Understanding Eye Discomfort: Dryness, Inflammation, and Glaucoma Risks
Fundus examination, dry eyes? Hello Doctor, since January of this year, I have been experiencing dryness, tightness, and a feeling of pressure in my eyes. Artificial tears have not been effective. My eyesight is approximately 700 degrees in both eyes. I proactively asked my docto...
Dr. Gao Pilin Reply:
Hello: 1. Congenital Thinner Cornea or Optic Nerve: Some individuals may be born with a thinner cornea or optic nerve than normal. This can be due to genetic factors or individual variations and does not necessarily indicate a disease. However, it may increase the risk of certa...[Read More] Understanding Eye Discomfort: Dryness, Inflammation, and Glaucoma Risks
Understanding Intraocular Pressure: Myths and Facts Explained
Intraocular pressure issues? 1. You previously mentioned that the instrument for measuring intraocular pressure assesses the aqueous humor. If elevated intraocular pressure is caused by muscle tension in the eye, can it still be detected? 2. I found online that the tonometry dev...
Dr. Gao Pilin Reply:
Hello: 1. The relationship between intraocular pressure measurement and ocular muscle tension: The instruments used to measure intraocular pressure primarily assess the pressure of the aqueous humor. Ocular muscle tension generally does not directly affect aqueous humor pressur...[Read More] Understanding Intraocular Pressure: Myths and Facts Explained
Understanding Corneal Issues: Are Your Eye Flashes Related to Retinal Detachment?
Flashes and corneal issues? I have had keratoconus for about twelve years and have been regularly visiting the clinic every year. This year, in early April, I noticed a small area in my vision that flashes when I blink. After my follow-up appointment, I asked the doctor about it,...
Dr. Gao Pilin Reply:
Hello: The sensation of flashes and changes in vision may be related to retinal issues and should be taken seriously. Keratoconus itself can lead to blurred or distorted vision, but flashes and changes in color are less common. Common symptoms of retinal detachment include a sudd...[Read More] Understanding Corneal Issues: Are Your Eye Flashes Related to Retinal Detachment?
Managing Keratoconus and Glaucoma: Hot Compresses and Treatment Options
Keratoconus Hello, Doctor! I'm sorry to bother you again. I would like to ask you: 1. Can individuals diagnosed with keratoconus and glaucoma use warm compresses? I found that it is generally not recommended, but many people in the community are using them. If it is not ad...
Dr. Gao Pilin Reply:
Hello: Regarding the issue of warm compresses: Essentially, as long as the temperature does not exceed what the eyes can tolerate, there are no significant contraindications for their use. Recommendations: - Maintain eye hygiene: Clean the eyelid margins daily with warm water and...[Read More] Managing Keratoconus and Glaucoma: Hot Compresses and Treatment Options
Can Balanced Salt Solution Be Used as Artificial Tears?
Alcon Balanced Salt Solution I would like to ask the doctor about my condition of having a corneal abrasion. I went to a clinic and was prescribed regular artificial tears. Today, I visited a larger hospital where the doctor prescribed Alcon Balanced Salt Solution for me. After c...
Dr. Gao Pilin Reply:
Hello: Balanced Salt Solution (BSS) is commonly used as a rinsing solution in ophthalmic surgeries to maintain the cleanliness and moisture of intraocular structures. Its composition mimics the ionic concentration of intraocular fluids to protect intraocular tissues. Although BSS...[Read More] Can Balanced Salt Solution Be Used as Artificial Tears?
Understanding Corneal Thickness and Endothelial Cell Health in Myopia
Corneal thickness and corneal endothelial cells? Hello, Doctor Gao. I am suffering from high myopia and elevated intraocular pressure. I have a few questions to ask you. Question 1: Since intraocular pressure is related to corneal thickness and whether or not to use eye drops to...
Dr. Gao Pilin Reply:
Hello: Question 1: Accuracy of Corneal Thickness Measurement by Different Instruments The measurement of corneal thickness can indeed be influenced by the instrument used, and there may be slight variations among different devices. 1. Non-contact tonometer: This instrument is p...[Read More] Understanding Corneal Thickness and Endothelial Cell Health in Myopia
Understanding Rainbow Halo Vision After Waking Up: Causes and Solutions
Seeing rainbow halos upon waking up? Recently, my eyes have been a bit dry, and I've been yawning, blinking, and tearing up. One day, I felt that my tears didn't spread properly, and after squeezing out some tears, I kept blinking until I felt pain. Since that day, when...
Dr. Gao Pilin Reply:
Hello: Your symptoms include seeing rainbow halos upon waking and experiencing dryness and pain in your eyes. This may involve several ocular issues. Here are some possible causes: 1. Dry Eye Syndrome: Dryness can lead to an irregular corneal surface, causing light to scatter a...[Read More] Understanding Rainbow Halo Vision After Waking Up: Causes and Solutions
What to Do If Your SMILE Pro Laser Surgery Goes Wrong?
What should I do if the SMILE PRO laser for myopia seems to have been misaligned and affected the upper part of my eyeball? Hello, doctor. Last week, I underwent Smile Pro laser surgery at a clinic. My condition is that the corneal thickness in both eyes is approximately 550 micr...
Dr. Chen Anping Reply:
Hello: Regarding your situation, it is not possible to provide an online diagnosis based solely on text. If you have significant concerns, it is advisable to visit an ophthalmology clinic for an examination, which may give you more peace of mind. The Hualien Hospital of the Minis...[Read More] What to Do If Your SMILE Pro Laser Surgery Goes Wrong?
Understanding Eye Strain: Causes, Symptoms, and Treatment Options
Eye problems I would like to ask the doctor, recently when I look at things, my right eye often sees a small afterimage when using electronic devices, and I feel that my right eye does not see as clearly as my left eye. It constantly feels like I need to adjust the focus. I visit...
Dr. Gao Pilin Reply:
Hello: Based on the symptoms you described, experiencing afterimages and unstable focus in your right eye may involve multiple underlying causes. Here are some possible explanations and recommendations: 1. Dominant Eye Issues: As mentioned by your physician, problems related to...[Read More] Understanding Eye Strain: Causes, Symptoms, and Treatment Options
Long-Term Use of Short-Acting Mydriatics: Risks and Concerns for Adults
Long-term use of short-acting mydriatics? Using short-acting mydriatic drops for eye fatigue in adults over a long period raises several concerns. If you have been using short-acting mydriatics for about 7 to 8 years, especially after starting long-acting mydriatics in elementary...
Dr. Liang Ce Reply:
We recommend that you: 1. Discuss the above situation further with your attending physician. 2. Consider seeking a consultation at another medical facility. Thank you! Wishing you good health![Read More] Long-Term Use of Short-Acting Mydriatics: Risks and Concerns for Adults
Accidentally Poking Your Eye While Applying Eye Drops: What to Do?
Accidentally poking the eye while instilling eye drops? 1. I accidentally poked my right eye while applying eye drops today (July 1, 2024). I tried blinking several times, but five minutes later, I noticed a sharp pain in the center of my eye. After several attempts, it still fel...
Dr. Gao Pilin Reply:
Hello: Based on your description, it seems that you accidentally poked your right eye while applying eye drops, and now you are experiencing a sharp pain in the center of your eye. This could be a corneal abrasion or laceration. 1. Recovery time for corneal abrasion: Corneal ab...[Read More] Accidentally Poking Your Eye While Applying Eye Drops: What to Do?
Seeing Afterimages Upon Waking: Possible Causes and Concerns
Waking up in the middle of the night with afterimages? Hello Doctor, I have a sleeping environment with a small night light and a ceiling fan. For the past three days, when I wake up in the middle of the night and open my eyes, I see a faint afterimage of the fan illuminated by t...
Dr. Gao Pilin Reply:
Hello: Based on your description, you see afterimages of the fan when you open your eyes in the dark or dimly lit environment, and these afterimages disappear after a few seconds. You have a history of dry eye syndrome and retinal tears, and you are taking cold medication and pro...[Read More] Seeing Afterimages Upon Waking: Possible Causes and Concerns
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
Understanding Glaucoma Medications and Eye Health Concerns
Glaucoma medications and eye-related conditions? Hello, Doctor Gao! I've been anxious for a while and would like to ask you a few questions: 1. I previously visited a glaucoma specialist and had a test called an Epithelial Map. I found online that the epithelial cell layer...
Dr. Gao Pilin Reply:
Hello: 1. The epithelial thickness measured by the Epithelial Map is typically around 50 micrometers, while your upper layer has reduced to 28 micrometers, indicating a significant thinning of the corneal epithelium, possibly related to previous corneal abrasion. As for the Pac...[Read More] Understanding Glaucoma Medications and Eye Health Concerns
Corneal Transplantation Challenges After Silicone Oil Surgery
Corneal transplantation Hello, Doctor. Last year, I underwent gas tamponade surgery for retinal detachment at a hospital near my residence, but both surgeries were unsuccessful. As a result, my original treating physician referred me to a medical center in central Taiwan for furt...
Dr. Gao Pilin Reply:
Hello: Regarding your situation, the presence of silicone oil after retinal detachment can indeed affect the success rate of corneal transplantation. The silicone oil can lead to damage of the corneal endothelial cells, which in turn affects corneal transparency and function, red...[Read More] Corneal Transplantation Challenges After Silicone Oil Surgery
Understanding Eye Issues: Green Lights, Floaters, and Visual Distortions
Eye problems Hello, doctor. I have some questions I would like to ask. Sometimes when I move my eyes (not very quickly), I see a "green" light (a patch). As a student, I spend quite a long time using my eyes, so I feel that my floaters have become more pronounced. Is th...
Dr. Gao Pilin Reply:
Hello: 1. Seeing "green" light when moving your eyes: The situation you described may be related to vitreous traction on the retina, which can trigger photopsia, such as flashes of light or seeing green spots during eye movement. If this phenomenon occurs frequently o...[Read More] Understanding Eye Issues: Green Lights, Floaters, and Visual Distortions
Should You See an Eye Doctor for Increased Astigmatism?
Increased astigmatism? On April 22, the refraction showed that the right eye had astigmatism of 3.25 (axis 180) and the left eye had astigmatism of 2.75. During the follow-up exam, the right eye's astigmatism increased to 4.25 (axis 5) and the left eye's astigmatism was...
Dr. Gao Pilin Reply:
Hello: Changes in astigmatism degree and axis can be caused by various factors, including alterations in corneal shape, fluctuations in intraocular pressure, or other underlying eye health issues. Particularly, if these changes occur in a short period, it is essential to be vigil...[Read More] Should You See an Eye Doctor for Increased Astigmatism?
Understanding Keratoconus: Do I Need Further Eye Exams?
Corneal issues Today I visited an ophthalmologist, intending to check for keratoconus, but they didn't have a corneal topographer. However, the doctor performed a slit lamp examination and OCT, and no issues were detected. Does this rule out the possibility of keratoconus, o...
Dr. Gao Pilin Reply:
Hello: Generally speaking, slit lamp examination and OCT (Optical Coherence Tomography) can effectively diagnose keratoconus. The slit lamp examination allows for observation of any abnormalities on the corneal surface, while OCT provides a more detailed view of the cornea's...[Read More] Understanding Keratoconus: Do I Need Further Eye Exams?
Understanding Diplopia: Is Astigmatism the Cause of Your Visual Disturbances?
Diplopia issue (Sequence 208956) I apologize for the inconvenience, but I would like to ask Dr. Gao if astigmatism issues might only arise when looking at specific objects. I have observed that I can only see a faint line next to a very dark straight line; could this be related t...
Dr. Gao Pilin Reply:
Hello: Astigmatism is a common refractive error that occurs when the curvature of the cornea or lens is uneven, causing light to focus improperly on the retina. It typically affects vision, making objects appear blurry or distorted. This phenomenon is particularly noticeable when...[Read More] Understanding Diplopia: Is Astigmatism the Cause of Your Visual Disturbances?
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