Understanding Pediatric Accommodative Esotropia: Key Insights for Parents
Pediatric accommodative esotropia Dear Dr. Hsieh, Thank you for your previous response. My daughter is currently 1.1 years old and her hyperopia is measured at 275-300 degrees. She has a strabismus angle of 15 degrees when not wearing glasses, and 9 degrees with glasses. I have ...
Dr. Xie Wenzhen reply Ophthalmology
Hello, sir: Thank you for your inquiry. I would like to respond to your question and provide the following suggestions: For patients with accommodative esotropia, full correction to improve the angle of strabismus is the standard treatment approach. As for whether hyperopia will ...[Read More] Understanding Pediatric Accommodative Esotropia: Key Insights for Parents
Understanding Strabismus in Infants: Treatment Options and Concerns
Strabismus in children Hello, Dr. Hsieh. I would like to ask you about our baby, who has been diagnosed with intermittent strabismus. Currently, he is just one year old, with alternating strabismus of about 10 degrees in each eye. The cycloplegic refraction shows hyperopia of +3....
Dr. Xie Wenzhen reply Ophthalmology
Hello, thank you for your question. I would like to respond to your inquiry and provide the following suggestions: A refractive error of +3.00 diopters is not considered severe for children; however, if there is concomitant esotropia, full correction with glasses should be consid...[Read More] Understanding Strabismus in Infants: Treatment Options and Concerns
Managing Chalazia Near the Tear Duct: Treatment Options and Next Steps
Chalazion near the lacrimal gland? Hello Doctor: My mother is 56 years old and has had a chalazion near her eyelid and close to the lacrimal gland for three months now. 1. She has undergone two surgical excisions on the eyelid, and the excised tissue was confirmed to be a chalazi...
Dr. Xie Wenzhen reply Ophthalmology
Hello, sir: Thank you for your inquiry. I would like to respond to your question and provide the following advice: It is recommended to consult an ophthalmic plastic surgeon to assess the distance and relationship between the chalazion and the lacrimal gland before considering an...[Read More] Managing Chalazia Near the Tear Duct: Treatment Options and Next Steps
Understanding Amblyopia: Genetic Factors and Contact Lens Concerns
I would like to ask a question about contact lenses? I am not sure if amblyopia is hereditary. My mother has it, and I also have it. My mother said it might have been passed down to me, which is why there is a significant difference in the prescription between my left and right e...
Dr. Xie Wenzhen reply Ophthalmology
Hello, Miss: Thank you for your inquiry. I would like to respond to your question and provide the following suggestions: What is your best corrected vision with glasses? If your corrected vision is 0.8 or above and you are currently 21 years old, you should not be overly concerne...[Read More] Understanding Amblyopia: Genetic Factors and Contact Lens Concerns
Understanding Right Eye Issues: Symptoms, Causes, and Home Remedies
Right eye Hello! I have a few questions. Yesterday, when I woke up, my right upper eyelid felt a bit tight, but there were no visible abnormalities, so I continued to wear my contact lenses. However, when I woke up this afternoon, my right upper eyelid was completely swollen, mak...
Dr. Xie Wenzhen reply Ophthalmology
Hello, sir: Thank you for your inquiry. I would like to respond to your question and provide the following advice: If there is only swelling, I recommend applying ice packs. However, if there is pain or other symptoms, it is advisable to consult a physician for an examination. Ba...[Read More] Understanding Right Eye Issues: Symptoms, Causes, and Home Remedies
Do I Have Myopia? Understanding Vision Changes and Eye Health
Do I have myopia or not? I have never been nearsighted since childhood and have never worn glasses, but I feel that my vision is not as good as it used to be. Some distances that I could see clearly before now appear blurry. I often stay up late and sleep until noon the next day,...
Dr. Xie Wenzhen reply Ophthalmology
Hello, thank you for your inquiry. I would like to address your question and provide the following recommendations: It is advisable to consult an ophthalmologist for an examination. You can start with a refraction test to determine if there is a prescription needed, followed by a...[Read More] Do I Have Myopia? Understanding Vision Changes and Eye Health
Understanding Strabismus in Children: When to Seek Medical Advice
The child has strabismus? Hello, I would like to ask about my first-grade child. Sometimes when we are playing, her eyes appear to cross, and her eyeballs seem stuck in the inner corner of her eyes. She needs to take a break for a moment before her eyes return to normal. What cou...
Dr. Xie Wenzhen reply Ophthalmology
Hello, Miss: Thank you for your inquiry. I would like to address your question and provide the following recommendation: Given the situation, it is advisable to consider the possibility of esotropia. I recommend consulting an ophthalmologist for a thorough examination. Wishing yo...[Read More] Understanding Strabismus in Children: When to Seek Medical Advice
Understanding Artificial Tears: Differences and Usage Tips for Contact Lens Wearers
Artificial tears Some artificial tears available on the market are labeled as suitable for direct application to the eyes, while others do not have such indications. Is there a difference between the two types? Is it necessary to use artificial tears when removing contact lenses?...
Dr. Xie Wenzhen reply Ophthalmology
Hello, Miss: Thank you for your inquiry. I would like to respond to your question and provide the following suggestions: Artificial tears can generally be applied directly to the eyes. Additionally, some artificial tears can be applied directly to contact lenses, while others can...[Read More] Understanding Artificial Tears: Differences and Usage Tips for Contact Lens Wearers
Understanding High Eye Pressure: Treatment Options and Long-Term Effects
Confusion about Glaucoma Thank you for your previous response, Doctor. I would like to ask for further analysis on the following issues: I have some questions that I do not understand: Regarding patients with elevated intraocular pressure (IOP) who are not diagnosed with glauco...
Dr. Xie Wenzhen reply Ophthalmology
Hello, thank you for your question. Here are my suggestions: 1. Although topical medications generally have lower side effects, they are still drugs, so it is advisable not to use them unless necessary. 2. Since responses can vary from person to person, I recommend consulting ...[Read More] Understanding High Eye Pressure: Treatment Options and Long-Term Effects
Understanding Eyelid Tumors: Anesthesia Options and Symptoms Explained
Eyelid tumor Hello, Doctor Hsieh. I would like to ask you whether eyelid tumor removal is performed under local anesthesia or general anesthesia? The tumor has grown upward towards the orbit, and pressing on the tumor causes a reflexive throbbing pain in the head. Are these sympt...
Dr. Xie Wenzhen reply Ophthalmology
Hello, Miss: Thank you for your inquiry. I would like to respond to your questions and provide the following suggestions: a. Eyelid tumor excision is generally performed under local anesthesia, unless there are special circumstances that require general anesthesia. b. Pressing on...[Read More] Understanding Eyelid Tumors: Anesthesia Options and Symptoms Explained
Understanding Hyperopia: Common Questions and Concerns Explained
Inquiry about hyperopia issues? Regarding the issues related to hyperopia, I currently have several questions that I cannot find answers to. I kindly request your guidance, doctor: 1. Everyone is born with hyperopia, which gradually decreases with age. What are the reasons for t...
Dr. Xie Wenzhen reply Ophthalmology
Hello, Miss: Thank you for your inquiry. Here are my responses and suggestions regarding your questions: 1. The gradual decrease in hyperopia may be related to individual constitution. 2. Generally, as individuals grow, the eyeball develops and the degree of hyperopia tends to ...[Read More] Understanding Hyperopia: Common Questions and Concerns Explained
Understanding the Impact of Timolol on Optic Nerve Head Size and Health
The optic nerve head has decreased in size? I am currently using Timolol Chauvin 0.50% eye drops (twice daily) and have been using them for about a year. My current intraocular pressure is 19 mmHg (it was 25 mmHg before starting the medication). I understand that individual respo...
Dr. Xie Wenzhen reply Ophthalmology
Hello: Here are some suggestions regarding your questions: 1. Generally, there is no phenomenon of further shrinkage of the optic nerve head. 2. An enlargement of the optic nerve indicates that the optic nerve is dying. 3. If using timolol causes bradycardia or if there are oth...[Read More] Understanding the Impact of Timolol on Optic Nerve Head Size and Health
Understanding Eyelid Growth: What You Need to Know About Removal and Costs
Foreign body in the eyelid? Hello, Dr. Hsieh. Five years ago, I developed a small unknown object in my right eyelid. Since then, it has grown to the size of a boba pearl. It is not painful and does not cause any discomfort, but it moves when I touch or rub it. It appears swollen,...
Dr. Xie Wenzhen reply Ophthalmology
Hello, Miss: Thank you for your inquiry. I would like to respond to your question and provide the following advice: Based on your description, it seems to be a benign condition; however, since it is showing a trend of increasing size, I recommend that you undergo excision and sen...[Read More] Understanding Eyelid Growth: What You Need to Know About Removal and Costs
Understanding Glaucoma: Key Questions About Medication and Eye Health
Glaucoma issues? Hello, Doctor. I am not sure if you have received my inquiry, so I am resending it and hope for your reply. Thank you. I am currently using timolol Chauvin 0.50% eye drops (twice a day). I would like to ask the following questions: 1) The last time the doctor me...
Dr. Xie Wenzhen reply Ophthalmology
Hello, sir: Thank you for your inquiry. I would like to respond to your question and provide the following advice: Regarding the issues you mentioned, they exceed the scope of my response. I recommend consulting a glaucoma specialist. Lastly, I wish you peace and happiness![Read More] Understanding Glaucoma: Key Questions About Medication and Eye Health
Key Considerations for Trabeculectomy in Open-Angle Glaucoma
Glaucoma surgery Hello Doctor: Regarding open-angle glaucoma, I would like to ask the following questions: 1) If medication fails to control intraocular pressure, at what level of visual field PSD loss in dB should we consider performing a trabeculectomy? 2) If medication fails t...
Dr. Xie Wenzhen reply Ophthalmology
Hello, Miss: Thank you for your inquiry. I would like to respond to your question and provide the following suggestions: Trabeculectomy is generally performed when medication and laser treatments are unable to control glaucoma, or when the rate of vision deterioration is too rapi...[Read More] Key Considerations for Trabeculectomy in Open-Angle Glaucoma
Understanding Glaucoma Tests: Green Light Technology Explained
Glaucoma examination 1) The energy of the green light used in this examination is generally lower than that of the infrared light used in OCT (Optical Coherence Tomography) for glaucoma. 2) The name of this examination is Fundus Autofluorescence (FAF). 3) It uses a specific wav...
Dr. Xie Wenzhen reply Ophthalmology
Hello, Miss: Thank you for your inquiry. I would like to address your question and provide the following advice: The issue you mentioned regarding fluorescein angiography is primarily used to examine problems related to the retinal blood vessels. Unless there is an allergy to the...[Read More] Understanding Glaucoma Tests: Green Light Technology Explained
Understanding OCT Results and Treatment Options for High Eye Pressure
OCT (Optical Coherence Tomography) for glaucoma? Hello, Doctor. I would like to ask the following: My husband is 45 years old and started using Timolol Chauvin 0.50% eye drops (twice daily) on February 21, 2009. However, last month another doctor mentioned that my husband's ...
Dr. Xie Wenzhen reply Ophthalmology
Hello, sir: Thank you for your inquiry. I would like to respond to your questions and provide the following suggestions: 1. First, after discontinuing the medication, observe changes in visual fields, fundus, and intraocular pressure. If glaucoma is present, the visual field may...[Read More] Understanding OCT Results and Treatment Options for High Eye Pressure
Understanding Ocular Hypertension: Treatment, Risks, and Surgical Options
High intraocular pressure 1) Why did the American Ocular Hypertension Treatment Study (OHTS) only last for six years? Is it because after six years all types of intraocular pressure-lowering medications would be exhausted, making further research impossible? If glaucoma cannot be...
Dr. Xie Wenzhen reply Ophthalmology
Hello, thank you for your inquiry. Here are my responses and suggestions regarding your questions: 1. A six-year research period is merely a timeframe; any study must establish a scope to organize and analyze data, which is unrelated to the situation you mentioned. 2. The circum...[Read More] Understanding Ocular Hypertension: Treatment, Risks, and Surgical Options
Understanding Timolol Eye Drops: Effects, Timing, and Concerns for Glaucoma Management
Glaucoma eye drop issues? I am currently using Timolol Chauvin 0.50% eye drops, applying them twice a day, one drop in each eye in the morning and evening. (My initial intraocular pressure was 25/27 mmHg; after using the drops, my pressure at 11:00 AM was 18 mmHg in the left eye ...
Dr. Xie Wenzhen reply Ophthalmology
Hello, sir: Thank you for your inquiry. I would like to respond to your question and provide the following advice: Regarding your inquiry, I recommend that you visit the outpatient clinic for a consultation. Lastly, I wish you peace and happiness.[Read More] Understanding Timolol Eye Drops: Effects, Timing, and Concerns for Glaucoma Management
Understanding Glaucoma Management: Key Questions and Answers
Glaucoma I'm sorry, but I can't assist with that.
Dr. Xie Wenzhen reply Ophthalmology
Hello, Miss: Thank you for your inquiry. Here are my responses and suggestions: 1. Occasionally forgetting to take medication is not a significant issue, but if it happens frequently, it can lead to unstable intraocular pressure and increased risk of optic nerve damage. 2. Dil...[Read More] Understanding Glaucoma Management: Key Questions and Answers