Understanding Myopia: Differences, Treatments, and Eye Care Solutions
Window to the Soul Is the difference between congenital myopia and acquired myopia related to the degree of refractive error? I've heard that orthokeratology lenses have great results, but why is the effect not ideal for my nephew? What could be the main reason? I saw on you...
Dr. Huang Bozhen reply Ophthalmology
Congenital myopia is closely related to genetics, meaning that patients can have severe myopia (around 500 to 600 diopters) at a very young age (five or six years old), often accompanied by amblyopia. For instance, a farmer who rarely reads may have myopia exceeding 1000 diopters...[Read More] Understanding Myopia: Differences, Treatments, and Eye Care Solutions
Do I Need Laser Treatment for Retinal Holes with Glaucoma?
Is laser treatment necessary for a retinal tear? Urgent? I have glaucoma and need to apply Betoptic once in each eye every morning. National Taiwan University Hospital suggested laser treatment due to my retinal tear (900 degrees in the left eye and 650 degrees in the right eye),...
Dr. Huang Bozhen reply Ophthalmology
Although there are lattice degeneration and holes in the peripheral retina, there are no acute symptoms, so laser treatment is not necessary. However, regular check-ups (every 6 months) are recommended. It is advised to consult a senior retinal specialist at National Taiwan Unive...[Read More] Do I Need Laser Treatment for Retinal Holes with Glaucoma?
Can Eye Drops Help Treat My Increasing Myopia?
Myopia Hello, doctor. I would like to ask you some questions and hope for your guidance. I have myopia of about 400 degrees, but I think it has increased to over 500 degrees now. I am considering buying new eye drops containing Vitamin B12 from the pharmacy to take care of my eye...
Dr. Huang Bozhen reply Ophthalmology
Vitamin B12 does not have a therapeutic effect on myopia. It is recommended to use cycloplegic agents to prevent the progression of myopia. Of course, one should consult an ophthalmologist.[Read More] Can Eye Drops Help Treat My Increasing Myopia?
Is Patch Therapy Still Necessary for My Child's Amblyopia?
Monocular occlusion therapy My daughter, who is 4 years and 5 months old, underwent surgery for congenital cataracts in her left eye when she was 1 year and 2 months old, resulting in amblyopia. At the age of 2, the doctor recommended patching therapy and prescribed glasses, whic...
Dr. Huang Bozhen reply Ophthalmology
Visual development typically reaches maturity by the age of 7. Since your daughter is currently over 4 years old, if you do not continue patching, her left eye's vision may decline. Although continuing to patch will not improve her vision further, it can help prevent vision ...[Read More] Is Patch Therapy Still Necessary for My Child's Amblyopia?
Understanding Cataracts in SLE Patients: Surgical Insights and Recommendations
I'm sorry, but I need the specific content you would like me to translate. Please provide the text you want translated into English? Hello, I heard that patients with SLE (Systemic Lupus Erythematosus) may develop cataracts, but isn't surgery necessary? Why did my docto...
Dr. Huang Bozhen reply Ophthalmology
As long as the SLE condition is stable, cataract surgery can certainly be performed. It is recommended to consult a medical center; since you are quite young and have SLE along with amblyopia, a thorough evaluation is necessary before surgery to determine whether vision will impr...[Read More] Understanding Cataracts in SLE Patients: Surgical Insights and Recommendations
Do Children with Astigmatism Still Need Glasses After Treatment?
Astigmatism A child with astigmatism of approximately 200 to 300 degrees can achieve a visual acuity of 1.0 after corrective lenses are prescribed. It is unclear whether they still need to wear glasses.
Dr. Huang Bozhen reply Ophthalmology
If your child is over 7 years old, they may not need to wear it. However, if they are under 7 years old, they should continue to wear it to prevent their vision from deteriorating to amblyopia.[Read More] Do Children with Astigmatism Still Need Glasses After Treatment?
Understanding Eye Fatigue from Contact Lens Use: Causes and Solutions
Wearing contact lenses can lead to eye fatigue? I have a habit of wearing contact lenses, but my eyes often feel fatigued, I tend to produce eye discharge, and my vision appears blurry. When I use artificial tears, they seem to have no effect immediately. I'm not sure if it&...
Dr. Huang Bozhen reply Ophthalmology
You should first see a doctor. If it is a case of general conjunctivitis, treatment should be sufficient within a week. If there is an allergy to contact lenses, it is recommended to switch to rigid gas-permeable lenses or daily disposable soft contact lenses. Additionally, it ma...[Read More] Understanding Eye Fatigue from Contact Lens Use: Causes and Solutions
Can Stem Cells Be the Key to Treating Glaucoma?
Are stem cells the salvation for glaucoma? Dear Dr. Huang, I am a 24-year-old who was diagnosed with glaucoma in both eyes four years ago. My left eye has only about 5% of its visual field remaining. As for my right eye, the doctor mentioned that my optic nerve appears to be sig...
Dr. Huang Bozhen reply Ophthalmology
Stem cells are currently used in the conjunctiva and cornea, but they are not related to glaucoma or the optic nerve. You have already undergone three surgeries, and I truly don't know what further recommendations to provide you.[Read More] Can Stem Cells Be the Key to Treating Glaucoma?
Understanding Myopia Surgery: Recovery Time and Best Seasons for Treatment
Myopia surgery Hello Dr. Huang, I have over 1000 degrees of myopia and approximately 100 degrees of astigmatism. I need to undergo surgery in two sessions. What is the recommended interval between the surgeries? I work as an accountant and often look at numbers and computers. How...
Dr. Huang Bozhen reply Ophthalmology
It doesn't necessarily have to be two times; it really depends on the surgical outcome. It is possible to complete it in one session. Please discuss further details with your surgeon.[Read More] Understanding Myopia Surgery: Recovery Time and Best Seasons for Treatment
Understanding Dry Eye Syndrome: Causes, Treatment, and Management
Treatment of Dry Eye Syndrome Hello Dr. Huang, I have been experiencing discomfort in my eyes recently and visited a doctor who diagnosed me with dry eye syndrome. I would like to ask: 1. How does dry eye syndrome develop? 2. Is dry eye syndrome in adults incurable? 3. What are t...
Dr. Huang Bozhen reply Ophthalmology
Symptoms such as dry eyes, foreign body sensation, burning, itching, and the presence of filamentous discharge are often more pronounced after prolonged use of the eyes or in the afternoon and evening. Interestingly, these symptoms may improve or disappear after a good night'...[Read More] Understanding Dry Eye Syndrome: Causes, Treatment, and Management
Is Laser Eye Surgery Suitable for High Myopia Over 1000 Degrees?
Myopia surgery Hello Dr. Huang, I would like to ask if I am suitable for surgery with over 1000 degrees of myopia. Is my current age appropriate for the procedure? What type of surgery would be suitable for me?
Dr. Huang Bozhen reply Ophthalmology
At the age of 36, your prescription should be stable, so LASIK can be considered, which involves surgery combined with laser treatment to reduce the prescription. Additionally, given the high degree of myopia, it may require two procedures to bring the prescription down to within...[Read More] Is Laser Eye Surgery Suitable for High Myopia Over 1000 Degrees?
Could Infrared Exposure During Treatment Harm My Eyes?
Is the eye injured? Hello, doctor! I recently visited a traditional Chinese medicine practitioner due to chest pain. During one session, the infrared light accidentally shone into my eyes because it was directed at my upper chest. A nurse then placed a tissue over my eyes, but I ...
Dr. Huang Bozhen reply Ophthalmology
In general, ultraviolet (UV) rays can cause significant harm to the eyes, leading to conditions such as pterygium, cataracts, and even macular degeneration. Therefore, it is recommended that individuals who engage in prolonged outdoor activities wear sunglasses to protect against...[Read More] Could Infrared Exposure During Treatment Harm My Eyes?
Can Adjustable Prescription Glasses Help Control Myopia Progression?
Are there glasses available that allow for adjustable prescription strength? After entering the third grade, I have to study a lot and have become very busy. I wonder if there are lenses that can help control my prescription. Is nearsightedness caused by the eye muscles not relax...
Dr. Huang Bozhen reply Ophthalmology
At this age, academic pressure is high, and myopia is increasing rapidly. Some individuals have attempted to use orthokeratology to control their refractive error, but I do not recommend it due to significant side effects and limited effectiveness. Additionally, the use of cyclop...[Read More] Can Adjustable Prescription Glasses Help Control Myopia Progression?
Understanding Persistent Eye Twitching: Causes and Solutions
The lower right eyelid is twitching continuously? Hello Dr. Huang: Since October 10th, my right lower eyelid has been twitching frequently. At first, I thought it was just a common sign of good or bad luck, but it has been occurring almost every three to five minutes, with signif...
Dr. Huang Bozhen reply Ophthalmology
Based on your description, the significant twitching of your right lower eyelid is likely indicative of a neurological issue, specifically that a blood vessel in the brain is compressing the facial nerve. The correct diagnosis for this condition is hemifacial spasm. Treatment for...[Read More] Understanding Persistent Eye Twitching: Causes and Solutions
Understanding Strabismus: A Teen's Journey and Surgical Options
Strabismus Hello Dr. Huang: I am a 16-year-old high school student. I have had strabismus since I was about three years old, and I have undergone numerous examinations, first at National Taiwan University and then at Chang Gung Memorial Hospital. The doctors advised me to wait un...
Dr. Huang Bozhen reply Ophthalmology
I'm sorry, I can't understand your question. I recommend consulting a more experienced physician at National Taiwan University.[Read More] Understanding Strabismus: A Teen's Journey and Surgical Options
Understanding Levator Muscle Function and Its Impact on Eyelid Movement
Please ask your question? Your question: What is the function of the levator palpebrae muscle? How is its function measured? Additionally, I cannot blink my left eye independently; what could be the reason for this? Please reply. Thank you! Response from the physician: Ophthalm...
Dr. Huang Bozhen reply Ophthalmology
Question 1: Should look upward. O2: No. O3: The upper eyelid margin refers to the edge of the upper eyelid. O4: Correct. O5: It usually presents with difficulty in closing the eyes; in severe cases, it may lead to exposure keratitis, excessive tearing, and a foreign body ...[Read More] Understanding Levator Muscle Function and Its Impact on Eyelid Movement
Understanding Levator Palpebrae Function and Its Assessment
What is the function of the levator palpebrae superioris muscle? What is the function of the levator palpebrae superioris muscle? How is its function assessed? Additionally, I am unable to blink my left eye independently; what could be the reason for this? Please respond. Thank y...
Dr. Huang Bozhen reply Ophthalmology
Explanation: The opening of the eyes is facilitated by the traction of an extraocular muscle that elevates the upper eyelid; this muscle is called the levator palpebrae superioris. It attaches to the tarsal plate of the upper eyelid. When this muscle is abnormal, it can lead to p...[Read More] Understanding Levator Palpebrae Function and Its Assessment
Daily Disposable Contact Lenses: Benefits for Sensitive Eyes
Daily disposable contact lenses Hello, doctor. I would like to ask, with the advancement of science, there are now daily disposable contact lenses. Are these lenses better than traditional extended wear contact lenses? Are they particularly beneficial for individuals with sensiti...
Dr. Huang Bozhen reply Ophthalmology
Daily disposable contact lenses are indeed better, although they are more expensive. They should be more beneficial for individuals with sensitivity or inflammation. It is recommended to try them out.[Read More] Daily Disposable Contact Lenses: Benefits for Sensitive Eyes
Understanding Yellowing of the Whites of the Eyes: Causes and Solutions
Issues with the sclera? Is it possible for someone to experience yellowing of the sclera or changes in eye color due to cosmetics? Additionally, if a medication can cause pigmentation, is it advisable to avoid using it?
Dr. Huang Bozhen reply Ophthalmology
The first consideration for yellowing of the sclera is whether there is liver disease. Only after confirming that there is no liver disease should other causes be considered. As for whether cosmetics can cause this condition, there are currently no reports indicating so. Addition...[Read More] Understanding Yellowing of the Whites of the Eyes: Causes and Solutions
Traveling After Retinal Detachment Surgery: Safety Tips and Concerns
Retinal detachment Hello, I am a patient with retinal detachment. It has been over a year since my surgery, and my doctor mentioned that my delayed treatment has resulted in my vision not being able to recover. I would like to ask if it is safe for me to fly internationally, as I...
Dr. Huang Bozhen reply Ophthalmology
In general, if a retinal detachment does not involve the macula, the surgical outcome tends to be better. However, as you mentioned, if the detachment has reached the macula, even a successful surgery may not result in good vision. During retinal detachment surgery, air is often ...[Read More] Traveling After Retinal Detachment Surgery: Safety Tips and Concerns