Cataract, Ophthalmology FAQ

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Understanding Eye Floaters and Bright Spots: A Guide for Diabetics

Bright spots in the eyes? Hello, Doctor Gao. I have diabetes with a current HbA1c of 6.2. I am experiencing floaters and mild cataracts, and I would like to ask you some questions. Thank you. 1. Can I apply warm compresses and massage my eyes with elevated intraocular pressure, ...


Dr. Gao Pilin Reply:
Hello: 1. High intraocular pressure, mild cataracts, and floaters: Generally, mild warm compresses can help relieve eye fatigue, but excessive massage should be avoided to prevent pressure on the eyeball, especially in patients with high intraocular pressure or cataracts. 2. F...

[Read More] Understanding Eye Floaters and Bright Spots: A Guide for Diabetics


Managing Cataracts in High Myopia: Options for Balanced Vision

High myopia cataract Hello, I am a person with high myopia (suffering from floaters) and have cataracts in my right eye (currently unable to measure accurate refractive error; previously, vision was the same as my left eye). My left eye has a refractive error of -9.00 diopters (c...


Dr. He Jianxian Reply:
Dear Ms. Tsui, The choice between single vision or multifocal lenses depends entirely on your work and lifestyle. Neither option has an absolute advantage, and both come with relative disadvantages. Given your situation, I recommend not retaining any prescription after the surge...

[Read More] Managing Cataracts in High Myopia: Options for Balanced Vision


Vision Issues in Seniors: Is Cataract Surgery the Right Choice?

Vision problems in the elderly? Hello, doctor. My elderly relative is over 80 years old and has blurry vision for both distance and near. Due to their age, they have chronic conditions such as heart disease and hypertension. They wear glasses for both near and distance vision, bu...


Dr. He Jianxian Reply:
Dear Mr. Xiao You: If cataracts are affecting your vision and daily life, relying on corrective lenses may not be very effective. If the situation allows, you might consider addressing the cataract issue, as it could lead to more significant improvement. Director He Jianxian, Oph...

[Read More] Vision Issues in Seniors: Is Cataract Surgery the Right Choice?


Understanding Posterior Vitreous Detachment: Symptoms and Concerns

Posterior vitreous detachment Hello Doctor, due to my constitution, I was diagnosed with cataracts last year and I do not have myopia. In May, I underwent vitrectomy combined with intraocular lens implantation due to a rupture of the posterior capsule of the lens in my left eye. ...


Dr. Gao Pilin Reply:
Hello: Based on your description, you underwent vitrectomy and intraocular lens implantation for cataracts last year, and your recovery has been good. However, you have recently experienced some new visual symptoms. Here are some explanations and recommendations regarding your si...

[Read More] Understanding Posterior Vitreous Detachment: Symptoms and Concerns


Understanding Persistent Visual Disturbances: Are They Signs of Retinal Degeneration?

Flashing, flickering, lightning—it's hard to describe? In mid-June, I underwent a dilated eye exam, and the doctor explained that there were no symptoms, only the presence of floaters. Since I have not experienced any retinal tears or detachments, the doctor advised that I o...


Dr. Gao Pilin Reply:
Hello: Based on the symptoms you described, the persistent phenomenon of "flashes, lightning, flickering, and water patterns," which occurs even when your eyes are closed, is indeed concerning. However, since you underwent a dilated eye examination in mid-June and no ab...

[Read More] Understanding Persistent Visual Disturbances: Are They Signs of Retinal Degeneration?


Understanding Vitreous Detachment and Its Impact on Vision Distortion

Vitreous traction distorting the retina? Hello Doctor, I would like to ask you the following questions: Due to vitreous traction causing a retinal macular hole, the recent examination showed that it has expanded downward. The doctor mentioned that it might develop into a full-thi...


Dr. Gao Pilin Reply:
Hello: 1. Does the vitreous traction in the right eye require early surgery? If the vitreous traction in the right eye is severe and symptoms such as shadows or vision abnormalities are present, early vitrectomy may be necessary. This can prevent further retinal damage and avoi...

[Read More] Understanding Vitreous Detachment and Its Impact on Vision Distortion


Can I Choose 0 Diopters for My Left Eye After Cataract Surgery?

Bilateral cataract surgery, myopia degree? I have myopia of -5.50 diopters in my left eye and early cataracts. My right eye has -6.00 diopters, which has affected my vision. The doctor recommended performing surgery on the right eye first while retaining -3.00 diopters of myopia....


Dr. Gao Pilin Reply:
Hello: Regarding your situation, here are some suggestions and explanations: 1. Difference in refractive error between the two eyes: Currently, your left eye has a myopia of -5.50 diopters, while your right eye, after surgery, has a myopia of -3.00 diopters. This significant di...

[Read More] Can I Choose 0 Diopters for My Left Eye After Cataract Surgery?


Understanding Post-Cataract Surgery Complications: Retinal Detachment Insights

Retinal detachment after cataract surgery Hello, doctor. I have been following up on my cataracts at Cheng Ching Hospital for over three years. During this time, I underwent laser repair for a retinal tear. On April 17 of this year, I had cataract surgery and received a multifoca...


Dr. He Jianxian Reply:
Dear Mr. Tian, 1. Since your eyes have not been examined, it is not possible to clearly determine your condition. 2. A monofocal intraocular lens does not have a lower chance of displacement; rather, it has a greater tolerance for displacement. 3. The referral is likely for addr...

[Read More] Understanding Post-Cataract Surgery Complications: Retinal Detachment Insights


Navigating Eye Health: Managing Cataracts and Glaucoma After Retinal Detachment

After monocular retinal blindness, the other eye has cataracts and glaucoma? Five years ago, I underwent surgery (gas tamponade) for a retinal detachment in my right eye at a well-known ophthalmology clinic. After the surgery, I experienced distorted vision, and the doctor attrib...


Dr. He Jianxian Reply:
Dear Mr. Sun, There is no such thing as a guarantee of surgical safety; surgery inherently carries certain risks. Even with the latest equipment available to assist, there are still risks involved. If your vision has deteriorated to the point that it severely affects your daily ...

[Read More] Navigating Eye Health: Managing Cataracts and Glaucoma After Retinal Detachment


Common Eye Issues: Understanding Shadows, Light Sensitivity, and Glaucoma

Eye-related issues? Doctor, I have some questions I would like to ask: 1. Recently, whenever I am in sunlight (even just a little), I see dark, shadow-like lines in front of my eyes. Could this be due to my long eyelashes casting a shadow that I am perceiving? Is this a possibi...


Dr. Gao Pilin Reply:
Hello: 1. Seeing black streaks in sunlight: This condition is likely what you are experiencing as "floaters." Floaters are caused by changes in the vitreous body of the eye and typically become more noticeable with age. While it is possible that your eyelashes may cas...

[Read More] Common Eye Issues: Understanding Shadows, Light Sensitivity, and Glaucoma


Understanding Steroid Use in Eye Care: Risks and Considerations

Corticosteroids Hello, Doctor. I previously had recurrent styes, and using a regular eye ointment (without steroids) and eye drops helped them disappear in about 4 to 5 days. However, there was one occasion when a stye was particularly large, and after applying treatment for two ...


Dr. Gao Pilin Reply:
Hello: 1. Long-term use of topical corticosteroids and their effects on the eyes: Using a corticosteroid cream for six weeks can indeed have a certain degree of impact on the eyes. Corticosteroids can reduce inflammation, but prolonged use carries a low risk of increasing the c...

[Read More] Understanding Steroid Use in Eye Care: Risks and Considerations


Managing Cataract Surgery Risks for Patients on Prostate Medications

Cataract surgery and side effects of medications for benign prostatic hyperplasia (BPH)? Hello, Doctor: My father is 76 years old and is taking the medications "Amlodipine" and "Duloxetine." He currently needs to undergo cataract surgery. I would like to ask w...


Dr. Cai Wenyuan Reply:
It is difficult to determine and depends on the actual situation; it can be discussed with the surgeon.

[Read More] Managing Cataract Surgery Risks for Patients on Prostate Medications


Understanding Vision Issues: Is It Prescription or Eye Condition?

Eyeglasses Issues I recently noticed that with my glasses, my right eye sees distant objects more clearly but has difficulty seeing nearby objects, while my left eye is the opposite. Could this be an issue with the prescription, or could there be some underlying eye condition? Th...


Dr. Gao Pilin Reply:
Hello: Based on the situation you described, there could be several reasons for this phenomenon: 1. Prescription mismatch: Your glasses prescription may not fully match your vision needs. If your right eye sees clearly at a distance but not up close, while the left eye is the opp...

[Read More] Understanding Vision Issues: Is It Prescription or Eye Condition?


Long-Term Use of Eye Drops: Safety and Effects on Eye Health

Usage of Eye Drops Hello Dr. Gao, I previously inquired about your article #206983. I am currently returning for monthly check-ups, likely due to the continuous use of orthokeratology lenses. Each time, the doctor prescribes either Gentamicin eye drops or OcuSoft Antimicrobial ey...


Dr. Gao Pilin Reply:
Hello: Question 1: Regarding the eye drops you mentioned, <Hsin-Hui Gentamicin Eye Drops> and <Oasis Anti-Resistance Eye Drops>, these are both antibiotic eye drops primarily used to prevent or treat eye infections. The practice of using them once daily for an exten...

[Read More] Long-Term Use of Eye Drops: Safety and Effects on Eye Health


Post-Cataract Surgery: Why Is My Right Eye Darker Than the Left?

After cataract surgery, the right side appears a bit darker? Dear Dr. Tsai, I have both of my eyes implanted with monofocal aspheric intraocular lenses: FALSNWAVE4AI. My left eye underwent cataract surgery without sutures and is functioning well and brightly. However, after the ...


Dr. Cai Wenyuan Reply:
It is difficult to determine; it is recommended to visit an ophthalmology clinic for examination.

[Read More] Post-Cataract Surgery: Why Is My Right Eye Darker Than the Left?


Understanding Monocular Diplopia: Causes, Diagnosis, and Treatment Options

Monocular diplopia Hello, Director: I apologize for taking up your time! I have been wearing glasses for my myopia for 40 years, with each eye approximately -500 degrees. In early April of this year, I noticed some blurriness in my left eye, and after an examination, my uncorrect...


Dr. Gao Pilin Reply:
Hello: Possible causes of postoperative vertical diplopia include: 1. Refractive issues: Despite having new glasses prescribed after surgery, there may still be some refractive errors that have not been fully corrected, leading to diplopia. This requires further examination by an...

[Read More] Understanding Monocular Diplopia: Causes, Diagnosis, and Treatment Options


Post-Cataract Surgery: Why Is My Right Eye Dimmer Than My Left?

After cataract surgery, the left eye is normal, while the right eye has slightly dimmer vision? Hello, doctor. My left eye is better: it is bright and has no stitches. My right eye had an artificial lens replacement and has one or two stitches. When I look outside, it seems a bit...


Dr. Gao Pilin Reply:
Hello: Regarding your description, the symptoms of blurred vision, color changes, and blood vessels in the sclera of your right eye after surgery may have multiple causes. Here are several possible situations and recommendations: 1. Postoperative Recovery Period: After undergoin...

[Read More] Post-Cataract Surgery: Why Is My Right Eye Dimmer Than My Left?


Concerns About Antibiotic Resistance and Ocular Conditions

Concerns about drug resistance and special diseases? 1. I used the Betamethasone eye ointment only 4 times (before bed for 4 days) and the Chloramphenicol eye drops 5 times (5 drops over 5 days). The main symptoms of photophobia, eye moisture, and the sensation of a foreign body ...


Dr. Gao Pilin Reply:
Hello: Concerns about antibiotic resistance: Based on your description, the frequency of using Betamethasone eye ointment and Chloramphenicol eye drops is relatively low, which suggests a lower risk of developing antibiotic resistance. Antibiotic resistance typically arises fro...

[Read More] Concerns About Antibiotic Resistance and Ocular Conditions


Why Do I See a Black Circle in Bright Lights? Eye Health Explained

A black circular object appears at the center of the light source? Recently, I have noticed that when I look at light sources (such as light bulbs, headlights of cars at night, and streetlights) with my left eye, a small black circular object occasionally appears at the center of...


Dr. Gao Pilin Reply:
Hello: Based on your description, the appearance of a black circular object in your left eye when looking at a light source may be caused by various factors, and further examination is needed to determine the specific cause. Here are several possible reasons: 1. Vitreous opacit...

[Read More] Why Do I See a Black Circle in Bright Lights? Eye Health Explained


Why Do My Eyes Hurt in Bright Sunlight? Understanding Eye Pain

Experiencing sharp pain in the eyes when exposed to sunlight? Hello doctor, this morning when I opened the window and sunlight came in, I suddenly felt a sharp pain in my eyes. Later, when I rode my bike from the basement to the entrance and encountered the sunlight again, I expe...


Dr. Gao Pilin Reply:
Hello: Based on the symptoms you described, experiencing sharp pain in the eyes after exposure to sunlight may have multiple causes. Here are some possible explanations: 1. Photophobia: This refers to an increased sensitivity of the eyes to light. Photophobia can be caused by va...

[Read More] Why Do My Eyes Hurt in Bright Sunlight? Understanding Eye Pain


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