I used Timolol eye drops for about six months, along with other medications like pilocarpine to lower intraocular...


Dr. He Jianxian reply Ophthalmology
Hello: I cannot provide a definitive answer to this question. I recommend that you consult a retinal specialist, as they have more experience in addressing related issues. Wishing you good health.

[Read More] Post-Scleral Buckling Surgery: Managing Acute Glaucoma Risks


Managing Elevated Eye Pressure: Symptoms, Diagnosis, and Treatment Options

Elevated intraocular pressure? I have been experiencing eye pain and headaches for over a month, and sometimes the pain is severe enough to cause nausea. An ophthalmologist checked my intraocular pressure, which was 28 in the left eye and 29 in the right eye, leading to a suspici...


Dr. He Jianxian reply Ophthalmology
Hello: It is recommended that you stop using the intraocular pressure-lowering medication and visit a major hospital for an examination to confirm whether there is a glaucoma issue before proceeding with further treatment. Wishing you good health.

[Read More] Managing Elevated Eye Pressure: Symptoms, Diagnosis, and Treatment Options


Concerns About Vision Loss: Managing High Myopia and Eye Health

Worried about going blind? I am severely myopic (both eyes close to 1000 degrees). In recent years, I have been paying close attention to my eyes while studying, having regular check-ups every three to six months to monitor my retina at an ophthalmology clinic. Fortunately, the d...


Dr. He Jianxian reply Ophthalmology
Hello: Basically, you have been undergoing regular check-ups, so there is no need to worry too much. Your work will not cause blindness, and you can feel reassured. Wishing you good health.

[Read More] Concerns About Vision Loss: Managing High Myopia and Eye Health


How Long Should Eye Drops Be Used During an Eye Exam?

How long does it take for eye drops to take effect during a routine eye examination? (Forwarded from the Minister's mailbox) Hello, I went to the ophthalmologist at Zhong Eye Clinic on Yumin Road in Tucheng District, New Taipei City, for my first eye exam because I wanted to...


Dr. He Jianxian reply Ophthalmology
Hello: Generally, stricter requirements for refraction should involve the use of a long-acting cycloplegic agent administered for three consecutive days. I hope this information is helpful. Wishing you good health.

[Read More] How Long Should Eye Drops Be Used During an Eye Exam?


Understanding Retinal Issues: A Guide for High Myopia Patients

Retinal issues Doctor He: Hello! I am a patient with high myopia. About ten years ago, I went to an ophthalmologist due to floaters and was diagnosed with a retinal tear, which was treated with laser therapy. I have been having regular check-ups over the years and have undergone ...


Dr. He Jianxian reply Ophthalmology
Hello: Basically, you have undergone a dilated fundus examination of the retina, and no new issues were found, so there is no need to worry. Wishing you good health.

[Read More] Understanding Retinal Issues: A Guide for High Myopia Patients


Understanding Faded Vision: Causes and Solutions for Eye Health

Fading of color? Hello Doctor: The black text I see is turning gray in the central part of my vision. Can you explain what this is? Thank you.


Dr. He Jianxian reply Ophthalmology
Hello: It would be best for you to go to the hospital for an examination to check if there is an issue with the macula. Wishing you good health.

[Read More] Understanding Faded Vision: Causes and Solutions for Eye Health


Will My Eye White Heal After Prolonged Redness and Swelling?

Will the white part of the eye bulge improve? Previously, my sclera was red, and after seeing a doctor, I discovered there were some holes in the sclera. It was determined to be due to wearing contact lenses and mascara causing abrasion. I was prescribed eye drops and ointment fo...


Dr. He Jianxian reply Ophthalmology
Hello: Such a description does not allow for a determination of what the protrusion on your sclera is. It is recommended that you visit a hospital for evaluation. Wishing you good health.

[Read More] Will My Eye White Heal After Prolonged Redness and Swelling?


Understanding Blue Light Phenomena in Nighttime Vision: When to Seek Further Eye Care

Seeing blue patches at night during a lantern festival? Hello Doctor, I previously consulted you about seeing a blue light under streetlights when viewed from an upward angle. I later noticed that this phenomenon occurs at various angles, and the blue light does not remain fixed ...


Dr. He Jianxian reply Ophthalmology
Hello: Basically, since you have already consulted so many doctors, there is no need to worry. Wishing you good health.

[Read More] Understanding Blue Light Phenomena in Nighttime Vision: When to Seek Further Eye Care


Understanding Unstable Vision: Causes and Solutions for Eye Health Issues

Unstable vision prescription? In early January, I accidentally pressed on my right eyeball while napping, causing the angle of the right eye to change from 170 degrees to 10 degrees. Additionally, there was a small hole in the upper right part of the retina. I underwent laser sur...


Dr. He Jianxian reply Ophthalmology
Hello: 1. If there is a problem with sinusitis, you should seek treatment from an otolaryngologist. 2. Changing the angle basically only requires adjusting the lens angle, which does not affect clarity or depth perception. 3. Severe astigmatism can cause significant image distort...

[Read More] Understanding Unstable Vision: Causes and Solutions for Eye Health Issues


Understanding Blue Light Flashes: A Guide for High Myopia Patients

At night, there are blue areas when viewing the lantern festival? Hello Doctor, I am highly myopic and also experience significant flashes. Last Saturday night while riding my bike, I suddenly noticed that when I looked up at the streetlights, there was a patch of blue light belo...


Dr. He Jianxian reply Ophthalmology
Hello: I suggest that you consult with another physician for further advice. Wishing you good health.

[Read More] Understanding Blue Light Flashes: A Guide for High Myopia Patients


Facing the Fear of Blindness: A Young Professional's Eye Health Journey

Fear of blindness Hello, Doctor. I am highly myopic with astigmatism and work in the technology industry, where I spend long hours using a computer. I have been working for less than a year. In April, I was suspected of having glaucoma, and in June, I underwent visual field tests...


Dr. He Jianxian reply Ophthalmology
Hello: I think you are worrying too much. I suggest you come to our outpatient clinic for an examination; the explanation will be clearer. Wishing you good health.

[Read More] Facing the Fear of Blindness: A Young Professional's Eye Health Journey


Understanding Retinal Tears: Symptoms, Diagnosis, and Treatment Options

Retinal tear At the beginning of June, I went to a regional hospital to have my retina examined. The doctor told me that my retina was fine. However, a few days ago, when I looked up and shook my head, I saw reflective circles with my eyes closed, and shaking my head also produce...


Dr. He Jianxian reply Ophthalmology
Hello: If there is indeed a tear, I still recommend laser treatment as it is safer. Generally, there is no need for rest after the laser procedure, and there should not be any discomfort. Wishing you good health.

[Read More] Understanding Retinal Tears: Symptoms, Diagnosis, and Treatment Options


Understanding the Link Between High Eye Pressure and Dizziness Symptoms

High intraocular pressure can cause feelings of dizziness? Hello Doctor, I have previously experienced high intraocular pressure. In June, I underwent visual field and optic nerve examinations, and the doctor said that there are currently no signs of glaucoma. However, this week,...


Dr. He Jianxian reply Ophthalmology
Hello: At the age of 27, it is almost impossible to experience acute glaucoma that causes nausea, vomiting, or even headaches, unless there is a congenital abnormality in your eye structure. Therefore, considering the numerous episodes of discomfort you have experienced, and the ...

[Read More] Understanding the Link Between High Eye Pressure and Dizziness Symptoms


Does Watching LED TV in Low Light Harm Your Eyes?

Is it necessary to pay attention to the adequacy of the viewing light source when watching an LED TV? Hello Director He: Recently, news reports have indicated that prolonged use of mobile phones in the dark can lead to macular degeneration or eye burns. I would like to ask you if...


Dr. He Jianxian reply Ophthalmology
Hello: Generally, watching television with sufficient background lighting is less likely to cause eye fatigue. As for whether watching television in insufficient lighting can harm the macula, there is currently no significant literature reporting such effects, so it should not po...

[Read More] Does Watching LED TV in Low Light Harm Your Eyes?


Understanding Eye Fatigue: Causes, Remedies, and Safety of Mydriatics

Eye fatigue Doctor, due to my work, I often feel that my eyes are very fatigued when I get home, and my eyelids frequently feel heavy. When I close my eyes, I feel a lot of strain. I currently force myself to go to sleep around 11 PM, but there hasn't been any improvement. I...


Dr. He Jianxian reply Ophthalmology
Hello: Essentially, what you refer to as mydriatics should be cycloplegic agents, which theoretically can relax the eye muscles. However, you should not use long-acting types to avoid being unable to work. Wishing you good health.

[Read More] Understanding Eye Fatigue: Causes, Remedies, and Safety of Mydriatics


Understanding Floaters: Causes, Symptoms, and When to Seek Help

Floaters issue? Dear Dr. He, I sincerely apologize for bothering you again with my questions, and I truly appreciate your time. Last time, you mentioned that my floaters have changed from thread-like shapes to black and white dots that dart around, resembling light rain in the d...


Dr. He Jianxian reply Ophthalmology
Hello: Regarding the issue of floaters, it has been explained before. As for the black spots associated with retinal tears, you may want to have a detailed examination by an ophthalmologist again, as it should not be related to the newly prescribed glasses. Wishing you good healt...

[Read More] Understanding Floaters: Causes, Symptoms, and When to Seek Help


Understanding Amler's Grid: Diagnosing Eye Distortions in Myopia

Amler's Square Table Hello, doctor. I have a myopia of -1100 diopters and astigmatism of -50. Today, when I looked at the Amsler grid, I suddenly noticed that both of my eyes are experiencing a problem where straight lines appear slanted. For example, when looking at the cen...


Dr. He Jianxian reply Ophthalmology
Hello: It is advisable for you to see an ophthalmologist for an examination, as there may be some issues with your retina. Wishing you good health.

[Read More] Understanding Amler's Grid: Diagnosing Eye Distortions in Myopia


Understanding Floaters: When to Worry About Thread-like Visual Disturbances

The fundus examination is normal, but there are many floaters, all of which are thread-like and cover a large area? The fundus examination is normal, but there are many floaters, all of which are thread-like and particularly numerous in bright sunlight. They appear as a whole gro...


Dr. He Jianxian reply Ophthalmology
Hello: The fundus is normal, so there is no need to worry or be overly concerned. Wishing you good health.

[Read More] Understanding Floaters: When to Worry About Thread-like Visual Disturbances


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