Managing Vision Discrepancies with Cataracts: Tips for Patients
Unilateral cataract in the other eye, binocular disparity issue? Hello, I have already discussed using an aspheric monofocal intraocular lens with the ophthalmology clinic on October 31, as I inquired about glare issues, which was recommended by the nurse. 1. I asked how to man...
Dr. Gao Pilin Reply:
Hello: 1. For an eye that is myopic and has early cataracts but has not yet reached the stage for surgery: If one of your eyes has already undergone cataract surgery and the other eye also has myopia and early cataract changes, you may consider undergoing surgery on one eye or ...[Read More] Managing Vision Discrepancies with Cataracts: Tips for Patients
Understanding Cataract Surgery Options After Vitrectomy: What You Need to Know
Cataract, lens? Hello, I would like to ask: 1. With a myopia of 600 degrees and having undergone vitrectomy due to vitreomacular traction, if cataracts develop afterward, can I choose femtosecond laser surgery? Or is only conventional cataract surgery an option? Is it true that a...
Dr. He Jianxian Reply:
Hello, Miss: 1. The choice of cataract surgery technique is not significantly related to the vitreous surgery performed previously, and there are no specific restrictions on the selection of the intraocular lens. 2. Vision loss caused by macular traction may not show significa...[Read More] Understanding Cataract Surgery Options After Vitrectomy: What You Need to Know
Post-Retinal Detachment Surgery Concerns: A Patient's Inquiry
Post-operative issues following retinal detachment surgery? Hello Doctor, my husband is 53 years old and has severe myopia of -1000 diopters. He underwent laser surgery to correct his vision to normal about 10 years ago. Currently, he has glaucoma. In mid-March, he had cataract s...
Dr. Gao Pilin Reply:
Hello: 1. The inability to focus and blurred vision in your right eye may be due to the presence of silicone oil, which can affect light refraction. The presence of silicone oil may lead to poor image quality, similar to seeing a mosaic-like image. This is a normal phenomenon a...[Read More] Post-Retinal Detachment Surgery Concerns: A Patient's Inquiry
Understanding Vitreous Traction: Impacts on Vision and Treatment Options
Vitreous traction Hello, doctor. Thank you for your professional and thoughtful response. I have some follow-up questions: 1. If the left eye has undergone cataract surgery and the right eye has a myopia of -7.00 diopters, will there be an issue of anisometropia? Additionally, ...
Dr. Gao Pilin Reply:
Hello: 1. For a patient who has undergone cataract surgery in the left eye and has myopia and mild vitreomacular traction in the right eye, the management should be evaluated and recommended by an ophthalmologist based on your specific situation. Addressing the issue of anisometr...[Read More] Understanding Vitreous Traction: Impacts on Vision and Treatment Options
Understanding Vitreomacular Traction and Cataract Surgery Options
Cataract, lens? Hello, I have myopia over 600 degrees, and my left eye's vision has decreased to 0.5, with distortion in my vision. The doctor at the medical center said that I can undergo surgery for vitreomacular traction. I would like to ask the following questions, thank...
Dr. Gao Pilin Reply:
Hello: 1. Vitreomacular traction syndrome can indeed lead to vision loss and distortion, but it is also important to rule out other potential ocular issues, such as cataracts. Typically, the physician will assess for other eye problems during the examination. If the doctor did no...[Read More] Understanding Vitreomacular Traction and Cataract Surgery Options
Post-Cataract Surgery Questions: Vision Clarity and Lens Performance
Questions after cataract surgery and lens replacement? I had cataract surgery on my right eye three weeks ago, using Alcon non-diffractive multifocal intraocular lenses. The doctor said the surgery was successful and my vision is 20/20. However, when I intentionally use my right ...
Dr. He Jianxian Reply:
Hello Mr. Ming-Yun: The visual experience with multifocal intraocular lenses can vary from person to person; some individuals are very satisfied, while others may find it not as good as expected. Regarding glare, if the pupil is larger at night, this condition may occur. Consider...[Read More] Post-Cataract Surgery Questions: Vision Clarity and Lens Performance
Understanding Post-Cataract Surgery Vision: Balancing Near and Far Sight
Post-cataract surgery A netizen told me that during cataract surgery, doctors typically do not aim for a vision of 1.0 (20/20) and intentionally leave about 1 diopter of hyperopia, fearing that the patient may develop hyperopia in the future. Is there any truth to this? My right ...
Dr. He Jianxian Reply:
Hello Mr. Ming-Yun: Essentially, it is true that the power of the intraocular lens may change slightly over time, which is difficult to overcome. However, reserving an additional 100 degrees is intended to facilitate near vision, not to prevent future hyperopia. Director He Jian-...[Read More] Understanding Post-Cataract Surgery Vision: Balancing Near and Far Sight
Understanding Post-Surgery Visual Disturbances: Flashes and Shadows
Flashes and floaters after retinal and cataract surgery? Hello, Director Gao. Five weeks ago, I underwent vitrectomy combined with cataract surgery and silicone oil filling due to retinal detachment. I have noticed a dark spot in the central vision of my right eye. Recently, I di...
Dr. Gao Pilin Reply:
Hello: First, regarding the issue of shadows. After silicone oil tamponade surgery, some patients may see interfaces in their field of vision, which can cause shadows. This phenomenon may persist for a period of time but usually improves over time. However, I cannot determine you...[Read More] Understanding Post-Surgery Visual Disturbances: Flashes and Shadows
Post-Cataract Surgery: Addressing Vision Issues and Concerns
Post-cataract surgery I recently had surgery on my right eye, and the doctor said my vision is 1.0. I received an Alcon non-diffractive presbyopia-correcting intraocular lens, but three weeks later, I still cannot see clearly at intermediate distances. My first question is whethe...
Dr. Gao Pilin Reply:
Hello: 1. Regarding your difficulty seeing at intermediate distances after surgery on your right eye, there are several possibilities. First, it may take some time to adapt to the new intraocular lens. Additionally, you may need to wear appropriate glasses post-surgery to ensure ...[Read More] Post-Cataract Surgery: Addressing Vision Issues and Concerns
Considering Cataract Surgery for My Left Eye: Risks and Options
Self-pay surgery issues Hello, doctor. I have achieved a vision of 1.0 in my right eye after cataract surgery. However, my left eye has a prescription of around -4.00 diopters, and my health insurance review was not approved. I have tried wearing glasses, but they make me feel di...
Dr. Gao Pilin Reply:
Hello: Cataracts that are not fully mature can still be surgically removed, and the risks will not differ significantly. Your doctor will explain the risks and benefits of the surgery and provide recommendations based on your individual situation.[Read More] Considering Cataract Surgery for My Left Eye: Risks and Options
Concerns About Hydrophilic Intraocular Lens Calcification After Cataract Surgery
What are the issues related to calcification of hydrophilic intraocular lenses? Hello Doctor: My mother has high myopia (around -1500), but no other eye diseases. Recently, she underwent cataract surgery and had a "Hannstar AcrySof Natural Aspheric Intraocular Lens" imp...
Dr. Cai Wenyuan Reply:
1. I have not heard of it. 2. Applicable to different situations.[Read More] Concerns About Hydrophilic Intraocular Lens Calcification After Cataract Surgery
Understanding Corneal Scarring and Pupil Dilation After Eye Surgery
Corneal haze and mydriasis? Fifteen years ago, after undergoing cataract surgery on the right eye, retinal detachment occurred within a week due to high myopia, leading to a scleral buckle procedure. Since then, regular follow-up examinations every six months have shown no issues...
Dr. Cai Wenyuan Reply:
Observe the symptoms, and if they persist, seek medical evaluation.[Read More] Understanding Corneal Scarring and Pupil Dilation After Eye Surgery
Post-Cataract Surgery: Managing Glasses Prescription for Anisometropia
Regarding postoperative monocular cataract surgery, issues related to binocular disparity and the prescription of glasses? Currently, the refractive error for both eyes is as follows: Left eye: myopia -850, astigmatism -150 (axis 170). Right eye: myopia -825, astigmatism -225 (ax...
Dr. Gao Pilin Reply:
Hello: Both methods should be viable, and it's difficult to determine which one is more suitable for you. Option one is relatively simple, and contact lenses are easy to obtain. You can try both options and choose the one that provides clearer vision and greater comfort. Alt...[Read More] Post-Cataract Surgery: Managing Glasses Prescription for Anisometropia
Post-Macular Fold Surgery: Why Is Vision Still Blurry?
After surgery for macular fold, vision remains unclear? What should I do if I still can't see clearly after undergoing surgery for macular folds and cataract surgery? Is there a chance for a second surgery?
Dr. Gao Pilin Reply:
Hello: If you are still experiencing unclear vision after surgery for macular folds, you should discuss this with your ophthalmologist as soon as possible. Macular folds typically refer to the wrinkling or distortion of the macular membrane, which can affect vision. Cataract surg...[Read More] Post-Macular Fold Surgery: Why Is Vision Still Blurry?
Understanding Macular Pucker: Surgery Risks and Recovery Insights
Macular folds Hello, Doctor: I previously underwent a vitrectomy with gas tamponade due to retinal detachment, followed by cataract surgery with intraocular lens implantation. Now, I need to undergo another vitrectomy due to macular folds. I have a few questions: 1. After this ...
Dr. He Jianxian Reply:
Dear Ms. Wang Bichia: 1. The surgical theory for this procedure should not change the prescription. 2. The intraocular lens does not need to be replaced again. 3. Generally, macular folds are considered for treatment only if there is a significant decline in vision or distort...[Read More] Understanding Macular Pucker: Surgery Risks and Recovery Insights
Post-Cataract Surgery: Why Am I Seeing Double Circles?
After cataract surgery and receiving an injection of anti-VEGF (vascular endothelial growth factor)? Dear Doctor, I just had cataract surgery and vitrectomy two days ago, and I noticed that when I look at things, I see one large and one small circle. Could you please explain why ...
Dr. Liang Ce Reply:
Recommendations: 1. Discuss the above situation further with your attending physician. 2. Alternatively, seek consultation at another ophthalmology medical facility. Thank you. Wishing you good health![Read More] Post-Cataract Surgery: Why Am I Seeing Double Circles?
Post-Surgery Pupil Dilation: Recovery Time and Treatment Options
Postoperative mydriasis with inability to constrict the pupil? Hello Doctor: It has been ten days since my cataract surgery. I started using dilating drops a week before the surgery (morning and evening), and the hospital administered the drops over ten times on the day of the su...
Dr. Cai Wenyuan Reply:
Observe the symptoms, and if they persist, seek medical evaluation.[Read More] Post-Surgery Pupil Dilation: Recovery Time and Treatment Options
Understanding Post-Cataract Surgery Glare: Causes and Solutions
Glare after cataract surgery? Hello Doctor: I underwent cataract surgery on July 7, 2023, where the surgeon implanted a monofocal aspheric toric intraocular lens and informed me that I would retain 2.00 diopters of myopia (I was approximately -5.00 diopters preoperatively, with a...
Dr. Cai Wenyuan Reply:
Observe the symptoms; if they persist, you may visit a medical center for evaluation.[Read More] Understanding Post-Cataract Surgery Glare: Causes and Solutions
Understanding the Impact of IOL Displacement After Cataract Surgery
Intraocular lens after cataract surgery Hello, my mother had cataract surgery last year, and recently she mentioned an increase in floaters. After an examination, it was found that she has a retinal tear and displacement of the intraocular lens. I researched and found that fluid ...
Dr. Gao Pilin Reply:
Hello: A retinal tear refers to a small hole or fissure in the retina. If these tears allow fluid to enter beneath the retina, it may increase the risk of retinal detachment. Displacement of the intraocular lens refers to a change in the position of the artificial lens within the...[Read More] Understanding the Impact of IOL Displacement After Cataract Surgery
Understanding Macular Edema After Cataract Surgery: Symptoms and Management
Macular degeneration Thank you, Director He, for your response to my previous question (link: #197057). As you mentioned, a small number of people may experience macular edema after cataract surgery. Indeed, when I look at the Amsler grid with my right eye, there is a white haze ...
Dr. He Jianxian Reply:
Hello Ms. Ting: If even the OCT did not reveal any issues, then observation should be sufficient, as the precision of OCT is considered to be extremely high. Director He Jianxian, Ophthalmology Department, Nantou Hospital.[Read More] Understanding Macular Edema After Cataract Surgery: Symptoms and Management