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Understanding Eye Changes: Symptoms, Causes, and When to Seek Help

Ocular diseases Hello, I am 36 years old and have been using a computer for long periods of time. Around the age of 27, I noticed a small yellowish area on the white part of my left eye, which felt uneven. Two years ago, I had my eyes examined, and the doctor said there was no ma...


Dr. Ke Meilan reply Ophthalmology
Hello Zhenyi: I believe it is inappropriate to provide answers without examining the patient. Generally, the yellowish appearance is likely due to hyperplastic tissue, but it should not be dispersed. If it is inflammation, anti-inflammatory medications can be used. Please consult...

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


Challenges of Monocular Cataract Surgery: Addressing Fusion Issues

Undergoing cataract surgery on the right eye may lead to fusion issues? Hello: The patient is 45 years old. I performed cataract surgery on the right eye on May 5, 100 (Taiwan calendar), using a non-spherical monofocal intraocular lens. Postoperatively (as of May 18), the patient...


Dr. Ke Meilan reply Ophthalmology
Hello: Theoretically, having one eye with a vision of 0.7 and the other with 0.9 should not cause fusion problems, unless there is a misalignment of the eyes. Wishing you health and safety. Ophthalmologist: Ke Mei-Lan

[Read More] Challenges of Monocular Cataract Surgery: Addressing Fusion Issues


Post-Cataract Surgery: Understanding Vision Changes and Treatment Options

Post-cataract surgery Hello Dr. Ke, my mother-in-law is 71 years old and underwent cataract surgery on her right eye last Wednesday (February 23). Currently, her vision is very blurry. Is it necessary to use dilating drops after the surgery? Is the blurry vision due to the dilati...


Dr. Ke Meilan reply Ophthalmology
Hello, regarding your questions: Q: Is it necessary to use mydriatic agents after surgery? A: If the surgery is an extracapsular cataract extraction, then mydriatic agents are required. Q: Is blurred vision due to mydriasis? A: It can be one of the causes. Q: Does "o...

[Read More] Post-Cataract Surgery: Understanding Vision Changes and Treatment Options


Post-Surgery Diplopia: Solutions and Treatments for Eye Muscle Issues

Diplopia resulting from eye surgery? Dear Dr. Ke, Hello. I have a question regarding exophthalmos caused by thyroid disease, which has resulted in diplopia following orbital surgery. Are there any instruments currently available to correct the issue of diplopia? For young childr...


Dr. Ke Meilan reply Ophthalmology
Hello Ms. Yeh: For your diplopia, you may consider wearing prism glasses. This issue of diplopia is indeed due to limited and uncoordinated muscle activity. If there is no improvement four months after surgery, then we can consider prism glasses. Personally, I believe that diplop...

[Read More] Post-Surgery Diplopia: Solutions and Treatments for Eye Muscle Issues


Understanding Tear Production Issues in Toddlers: Causes and Solutions

Tear issues in infants? Hello, doctor. My child is 1 year and 3 months old, and since infancy, he has never cried tears, no matter how much he cries. This has continued to the present day. He has never shed tears when getting vaccinated, injured, or for any other reason. I am con...


Dr. Ke Meilan reply Ophthalmology
If the eyes appear to be moist, there is no need to worry. 80% of children at three and a half years old will improve their vision through learning and will perform better than the letter C on the vision chart. It is also advisable to take them to an ophthalmologist for an examin...

[Read More] Understanding Tear Production Issues in Toddlers: Causes and Solutions


Do Eye Exams and Natural Birth Increase Retinal Risks for Pregnant Women?

Does a fundus examination and vaginal delivery increase the risk of retinal issues? Is it safe for a pregnant woman (who is seven months along) to use mydriatic agents for dilation and undergo a fundus examination? Additionally, does having high myopia (with both eyes exceeding -...


Dr. Ke Meilan reply Ophthalmology
Can a pregnant woman (who is seven months pregnant) use mydriatic agents for a fundus examination? Answer: Yes. If there is a concern about seeing less, the use of medication can be avoided. During the natural delivery process, does it increase the risk of retinal detachment? Ans...

[Read More] Do Eye Exams and Natural Birth Increase Retinal Risks for Pregnant Women?


Understanding Eye Stroke vs. Blood Clots: A Patient's Guide

Is it a blood clot that hasn't resolved or an eye stroke? Hello, Dr. Ke. My father is 59 years old and underwent cataract surgery after experiencing blurred vision. A few days post-surgery, he began seeing spider-like images in his eye, and over the past few days, the dark s...


Dr. Ke Meilan reply Ophthalmology
Ocular stroke can occur in both arteries and veins, and without examining the patient, it is impossible to determine the specific type. Damage occurs at the time of the vascular occlusion, and the prognosis depends on the extent and location of the blockage. Treatment focuses on ...

[Read More] Understanding Eye Stroke vs. Blood Clots: A Patient's Guide


Understanding Eyelid Tumors: When to Worry About Malignancy

Eyelid issues Thank you for your response, doctor! I would like to ask if it's possible to ignore a benign tumor (since it's really quite small)? Could it turn malignant? It's located on my eyelid, and I often rub my eyes, which causes me to touch it. Sometimes I m...


Dr. Ke Meilan reply Ophthalmology
This question seems to have been answered last week. Please consider that an ophthalmologist making a pathological slide prediction without having seen the patient is, in my opinion, too difficult and impractical. Wishing you health and peace, Ophthalmologist - Ke Mei-Lan.

[Read More] Understanding Eyelid Tumors: When to Worry About Malignancy


Understanding a Small Bump on Your Eyelid: What You Need to Know

There is a bump on the eyelid? Hello Dr. Ko: I have a small, skin-colored bump on my right eyelid that is painless and itchless. It seems to have been there for quite a while (possibly a few years) and doesn't appear to have grown larger; it has remained the same. I would li...


Dr. Ke Meilan reply Ophthalmology
It may be a benign tumor and will not turn into warts. If it increases in size, please consult a physician for further management. Wishing you health and peace, Ophthalmologist - Ke Mei-Lan.

[Read More] Understanding a Small Bump on Your Eyelid: What You Need to Know


Understanding Yellowing Eyes: Causes, Symptoms, and Solutions

Yellowing of the sclera with tenderness? Hello Doctor: My left eye's sclera has been turning yellow since February of this year, and it has spread to the other eye. Initially, the yellowing was mainly under the cornea, but it has extended to the upper half of the eye, with t...


Dr. Ke Meilan reply Ophthalmology
I think you are too tired. Additionally, yellowing of the sclera can indicate liver function issues; if liver function tests are normal, there is no need to worry too much, as this is not an infectious disease. Putting too much pressure on yourself while studying can actually dep...

[Read More] Understanding Yellowing Eyes: Causes, Symptoms, and Solutions


Effective Treatments for Amblyopia in Children: Overcoming Resistance to Glasses

Treatment for Amblyopia in Children: When Children Refuse to Wear Glasses and Patch Their Eyes? Hello, doctor. I discovered my child's amblyopia relatively late, and since my child is unwilling to cooperate with wearing glasses and patching, we have been intermittently treat...


Dr. Ke Meilan reply Ophthalmology
Children who are 6 and a half years old should continue wearing glasses and undergo occlusion therapy. Please do your best to assist your child with the training. Good luck! Regarding "retrograde neurotherapy," I have heard of it, so I cannot comment further. Wishing yo...

[Read More] Effective Treatments for Amblyopia in Children: Overcoming Resistance to Glasses


Can My Grandmother Qualify for Severe Disability Benefits?

Can I apply for severe disability status? Hello, doctor. I would like to ask about my grandmother, who has a risk of diabetes. Two years ago, due to complications from diabetes, she had to undergo an amputation from her right foot's sole to her calf because of cellulitis. Sh...


Dr. Ke Meilan reply Ophthalmology
Is it possible to apply for a higher subsidy without undergoing cataract surgery? The answer should be no. Without cataracts, one cannot apply for a disability certificate because it is only after treatment, when vision remains poor post-surgery, that one would apply. However, to...

[Read More] Can My Grandmother Qualify for Severe Disability Benefits?


Post-LASIK Vision Issues: Seeking Expert Help for Double Vision

Post-operative complications of myopia laser surgery... similar to Ah Hong's post-operative issues from October 2, 2010? Six years ago, I had -6.00D myopia in both eyes without any issues. After undergoing laser surgery for myopia, my uncorrected vision is now 0.3, and with ...


Dr. Ke Meilan reply Ophthalmology
The integration of visual information in the brain can be trained progressively and requires time. I am not sufficiently specialized, so I would like to consult with a corneal expert at a medical center. Wishing you health and safety, Dr. Ke Mei-Lan.

[Read More] Post-LASIK Vision Issues: Seeking Expert Help for Double Vision


Choosing the Right Intraocular Lens for Cataract Surgery: Monofocal vs. Multifocal

Intraocular lens (IOL) Hello, Director! I would like to ask a question. My right eye has a myopia of -17.50 diopters and has cataracts, and I will be undergoing surgery soon. My left eye has a myopia of -10.00 diopters and a slight cataract, with both eyes having astigmatism of a...


Dr. Ke Meilan reply Ophthalmology
If I were a patient, I would choose monofocal lenses to achieve better vision and wear reading glasses for close-up tasks. Wishing you health and safety, Ophthalmologist Dr. Ke Mei-Lan.

[Read More] Choosing the Right Intraocular Lens for Cataract Surgery: Monofocal vs. Multifocal


Uncontrollable Eye Rolling: Can Changing Seats Help?

Involuntary upward eye movement? I am 14 years old (in the third year of junior high school), and I have recently noticed that my eyes involuntarily drift upwards, whether I am talking to someone or watching TV. I think this might be due to sitting in the front row during class a...


Dr. Ke Meilan reply Ophthalmology
Dr. Ke replied: You may have Duane's syndrome. When the eyes cannot focus, they may drift upward, which could be due to being too close to the object. You might try moving your position back.

[Read More] Uncontrollable Eye Rolling: Can Changing Seats Help?


Understanding Vision Loss After Glaucoma Surgery: Causes and Concerns

Glaucoma Hello Doctor: My husband underwent trabeculectomy for glaucoma in mid-March, starting with the left eye. After the surgery, his vision was blurry, and the doctor said it would gradually improve. The right eye was operated on a week later, and after the bandage was remove...


Dr. Ke Meilan reply Ophthalmology
Hello, Miss: Dr. Kuo Mei-Lan replied: When vision cannot be restored, the first consideration should be refractive changes. Generally, recovery occurs within a month. When the intraocular pressure is 8, it is considered good; however, for individuals with high myopia, significant...

[Read More] Understanding Vision Loss After Glaucoma Surgery: Causes and Concerns


Managing Eye Sensitivity and Fatigue After Tuberculosis Treatment

Vision problems I was treated for tuberculosis for nine months from September 1997 to June 1998, and I stopped the medication in October 1998. Since then, my eyes do not seem to have improved. I am very sensitive to light and bright colors. Watching television and using the compu...


Dr. Ke Meilan reply Ophthalmology
Hello: Tuberculosis medications may have effects on some patients. Please see an ophthalmologist promptly, take vitamin B daily, and have a visual field test to monitor visual perception abilities.

[Read More] Managing Eye Sensitivity and Fatigue After Tuberculosis Treatment


Understanding Glaucoma: Is Your Vision Below 0.02 on the Chart?

Questions about glaucoma? Hello, doctor. My friend underwent trabeculectomy for glaucoma 8 to 9 years ago. During a recent follow-up visit, the physician issued a diagnosis report stating that the visual acuity in the left eye is 20 cm with the ability to count fingers, and the a...


Dr. Ke Meilan reply Ophthalmology
Hello Mr. Chen: Dr. Komeilan has answered the question: Yes. Wishing you health and safety. Ophthalmology, 99/08/27.

[Read More] Understanding Glaucoma: Is Your Vision Below 0.02 on the Chart?


Understanding Diplopia: Causes, Solutions, and Surgical Options

Ask the question about diplopia again? Dr. Ke: You mentioned that "the fusion of both eyes corresponds to points in the optical zone, and generally, patients need to readapt" in this situation. None of the doctors I consulted before and after the surgery mentioned this ...


Dr. Ke Meilan reply Ophthalmology
Hello, SEE: Please check for ARC (abnormal retinal correspondence). I believe these phenomena will gradually improve. Wishing you health and safety. Best regards, Komeilan.

[Read More] Understanding Diplopia: Causes, Solutions, and Surgical Options


Understanding Diplopia After Laser Eye Surgery: Causes and Solutions

Diplopia issues I originally had -6.00D in both eyes with no issues. After undergoing laser surgery for my myopia, my uncorrected vision is now 0.3, and with correction, my vision is 1.0 with a prescription of +2.50D. I still experience double vision at intermediate and near dist...


Dr. Ke Meilan reply Ophthalmology
Hello, Regarding the fusion of images from both eyes and the corresponding points in the optical zone, generally, patients need to readjust, and the adaptation time varies for each individual. It may be advisable to wear a lower prescription and change the lenses again after on...

[Read More] Understanding Diplopia After Laser Eye Surgery: Causes and Solutions


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