Dr. Wang Zhangji reply Ophthalmology Question - Page 16

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Understanding Post-Cataract Surgery Recovery: Pain, Restrictions, and Healing Time

After cataract surgery After cataract surgery, it's common to experience some discomfort, redness, and swelling, especially in the first few days. If you felt good the day after surgery but then experienced pain and redness on the third day, it's important to follow up ...


Dr. Wang Zhangji reply Ophthalmology
Hello! Generally, postoperative redness, swelling, heat, and pain gradually decrease over one to two weeks, but this can vary depending on individual constitution and medical conditions. After surgery, it is important to avoid bending over and lifting heavy objects to reduce the ...

[Read More] Understanding Post-Cataract Surgery Recovery: Pain, Restrictions, and Healing Time


Managing Rapid Myopia Progression: Effective Strategies and Treatments

Increase in prescription strength? Hello! Recently, my myopia has been worsening (over 700 degrees in the left eye, and over 1400 degrees with amblyopia in the right eye + degeneration). My left eye has increased by over 100 degrees in a year! When I went to the hospital for an e...


Dr. Wang Zhangji reply Ophthalmology
Hello! I'm not sure which type of mydriatic agent you used or its concentration. After instillation, did your prescription still increase? I recommend that you continue using it and follow up at the clinic to monitor your prescription as a reference for medication selection....

[Read More] Managing Rapid Myopia Progression: Effective Strategies and Treatments


Understanding Corneal Abrasions and Eyelid Bruising: Causes and Recovery

Please ask your question? What are the potential complications of punctate epithelial erosion of the cornea? Why does this occur? How long does it take for a bruise on the upper eyelid to heal? How long after an injury does bruising typically appear? Thank you for your detailed r...


Dr. Wang Zhangji reply Ophthalmology
Hello! I'm not sure if what you referred to as punctate epithelial erosion is what we call punctate keratitis. If treated properly, it typically does not leave any sequelae. The exact cause remains unclear, but it is suspected to be related to a virus. Bruising around the ey...

[Read More] Understanding Corneal Abrasions and Eyelid Bruising: Causes and Recovery


Understanding the Connection Between Dry Eyes and Floaters

Patients with floaters? I previously had dry eye syndrome, and now I have floaters. I'm not sure if there is a direct relationship between the two. Additionally, my floaters are becoming more severe, and when I close my eyes, the floaters appear to have color. Are there any ...


Dr. Wang Zhangji reply Ophthalmology
Hello! Dry eye syndrome and floaters are not directly related. Floaters are a type of vitreous degeneration, which is generally benign. Treatment is only necessary if there are associated conditions such as retinal tears. As long as regular retinal examinations are conducted, the...

[Read More] Understanding the Connection Between Dry Eyes and Floaters


Understanding Eye Hemorrhage: Causes, Symptoms, and Treatment Options

Ocular hemorrhage My grandfather has bleeding in the white part of his eye. What should we do about this? What could be the problem? Is it serious?


Dr. Wang Zhangji reply Ophthalmology
Hello! Subconjunctival hemorrhage, which is commonly caused by the rupture of small blood vessels in the conjunctiva, is usually not serious. Applying ice for 2 to 3 days can help, and it will gradually resolve over 3 to 4 weeks. Patients with diabetes or hypertension are more pr...

[Read More] Understanding Eye Hemorrhage: Causes, Symptoms, and Treatment Options


Retinal Laser Surgery and Military Service: What You Need to Know

Retinal laser surgery and military service issues? Hello Dr. Wang, I recently went to Chang Gung Memorial Hospital for a retinal examination, and the doctor informed me that there are two holes in my right eye. They have scheduled me for laser surgery. However, I have heard that...


Dr. Wang Zhangji reply Ophthalmology
Hello! Retinal laser treatment is not considered surgery, so there are no military service issues. A hole in a certain area of the retina indicates that the retina is not very healthy, which means there is still a chance for other areas to develop holes. Best wishes for health fr...

[Read More] Retinal Laser Surgery and Military Service: What You Need to Know


Understanding Retinal Holes: Laser vs. Cryotherapy Treatment Options

Retinal tear issues? Hello, I have a problem with a retinal tear, and I need to undergo surgery for treatment. The doctor has recommended laser treatment, but I would like to know if cryotherapy is also an option, as I am not currently serving in the military and this condition a...


Dr. Wang Zhangji reply Ophthalmology
Hello! As far as I know, retinal holes are not exempt from military service; only retinal detachment treated with scleral buckle surgery or cryotherapy can be exempt. Best wishes for health from Dr. Wang Zhang-ji, Ophthalmology, Taoyuan Hospital, Department of Health, Executive Y...

[Read More] Understanding Retinal Holes: Laser vs. Cryotherapy Treatment Options


Understanding Night Vision Issues: Possible Causes and Tests Explained

I have difficulty seeing clearly at night? I have a question. At night, I have difficulty seeing clearly. I went to the Kaohsiung Armed Forces General Hospital for an eye examination, and the doctor administered a dilating agent. The doctor said everything was fine. However, when...


Dr. Wang Zhangji reply Ophthalmology
Hello! EOG (Electrooculography) and ERG (Electroretinography) are tests used to measure the retina and optic nerve. If you want to determine whether you have night blindness, it is best to have an examination at a medical center. Bilateral retinal pigmentary degeneration (night b...

[Read More] Understanding Night Vision Issues: Possible Causes and Tests Explained


Essential Care Tips for Rigid Contact Lenses to Prevent Infections

What is the care for rigid gas permeable contact lenses? Hello... I saw that due to infrequent cleaning of contact lenses, there can be an invasion by amoebas. I read in the newspaper that they can also thrive in water, so it's advised not to wash them with water. However, I...


Dr. Wang Zhangji reply Ophthalmology
Hello! Amoebas can exist in tap water and even in distilled water, so it is advisable not to wear contact lenses while swimming or bathing. Best wishes for health from Dr. Wang Zhang-ji, Ophthalmologist, Taoyuan City Health Bureau.

[Read More] Essential Care Tips for Rigid Contact Lenses to Prevent Infections


Understanding Retinal Health: Laser Treatment for Thinning Issues

Retina I have myopia of about 800-900 degrees. The doctor recommended that I undergo a retinal detachment examination. Afterward, the doctor said everything was normal but there is a tendency for thinning. The doctor hopes I will consider laser treatment. Will the laser treatment...


Dr. Wang Zhangji reply Ophthalmology
Hello! The purpose of the laser treatment is to prevent the thinning retina from detaching due to holes. During the laser procedure, it is crucial to keep the eyeball stable and avoid any movement, as this can misalign the laser's position. Serious side effects from the lase...

[Read More] Understanding Retinal Health: Laser Treatment for Thinning Issues


Understanding Cycloplegic Agent Concentrations for Myopia Management

What is the concentration of mydriatic agents? Hello Dr. Wang, My child is currently 9 years old and has a myopia of -1.75 diopters. The ophthalmologist has recommended using a cycloplegic agent to slow the progression of myopia, with a prescribed concentration of 0.25%. A colle...


Dr. Wang Zhangji reply Ophthalmology
Hello! The concentration of mydriatic agents is not solely based on the degree of refractive error but rather should be adjusted according to the individual's constitution and their response to the medication. If your child has been using 0.25% for a period of time and their...

[Read More] Understanding Cycloplegic Agent Concentrations for Myopia Management


Understanding Astigmatism in Children: Hope for Recovery and Eye Care Tips

The astigmatism in young children can reach up to 150 degrees? My son is seven years old. Last year, I took him to the hospital for an examination after noticing that he was rubbing his eyes frequently. It was found that he has astigmatism with a degree of 150. He is currently we...


Dr. Wang Zhangji reply Ophthalmology
Hello! Actually, a cylindrical power of 150 degrees is not considered very high; many people have it. The majority of cases are caused by congenital corneal shape. As long as it does not lead to amblyopia, it is not a major issue. However, unless laser surgery is performed, astig...

[Read More] Understanding Astigmatism in Children: Hope for Recovery and Eye Care Tips


Understanding Eyelid Twitching: Causes and What It Means for Your Health

Eyelid twitching? Hello Dr. Wang: There is a saying that eyelid twitching indicates emotional states such as joy, anger, sadness, or happiness, and that something is about to happen. Is there actually any correlation between this and eye disorders? I have been experiencing persis...


Dr. Wang Zhangji reply Ophthalmology
Hello! The medical term for eyelid twitching is myokymia, characterized by continuous, unilateral, wave-like spasms. Sometimes, not only the eyelids but also other facial muscles may be affected. It is caused by spontaneous discharges of the nerves and usually resolves on its own...

[Read More] Understanding Eyelid Twitching: Causes and What It Means for Your Health


Understanding Eyelid Twitching: Dr. Wang's Insights for Sean

I'm here to assist you. Please let me know what you need help with? Dr. Wang, my name is Sean. About 3 to 4 months ago, I started experiencing twitching in my left lower eyelid, and it has continued until now. Could you please tell me what my issue might be and what steps I ...


Dr. Wang Zhangji reply Ophthalmology
Myokymia is characterized by continuous, unilateral, fibrillary, or undulating contractions of muscle bundles. This condition results from repetitive spontaneous discharges of motor units firing rapidly. The phenomenon can be intermittent and self-limiting or persistent. Medical ...

[Read More] Understanding Eyelid Twitching: Dr. Wang's Insights for Sean


Understanding Parallax Issues in Myopia Management: Can Medication Help?

Parallax issue Hello, doctor. Thank you for your previous response regarding my brother's issue with binocular disparity. In your earlier reply, you mentioned that medication could help prevent the progression of high myopia in one eye. Is that correct? So, is there medicati...


Dr. Wang Zhangji reply Ophthalmology
Hello! I'm not sure how old your brother is this year, but generally, myopia stabilizes after the age of 20 and is unlikely to increase significantly. Therefore, at this point, prescribing medication can help us determine if he has myopic progression. The significance of pre...

[Read More] Understanding Parallax Issues in Myopia Management: Can Medication Help?


Understanding and Treating Anisometropia: Eye Care Solutions

Parallax issue My brother has a prescription of -600 diopters in his left eye and -225 diopters in his right eye. Is there a treatment available? Is the treatment aimed at making the right eye catch up to the left eye's prescription? I've heard that one eye needs to be ...


Dr. Wang Zhangji reply Ophthalmology
Hello! In response to your inquiry, you can use orthokeratology for treatment. If you prefer not to undergo surgery, corneal reshaping therapy is also an option. If you want the right eye's refractive error to match the left eye, the prerequisite is to prevent further increa...

[Read More] Understanding and Treating Anisometropia: Eye Care Solutions


Why Is My Left Eye Blurry with Contact Lenses? Common Issues Explained

Contact lenses I have been wearing contact lenses for six or seven years. Four months ago, I got a new pair of lenses. There are no issues with my right eye, but when I wear the lens in my left eye, everything appears blurry. I have tried several different lenses, but the problem...


Dr. Wang Zhangji reply Ophthalmology
Hello, Xiaoling! If your vision improves after blinking hard, it may be due to your contact lenses being too tight. This tightness could be caused by the lenses being too large or the base curve being too small. However, there are many other reasons for poor vision, including ele...

[Read More] Why Is My Left Eye Blurry with Contact Lenses? Common Issues Explained


Why Can't I See Clearly with My New Glasses? A Common Eye Care Dilemma

A pair of glasses has been adjusted twice but still isn't fitting well, so I'm heading for a third adjustment? Initially, I felt uncomfortable wearing my old glasses and wanted to get a new pair. I had heard advertisements for an optical shop on the radio and thought it...


Dr. Wang Zhangji reply Ophthalmology
If your myopia exceeds 600 degrees, it is classified as high myopia, and there may be some degree of retinal changes. Even if the degree increases further, it will not be beneficial. It is recommended that you visit an outpatient clinic to thoroughly examine the causes of your po...

[Read More] Why Can't I See Clearly with My New Glasses? A Common Eye Care Dilemma


Understanding Military Eye Exam Standards: Do You Need to Serve with 1000 Degrees?

Urgent inquiry? The standard for military exemption due to vision impairment varies, but generally, a refractive error of -6.00 diopters (or +6.00 diopters for hyperopia) is often considered the threshold for exemption. If your vision is exactly -1000 degrees (or -10.00 diopters)...


Dr. Wang Zhangji reply Ophthalmology
Hello! After pupil dilation, a refractive error measurement of "over" ten diopters falls under the category of alternative service, rather than exemption from service. There is no quick method to increase the true refractive error; we must adhere to the regulations set ...

[Read More] Understanding Military Eye Exam Standards: Do You Need to Serve with 1000 Degrees?


Seeing More Black Spots in Vision: When to Seek Eye Care?

Seeing black spots, which are increasing in number? Dr. Wang: I would like to ask you, I see black spots when looking at white paper or in bright light. In the past, there were only one or two, but now they are increasing. What should I do? Should I see a doctor? Zeng Zhaoping, 7...


Dr. Wang Zhangji reply Ophthalmology
Your condition is likely vitreous floaters, caused by the degeneration of the vitreous body. If the number of floaters increases, or if you see flashes of light, or experience large shadows, you should visit a clinic to have your retina examined. If there are any tears in the ret...

[Read More] Seeing More Black Spots in Vision: When to Seek Eye Care?


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