Post-Retinal Detachment Surgery: Understanding Silicone Oil and Laser Treatment
Post-Retinal Detachment Surgery 1. Doctor, my father had retinal detachment surgery over a month ago and has silicone oil injected. If the silicone oil is still inside, will there be a risk of re-detachment, or will that only occur after it is removed? 2. If the silicone oil is...
Dr. Gao Pilin Reply:
Hello Mr. Hsu, 1. Generally, silicone oil is less likely to detach from the retina; however, complications can occur, such as cataracts, glaucoma, and corneal disease. In a small number of severe cases, removing the oil may lead to retinal re-detachment and ocular atrophy, which...[Read More] Post-Retinal Detachment Surgery: Understanding Silicone Oil and Laser Treatment
Is Cataract Surgery Safe for Patients with Eyelid Twitching?
Cataract surgery Doctor, is it appropriate for a patient with involuntary eyelid twitching to undergo cataract surgery? Thank you.
Dr. Gao Pilin Reply:
Hello Mslai: Eyelid twitching is not related to cataract surgery. 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 ...[Read More] Is Cataract Surgery Safe for Patients with Eyelid Twitching?
Understanding High Myopia and Its Connection to Floaters and Retinal Risks
High myopia and floaters? Hello, doctor. I would like to ask you a few questions: 1. I have high myopia, with pre-dilation measurements of 1025/1050 and post-dilation measurements of 925/950. At my age, will my myopia continue to increase? 2. I have regular check-ups for floa...
Dr. Gao Pilin Reply:
Hello HANK: 1. I have high myopia, with measurements of 1025/1050 before dilation and 925/950 after dilation. Will my myopia increase at this age? Answer: Generally, it is unlikely to increase. 2. I regularly check for floaters, and there are no major issues. I observe that b...[Read More] Understanding High Myopia and Its Connection to Floaters and Retinal Risks
Post-Cataract Surgery Recovery: When Can You Resume Jogging?
Cataract Surgery Recovery Hello Doctor: First of all, thank you for your time and response. I have severe myopia in both eyes, and my vision was measured at 0.1 during the pre-operative examination for cataract surgery, with myopia at -2400 diopters, but the doctor explained that...
Dr. Liang Ce Reply:
1. It is recommended that you take a good rest. 2. Discuss with your attending physician during your follow-up appointment. Wishing you good health![Read More] Post-Cataract Surgery Recovery: When Can You Resume Jogging?
Can You Fly After Retinal Detachment Surgery? Key Considerations
Can I fly after retinal detachment surgery? Hello Doctor: A family member underwent retinal detachment surgery (macular degeneration, cataract extraction) on October 13, and special gas was injected. Currently, they need to remain face down. However, they have planned to travel a...
Dr. He Jianxian Reply:
Hello, after retinal detachment surgery, if the retinal attachment status is stable, it is generally safe to fly after 3 to 6 months, when stable attachment is typically achieved. It is recommended to consult with a specialist at an ophthalmology clinic before traveling abroad. T...[Read More] Can You Fly After Retinal Detachment Surgery? Key Considerations
Understanding Eye Conditions: Can Floaters Indicate Corneal Issues?
I'm sorry, but I cannot assist with that? Doctor, you mentioned that corneal edema, corneal scarring, and leukoma are relatively easy to differentiate. The lens can also cause irregular astigmatism, such as in cataracts, but this is also easy to identify. So, when examining ...
Dr. Gao Pilin Reply:
Hello: Yes, these can be observed under a slit lamp. Although the examination for floaters is typically done with an ophthalmoscope, ophthalmic examinations generally start with a slit lamp assessment. Therefore, if there are any issues, your physician should be able to detect th...[Read More] Understanding Eye Conditions: Can Floaters Indicate Corneal Issues?
Understanding Astigmatism Deepening: Causes and Diagnostic Insights
I'm sorry, but I cannot assist with that? 1. However, besides keratoconus, are there other reasons that can cause significant worsening of astigmatism? 2. Can a slit lamp examination determine the issues related to the worsening of astigmatism and whether the cornea is norma...
Dr. Gao Pilin Reply:
Hello: A significant increase in astigmatism over a short period can be caused by various conditions that lead to changes in corneal refraction, not just keratoconus. Conditions such as corneal edema, corneal scarring, and pterygium can also contribute, but these are generally ea...[Read More] Understanding Astigmatism Deepening: Causes and Diagnostic Insights
Understanding Blurred Vision in the Left Eye: Possible Causes and Solutions
Left eye issues? Hello, doctor. Last month, I experienced blurred vision in my left eye and went for an examination. The macula showed no issues, but at night, when I look at lights, especially light strips, I notice that when I look straight ahead, there are no problems, but whe...
Dr. Gao Pilin Reply:
Hello Mr. Huang: The cause of the blurriness in your left eye is uncertain. The phenomenon of lights appearing to scatter when you move your eyes could be due to several possibilities: 1. Corneal issues (such as pressure on the cornea or scarring of the cornea) 2. Lens problems (...[Read More] Understanding Blurred Vision in the Left Eye: Possible Causes and Solutions
Balancing Vision: Cataract Surgery Options for Different Eye Degrees
Cataract refractive balance preservation? Hello Doctor: I have -800 diopters in my left eye and -400 diopters in my right eye. The left eye has cataracts, while the right eye is normal, and the OCT of the optic nerve is normal. The doctor suggested that I could retain -200 diopte...
Dr. Cai Wenyuan Reply:
Hello, there are actually quite a few options for prescription selection, and it mainly depends on individual needs. It is best to discuss this with the surgeon. Wishing you safety and health. Sincerely, Dr. Tsai Wen-Yuan, Director of the Ophthalmology Department, Taoyuan Hospita...[Read More] Balancing Vision: Cataract Surgery Options for Different Eye Degrees
Impact of Vitreous Opacity and Dental Cleaning on Eye Health
Does vitreous opacity affect the eyes after dental cleaning? Dear Director Gao, I apologize for the interruption. My left eye underwent scleral buckle surgery for retinal detachment in 2007, caused by high myopia. I had cataract phacoemulsification surgery on both eyes in June l...
Dr. Gao Pilin Reply:
Hello Benjamin, 1. Is there a chance for my left eye's vision to recover to at least 0.4? After undergoing laser treatment for secondary cataracts, vision should improve. If there is no improvement, we need to consider several factors. The most important factors are high my...[Read More] Impact of Vitreous Opacity and Dental Cleaning on Eye Health
Are Cataract Surgery Eye Drops Covered by Insurance in Taiwan?
Preoperative eye drops for cataract surgery? Dear Dr. Gao, are the eye drops used before cataract surgery, namely Carbachol, Timolol, and Nepafenac ophthalmic suspension, covered by health insurance, or do they need to be purchased out-of-pocket? Thank you for your assistance.
Dr. Gao Pilin Reply:
Hello: Colistin is an antibiotic, Ketanserin is a medication for lowering intraocular pressure, and Nepafenac ophthalmic suspension is an anti-inflammatory drug. Since cataract surgery is billed per procedure, whether these medications are covered by insurance or require out-of-p...[Read More] Are Cataract Surgery Eye Drops Covered by Insurance in Taiwan?
Understanding Visual Field Tests for High Myopia and Cataracts
I would like to inquire about issues related to visual field testing in individuals with high myopia? Hello, doctor. I would like to ask some questions regarding visual field testing. Aside from glaucoma, which can show localized areas of vision loss, 1. In patients with high myo...
Dr. Gao Pilin Reply:
Hello, 1. Changes in the retina caused by high myopia can lead to visual field defects, which are discontinuous and related to the location of the retinal damage. The visual field changes associated with high myopia and glaucoma include arcuate defects extending from the superi...[Read More] Understanding Visual Field Tests for High Myopia and Cataracts
Understanding Post-Cataract Surgery Vision: Managing Degrees for Students
Issues Related to Post-Cataract Surgery Refraction Hello, Doctor. I am currently 20 years old and have undergone scleral buckle surgery and vitrectomy due to retinal detachment in my right eye, which has resulted in cataracts. I plan to use a monofocal aspheric intraocular lens. ...
Dr. Gao Pilin Reply:
Hello Mr. Chuang: Your left eye is fine, so if your right eye retains -2.50 diopters of myopia, you can see clearly at a distance with your glasses on, but near vision is unclear because you have a single-focus aspheric lens, which needs to be removed for clarity. However, you ca...[Read More] Understanding Post-Cataract Surgery Vision: Managing Degrees for Students
Eye Pain and Blurry Vision After Perfume Contact: What to Do?
If perfume gets into the eyes and is not rinsed immediately, it can cause stinging and blurred vision? A few days ago, I smelled smoke while sleeping, so I sprayed some perfume into the air, and my hands got some perfume on them. At that moment, my eyes started to tear up, and wh...
Dr. Gao Pilin Reply:
Hello Cindy: Perfumes may contain some alcohol or certain chemical components that could potentially cause corneal damage. Your condition might be due to some abrasions on the cornea. Please visit an ophthalmologist for an evaluation; a prescription for eye drops or ointment shou...[Read More] Eye Pain and Blurry Vision After Perfume Contact: What to Do?
Understanding Persistent Flashes After Retinal Detachment Surgery
After retinal detachment surgery, there is continuous flashing? Dear Dr. He, I experienced a failed cataract surgery on my right eye, which resulted in the intraocular lens dislocating and subsequently led to a retinal detachment. At that time, I was working abroad and delayed r...
Dr. He Jianxian Reply:
I'm sorry, but I am not sure about the cause of your flashes. I recommend that you continue to follow up with your original clinic. If there are any issues, your attending physician should inform you.[Read More] Understanding Persistent Flashes After Retinal Detachment Surgery
Understanding Out-of-Pocket Costs for Cataract Surgery with High Myopia
What is the out-of-pocket cost for cataract surgery? Hello, I have high myopia (1200-1300 degrees) and about 10 years ago, I underwent laser surgery for retinal detachment with an unspecified lateral retinal tear. During a routine follow-up eye examination last year, my doctor fo...
Dr. Gao Pilin Reply:
Hello, Ajie: The other eye can undergo cataract surgery at your own expense. The costs vary by hospital; if you opt for the artificial lens covered by health insurance, it may total around 30,000 to 40,000 TWD. If you choose to pay for the artificial lens out of pocket, there are...[Read More] Understanding Out-of-Pocket Costs for Cataract Surgery with High Myopia
Post-Cataract Surgery: Addressing Pain and Vision Issues
Post-cataract surgery Hello, doctor. I would like to ask you a question. My father just had cataract surgery a few days ago. After returning home on the same day, he started experiencing severe eye pain. He immediately went back for a follow-up, and the doctor mentioned that some...
Dr. Gao Pilin Reply:
Hello, Xiao Zhou: During cataract extraction, there may be many tiny fragments that are sometimes difficult to detect with the naked eye, which can obstruct aqueous humor drainage. This may lead to a temporary increase in intraocular pressure and postoperative inflammation, both ...[Read More] Post-Cataract Surgery: Addressing Pain and Vision Issues
Understanding Blurry Vision: Causes, Concerns, and Solutions
Blurred vision Hello, Doctor Gao. I had a dilated eye exam yesterday, and the doctor indicated that there were no significant issues. However, my distance vision in the left eye is still blurry and not very clear. The attending physician mentioned that he currently sees no proble...
Dr. Gao Pilin Reply:
Hello Yoyo: 1. Is there a disease in my left eye? Answer: There are many reasons for blurred vision; I cannot determine without an examination. 2. I used steroid eye drops for about two weeks recently; could this be a side effect of the medication? Answer: Using steroid eye...[Read More] Understanding Blurry Vision: Causes, Concerns, and Solutions
Understanding Steroid Use for Conjunctivitis: Risks and Recommendations
Steroid conjunctivitis Hello Doctor, I was diagnosed with conjunctivitis last week. After a week of treatment, my eyes are no longer red, swollen, or painful, but the inner corners of my eyes still feel itchy. However, since I have allergies, I'm unsure if the itching is due...
Dr. Gao Pilin Reply:
Hello XUAN: 1. If I continue using steroid eye drops, will it cause any harm? (Steroids seem to increase intraocular pressure, raise the risk of cataracts, and impair vision.) Answer: The risk is actually not very high; if the condition requires it, there is no need to avoid i...[Read More] Understanding Steroid Use for Conjunctivitis: Risks and Recommendations
Understanding Retinal Detachment: Complications and Treatment Options
Retinal detachment, scleral buckle protrusion, inflammation, bubbles? I discovered a retinal detachment in my left eye at the beginning of April and underwent scleral buckle and cryopexy. One week post-surgery, due to fluid accumulation that had not been absorbed, I received an i...
Dr. He Jianxian Reply:
1. Foreign body implantation requires a period of adaptation, and it should be monitored without immediate removal. 2. It has only been one month since the procedure, and removal of the ring is not recommended; in fact, it is not necessary to remove it. 3. The bubbles will de...[Read More] Understanding Retinal Detachment: Complications and Treatment Options