Understanding Eye Exams: Retina Checks, Glasses, and Cataract Concerns
Fundus examination and prescription issues? Hello, Doctor. Thank you for taking the time to answer my questions. I have a few inquiries regarding my recent retinal examination... 1. When using an ophthalmoscope to examine the eyes, does the ophthalmoscope always need to make co...
Dr. Gao Pilin Reply:
Hello, Aimee: 1. There are different methods for fundus examination, some that do not contact the eyeball and others that do. The range of examination varies; for peripheral examination, a method that contacts the eyeball is used. 2. Presbyopia is a term that does not necessari...[Read More] Understanding Eye Exams: Retina Checks, Glasses, and Cataract Concerns
Understanding Ghosting and Halos in High Myopia After Eyelid Surgery
Seeing ghosting of text on the screen and noticeable halos around lights when viewing at night? I have high myopia and a drooping eyelid issue in my left eye. Since undergoing surgery for the left eyelid lift, I have been experiencing halos at night. Recently, when looking at scr...
Dr. He Jianxian Reply:
Hello, Xiaolin: Regarding the eyelid lift surgery, it is possible that the elevation of the eyelids may have altered the curvature of the cornea, which could lead to some discomfort and the phenomenon you are experiencing. This is purely a hypothesis, and I cannot find a very rea...[Read More] Understanding Ghosting and Halos in High Myopia After Eyelid Surgery
Can Glasses Correct Vision After Cataract Surgery? Expert Insights
How do glasses correct vision? Hello, after my cataract surgery, I have a residual prescription of -2.75 in my left eye and -1.00 in my right eye, which causes discomfort due to the difference in vision. Can I correct this with glasses? The ophthalmologist said it’s not possible,...
Dr. Gao Pilin Reply:
Hello, Guohua: Your left eye measures 275, and your right eye measures 100. The difference between the two eyes is within the acceptable range for glasses prescription (within a 250 diopter difference), so I am unsure why glasses cannot correct your vision. If there are no specif...[Read More] Can Glasses Correct Vision After Cataract Surgery? Expert Insights
Risks and Effects of Replacing Intraocular Lens After Cataract Surgery
Cataract surgery Hello, I have undergone cataract surgery with an artificial intraocular lens, but the prescription does not meet my expectations. I am considering a second replacement with another monofocal intraocular lens. What are the risks, potential complications, and effec...
Dr. Gao Pilin Reply:
Hello, Guohua: Due to the adhesion of the artificial lens to surrounding tissues, if a second surgery is needed, a new incision must be made, which could potentially damage the posterior capsule of the lens, the cornea, or the iris. The consequences might be worse than the curren...[Read More] Risks and Effects of Replacing Intraocular Lens After Cataract Surgery
Risks and Benefits of Artificial Lens Replacement for High Myopia
Due to high myopia, an artificial intraocular lens was implanted? Due to my high myopia, the data for laser vision correction is not very promising, so I chose to undergo artificial intraocular lens replacement. At such a young age, what potential side effects or drawbacks could ...
Dr. Gao Pilin Reply:
Hello: The development of cataract surgery is very advanced now, and there is a wide variety of intraocular lenses available. If the surgery is performed in a timely manner and goes smoothly, there should not be any significant complications. At the E-Hospital in Puzi, Taiwan, th...[Read More] Risks and Benefits of Artificial Lens Replacement for High Myopia
Post-Retinal Detachment Surgery Recovery: Key Questions Answered
Postoperative Recovery After Retinal Detachment Surgery Dear Doctor, I underwent a right eye vitrectomy with gas tamponade on March 10. After multiple follow-up visits, the doctor has confirmed that the retina is stably attached and the gas has completely dissipated. My most rec...
Dr. Gao Pilin Reply:
Hello Mr. Tsai: 1. If it has been stable for such a long time, it is less likely to occur again. 2. It is important to consider the initial cause of the retinal detachment, as this cause may trigger it again. Therefore, it is essential to avoid these triggering factors. 3. If the...[Read More] Post-Retinal Detachment Surgery Recovery: Key Questions Answered
Understanding Cataract Surgery: Common Concerns and Artificial Lens Choices
Could you please provide more specific questions regarding cataract surgery and intraocular lenses? Dear Doctor, A few days ago, my father underwent cataract surgery. He had been delaying the surgery for nearly ten years and decided to opt for a better quality intraocular lens (...
Dr. He Jianxian Reply:
Hello Mr. Bruce: Essentially, cataract surgery cannot be described as a "very quick and simple" procedure. The actual surgical process may take around ten to twenty minutes, but there are many preparatory steps involved, making the entire process take about 40 minutes t...[Read More] Understanding Cataract Surgery: Common Concerns and Artificial Lens Choices
Understanding Retinal Tears: Concerns, Symptoms, and Treatment Options
Follow-up on retinal traction issues? Hello Dr. Gao, I am the questioner Tong from #155019. I have a few more questions regarding retinal traction that I would like to ask you. Thank you. Regarding the previous questions: 1. Will retinal traction become more severe over time?...
Dr. Gao Pilin Reply:
Hello, 1. The pulling sensation is still present and slightly more than last time. This pulling is a normal phenomenon of vitreous degeneration and does not necessarily lead to retinal detachment; sometimes it is just a transitional phase. 5. Does vitreous degeneration always...[Read More] Understanding Retinal Tears: Concerns, Symptoms, and Treatment Options
Can Modern Treatments Improve Vision After Retinal Detachment Surgery?
Post-retinal detachment surgery, concerns regarding vision recovery? Over a decade ago, I underwent surgery for retinal detachment (I have forgotten the specific surgical method, but I know that gas was used for the reattachment). The surgery was likely successful, but my vision ...
Dr. He Jianxian Reply:
After such a long time since the surgery, the condition should be stable. If cataracts were not caused by the surgery, the current treatment techniques may have limited effectiveness in achieving significant improvement. This is for your reference. Dr. He Jianxian, Nantou Hospita...[Read More] Can Modern Treatments Improve Vision After Retinal Detachment Surgery?
Post-Cataract Surgery: Understanding Blurry Vision and Recovery Concerns
Post-cataract surgery Hello, Doctor! My mother recently underwent cataract surgery (out-of-pocket cost of about 38,000 NTD). Immediately after the surgery, her vision was very clear, but the next day it started to become blurry. My father had the same surgery years ago and it was...
Dr. Gao Pilin Reply:
Dear Mr. Hsiao, After surgery, there may be a recovery period during which your vision will stabilize. Please observe your condition for a while; if a refraction test shows a prescription, you will need to wear glasses for clear vision. Each individual's situation is differ...[Read More] Post-Cataract Surgery: Understanding Blurry Vision and Recovery Concerns
Understanding Floaters: Causes, Symptoms, and Management Tips
Floaters-related conditions Hello, Doctor: Since early February, I've been experiencing discomfort in my eyes. My right eye has difficulty seeing distant objects clearly, but an eye exam showed no issues, and it was thought to be due to eye strain. One day, I gently pressed ...
Dr. Gao Pilin Reply:
Hello, Bozai: 1. Is it possible that lightly pressing on the eyelid or eyeball could cause floaters? It should not be the case. 2. If floaters are caused by eye fatigue, can they fade or disappear over a few months, or do floaters caused by eye fatigue typically resolve after a ...[Read More] Understanding Floaters: Causes, Symptoms, and Management Tips
Understanding Halo Effects Around Streetlights: Causes and Concerns
Seeing halos around streetlights at night? Hello, Doctor: When I look at streetlights at night, I see halos around them, with the center being brighter and the outer edges darker. Standing directly under the streetlight makes the halo larger, while moving further away makes it sm...
Dr. Gao Pilin Reply:
Hello Sharon: If there is no glaucoma and no cataract, seeing halos around lights is likely an issue with the cornea. Conditions such as corneal irregularity, corneal edema, and corneal opacity can cause this, but the most common cause is astigmatism. Your symptoms seem more alig...[Read More] Understanding Halo Effects Around Streetlights: Causes and Concerns
Understanding Multiple Surgeries for Retinal Detachment: What to Expect
Retinal detachment surgery requires a third operation? Hello Doctor, I was diagnosed with a retinal detachment in my right eye on December 9th of last year. That morning, I underwent laser treatment for a retinal tear, and in the afternoon, I had a vitrectomy with gas tamponade. ...
Dr. Gao Pilin Reply:
Hello, Xiao Cai: If retinal detachment is not addressed immediately, subsequent surgical interventions may not be effective. Therefore, if surgery is deemed feasible, it is best to proceed with the operation right away. Complex retinal detachments may sometimes require multiple s...[Read More] Understanding Multiple Surgeries for Retinal Detachment: What to Expect
Understanding Cataracts: Risks After Eye Injury and Vision Changes
Cataract issues Hello Doctor: I was born in 1980, and I am currently 40 years old. About 20 years ago, I sustained a puncture wound to my right eye from a nail while working, which required a 7-day hospitalization and surgery, resulting in vision impairment. Recently, in February...
Dr. Cai Wenyuan Reply:
Traumatic cataracts may occur; it is advisable to seek medical examination.[Read More] Understanding Cataracts: Risks After Eye Injury and Vision Changes
Understanding Cataracts: Are Past Eye Injuries a Risk Factor?
Vision examination and cataracts? Hello Doctor: I was born in 1980, and I am currently 40 years old. Twenty years ago, I sustained a puncture wound to my right eye from a nail while working, which required a 7-day hospitalization and surgery. Recently, in February 2020, my vision...
Dr. Cai Wenyuan Reply:
It is possible, and it is recommended to seek medical evaluation.[Read More] Understanding Cataracts: Are Past Eye Injuries a Risk Factor?
Essential Eye Care Tips for Managing Myopia and Retinal Health
Vision care Hello Doctor: Recently, I heard from a friend that high myopia can lead to retinal detachment, and I suddenly became very sensitive to the floaters I have been accustomed to. I am afraid I might experience the same issue. Over the past three months, I have visited cli...
Dr. Gao Pilin Reply:
Hello Mr. Lee, 1. Is retinal detachment sudden, or can it be observed during regular eye examinations as a precursor? How often should one be checked? Retinal detachment is usually sudden; however, during regular examinations, if areas of the retina appear thinner or if there ar...[Read More] Essential Eye Care Tips for Managing Myopia and Retinal Health
Post-Cataract Surgery Care: Eye Drops for Dryness and Fatigue
Postoperative Care Three Months After Cataract Surgery Hello, Doctor. I have myopia in one eye and early-onset cataracts. I have completed femtosecond laser surgery for monofocal lenses. The doctor said I can travel around the world without needing follow-up visits. Aside from ar...
Dr. Gao Pilin Reply:
Hello Mr. Chen: Three months post-surgery, if you are not experiencing any discomfort, you should not need to use any maintenance eye drops. If you experience dryness or fatigue in your eyes, you may use Systane or Rohto moisturizing eye drops, or artificial tears. The ophthalmol...[Read More] Post-Cataract Surgery Care: Eye Drops for Dryness and Fatigue
Can Cataract Surgery Cause Farsightedness and Can It Be Corrected?
After cataract surgery, if the vision test shows hyperopia (farsightedness), is it possible to change hyperopia to emmetropia (normal vision) or myopia (nearsightedness)? Dear Doctor, 1. I underwent cataract surgery in both eyes over a year ago, during which monofocal intraocula...
Dr. Cai Wenyuan Reply:
Is it normal to have hyperopia after surgery? This is a common situation. Are there ways to change hyperopia to emmetropia or myopia? If the degree is not significant, glasses correction can be considered. After cataract surgery, does the implantation of an artificial lens cause ...[Read More] Can Cataract Surgery Cause Farsightedness and Can It Be Corrected?
Understanding High Myopia: Key Questions on Measurement and Treatment
High myopia 1. Does high intraocular pressure affect the measurements of myopia instruments? 2. Does wearing contact lenses all day the previous day affect the measurements taken by the instruments the next day? 3. If a SMILE laser procedure is performed on a patient with a measu...
Dr. Gao Pilin Reply:
Hello Kathy: 1. High intraocular pressure can affect the measurement of refractive error if it impacts the cornea or lens. 2. Wearing contact lenses all day the previous day should not have a significant effect, unless it causes corneal edema. 3. SMILE can treat myopia up to -10...[Read More] Understanding High Myopia: Key Questions on Measurement and Treatment
Understanding Post-Surgery Double Vision After Cataract Removal
Before the surgery, there was no diplopia, but after the surgery during the recovery period, diplopia was observed? I underwent cataract extraction due to retinal hemorrhage on January 7th. Before the surgery, I did not experience double vision, but now during my recovery, I seem...
Dr. Gao Pilin Reply:
Hello Mr. Chen: There is still gas in your eye, which can cause double vision. Therefore, we need to wait until the gas dissipates before we can assess your condition. Perhaps by then, the diplopia will resolve. The doctor has examined you and mentioned that there is still gas pr...[Read More] Understanding Post-Surgery Double Vision After Cataract Removal