Understanding Secondary Cataracts: Causes and Vision Recovery Insights
Secondary cataract After cataract surgery, my vision improved to 1.0 (corrected), but six months later, it decreased to 0.5. I underwent a second cataract surgery, which improved my vision, but it is not as clear as immediately after the first surgery; there is still some blurrin...
Dr. He Jianxian Reply:
Sometimes, after cataract surgery, a period of time may pass during which the capsular bag contracts and becomes opacified, leading to a decline in visual quality. This can result in unexpected astigmatism or changes in refractive error, which may affect visual quality. Therefore...[Read More] Understanding Secondary Cataracts: Causes and Vision Recovery Insights
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
Understanding Macular Fold: Treatment Options and Recovery Insights
Macular fold Hello, Doctor Gao. I originally had a retinal detachment in my right eye. After surgery, I developed cataracts and macular folds. The cataract surgery has been completed, and an artificial lens has been implanted. However, due to the issue with the macular folds, my ...
Dr. Gao Pilin Reply:
Hello Mr. Tsai: 1. A type of silicone oil will help your retina adhere more closely, reducing the likelihood of re-detachment. 2. You still need to lie face down during the silicone oil infusion, as silicone oil is lighter than water, and the retina is located at the back of t...[Read More] Understanding Macular Fold: Treatment Options and Recovery Insights
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 Retinal Detachment and Cataracts: Common Concerns and Misconceptions
Retinal Detachment and Cataracts Hello, doctor. I would like to ask... 1. I underwent a vitrectomy due to severe floaters (the surgeon informed me of the potential complications). However, why do some doctors say there is mild cataract while others believe there isn't? 2. I ...
Dr. Gao Pilin Reply:
Hello, Jun: 1. The degree of mild cataracts can vary among different physicians, so there is no need to be overly concerned. 2. If there are no holes or thin areas, there is really no need for laser treatment. Laser treatment is a form of destruction and should only be done wh...[Read More] Understanding Retinal Detachment and Cataracts: Common Concerns and Misconceptions
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?
Understanding LensAR 3D vs. LenSx for Cataract Surgery: A Guide
Laser issues Dear Dr. Gao, My father has been suffering from cataracts for over a year, and he hopes to use the LensAR 3D cataract surgery guidance system for his treatment. Could you please explain the differences between the LensAR 3D and LenSx surgical systems? Additionally, ...
Dr. Gao Pilin Reply:
Hello Mr. Chen, LensAR 3D utilizes a femtosecond laser for precise capsulotomy in the anterior capsule of the lens during cataract surgery. The laser light can reduce the energy required for ultrasonic phacoemulsification of the lens, as well as create single or multiple arc-sha...[Read More] Understanding LensAR 3D vs. LenSx for Cataract Surgery: A Guide
Post-Cataract Surgery Dizziness: Causes and When to Seek Help
Postoperative dizziness after cataract surgery? Hello, I would like to inquire about potential postoperative complications. My mother, who is 73 years old, underwent cataract surgery on her left eye about two months ago. The first two weeks post-surgery were stable, but she has s...
Dr. Gao Pilin Reply:
Hello Paul: Dizziness starting two weeks post-surgery may not be related to the surgery. When experiencing dizziness, you feel discomfort around the operated eye, which could indicate issues with refractive error or intraocular pressure. It would be advisable to schedule a follow...[Read More] Post-Cataract Surgery Dizziness: Causes and When to Seek Help
Understanding Eye Flashes: Symptoms, Risks, and Eye Exams Explained
Flashes of light in the eyes? Hello, Doctor. 1. I have mild symptoms of floaters in my eyes. I have researched that if flashes occur, it could indicate retinal detachment. My eyes felt a brief flash of light, but is this what is referred to as photopsia in the literature? 2. ...
Dr. Gao Pilin Reply:
Hello, concerned individual: 1. It is possible. 2. It usually does not cause significant discomfort and typically does not last as long as 12 hours. Side effects are uncommon. 3. Yes, it is possible. 4. The light under the eyes may be due to light coming through the junction...[Read More] Understanding Eye Flashes: Symptoms, Risks, and Eye Exams Explained
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
Can Sunlight Exposure Through Windows Cause Cataracts?
Sunlight exposure to the eyes? Hello, Doctor: I have a question to ask you. Every morning, sunlight shines into my room, and I do not have curtains installed. If the sun shines through the window onto my bed for a long time, will this cause me to develop cataracts?
Dr. Gao Pilin Reply:
Confused person: It should not be a problem. Please rest assured. Taiwan E-Hospital Puzi Hospital Ophthalmology: Monday, Tuesday, Thursday, and Friday from 8:00 AM to 12:00 PM; Wednesday from 2:00 PM to 4:30 PM. Online responses can only serve as a reference; if necessary, it is ...[Read More] Can Sunlight Exposure Through Windows Cause Cataracts?
Blurred Vision in Bright Light: Cataracts or Presbyopia Symptoms?
Seeing light appears blurry? Hello, doctor. I have high myopia and I spend about 5 hours a day looking at my phone. Recently, when I go outside in sunlight, my vision appears to have a white haze. However, if I shield my eyes from the sunlight with my hand or wear sunglasses, the...
Dr. Gao Pilin Reply:
Hello Mr. Lin: Given your age, it may not be cataracts or presbyopia, but these conditions cannot be completely ruled out. I recommend that you visit a clinic for an examination. In the meantime, try to limit your screen time on your phone to give your eyes a rest and see if your...[Read More] Blurred Vision in Bright Light: Cataracts or Presbyopia Symptoms?
Understanding High Myopia: Risks, Treatments, and Eye Care Tips
Vision problems Hello Dr. He: 1. I have high myopia, and I really don’t want to wear glasses for the rest of my life. I haven't taken good care of my eyes since childhood. 2. Why do I frequently have high intraocular pressure? 3. My myopia is -10.00 diopters, and I've ...
Dr. He Jianxian Reply:
Dear Ms. Chen, Most individuals do not experience significant increases in myopia after reaching adulthood; however, there are some exceptions, and you may be among this group. This could explain the continuous increase in your myopic refractive error. Once the axial length of t...[Read More] Understanding High Myopia: Risks, Treatments, and Eye Care Tips
Timing for Macular Pucker Surgery: Key Considerations and Insights
Timing for Surgery of Macular Pucker Dear Director, I am 40 years old. In June 2018, I was diagnosed with macular folds in my left eye at a teaching hospital. My attending physician recommended a vitrectomy combined with the removal of the epiretinal membrane. At that time, I wa...
Dr. Gao Pilin Reply:
Hello Mr. Fang: 1. The presence of sequelae depends on whether the surgery was successful. If the surgery goes well, there should be no sequelae. If there are any other sequelae, the attending physician will discuss them with you in detail before the procedure. 2. There is not ...[Read More] Timing for Macular Pucker Surgery: Key Considerations and Insights
Understanding Gradual Vision Loss: Seeking Answers for Blurry Sight
I have been gradually experiencing blurred vision for the past three years? I am 30 years old and about three years ago, I suddenly noticed that my vision became somewhat blurry without my glasses. Previously, I did not need to wear glasses for daily activities like seeing and dr...
Dr. Gao Pilin Reply:
Hello Tony: If all the tests have been done and some diseases have been ruled out, however, based on your description, it seems somewhat like an issue related to retinal pigment degeneration. I wonder if this diagnosis has already been excluded? In Taiwan, the Department of Ophth...[Read More] Understanding Gradual Vision Loss: Seeking Answers for Blurry Sight
Understanding Fluctuating Double Vision After Cataract Surgery
The direction of double vision can change at any time? Hello, Doctor Gao: It has been a year since my cataract surgery (replacement with a health insurance-covered intraocular lens). My left eye sometimes sees normally and sometimes experiences vertical double vision. My right ey...
Dr. Gao Pilin Reply:
Hello Mr. Wang: You should visit an ophthalmologist to have your condition examined to see if you need corrective lenses, and to determine the cause of your double vision. I apologize for not being able to see the actual situation and therefore cannot ascertain the true condition...[Read More] Understanding Fluctuating Double Vision After Cataract Surgery
Post-Cataract Surgery: Understanding Vision Changes and Recovery
Post-cataract surgery Hello, doctor. I underwent cataract surgery on my right eye in mid-November, during which a multifocal intraocular lens was implanted. The postoperative recovery was good. On December 18, I had cataract surgery on my left eye (also with a multifocal intraocu...
Dr. Gao Pilin Reply:
Hello Mr. Wu: After the surgery, there may be a period of time when your vision is not very clear, and the results of each surgery may vary. If the physician has examined you and found no issues, please be patient and wait for a while. The Ophthalmology Department at Puzi Hospita...[Read More] Post-Cataract Surgery: Understanding Vision Changes and Recovery
Impact of Cataract Surgery on Retinal Detachment Success Rate in High Myopia
High myopia Hello, Doctor Gao. After cataract surgery and the replacement of the artificial lens, if a patient has a pre-existing refractive error of -7.50 diopters and later requires retinal detachment surgery, will this affect the success rate of the surgery? I am concerned abo...
Dr. Gao Pilin Reply:
Hello, after cataract surgery with the replacement of an intraocular lens, undergoing retinal detachment surgery generally does not affect the intraocular lens and does not impact the success rate. At the E-Hospital in Puzi, Taiwan, the ophthalmology department is open on Monday,...[Read More] Impact of Cataract Surgery on Retinal Detachment Success Rate in High Myopia
Post-Cataract Surgery Eye Drops: Common Steroid Usage Frequency Explained
Postoperative eye drops for cataract surgery? Hello, Doctor: My family member underwent cataract surgery yesterday, and two types of eye drops were prescribed. Today, we started using the eye drops, one is a steroid and the other is an antibiotic. The nurse mentioned that the ste...
Dr. Gao Pilin Reply:
Hello Connie: This is how to use it after cataract surgery, so please rest assured. Taiwan E-Hospital Puzi Hospital Ophthalmology: Monday, Tuesday, Thursday, and Friday from 8:00 AM to 12:00 PM, Wednesday from 2:00 PM to 4:30 PM. Online responses are for reference only; it is sti...[Read More] Post-Cataract Surgery Eye Drops: Common Steroid Usage Frequency Explained