Choosing the Right Intraocular Lens for Cataract Surgery: A Patient's Journey
Selection of Intraocular Lenses (IOLs) Dear Dr. Gao, Hello! About 18 years ago, I underwent laser surgery for my myopia (1200 degrees). From 2017, my vision gradually worsened, and by 2020, my eyesight had been dim for three years. I initially thought it was due to regression of...
Dr. Gao Pilin Reply:
Hello Jane, I believe this is a great approach: using single-vision lenses for distance without glasses and wearing reading glasses for close-up work. This may provide better quality vision. If you prefer not to constantly take glasses on and off, you might consider multifocal l...[Read More] Choosing the Right Intraocular Lens for Cataract Surgery: A Patient's Journey
Can You Wear Contact Lenses for Myopia and Glasses for Astigmatism?
Contact lenses and astigmatism glasses? Is it possible to wear myopia contact lenses during the week and then wear astigmatism glasses when I need to focus on tasks? Does astigmatism increase with age or due to eye usage habits? Thank you for taking the time to answer.
Dr. Gao Pilin Reply:
Hello, Wei: It is possible to wear them this way. Astigmatism may be related to visual habits; if one frequently squints, the prescription may increase. As one ages, the axis of astigmatism tends to change, typically being closer to horizontal in youth and becoming vertical in ol...[Read More] Can You Wear Contact Lenses for Myopia and Glasses for Astigmatism?
Understanding Visual Disturbances: Is It Related to Myopia or Astigmatism?
Diplopia issues Hello Doctor: I usually see things normally, whether with one eye or both eyes, and I do not experience double vision. However, when I look at the text on my phone with one eye, I notice that there seems to be a lighter-colored layer of text appearing below the ac...
Dr. Gao Pilin Reply:
Hello, It is possible that you have astigmatism, but sometimes the text on a mobile phone screen may appear distorted due to optical issues, which is generally considered normal. To determine the actual cause, please visit an ophthalmologist for an examination. At Taiwan E-Ho...[Read More] Understanding Visual Disturbances: Is It Related to Myopia or Astigmatism?
Understanding Myopia and Astigmatism: When to Wear Glasses and Degree Variations
Timing and Prescription Issues for Eyeglasses I started experiencing myopia around the 9th grade to the 11th grade, with an initial prescription of approximately -2.00 diopters of myopia and -0.75 diopters of astigmatism. After undergoing cycloplegic refraction, the results were ...
Dr. Gao Pilin Reply:
Hello Jason, 1. The axial length should not shorten; this phenomenon may occur if the dilation is not complete. Additionally, the difference is minimal, and sometimes the refractor can have some errors. 2. An error of 25-50 degrees is possible. 3. You are currently 25 years o...[Read More] Understanding Myopia and Astigmatism: When to Wear Glasses and Degree Variations
Understanding the Connection Between Strabismus and Dizziness: A Patient's Journey
I'm not sure if my latent strabismus has worsened, causing dizziness? Hello doctor, I have had latent strabismus since childhood. About five years ago, I started experiencing severe soreness and pain around my eyelids, which was constant and made me want to press and relax t...
Dr. Gao Pilin Reply:
Hello, Dizziness: Based on your description, you may have latent strabismus. As you age, the convergence ability of the eyes decreases, which can sometimes lead to manifest strabismus. To compensate, greater effort is required, resulting in muscle soreness and dizziness. When wea...[Read More] Understanding the Connection Between Strabismus and Dizziness: A Patient's Journey
Should Your Child Get Glasses for Astigmatism and Myopia?
Astigmatism and myopia glasses? Hello, this is regarding a child's vision issue. He is currently 9 years old and underwent strabismus surgery on his right eye at the age of 7. He has been using atropine 0.3% for about a year for myopia. His current vision is as follows: righ...
Dr. Gao Pilin Reply:
Hello, Ms. Tsai: Both of your eyes have astigmatism, and it is recommended that you wear glasses. If you are unable to see clearly, you should definitely get glasses. Delaying this may lead to amblyopia; however, since you are already 9 years old, the development of your vision w...[Read More] Should Your Child Get Glasses for Astigmatism and Myopia?
Understanding Night Blindness: Symptoms and Diagnosis Explained
Inquiry about night blindness? Hello, doctor. I would like to inquire whether not being able to see anything in a completely dark room could be a sign of night blindness. Recently, I've noticed that I have difficulty reading signs at night, and I'm unsure if this is rel...
Dr. Gao Pilin Reply:
Hello Wei: If you find it difficult to read the signs outside at night, it may be related to your prescription. Try wearing glasses to see if it improves your clarity; if it does, then there is likely no issue, and it should not be night blindness. After examination, everything a...[Read More] Understanding Night Blindness: Symptoms and Diagnosis Explained
Post-Cataract Surgery: Understanding Vision Changes and Glare Issues
Postoperative Issues After Cataract Surgery I had cataract surgery and received a non-spherical monofocal intraocular lens. After the surgery, my vision improved, but at night, when I look at lights, I see two long white streaks that seem to resemble astigmatism. I did not experi...
Dr. He Jianxian Reply:
Hello Andy: It is recommended to observe for several weeks after surgery for more accurate results, as there may be corneal edema immediately following the procedure. Director He Jianxian, Ophthalmology Department, Nantou Hospital.[Read More] Post-Cataract Surgery: Understanding Vision Changes and Glare Issues
Understanding Double Vision in the Mirror: Is It an Eye Issue?
Mirror diplopia Hello Doctor: I have myopia of about 200 degrees in both eyes, along with astigmatism. When I open my mouth in front of a mirror, I notice that my teeth appear double. Is there a problem with my eyes?
Dr. Gao Pilin Reply:
Hello, those who are afraid: This double vision may be caused by reflections from a mirror, as mirrors have both outer and inner reflections, which can create the appearance of double vision. At the Department of Ophthalmology, Puzi Hospital in Taiwan: Monday, Tuesday, Thursday, ...[Read More] Understanding Double Vision in the Mirror: Is It an Eye Issue?
Understanding Macular Degeneration: Amsler Grid Test Insights
Macular degeneration Hello, Doctor: Using the Amsler grid test can help check for macular degeneration. Although I see straight lines, I have noticed the following: 1. At first, the lines appear black, but after looking for a while, I feel that the lines have colors (brown, gre...
Dr. Gao Pilin Reply:
Hello Jenny: 1. It should not be, it may be caused by the afterimage. 2. It is likely astigmatism, but myopia can also cause blurred vision. 3. It will not. In Taiwan, the Department of Ophthalmology at Puzi Hospital is open: Monday, Tuesday, Thursday, and Friday mornings from 8:...[Read More] Understanding Macular Degeneration: Amsler Grid Test Insights
Common Eyewear Concerns: Effects of Lens Issues and Prescription Accuracy
Inquiry Consultation Dear Dr. Gao, Thank you very much for your response to my personal inquiries; I have truly benefited from your insights. This time, due to the delamination of my eyeglass lenses, I have come to understand many ophthalmological concepts that I previously only...
Dr. Gao Pilin Reply:
Hello, Ah-Hsiang: 1. No, it won't happen. 2. There is no correlation. 3. No, it won't happen. 4. Yes, the eyes can get used to new glasses; there may be a transition period, which can vary from person to person. 5. It may not necessarily be caused by the prescription. ...[Read More] Common Eyewear Concerns: Effects of Lens Issues and Prescription Accuracy
Understanding Floaters: Concerns About Eye Health and Vision Changes
Floaters in one eye appear dark while the other eye appears bright? Hello Doctor, due to my university final exams, I have been using my eyes for extended periods. This month, I have noticed floaters. I visited an ophthalmology clinic this past Monday for a dilated eye exam, and ...
Dr. Gao Pilin Reply:
Hello, 1. Checking for cataracts is the most basic examination. If cataracts are present, the doctor will inform you, so there is no need to worry. There may be some differences between the two eyes, and it is normal for vision to be somewhat blurry without glasses; this should...[Read More] Understanding Floaters: Concerns About Eye Health and Vision Changes
Can Computerized Eye Exams Detect Glaucoma, Cataracts, and Retinal Diseases?
Other questions? Hello, doctor. I have a question for you. In addition to testing for myopia, hyperopia, and astigmatism, can the "automated refractor" used in ophthalmology clinics and optical shops also detect eye diseases such as glaucoma, cataracts, and retinal diso...
Dr. Gao Pilin Reply:
Hello Mr. Huang: No, these need to be examined by an ophthalmologist using special instruments. The ophthalmology department at Puzi Hospital in Taiwan is open on Monday, Tuesday, Thursday, and Friday from 8:00 AM to 12:00 PM, and on Wednesday from 2:00 PM to 4:30 PM. Online resp...[Read More] Can Computerized Eye Exams Detect Glaucoma, Cataracts, and Retinal Diseases?
Can Dry Eyes Cause Pseudomyopia After Vision Correction Surgery?
Continuation: Can dry eyes cause astigmatism? Hello, Doctor. Last week, I inquired about experiencing significant dryness and some pain in my eyes after undergoing vision correction. It has been four months since the surgery, but one of my eyes has shown a noticeable increase in ...
Dr. Gao Pilin Reply:
Hello Ms. Chen: Astigmatism caused by dry eyes is uncommon. Astigmatism is due to irregularities in the cornea, so any factors that destabilize the corneal condition could potentially increase astigmatism. A short-term increase in astigmatism is not common, and currently, it shou...[Read More] Can Dry Eyes Cause Pseudomyopia After Vision Correction Surgery?
Choosing the Right Glaucoma Eye Drops: A Guide for Patients
Issues related to glaucoma? Hello, Director Gao: During my recent visit to the doctor, I was given two options to choose from: 1. Shulutong (Brimonidine) 2. Shuer Tan (Apraclonidine). I would like to ask the doctor which one I should choose. I found information online about the s...
Dr. Gao Pilin Reply:
Hello, These two medications are completely different and have different effects, so they should be selected based on clinical needs. I cannot provide specific recommendations. However, it is generally uncommon to use Shulutong alone. The likelihood of these two medications cau...[Read More] Choosing the Right Glaucoma Eye Drops: A Guide for Patients
Managing Glaucoma: Long-Term Use of Eye Drops and Pressure Control
Glaucoma issues? Dear Director Gao, My background information is as follows: Right eye: myopia -10.50 with astigmatism -1.25; Left eye: myopia -9.25 with astigmatism -2.50. I underwent laser treatment for a retinal tear in my left eye at the end of August 2020, and it has since ...
Dr. Gao Pilin Reply:
Hello, If eye drops are needed to control intraocular pressure (IOP) and keep it within the normal range, they must be used continuously. Maintaining IOP within the normal limits reduces the risk of deterioration. The specific target for IOP that is considered safe must be dete...[Read More] Managing Glaucoma: Long-Term Use of Eye Drops and Pressure Control
Understanding Myopia Progression and Contact Lens Clarity Issues
Myopia progression makes it difficult to see clearly with contact lenses? Hello Doctor: I am 23 years old. I have been experiencing recurrent eye inflammation since July 2019, which occurs whenever I wear contact lenses. This has been happening repeatedly for a while. I stopped w...
Dr. Gao Pilin Reply:
Hello Krystal: Please have your doctor prescribe contact lenses for you, and remember to include the astigmatism correction of 2 diopters; otherwise, your vision may not be clear. If you still experience these issues, you may not be able to wear contact lenses. You might consider...[Read More] Understanding Myopia Progression and Contact Lens Clarity Issues
Understanding Blurred Vision After Retinal Laser Treatment: Causes and Solutions
Blurred vision after retinal laser treatment? Hello, Doctor Gao. I have a small hole near the retina in one of my eyes. I underwent laser treatment ten days ago, and a week later, the doctor checked and confirmed that the cornea is normal and the retinal repair site is in good co...
Dr. Gao Pilin Reply:
Hello Kelly: Based on your description, after undergoing retinal laser treatment, it is common to experience slight peripheral vision loss, temporary edema, and symptoms such as dimmed vision, narrowed visual fields, or blurriness. These are likely temporary phenomena. Previous l...[Read More] Understanding Blurred Vision After Retinal Laser Treatment: Causes and Solutions
Understanding Eye Fatigue: Is It Glaucoma or Something Else?
Eye fatigue I have myopia of -600 diopters and astigmatism of -50. I now see a halo of color around lights, and my eyes sometimes feel swollen. Recently, I've been yawning a lot. Could this be glaucoma?
Dr. He Jianxian Reply:
Hello Mr. Fei Xiang: Your description suggests a suspicion of acute glaucoma causing the "iris" phenomenon. This condition typically does not occur in individuals with natural high myopia. Your situation is likely just eye fatigue, for your reference. Director He Jianxi...[Read More] Understanding Eye Fatigue: Is It Glaucoma or Something Else?
Post-Laser Surgery Concerns: Understanding Vision Changes and Astigmatism
Regarding the issues after retinal hole repair surgery #164280? Thank you for your response, Doctor. Regarding the issues after the laser treatment, in addition to the dimming and haziness of vision that you mentioned, is there a possibility of experiencing astigmatism? After the...
Dr. Gao Pilin Reply:
Hello Kelly: Laser retinal treatment should not cause a sensation of astigmatism. If you are experiencing astigmatism, it may be due to the cornea. However, the exact cause can only be determined through an examination. It is advisable to have your attending physician check it fo...[Read More] Post-Laser Surgery Concerns: Understanding Vision Changes and Astigmatism