Astigmatism, Ophthalmology FAQ - Page 21

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Understanding Black Shadows in Vision: Is It Macular Degeneration?

Seeing shadows in the vision could indicate a problem with the macula, or it may be related to other issues? Thank you for the prompt response, Doctor! Your question: Hello Doctor, my son is eight years old and has over 200 degrees of astigmatism in both eyes, with myopia of +25 ...


Dr. Gao Pilin Reply:
Hello, Xiaowu: 1. It is likely not a macular issue. We should first rule out the optical effects caused by dilation; let the pupils constrict and see if the symptoms persist. 2. The observation of very round black circular shadows does not sound like a pathological finding; it se...

[Read More] Understanding Black Shadows in Vision: Is It Macular Degeneration?


Understanding Astigmatism: Causes, Symptoms, and Treatment Options

Causes of worsening astigmatism? 1. Is rubbing the eyes a cause of keratoconus? 2. If astigmatism deepens to around 300 degrees, is it definitely keratoconus, or could there be other causes? 3. How long does it typically take to adapt to wearing glasses for astigmatism? 4. ...


Dr. Gao Pilin Reply:
Hello, 1. It is possible, but generally, rubbing the eyes does not cause this unless it is done with excessive force and over a long period. Please refer to: https://bit.ly/2XQEUMi 2. Not necessarily; it could simply be astigmatism. 3. Typically, with the appropriate prescrip...

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


Understanding Black Shadows in Vision: Causes and Concerns for Kids

Seeing shadows or dark spots in the vision? Hello Doctor, my son is eight years old and has over 200 degrees of astigmatism in both eyes, with myopia of +25 in the right eye and -25 in the left eye. He has been using a 0.125% cycloplegic agent every night for the past year and a ...


Dr. Gao Pilin Reply:
Hello, Xiaowu: The phenomenon of being able to see far but not near does not resemble macular degeneration. It may be caused by astigmatism or dilation. If you are not wearing glasses, you might try wearing them to see if your condition improves. You can discuss this with your do...

[Read More] Understanding Black Shadows in Vision: Causes and Concerns for Kids


Understanding Sudden Astigmatism Changes in Children: When to Seek Help

Astigmatism in children The child is currently in the second grade and underwent a vision examination in December 2020. After dilation, the left eye measured 25 degrees and the right eye measured 50 degrees, with both eyes showing no astigmatism (0 degrees), and visual acuity was...


Dr. Gao Pilin Reply:
Hello Vvn: Your child should currently be receiving treatment from an ophthalmologist. If the physician has not given specific instructions, please return for a follow-up appointment as recommended by the doctor, who should provide appropriate treatment. If no follow-up time has ...

[Read More] Understanding Sudden Astigmatism Changes in Children: When to Seek Help


Understanding Night Vision Issues: Night Blindness or Astigmatism?

Viewing signs at night? Hello Doctor, recently I have noticed that I have difficulty seeing the letters on signs at night (for example, yellow letters on a dark green background). It feels like the glare from streetlights is affecting my vision. Could this be night blindness, or ...


Dr. Gao Pilin Reply:
Hello Wei: Based on your description, it seems to be caused by astigmatism and should not be related to night blindness. If you experience some blurriness in your vision when transitioning from lying down to standing up, it may be related to blood pressure. I recommend that you s...

[Read More] Understanding Night Vision Issues: Night Blindness or Astigmatism?


Understanding Astigmatism: Key Questions and Insights for Patients

High astigmatism 1. After performing a corneal topography and confirming there are no issues, can we be 100% certain that there is no keratoconus, or are additional tests required? 2. If keratoconus develops later in life, will the progression be less severe? 3. Is it common ...


Dr. Gao Pilin Reply:
Hello, Wu Yan: 1. At least for now, there are no issues, but further examinations will be needed in the future. 2. It should be about the same. 3. If there are no diseases, it should not increase significantly. 4. Corneal disorders can cause astigmatism. 5. Glasses can be prescri...

[Read More] Understanding Astigmatism: Key Questions and Insights for Patients


How Astigmatism Affects Night Vision: Understanding Your Symptoms

I'm sorry, but I need more context or specific Hello Doctor, I have recently noticed that my vision in dark environments seems dimmer than before, although I can still see objects and their positions. When I followed up with my doctor, I was informed that my astigmatism is r...


Dr. Gao Pilin Reply:
Hello: Astigmatism can affect night vision, so if you are outside at night without wearing glasses, your night vision will be poor. If you want to see clearly while riding a bike at night, it is essential to wear glasses for safety.

[Read More] How Astigmatism Affects Night Vision: Understanding Your Symptoms


Understanding Mild Amblyopia and High Astigmatism: Your Questions Answered

Mild amblyopia with high astigmatism? I am currently 20 years old, with one eye having astigmatism of -3.00 and the other eye close to -4.00 to -5.00 diopters of myopia. With my glasses, I can see a maximum of 0.7. I would like to ask the doctor if this is considered mild amblyop...


Dr. Liang Ce Reply:
It is recommended that you visit an ophthalmology clinic to see if any relevant examinations are needed. Thank you, and wish you good health!

[Read More] Understanding Mild Amblyopia and High Astigmatism: Your Questions Answered


Understanding Eye Symptoms: Glare, Floaters, and Vision Concerns

Aperture, glare, floaters? 1. After watching videos about macular degeneration on YouTube, I became very afraid that I might go blind. I have high myopia (over -900 diopters with astigmatism in my left eye and over -800 diopters with astigmatism in my right eye). I usually don&#x...


Dr. Liang Ce Reply:
It is advisable for you to discuss the above situation further with your attending physician. Thank you, and wishing you good health!

[Read More] Understanding Eye Symptoms: Glare, Floaters, and Vision Concerns


Understanding Astigmatism: Risks, Treatment Options, and Laser Surgery

The dangers of high astigmatism? Doctor, I currently have astigmatism with -3.00 in my left eye and -3.75 in my right eye. I would like to know if I have amblyopia. What are the ways to improve this condition? What should I pay attention to? Would you recommend laser surgery? Wha...


Dr. Gao Pilin Reply:
Hello, you are 20 years old. If you do not have amblyopia now, it is unlikely that you will develop it. If you already have amblyopia, it cannot be improved. Please refer to: https://bit.ly/3E8PVJh. Laser surgery requires an evaluation to determine if you are a suitable candidate...

[Read More] Understanding Astigmatism: Risks, Treatment Options, and Laser Surgery


Understanding Eye Pressure: Glaucoma Concerns and Treatment Options

Suspected glaucoma, issues with intraocular pressure? Hello, doctor. I would like to ask about my condition (I have hyperthyroidism, myopia over 200 and 300 with significant astigmatism, and possibly suspected glaucoma; I have seen an ophthalmologist and my optic nerve is normal,...


Dr. Gao Pilin Reply:
Hello Koko: 1. Intraocular pressure can fluctuate, and measurements may vary each time. There can also be differences between machines. 2. Corneal thickness can affect intraocular pressure, but if it is still high at 26, it may be necessary to consider the optic nerve and visual ...

[Read More] Understanding Eye Pressure: Glaucoma Concerns and Treatment Options


Can Astigmatism Improve with Correct Glasses? Eye Care Insights

Astigmatism issues? Doctor, I have been wearing glasses with the wrong prescription for about two years, so my myopia is -4.25 in the right eye and -5.00 in the left eye, with astigmatism of approximately -3.75 in both eyes. I would like to ask if there is a way to reduce astigma...


Dr. Gao Pilin Reply:
Hello: The prescription cannot be reduced, but since you are already 20 years old, if you take good care of your eyes, the prescription should not increase too quickly, and it may remain stable.

[Read More] Can Astigmatism Improve with Correct Glasses? Eye Care Insights


Understanding Eye Issues in Children: Causes and Concerns

Could you please provide more details about the child's eye problem? The child, currently 6 years old, has experienced several episodes after watching television, where they focus on the same light for too long. Before sleeping, when the eyes are fatigued, objects appear to ...


Dr. Gao Pilin Reply:
Hello, Ciner: It may be a strabismus issue that occurs only when fatigued. It is recommended to have an examination by an ophthalmologist specializing in strabismus.

[Read More] Understanding Eye Issues in Children: Causes and Concerns


Is It Safe to Alternate Between Glasses with Different Astigmatism Levels?

Is astigmatism commonly corrected with a prescription of 25 degrees? Hello, doctor. Four months ago, my right eye was measured at -75 degrees with -50 degrees of astigmatism, and my left eye was -100 degrees with -50 degrees of astigmatism. My old glasses were prescribed with the...


Dr. Gao Pilin Reply:
Hello, as long as you can see clearly with a difference of 25 degrees, it's not a problem. Given your age and that your prescription is not high, you don't necessarily need to switch to lower prescription glasses for computer use. If you can see clearly without glasses,...

[Read More] Is It Safe to Alternate Between Glasses with Different Astigmatism Levels?


Understanding Astigmatism Changes After Pupil Dilation in Children

After dilation, the astigmatism measurement changed from 0 to -0.5? Hello Director Tsai, I would like to ask about a routine vision examination for a 7-year-old girl. Before dilation, her astigmatism measurement was 0, but after dilation, it changed to -0.5. How should this be in...


Dr. Cai Wenyuan Reply:
Margin of error.

[Read More] Understanding Astigmatism Changes After Pupil Dilation in Children


Understanding Eye Floaters and Blinking Issues: What You Need to Know

Subsequent Issues with Floaters and Blinking Problems Hello, Doctor. I apologize for bothering you, but I have a few questions that have been troubling me for a long time, and I am really anxious. I developed floaters around November last year, and it has been very distressing. I...


Dr. Gao Pilin Reply:
Hello, anxious college student: 1. It's a common phenomenon among adolescents, but I'm not sure either. 2. The Amsler grid test assesses the macula but cannot determine retinal thinning. 3. Floaters are not related to bright lights. 4. If you see bright lights when blin...

[Read More] Understanding Eye Floaters and Blinking Issues: What You Need to Know


Improving Vision After LASIK: Tips for Managing Dryness and Fatigue

Postoperative care after myopic laser surgery? Hello, doctor. I have had laser eye surgery for a year now. My right eye has a vision of 1.0, while my left eye fluctuates between 0.8 and 0.9. Before the surgery, my corneal thickness was on the thinner side (495 micrometers), and I...


Dr. Gao Pilin Reply:
Hello Emma: Vision should not be able to improve. Myopia is unlikely to worsen as a result. Although your dominant eye is the left one, you are still seeing clearly with your right eye because the left eye is unclear. As long as you do not overuse your eyes and there are no patho...

[Read More] Improving Vision After LASIK: Tips for Managing Dryness and Fatigue


Understanding Macular Degeneration: Symptoms and Eye Exam Insights

Macular degeneration Hello Doctor, I sent a question yesterday regarding my right eye, which has astigmatism of 600 degrees. When I look at the Amsler grid with my glasses, the lines appear slightly distorted, but not very noticeably, and everything else looks normal. Today, I wo...


Dr. Gao Pilin Reply:
Hello, It is possible that the lenses are causing the issue, so it is best to wear appropriate glasses to see if the phenomenon persists. Generally, an ophthalmologist can perform a fundus examination, but scanning the macula requires a more specialized eye clinic or a hospital...

[Read More] Understanding Macular Degeneration: Symptoms and Eye Exam Insights


Understanding Macular Degeneration: Symptoms and Concerns for Young Adults

Macular degeneration Hello Doctor, I am 19 years old. I have myopia in my left eye and high astigmatism of 600 degrees in my right eye. At home, I checked my vision using an Amsler grid and noticed that the lines in my right eye (the one with astigmatism) appear slightly wavy (ve...


Dr. Gao Pilin Reply:
Hello, H: The grid appears somewhat wavy, which is unusual and may require further examination to determine the cause. Since other objects do not show any distortion, it might indicate that the symptoms are still mild. However, it is still necessary to get checked to know for sur...

[Read More] Understanding Macular Degeneration: Symptoms and Concerns for Young Adults


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?


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