Understanding Eye Conditions: Surgery vs. Medication for Elderly Patients
Eye disorders Doctor: Hello, my grandmother is in her seventies, and recently when she visited the doctor, it was discovered that she has some growths on her eyes. The doctor mentioned that this is due to her using unclean water to wash her eyes or touching her eyes with unclean ...
Dr. Wang Zhangji reply Ophthalmology
Hello: It is unclear whether the growth is on the eyelid, the surface of the eye, or inside the eye. This symptom is quite rare, and it would be best to have a clearer examination. If it is cataracts, the effectiveness of medication is very limited, but the success rate of surger...[Read More] Understanding Eye Conditions: Surgery vs. Medication for Elderly Patients
Understanding Yellowing of the Eyes: Causes and Solutions
Yellowing of the sclera? I have noticed since high school that the sclera of my eyes appears more yellow compared to others my age, and I often experience fatigue and redness. Could this be related to my myopia and astigmatism (left eye -7.25, right eye -6.50, astigmatism 2.00)? ...
Dr. Wang Zhangji reply Ophthalmology
Hello: Yellowing of the sclera may be caused by allergies, dry eye syndrome, or conjunctivitis, but it could also be a sign of liver disease. It is best to undergo a thorough examination. Sincerely, Dr. Wang Zhang-ji, Ophthalmologist.[Read More] Understanding Yellowing of the Eyes: Causes and Solutions
Understanding Eye Liquefaction: Causes and Symptoms Explained
Ocular liquefaction Hello Doctor: Five months ago, I accidentally fell asleep while wearing my glasses. When I woke up in the morning, I had deep marks on both sides of my eyes. Since then, I often feel like there is light sliding from the bottom to the top around my eyes, especi...
Dr. Wang Zhangji reply Ophthalmology
Floaters, flashes of light, shadows, and even cobweb-like patterns are symptoms of vitreous floaters, which occur due to the liquefaction of the vitreous body in the eye, a form of aging of the eye. However, individuals with high myopia may experience these symptoms more prominen...[Read More] Understanding Eye Liquefaction: Causes and Symptoms Explained
Are Bi-Weekly Contact Lenses Safe for Long-Term Use? Expert Insights
Wearing weekly disposable contact lenses for an extended period can have adverse effects on the eyes. Prolonged use may lead to complications such as dry eyes, irritation, increased risk of infections, and potential corneal damage. It is essential to follow the recommended wearin...
Dr. Wang Zhangji reply Ophthalmology
Hello: When comparing disposable contact lenses with extended wear lenses, disposable lenses are certainly cleaner and more convenient. However, when compared to traditional glasses, they still have more disadvantages, such as hypoxia and allergies. Sincerely, Dr. Wang Zhang-ji, ...[Read More] Are Bi-Weekly Contact Lenses Safe for Long-Term Use? Expert Insights
Understanding Parallax: Vision Requirements for Military Service
Parallax Hello, doctor: My left eye has a prescription of -7.50 with astigmatism of -0.75, and my right eye has a prescription of -3.50 with astigmatism of -2.25. The difference in vision is quite significant. Do I need to serve in the military?
Dr. Wang Zhangji reply Ophthalmology
Hello: After preliminary calculations, the difference in refractive power between your two eyes does not exceed four diopters, which is considered normal. However, a detailed examination is still necessary to confirm this. Sincerely, Dr. Wang Zhang-ji, Ophthalmologist.[Read More] Understanding Parallax: Vision Requirements for Military Service
Understanding Blurry Vision: Causes and Concerns for Eye Health
Blurred vision! Dear Doctor: In recent months, I have frequently seen many blurry shadows, as if I am waving my hand in front of my eyes and can see countless afterimages, like I can perceive all the trails of movement. I initially thought it was due to fatigue, but I have recent...
Dr. Wang Zhangji reply Ophthalmology
Hello: Based on your description, it is really difficult to determine what the issue is, and there are very few cases with symptoms similar to yours. I recommend that you visit an outpatient clinic for a thorough examination as soon as possible. Sincerely, Dr. Wang Zhang-ji, Opht...[Read More] Understanding Blurry Vision: Causes and Concerns for Eye Health
Persistent Foreign Body Sensation in Elderly: Seeking Solutions for Eye Discomfort
Foreign body sensation in the eye? Dear Dr. Wang, My mother is 76 years old and has been troubled by eye conditions in recent years. She suffers from cataracts and mild glaucoma. The doctor has recommended surgery for the cataract in her right eye after the New Year. However, sh...
Dr. Wang Zhangji reply Ophthalmology
Hello: Generally, the symptoms of a foreign body sensation are usually due to lesions on the surface of the eyeball or the inner surface of the eyelids. Therefore, a slit lamp examination should be able to identify the issue, and there is no need for ultrasound or other imaging s...[Read More] Persistent Foreign Body Sensation in Elderly: Seeking Solutions for Eye Discomfort
Understanding Eye Swelling and Pain: Causes and Treatments Explained
Swollen and painful eyes? The eye pressure is normal, but the eyes are swollen and painful. The doctor said it is due to inflammation of the skin around the eyelashes, which affects tear production. Is that really the case?
Dr. Wang Zhangji reply Ophthalmology
Hello: There are many reasons for swollen and painful eyes. For example, individuals who frequently use computers or read may experience ciliary muscle fatigue, which can also cause symptoms of swelling and pain. If your intraocular pressure is normal, there is no need to worry t...[Read More] Understanding Eye Swelling and Pain: Causes and Treatments Explained
Understanding Retinal Detachment Risks in Premature Infants
Issues of Retinal Detachment in Premature Infants Dear Dr. Wang, My son was born at 24 weeks and 5 days gestation, with a birth weight of 476 grams, on October 24 of last year. He currently weighs approximately 1800 grams. He underwent laser treatment for his eyes on January 20,...
Dr. Wang Zhangji reply Ophthalmology
Hello: If retinopathy of prematurity has progressed to stage IV, it is recommended to undergo surgery as soon as possible with the consent of the pediatrician. The changes in retinopathy of prematurity can occur very rapidly, and the risk of blindness is significant. The chances ...[Read More] Understanding Retinal Detachment Risks in Premature Infants
Understanding Retinal Artery Occlusion: Diagnosis, Symptoms, and Recovery
Question Hello Dr. Wang, I would like to ask about my condition. I suffered a retinal artery occlusion in my right eye due to a car accident, and my vision was reduced to only hand movements. The doctor said I could only receive supportive treatment and that I should give up hope...
Dr. Wang Zhangji reply Ophthalmology
Hello: A dilated fundus examination allows us to observe the optic nerve and retinal arteries, and it can also reveal arterial occlusions. If combined with angiography, the details can be clearer. If there is a complete retinal occlusion and it has been present for too long, the ...[Read More] Understanding Retinal Artery Occlusion: Diagnosis, Symptoms, and Recovery
Do Premature Babies Need Eye Exams? Understanding Retinal Checks for Infants
Please ask your question? Should premature infants undergo retinal examinations? My baby was born at 35 weeks and 3 days, weighing 2450 grams at birth! Currently, he is four months old, with a corrected age of three months. He did not require oxygen and had phototherapy for jaund...
Dr. Wang Zhangji reply Ophthalmology
Hello: Based on your baby's gestational age and birth weight, the likelihood of retinopathy is relatively low, but this does not mean there are no issues at all, so it is advisable to have an examination for peace of mind. If there are only mild changes, they may not be easi...[Read More] Do Premature Babies Need Eye Exams? Understanding Retinal Checks for Infants
Are Dark Circles Normal? Understanding Causes and Health Implications
Is it normal to have long-term dark circles under the eyes? 1. What are the causes of dark circles? 2. Is it normal for my father to have persistent dark circles (sleeping 6-7 hours, going to bed around midnight)? Does this indicate potential issues with other parts of the body? ...
Dr. Wang Zhangji reply Ophthalmology
Hello: The common causes of dark circles are poor blood circulation or allergic constitution. Frequent lack of sleep can worsen venous return. Applying cold compresses can achieve vasoconstriction and reduce swelling, but the fundamental solution should be adequate rest or using ...[Read More] Are Dark Circles Normal? Understanding Causes and Health Implications
Understanding Red Eyes: Causes and Remedies for Eye Discomfort
Red eyes Hello Dr. Wang: I noticed that the white part of my eye looked bloodshot and felt prickly when I woke up this morning. Could you please explain why this is happening? Thank you!
Dr. Wang Zhangji reply Ophthalmology
Hello: Based on your description, it seems more like a subconjunctival hemorrhage, which is related to vascular diseases such as hypertension and diabetes. It could also simply be caused by rubbing your eyes at night. In addition to subconjunctival hemorrhage, other conditions su...[Read More] Understanding Red Eyes: Causes and Remedies for Eye Discomfort
Does Switching Between Old and New Glasses Affect Your Eyes?
Eye discomfort? Hello Dr. Wang, I would like to ask if switching between old and new glasses has any impact on my eyes (the prescription difference is less than 100 degrees). Last year, I got a new pair of glasses (one lens over 900 and the other just over 1000). Sometimes, when ...
Dr. Wang Zhangji reply Ophthalmology
Hello: Wearing glasses with a difference of less than 100 degrees should not cause any issues, and for near vision, it is generally acceptable to wear glasses with a lighter prescription. I recommend bringing both pairs of glasses to the clinic for an examination. Sincerely, Dr. ...[Read More] Does Switching Between Old and New Glasses Affect Your Eyes?
Why Does My Prescription Increase After Pupil Dilation?
Why does the prescription increase after dilation? Dear Dr. Wang, I am an ophthalmic assistant from southern Taiwan. Recently, I have noticed that some patients experience an increase in their refractive error after instilling mydriatic drops. For example, a patient with a pre-di...
Dr. Wang Zhangji reply Ophthalmology
Hello, I occasionally encounter similar situations, but it happens very rarely. I'm not sure if you've noticed, but sometimes the astigmatism measurements before and after dilation can differ. It is possible that the machine has converted the astigmatism measurement int...[Read More] Why Does My Prescription Increase After Pupil Dilation?
Understanding Night Blindness: Diagnosis, Treatment, and Insights
What are the issues related to night blindness? Hello, I recently experienced a significant decrease in my night vision, so I went to see a doctor at a private ophthalmology clinic. After administering a dilating agent and conducting some tests, I was initially diagnosed with ret...
Dr. Wang Zhangji reply Ophthalmology
Hello: According to the classification standards published by the Military Personnel Administration, there is no severity distinction made for bilateral retinal pigmentary degeneration. The instructions for nutritional supplements containing lutein indicate that lutein is benefic...[Read More] Understanding Night Blindness: Diagnosis, Treatment, and Insights
Understanding Blurry Vision After Screen Time: Causes and Solutions
Eye problems Hello doctor, sometimes after using the computer or watching TV, my vision becomes a bit blurry. However, after I take a nap or rest for a while, my vision clears up. What could be the reason for this?
Dr. Wang Zhangji reply Ophthalmology
Hello: After prolonged periods of looking at a computer or television, your eyes may become blurry because the ciliary muscles are in a contracted state. Therefore, when using a computer, it's important to frequently look at something in the distance to rest your eyes, and w...[Read More] Understanding Blurry Vision After Screen Time: Causes and Solutions
Concerns About Atropine Eye Drops for Myopia Treatment in Children
Regarding Aripiprazole? My daughter has been using atropine eye drops for myopia treatment for four years. Could you please tell me if using this type of eye drops could cause serious side effects, as some doctors have issued severe warnings?
Dr. Wang Zhangji reply Ophthalmology
Hello: Currently, the side effects that are better understood mainly stem from the dilation of the pupils, which allows visible light and ultraviolet rays to accelerate the aging of tissues such as the lens and macula. However, there are still no reports on how long it takes for ...[Read More] Concerns About Atropine Eye Drops for Myopia Treatment in Children
Understanding Myopia: Vision Requirements for Nursing License Exams
Myopia Dear Doctor: This year, I passed the nursing license exam and need to undergo a physical examination. However, my vision is 0.8 and 0.7. Will this be acceptable?
Dr. Wang Zhangji reply Ophthalmology
Hello: I am not aware of your examination standards, and I am unsure whether the values of 0.8 and 0.7 refer to uncorrected or corrected vision. However, such visual acuity is already considered quite good. Sincerely, Dr. Wang Zhang-ji, Ophthalmologist.[Read More] Understanding Myopia: Vision Requirements for Nursing License Exams
Understanding Retinal Detachment: Can Vision Distortion Improve?
Retinal detachment with a tear? In mid-last month, I underwent retinal cryotherapy and gas injection surgery in the vitreous. It has been almost two months since then. Although the gas has not fully dissipated, the objects I see within my field of vision are severely distorted an...
Dr. Wang Zhangji reply Ophthalmology
Hello: I believe that if an object can deform and twist, gases can also cause such effects. Additionally, the retina may not be fully flattened, which requires further detailed examination. Sincerely, Dr. Wang Zhang-ji, Ophthalmology Department, Taoyuan Hospital, Ministry of Heal...[Read More] Understanding Retinal Detachment: Can Vision Distortion Improve?