Dr. He Jianxian reply Ophthalmology Question - Page 46

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Post-Scleral Buckling Surgery: Can I Wear Contact Lenses?

Scleral buckle surgery Hello Doctor, I have undergone scleral buckle surgery for retinal detachment in my left eye 40 days ago. At the time of diagnosis, the macula was not affected, so my current corrected vision is 1.0. However, I still notice that the white part of my left eye...


Dr. He Jianxian reply Ophthalmology
Hello: Since it has been 40 days, the surface wound has mostly healed, and wearing contact lenses should not be an issue, although wearing them for extended periods may not be ideal. Additionally, the impact of working as a flight attendant on this condition should be manageable,...

[Read More] Post-Scleral Buckling Surgery: Can I Wear Contact Lenses?


Post-Scleral Buckling Surgery: Understanding Recovery and Vision Issues

Post-scleral buckle surgery Hello, Doctor. I underwent scleral buckle surgery two weeks ago. I understand that postoperative double vision and distortion are part of the recovery process, but the shadow I experienced before the surgery is still present. Should the shadow have dis...


Dr. He Jianxian reply Ophthalmology
Hello: The presence of distortion and shadows post-surgery may be due to the retina not being fully reattached yet. The timeline for complete reattachment can vary from person to person and will require careful monitoring by the surgeon who performed your procedure. Wishing you p...

[Read More] Post-Scleral Buckling Surgery: Understanding Recovery and Vision Issues


Is It Eye Floaters or a Brain Issue? Understanding Your Symptoms

Is it floaters or a brain issue? I have been experiencing discomfort in my eyes lately, with intermittent flashes of fine or thick bright lines (either single or two to three lines) that have a directional quality, but they do not consistently appear from top to bottom or at a fi...


Dr. He Jianxian reply Ophthalmology
Hello: Since you have already had a fundus examination, there should generally be no issues. If you still have concerns, you may consider consulting another ophthalmologist for a second opinion. Wishing you peace and happiness.

[Read More] Is It Eye Floaters or a Brain Issue? Understanding Your Symptoms


Does Retinal Laser Treatment Cause Hemorrhage and Floaters?

Will retinal laser treatment for retinal tears cause retinal hemorrhage leading to the formation of floaters? Two weeks ago, I returned for a follow-up appointment because I had undergone laser treatment for a retinal tear two years ago. During the visit, the doctor informed me t...


Dr. He Jianxian reply Ophthalmology
Hello: Generally speaking, retinal laser treatment for retinal tears does not cause bleeding due to the laser energy itself. Most bleeding is primarily caused by the tearing of surrounding blood vessels associated with the tear. If bleeding does occur, there is no need to worry, ...

[Read More] Does Retinal Laser Treatment Cause Hemorrhage and Floaters?


Understanding Anterior Chamber Blockage: Symptoms and Treatment Options

Regarding anterior chamber obstruction? Hello Doctor, Thank you very much for taking the time to respond to my question amidst your busy schedule. My situation is as follows: In April of this year, an ophthalmologist in Taipei informed me that my eye (anterior chamber) was half ...


Dr. He Jianxian reply Ophthalmology
Hello: Glaucoma is not solely characterized by the presence of a blue-yellow halo around objects; most cases of glaucoma do not have any warning signs, except in the case of acute glaucoma. The eye drops Aishiming and Zhimoumin are not specifically used to treat glaucoma, but the...

[Read More] Understanding Anterior Chamber Blockage: Symptoms and Treatment Options


Understanding Eye Check Concerns: Symptoms and Potential Issues

What are the issues related to eye examinations? Hello Doctor: Last month, during a fundus examination at the hospital, when I looked up to the right, I may have strained my eyes, and I saw several red lines (vessels) in my vision. After returning home, I noticed that the floater...


Dr. He Jianxian reply Ophthalmology
Hello: If you have already undergone a dilated eye examination, there should not be any major issues. However, if you are still concerned, you can have another dilated eye exam. It is not possible to determine if there is a problem based solely on symptoms. Wishing you peace and ...

[Read More] Understanding Eye Check Concerns: Symptoms and Potential Issues


Potential Eye Damage from Close LED Light Exposure: What to Know

Looking directly at LED light bulbs? Hello: This morning, I had just replaced an LED light bulb when my mother suddenly turned on the light. My eyes were less than 15 centimeters away from the bulb, and it turned on suddenly at such a short distance. May I ask: 1. Will this situa...


Dr. He Jianxian reply Ophthalmology
Hello: Sudden exposure to bright light triggers a biological instinct to avoid it, and we typically react quickly to avert our eyes, which should not cause any visual harm. You need not worry excessively. Wishing you peace and happiness.

[Read More] Potential Eye Damage from Close LED Light Exposure: What to Know


Seeing Colors with Closed Eyes: Is It a Sign of Eye Problems?

The eyes can perceive light even in dark environments? Hello, doctor. I would like to ask about a phenomenon where many people can still see pink or blue thread-like or dot-like lights when they close their eyes at night. I used to experience this as well, but recently it has sud...


Dr. He Jianxian reply Ophthalmology
Hello: Seeing bright objects in front of you even with your eyes closed is likely an afterimage, which is a normal phenomenon. There is no need to be concerned. Wishing you peace and happiness.

[Read More] Seeing Colors with Closed Eyes: Is It a Sign of Eye Problems?


Understanding Retinal Detachment: Can Silicone Oil Cause Double Vision?

Retinal detachment Hello Dr. He, Thank you very much for your detailed explanation (I consulted you online on September 15). I apologize for having one more question to ask you: Could you please tell me if the injection of silicone oil is one of the causes of "diplopia&quo...


Dr. He Jianxian reply Ophthalmology
Hello: It is uncertain whether silicone oil can cause double vision, but silicone oil must be removed only after the retina is stable. As for whether double vision will resolve after removal, it cannot be determined. Wishing you peace and happiness.

[Read More] Understanding Retinal Detachment: Can Silicone Oil Cause Double Vision?


Understanding Eye Issues: Black Spots and Visual Disturbances Explained

Blackfly syndrome and some eye issues? Doctor, I didn't do much at first; my eyes were just dry, and after using the eye drops, I noticed black spots and lines that weren't there before... Is it just a coincidence that they appeared? Recently, sometimes when I look at t...


Dr. He Jianxian reply Ophthalmology
Hello: Based on your description, it seems that your issue may be related to floaters. A thorough fundus examination should suffice. Wishing you peace and happiness.

[Read More] Understanding Eye Issues: Black Spots and Visual Disturbances Explained


Understanding Pigment Changes in Eye Exams: What You Need to Know

Questions after a fundus examination? Hello, doctor. I had a fundus examination today, and the doctor said my left eye is fine, but there is a pigmented lesion in the 10 o'clock position of my right eye. I might have forgotten the exact term. The doctor advised to observe it...


Dr. He Jianxian reply Ophthalmology
Hello: Due to the unclear description, it is difficult to determine the issue. I recommend that you ask your physician for detailed clarification during your follow-up visit. Wishing you peace and happiness.

[Read More] Understanding Pigment Changes in Eye Exams: What You Need to Know


Understanding Eye Issues: Floaters and Dry Eye Symptoms Explained

Eye problems and black floaters? Hello, Doctor. I originally did not have any symptoms of floaters, but last week I woke up one day with very dry eyes (I could clearly feel the dryness) and they were sore and painful. It was manageable when looking at regular things, but when I l...


Dr. He Jianxian reply Ophthalmology
Hello: Regarding floaters, this is a phenomenon of vitreous degeneration, which is more likely to occur in patients with high myopia. Typically, these images are more noticeable against a relatively simple background, such as a white wall or blue sky. Generally, they only cause i...

[Read More] Understanding Eye Issues: Floaters and Dry Eye Symptoms Explained


Understanding Retinal Detachment: Recovery and Vision Restoration After Surgery

Retinal detachment Dear Dr. He, Hello. In March of this year, I injured my left eye while playing basketball when a lens scratched it. I sought treatment at Kaohsiung Medical University, where the doctor stitched the wound and mentioned that no critical parts were damaged. Howev...


Dr. He Jianxian reply Ophthalmology
Hello: 1. Diplopia can have many causes, including image distortion or strabismus resulting from surgery, or uneven images in both eyes due to postoperative retinal reattachment. This may lead to issues such as headaches and dizziness. Generally, it is necessary to monitor the co...

[Read More] Understanding Retinal Detachment: Recovery and Vision Restoration After Surgery


Understanding Eye Health: When to Worry About Retinal Changes

Fundoscopic examination Hello Doctor, I have been experiencing floaters, so I undergo retinal examinations every two to three years. The physician who performed the examination mentioned that my retina is slightly thin, but as long as I have regular follow-ups and maintain proper...


Dr. He Jianxian reply Ophthalmology
Hello: The flashes you are experiencing are likely caused by the vitreoretinal interface. If they occur frequently, it is advisable to have a dilated fundus examination by an ophthalmologist. So far, there have been no reports indicating that computer use increases the risk of re...

[Read More] Understanding Eye Health: When to Worry About Retinal Changes


Do Dilating Drops Affect Floaters? Understanding Eye Exam Risks

Will mydriatic agents affect floaters? Due to high myopia, I received dilating drops at the hospital yesterday for a retinal examination. Initially, I only had a slight occurrence of floaters, but this morning it has increased to a larger area in the center. Is this due to the di...


Dr. He Jianxian reply Ophthalmology
Hello: Essentially, dilation of the pupils will not affect our retina or the condition of floaters. Physiologically, in dimly lit environments, our pupils naturally dilate, so we experience physiological dilation every day. Therefore, there is no need to fear that a dilated eye e...

[Read More] Do Dilating Drops Affect Floaters? Understanding Eye Exam Risks


Fears of Blindness: Managing Anxiety for High Myopia Patients

Fear of blindness Hello, Doctor. I am a person with high myopia, and ever since I experienced discomfort in my eyes, I have come to deeply understand the importance of eye health. Although I have not been diagnosed with any abnormalities by my doctor, I have been gathering articl...


Dr. He Jianxian reply Ophthalmology
Hello: If you have been undergoing regular eye examinations (including dilation) and no abnormalities have been found, you can feel reassured. However, if these feelings of anxiety and fear are affecting your sleep, you may need to consult a neurologist or psychiatrist to explore...

[Read More] Fears of Blindness: Managing Anxiety for High Myopia Patients


Managing Macular Degeneration and Cataracts: Key Considerations for Surgery

Macular degeneration and cataract issues? Dear Doctor, Hello. My father (65 years old) has both macular degeneration and cataracts in both eyes. The macular degeneration has caused him to see shadows in one eye, and he underwent photodynamic therapy a month ago. His vision feels...


Dr. He Jianxian reply Ophthalmology
Hello: 1. Cataract surgery itself does not affect the treatment and monitoring of macular degeneration. 2. Generally speaking, the indication for cataract surgery is based on the degree to which it impacts quality of life. If it does not significantly affect daily activities (suc...

[Read More] Managing Macular Degeneration and Cataracts: Key Considerations for Surgery


Understanding Artificial Tears: Safe Usage and Eye Health Concerns

Eye drops prescribed by an ophthalmology clinic? Doctor, I have a question. I often visit the ophthalmologist, and the doctor prescribes me Five Blessings eye drops (artificial tears). The doctor mentioned that I can use them when my eyes feel fatigued. The medication label also ...


Dr. He Jianxian reply Ophthalmology
Hello: Instilling artificial tears generally does not cause glaucoma. However, most bottled artificial tears contain traditional preservatives such as Benzalkonium Chloride, which can be somewhat toxic to the corneal epithelium. Therefore, excessive use may lead to punctate epith...

[Read More] Understanding Artificial Tears: Safe Usage and Eye Health Concerns


Understanding Retinal Hemangiomas: Causes, Risks, and Treatment Options

Retinal hemangioma Hello Doctor: I am 27 years old and recently experienced blurred vision in my right eye. After undergoing angiography at the hospital, the doctor diagnosed me with a vascular tumor. Currently, there are three areas where the tumor has ruptured, located outside ...


Dr. He Jianxian reply Ophthalmology
Hello: Based on your description, it seems that your condition is not a hemangioma, but rather choroidal neovascularization caused by high myopia. Anti-VEGF treatment primarily targets neovascularization, and I have not heard of it being used for hemangiomas. I recommend that you...

[Read More] Understanding Retinal Hemangiomas: Causes, Risks, and Treatment Options


Managing High Myopia: Choosing the Right Glasses for Computer Use

Eyeglasses for high myopia? Hello, Doctor. I spend almost every day in the laboratory for over ten hours, and I have to look at the computer screen for my work. Six months ago, I realized that my glasses prescription was insufficient, so I went to a nearby optical shop to get new...


Dr. He Jianxian reply Ophthalmology
Hello: If you work at close distances for a long time, it is recommended that your prescription for nearsighted glasses should not be too strong (i.e., not exceeding your original prescription by too much), as this can cause additional contraction of the ciliary muscles during us...

[Read More] Managing High Myopia: Choosing the Right Glasses for Computer Use


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