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 Cataracts and Retinal Detachment: Symptoms and Concerns
Cataract eye disease inquiry? Hello, doctor. I would like to ask you about the signs and symptoms of certain eye diseases. 1. In cataracts, can the black part of the eye appear white as seen in image searches? Does cataracts cause eye pain or any other noticeable symptoms? Is i...
Dr. Gao Pilin Reply:
Hello: 1. Cataracts refer to the clouding of the lens, not the whitening of the eyeball. The lens, located behind the pupil, becomes opaque due to over-ripening. Cataracts themselves are not painful and cause blurred vision. Currently, there is no preventive measure available. ...[Read More] Understanding Cataracts and Retinal Detachment: Symptoms and Concerns
Understanding Double Vision: Causes and Solutions for Eye Strain
Diplopia issues Hello, doctor. Recently, I have noticed that after using my phone, I experience monocular diplopia in both eyes. The diplopia manifests as vertical double vision. After sufficient rest, both eyes return to normal; however, if I continue to use my phone without int...
Dr. Gao Pilin Reply:
Hello: Common causes of monocular diplopia include refractive errors, particularly astigmatism, corneal disorders, cataracts, lens dislocation, iris atrophy, and vitreoretinal diseases. Based on your description, astigmatism is likely the most probable cause. When using a mobile ...[Read More] Understanding Double Vision: Causes and Solutions for Eye Strain
Post-Cataract Surgery: Managing Uveitis and Vision Fluctuations
After the second eye examination following cataract surgery, there was an occurrence of iritis, and now the first eye is also inflamed? In March of this year, after undergoing cataract surgery on the left eye, I experienced good results except for some flashes of light. Thirty da...
Dr. Gao Pilin Reply:
Hello, Afu: After cataract surgery, the management of iritis should be based on clinical symptoms, and whether vision will be affected can only be determined through clinical follow-up. If the attending physician believes they cannot manage the case, they should refer you to an a...[Read More] Post-Cataract Surgery: Managing Uveitis and Vision Fluctuations
Understanding Strabismus: Key Differences and Symptoms Explained
Diplopia Issue 2 Hello Doctor, I am the one who inquired about green tea yesterday. Thank you for your response. I still have some unclear points regarding your reply, and I apologize for bothering you again! I appreciate your hard work. 1. What is the difference between latent ...
Dr. Gao Pilin Reply:
Hello, Green Tea: 1. Latent strabismus simply means that it is not noticeable during normal viewing; the individual can exert effort to align their eyes properly, but when fatigued or not focusing, the strabismus becomes apparent. True strabismus, on the other hand, is when the...[Read More] Understanding Strabismus: Key Differences and Symptoms Explained
Managing Glaucoma and Hypertension: Potential Medication Conflicts
Issues with Antihypertensive Medications in Patients with Glaucoma Hello, doctor. I would like to ask about my father, who is 71 years old. Recently, he experienced discomfort in his eyes and was diagnosed with glaucoma and moderate cataracts by an ophthalmologist. He is required...
Dr. He Jianxian Reply:
Typically, antihypertensive medications do not significantly affect intraocular pressure, and we usually do not check antihypertensive medications before adjusting glaucoma medications. This is for your reference. Director He Jianxian, Department of Ophthalmology, Nantou Hospital...[Read More] Managing Glaucoma and Hypertension: Potential Medication Conflicts
Post-Surgery Follow-Up for Macular Hole Repair: What to Expect
Postoperative follow-up for macular hole surgery? Hello Director He, My mother, who is 63 years old and has high myopia, recently underwent surgery for a macular hole, including a vitrectomy. During her follow-up examination, it was discovered that she has cataracts in both eyes...
Dr. He Jianxian Reply:
If there are no special arrangements, a follow-up consultation in about six months should be sufficient. This is for your reference. Dr. Ho Chien-Hsien, Ophthalmology Department, Nantou Hospital.[Read More] Post-Surgery Follow-Up for Macular Hole Repair: What to Expect
Understanding Vitrectomy for Managing Floaters: Risks and Benefits
Vitrectomy for the Improvement of Floaters I have noticeable floaters, which I can see as soon as I open my eyes. It seems that the vitreous has already liquefied, causing rapid disturbances. In the early stages, I even felt nauseous and wanted to vomit, leading to significant ps...
Dr. Gao Pilin Reply:
Hello, Li Man: Vitrectomy involves making multiple incisions in the eye to gradually remove the vitreous body, and it usually requires general anesthesia, which carries certain risks. This procedure is destructive to the eye and can lead to various complications, although the lik...[Read More] Understanding Vitrectomy for Managing Floaters: Risks and Benefits
Post-Cataract Surgery Blurriness: Concerns and Recovery Insights
Blurred vision after cataract surgery? I would like to ask about my father, who underwent cataract phacoemulsification surgery on Friday, April 23. He had an eye patch on after the surgery, and when he went for a follow-up appointment the next day, the vision was still blurry and...
Dr. Gao Pilin Reply:
Hello Ms. Chou, Some individuals recover quickly while others take more time, so after just two days, we still need to observe for a while longer to determine the recovery progress. Surgery for advanced cataracts can sometimes affect the speed of recovery. Smoking can impact the...[Read More] Post-Cataract Surgery Blurriness: Concerns and Recovery Insights
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
Evaluating Blindness from Cataracts: Objective Tests to Prevent Fraud Claims
Assessment methods for blindness caused by cataracts (to rule out the suspicion of feigned blindness)? The patient suffers from bilateral age-related cataracts, with best-corrected visual acuity measured at 0.1 in the right eye and less than 0.01 in the left eye, which meets the ...
Dr. Gao Pilin Reply:
Hello: If you have such concerns, please visit a public medical center for an examination. If cataracts are present, cataract surgery should be performed first. If the physician determines that surgery would be ineffective, then a referral for evaluation can be issued. The ophtha...[Read More] Evaluating Blindness from Cataracts: Objective Tests to Prevent Fraud Claims
Do You Need to Wear Sunglasses After Cataract Surgery?
Is it necessary to continue wearing sunglasses after cataract surgery? I underwent cataract surgery on my right eye on November 10, 2020, and on my left eye on November 17, 2020. It has been five months since the surgeries, and my recovery status is generally good. I would like t...
Dr. Gao Pilin Reply:
Hello Jean: After cataract surgery, if you are sensitive to light, it is best to wear tinted sunglasses when going outside. If you are not sensitive to light, wearing clear UV-protective glasses is the best way to care for your eyes post-surgery. Even for individuals who have not...[Read More] Do You Need to Wear Sunglasses After Cataract Surgery?
How to Choose Glasses for High Hyperopia and Amblyopia in One Eye
For the right eye with high hyperopia and amblyopia, how should glasses be prescribed for distance and near vision? Dear Dr. Gao, I am 57 years old and usually do not wear glasses. I have high hyperopia with amblyopia in my right eye, and when the prescription is fully corrected...
Dr. Gao Pilin Reply:
Hello Mr. Chuang: Typically, hyperopia does not increase with age; rather, during youth, the accommodative ability is strong, and the ciliary muscle reduces your hyperopia. After middle age, the accommodative ability of the ciliary muscle declines, which is why hyperopia becomes ...[Read More] How to Choose Glasses for High Hyperopia and Amblyopia in One Eye
Post-Cataract Surgery: Addressing Vision Clarity and Treatment Options
Post-cataract surgery My mother underwent cataract surgery on her right eye on February 24. After the surgery, she reported that things appeared brighter, but her vision remained blurry. Additionally, her right eye seemed to have shrunk post-surgery. For the past two weeks, she h...
Dr. Gao Pilin Reply:
Hello Ms. Zhu, 1. I do not have such experience, but there is information in international literature that may yield good results. The attending physician should make the best choice for you. Please refer to: https://bit.ly/3tgFtd 2. Wearing glasses should be a simple solution,...[Read More] Post-Cataract Surgery: Addressing Vision Clarity and Treatment Options
Understanding Cataracts and Glaucoma: Age-Related Myths and Treatment Options
Hello, doctor. I would like to ask you about the relationship between cataracts and glaucoma? Hello, Doctor. I apologize for bothering you, but I would like to ask about my father, who is 71 years old. Recently, he has been experiencing dry and uncomfortable eyes. He visited an o...
Dr. He Jianxian Reply:
Cataracts are strongly correlated with age; the older you get, the more likely you are to develop cataracts. Generally, the demand for vision is related to an individual's lifestyle. If there is a need for extensive reading or the use of digital devices, the demand for good ...[Read More] Understanding Cataracts and Glaucoma: Age-Related Myths and Treatment Options
Understanding Eye Injuries: Common Concerns and Misconceptions
Eye injury issues 1. If you hold a mirror to your face during sunset and the sunlight reflects from the mirror into your eyes for a few seconds (with the sun behind you), will this cause damage to your eyes (such as macular degeneration, retinal tears or detachment, cataracts, et...
Dr. Gao Pilin Reply:
Hello, please be cautious: 1. No. 2. Without a picture, it's unclear what is being referred to; it could possibly be the conjunctiva. 3. No. 4. No. 5. Convenience stores may use LED lights, while large supermarkets may use lasers. 6. Superficial issues typically won't c...[Read More] Understanding Eye Injuries: Common Concerns and Misconceptions
Understanding Cataract Surgery: Vision Correction and Eyewear Choices
What level of vision correction should be achieved after cataract surgery, and how should glasses be worn for the eye that has not undergone surgery? Hello, doctor. I apologize for the interruption. Recently, I have experienced a decline in my vision. After a consultation, it was...
Dr. Cai Wenyuan Reply:
1. Depending on individual needs, discussions can be held with the surgeon based on actual circumstances. 2. If presbyopic correction is reserved, distance vision may be unclear; it still depends on individual requirements. 3. It is not always the case; some patients may be able ...[Read More] Understanding Cataract Surgery: Vision Correction and Eyewear Choices
Can Retinal Exams Detect Cataracts? Understanding Eye Health Concerns
Can a retinal fundus examination detect the presence of cataracts? Hello Doctor: I have been experiencing double vision in both eyes (even when covering one eye), and it feels like the shadow is gradually expanding. I have visited the retina and cornea departments at Chang Gung M...
Dr. Gao Pilin Reply:
Hello: If cataracts are present, they can definitely be detected. If the physician did not mention it, it is likely that there are none. In Taiwan, the ophthalmology department at Puzi Hospital is open on Monday, Tuesday, Thursday, and Friday mornings from 8:00 AM to 12:00 PM, an...[Read More] Can Retinal Exams Detect Cataracts? Understanding Eye Health Concerns
Best Supplements for Eye Health After Cataract Surgery
Health supplements Hello, I have congenital retinal issues, and I would like to ask about what dietary supplements are beneficial after cataract surgery. Do you have any recommendations? Currently, I am considering purchasing Centrum Women's Multivitamins. Is there anything ...
Dr. He Jianxian Reply:
After cataract surgery, it is generally sufficient to use eye drops for a period of time, and there is no need for special nutritional supplements. This is for your reference. Dr. Ho Chien-Hsien, Department of Ophthalmology, Nantou Hospital.[Read More] Best Supplements for Eye Health After Cataract Surgery