Choosing the Best Option for Astigmatism Correction in Cataract Surgery
Artificial intraocular lens astigmatism Hello, Doctor. I am 50 years old and have high myopia of -1700 and -2300 diopters, with mild glaucoma. My left eye has a history of retinal neovascularization (treated with six injections, but there are still slight shadows), and I have iri...
Dr. Gao Pilin Reply:
Hello Tony: I think it would be best to consult your attending physician for advice. Both methods are viable, but the optimal choice may vary for each individual. Only your attending physician, after personally examining your condition, can provide you with the best assessment an...[Read More] Choosing the Best Option for Astigmatism Correction in Cataract Surgery
Understanding Suture-Related Complications in Intraocular Lens Surgery
Scleral fixation of intraocular lens suture dislocation? My left eye had the lens removed due to trauma during childhood, and at the age of 20, an artificial lens was implanted. Due to the trauma, the lens in my left eye can only be secured with sutures, but I am unsure whether t...
Dr. Gao Pilin Reply:
Hello Mr. Chen: It should be a scleral fixation. If the displacement is not significant, it may not require intervention. However, if the lens displacement could potentially cause vitreous traction and retinal issues, then intervention is necessary. Individuals with corneal endot...[Read More] Understanding Suture-Related Complications in Intraocular Lens Surgery
Understanding Uveitis, Floaters, and Post-Cataract Surgery Concerns
Uveitis, vitreous floaters, and related issues? I had cataract surgery on my left eye in February of this year. During a follow-up visit, the doctor mentioned that I have uveitis. At that time, my symptoms improved with dilation, but in mid-April, I started experiencing persisten...
Dr. Gao Pilin Reply:
Hello: 1. Uveitis is a general term, and iritis is one type of it. Floaters are a symptom that may not necessarily be related to the former, but the former may lead to the occurrence of floaters. Please refer to: https://bit.ly/3GIjh2O 2. Artificial intraocular lenses do not chan...[Read More] Understanding Uveitis, Floaters, and Post-Cataract Surgery Concerns
Understanding Subcapsular Cataracts: Treatment Options and Vision Concerns
Subcapsular cataract 1. The difference between subcapsular cataract and posterior capsule opacification (secondary cataract) is that subcapsular cataract occurs beneath the lens capsule, affecting vision directly, while posterior capsule opacification is a condition that can deve...
Dr. Gao Pilin Reply:
Hello, Zhiqiang: Secondary cataract refers to the condition where the capsule of the lens becomes cloudy after cataract surgery. This can be treated with laser therapy. Subcapsular cataract is a type of cataract that requires surgical intervention for treatment. Replacing the len...[Read More] Understanding Subcapsular Cataracts: Treatment Options and Vision Concerns
Adjusting Vision Disparity: Optimal Prescription for IOL Replacement
Parallax and Prescription Adjustment Issues Hello, I have undergone artificial lens replacement in my right eye and currently have a myopia of -2.00 diopters and astigmatism of -0.50 diopters. My left eye has a prescription of -5.00 diopters and astigmatism of -1.50 diopters. Due...
Dr. Gao Pilin Reply:
Hello Ms. Lai: You can reserve a little less, so that you can see far without wearing glasses. However, this also requires consideration of whether you can accept the disparity in vision post-surgery. The tolerance for differences in prescription between the two eyes varies from ...[Read More] Adjusting Vision Disparity: Optimal Prescription for IOL Replacement
Managing Cataracts in High Myopia: Solutions for Better Vision
High myopia with unilateral cataract? Hello Doctor: I have high myopia, with a prescription of -2200 degrees in my right eye and -1000 degrees in my left eye. I also have presbyopia and dry eye syndrome. An examination revealed cataracts in my right eye. I am concerned about the ...
Dr. Gao Pilin Reply:
Hello Jo: 1. Long-focus intraocular lenses can meet over 90% of the visual needs for intermediate to long distances without relying on reading glasses, such as when using a desktop computer, watching television, cooking, cleaning, driving day and night, and for outdoor activiti...[Read More] Managing Cataracts in High Myopia: Solutions for Better Vision
Understanding Complications After Cataract Surgery: What to Expect
Post-cataract surgery Hello Doctor, my mother underwent her first cataract surgery two weeks ago. Her preoperative vision was approximately 0.2. During the surgery, the doctor mentioned that the lens was overripe and difficult to operate on, resulting in the loss of many epitheli...
Dr. Gao Pilin Reply:
Hello Sandy: The intraocular lens should only be repositioned; whether it needs to be removed and reinserted is something that should be discussed with the surgeon. The physician should create the best plan for the patient, and any procedure should be considered with the patient&...[Read More] Understanding Complications After Cataract Surgery: What to Expect
Can You Use Different Intraocular Lenses for Each Eye?
Is it possible to use different intraocular lenses in each eye? Hello, I usually spend a lot of time on the computer, read newspapers, and use my phone less frequently, with less emphasis on long-distance vision. However, I have high myopia and over 100 degrees of astigmatism. If...
Dr. He Jianxian Reply:
Using different artificial lenses for each eye primarily depends on the individual’s specific condition, which can vary. As long as the patient can adapt, it is not an issue; however, if adaptation is not possible, it can become problematic. This cannot be assessed in advance. Dr...[Read More] Can You Use Different Intraocular Lenses for Each Eye?
Post-Vitreous Surgery Care for Retinal Detachment Recovery: Key Considerations
Postoperative Care After Vitrectomy for Retinal Detachment Hello Dr. Tsai, I am currently living overseas in Poland. In May, I unexpectedly discovered that my left eye had blurred vision. After undergoing an examination at a local ophthalmology clinic, I was diagnosed with retin...
Dr. Gao Pilin Reply:
Hello Mr. Wang: 1. If the attending physician believes that you no longer need to be in a prone position, it indicates good recovery, and since silicone oil has been injected, the duration of being prone can sometimes be shortened. 2. If the attending physician determines that...[Read More] Post-Vitreous Surgery Care for Retinal Detachment Recovery: Key Considerations
Understanding Blurred Central Vision: Causes and Treatment Options
Central vision blur In 2018, after a retinal detachment in the left eye, I underwent vitrectomy with silicone oil infusion. Before the surgery, my vision was 1.0, but after the oil was removed, I could barely see 0.1-0.2. The macula appeared normal, and the retina was flat, but t...
Dr. He Jianxian Reply:
1. If the degree of myopia is high, it is normal for the retina to be thinner. 2. Generally, sutures in the sclera do not need to be removed. 3. It is not recommended to replace the intraocular lens, as the haptics of the artificial lens typically adhere to the capsule. Removing ...[Read More] Understanding Blurred Central Vision: Causes and Treatment Options
Understanding Presbyopia After Cataract Surgery: Common Concerns and Solutions
Post-cataract surgery presbyopia prescription? Hello, Director Gao. I have a few questions to ask you: 1. I am currently 50 years old. Two years ago, I underwent cataract surgery on my left eye and chose a monofocal intraocular lens. I now need to wear reading glasses with a +2....
Dr. Gao Pilin Reply:
Hello, Anan: 1. Monofocal intraocular lenses do not have accommodation, so it is necessary to wear appropriate reading glasses. Presbyopia theoretically should not worsen. If a stronger prescription is needed, it is due to visual decline. 2. Because the abrasion has not healed,...[Read More] Understanding Presbyopia After Cataract Surgery: Common Concerns and Solutions
Understanding Vision Changes After Cataract Surgery: Common Concerns
Postoperative vision after cataract surgery? Dear Dr. Gao, Thank you very much for your detailed response to #166210. I have three questions to ask you today: 1. I had cataract surgery on my right eye (monofocal aspheric) and my vision was 1300 degrees without any residual pr...
Dr. Gao Pilin Reply:
Hello Jane, 1. Is it possible that the suspected astigmatism issue is causing a vision of 0.5? Yes, astigmatism can potentially affect vision. 2. What is the normal recovery period for vision after cataract surgery with an intraocular lens? It varies; it depends on the surgery ...[Read More] Understanding Vision Changes After Cataract Surgery: Common Concerns
Understanding Macular Fold: Treatment Options and Recovery Insights
Macular fold Hello, Doctor Gao. I originally had a retinal detachment in my right eye. After surgery, I developed cataracts and macular folds. The cataract surgery has been completed, and an artificial lens has been implanted. However, due to the issue with the macular folds, my ...
Dr. Gao Pilin Reply:
Hello Mr. Tsai: 1. A type of silicone oil will help your retina adhere more closely, reducing the likelihood of re-detachment. 2. You still need to lie face down during the silicone oil infusion, as silicone oil is lighter than water, and the retina is located at the back of t...[Read More] Understanding Macular Fold: Treatment Options and Recovery Insights
Understanding LensAR 3D vs. LenSx for Cataract Surgery: A Guide
Laser issues Dear Dr. Gao, My father has been suffering from cataracts for over a year, and he hopes to use the LensAR 3D cataract surgery guidance system for his treatment. Could you please explain the differences between the LensAR 3D and LenSx surgical systems? Additionally, ...
Dr. Gao Pilin Reply:
Hello Mr. Chen, LensAR 3D utilizes a femtosecond laser for precise capsulotomy in the anterior capsule of the lens during cataract surgery. The laser light can reduce the energy required for ultrasonic phacoemulsification of the lens, as well as create single or multiple arc-sha...[Read More] Understanding LensAR 3D vs. LenSx for Cataract Surgery: A Guide
Can Corneal Transplants or Artificial Lenses Help Severe Myopia?
High myopia degeneration? Hello doctor, I am asking on behalf of my mother. My mother has severe myopia of around -2000 diopters and has seen a doctor who said that her condition is deteriorating too quickly and they cannot provide further assistance. I would like to ask if corne...
Dr. He Jianxian Reply:
Dear Ms. Hsiao-Ping, Retinal degeneration caused by high myopia cannot be improved through corneal transplantation or artificial lenses. Current technology is unable to alter the progression of the disease. Please consider this information. Sincerely, Dr. Jian-Hsien Ho Depa...[Read More] Can Corneal Transplants or Artificial Lenses Help Severe Myopia?
Understanding High Myopia: Risks, Treatments, and Eye Care Tips
Vision problems Hello Dr. He: 1. I have high myopia, and I really don’t want to wear glasses for the rest of my life. I haven't taken good care of my eyes since childhood. 2. Why do I frequently have high intraocular pressure? 3. My myopia is -10.00 diopters, and I've ...
Dr. He Jianxian Reply:
Dear Ms. Chen, Most individuals do not experience significant increases in myopia after reaching adulthood; however, there are some exceptions, and you may be among this group. This could explain the continuous increase in your myopic refractive error. Once the axial length of t...[Read More] Understanding High Myopia: Risks, Treatments, and Eye Care Tips
Impact of Cataract Surgery on Retinal Detachment Success Rate in High Myopia
High myopia Hello, Doctor Gao. After cataract surgery and the replacement of the artificial lens, if a patient has a pre-existing refractive error of -7.50 diopters and later requires retinal detachment surgery, will this affect the success rate of the surgery? I am concerned abo...
Dr. Gao Pilin Reply:
Hello, after cataract surgery with the replacement of an intraocular lens, undergoing retinal detachment surgery generally does not affect the intraocular lens and does not impact the success rate. At the E-Hospital in Puzi, Taiwan, the ophthalmology department is open on Monday,...[Read More] Impact of Cataract Surgery on Retinal Detachment Success Rate in High Myopia
Post-Retinal Detachment Surgery: Concerns and Recovery Tips
Post-retinal detachment surgery Hello, since September, I have undergone two surgeries on my left eye and I am very concerned about my vision after healing. Here is my medical history: I have been taking medications to control my blood sugar and hypertension (including BOKEY) for...
Dr. Gao Pilin Reply:
Hello Mr. Zhang: Currently, there is a dark area in your left eye with some imaging, but it is not very clear. The lower third appears slightly brighter with some imaging, but again, it is quite unclear. Overall, it presents as a patchy appearance. May I ask if there is damage to...[Read More] Post-Retinal Detachment Surgery: Concerns and Recovery Tips
Managing Uveitis: Treatment, Complications, and Cataract Concerns
Treatment and Complications (Sequelae) of Iritis Hello Doctor, I have experienced iritis four times this year, approximately once a year, with each episode occurring during the transition from summer to autumn. Since the first episode, the doctor at the clinic requested blood tes...
Dr. Gao Pilin Reply:
Hello Qianqian: When iritis is mild, there are usually no significant symptoms. However, when it becomes severe, it can lead to acute glaucoma, causing pain and blurred vision. Cataracts are also a common complication of recurrent iritis that is difficult to avoid. Iritis associa...[Read More] Managing Uveitis: Treatment, Complications, and Cataract Concerns
Understanding Macular Pucker: Surgery, Anesthesia, and Recovery Insights
Macular fold Hello, Doctor. In March of this year, I underwent surgery for retinal detachment. After the surgery, it was confirmed in June that the retina was successfully reattached. However, during a follow-up examination, I was found to have a macular fold. As a result, I had ...
Dr. Gao Pilin Reply:
Hello Mr. Tsai: 1. General anesthesia is typically used, although a few physicians may opt for local anesthesia. 2. There should be coverage for the procedure, and you should be able to return to work faster than after retinal detachment surgery. 3. Surgery for macular pucker...[Read More] Understanding Macular Pucker: Surgery, Anesthesia, and Recovery Insights