Understanding Astigmatism Increase: Causes, Concerns, and Eye Health
Increased astigmatism? Hello! The last time I changed my lenses was around mid-2021, with my prescription being (myopia/astigmatism) left eye -500/150, right eye -775/50. Today, I went to an optical store for an eye exam and found that my left eye's astigmatism has increased...
Dr. Gao Pilin Reply:
Hello: 1. There are many reasons for an increase in astigmatism, one of which may be that the eyeball is not perfectly spherical, or the cornea may be affected by excessive corrective power. Additionally, poor reading posture and lying down while using a smartphone can indeed con...[Read More] Understanding Astigmatism Increase: Causes, Concerns, and Eye Health
Contact Lenses and Eye Health: Managing Myopia and Floaters
Contact lenses and floaters? Hello Doctor, I would like to ask the following questions: 1. I currently have high myopia in both eyes, exceeding 1000 degrees, and I also experience floaters. If I wear contact lenses for long periods of 3 to 5 days within a month, will this cause...
Dr. Gao Pilin Reply:
Hello: 1. Prolonged use of contact lenses can sometimes cause significant damage to the eyes, such as corneal hypoxia, corneal infections, and conjunctivitis. If you experience discomfort or a stinging sensation, it is advisable to seek assistance from an ophthalmologist. 2. The ...[Read More] Contact Lenses and Eye Health: Managing Myopia and Floaters
Understanding Retinopathy of Prematurity: Impacts on Vision and Eye Health
Retinopathy of Prematurity (ROP) Hello, doctor. I have retinopathy of prematurity, with high myopia and high astigmatism in my right eye, and my best-corrected visual acuity is 0.3. My peripheral vision is relatively narrow in all directions, and there is a central vision defect ...
Dr. He Jianxian Reply:
Hello Ms. Hsin: 1. This laser treatment is performed to prevent retinal abnormalities due to abnormal vascular proliferation, which may cause peripheral vision abnormalities. 2. Blood vessels are typically pulled straighter rather than becoming more curved. 3. Congenital nyst...[Read More] Understanding Retinopathy of Prematurity: Impacts on Vision and Eye Health
Managing Corneal Opacities: Treatment Options and Concerns
Corneal leukoma Hello, doctor. I have been dealing with corneal opacities caused by viral conjunctivitis for over a year now, and I am currently using Lotemax eye drops. The ophthalmologist diagnosed the corneal opacities as inflammation and frequently prescribes steroid eye drop...
Dr. Gao Pilin Reply:
Hello: Corneal leukoma is an ophthalmic condition caused by inflammation, and the use of steroid eye drops is a common treatment method. However, different individuals may require different treatment plans, and not everyone is suitable for steroid eye drops. If intraocular pressu...[Read More] Managing Corneal Opacities: Treatment Options and Concerns
Understanding Blurred Vision in One Eye: Causes and Concerns
Unilateral blurred vision? Hello, doctor. In the past two days, I have noticed that one eye has blurred vision and diplopia. When I am not wearing my glasses, I see light spreading out in a circular pattern. The other eye is normal. I currently have elevated intraocular pressure ...
Dr. Gao Pilin Reply:
Hello: If you have elevated intraocular pressure along with blurred vision in one eye, double vision, and light appearing to scatter in a circular pattern, this may be due to corneal edema caused by high eye pressure. It is advisable to seek medical attention promptly for an exam...[Read More] Understanding Blurred Vision in One Eye: Causes and Concerns
Understanding Eye Discomfort: Causes and Solutions for Dry Eyes
The eyes feel tight and uncomfortable, with symptoms of dry eye syndrome? Hello Doctor: I have visited an ophthalmologist several times due to discomfort in my eyes. The doctor diagnosed me with three issues: entropion (inward-turning eyelashes), eye allergies, and dry eye syndro...
Dr. Gao Pilin Reply:
Hello: 1. Neostigmine may cause miosis. You can reduce the frequency or temporarily discontinue its use. 2. Once the medication is stopped, the metabolism will naturally return to normal. 3. You can observe the situation; discontinuing the medication may resolve the issue. If dis...[Read More] Understanding Eye Discomfort: Causes and Solutions for Dry Eyes
Why Laser Treatment Isn't Suitable for Chemical Burn Scars in the Eye
Laser issues Hello, doctor: I would like to ask about my condition. I have a mild scar or irregularities on my cornea due to a chemical burn to my eye. After researching online, I found that with advancements in technology, lasers can be used to eliminate scars or smooth out irre...
Dr. Chen Anping Reply:
Mr. Hong: Hello, the depth of the scar usually determines the treatment plan. Hualien Hospital of the Ministry of Health and Welfare cares about your health.[Read More] Why Laser Treatment Isn't Suitable for Chemical Burn Scars in the Eye
Why Is My Right Eye Blurry Compared to My Left Eye?
Eye problems Hello, doctor: I had my eyes examined at an optical shop, and both eyes have the same prescription. However, when I wear the lenses, why does my right eye not see as clearly as my left eye? Thank you!
Dr. Gao Pilin Reply:
Hello: Even if the refractive error measurements of the eyes are the same, the visual acuity may not necessarily be the same. The refractive error is a measured value, while visual acuity is a function of the eyes. It's similar to how the left and right hands may have differ...[Read More] Why Is My Right Eye Blurry Compared to My Left Eye?
Understanding Rainbow Vision: Is It a Sign of Worsening Glaucoma?
Iris phenomenon Hello Doctor, I have been using glaucoma eye drops to control my intraocular pressure and have been following up every three months. I just had a follow-up appointment last week, and the doctor informed me that my optic nerve fibers have thinned slightly, but ther...
Dr. Gao Pilin Reply:
Hello: Generally speaking, the phenomenon of halos is a visual occurrence that mainly occurs when there is elevated intraocular pressure leading to corneal edema, or when there is an imbalance of tears or the presence of secretions on the corneal surface. Additionally, if it reso...[Read More] Understanding Rainbow Vision: Is It a Sign of Worsening Glaucoma?
Seeing Rainbow Halos Around Lights: Should You Be Concerned?
Seeing a halo of rainbow colors around the light? I recently noticed that when I look at lights at night, there is a rainbow halo around them. At home, the lights only have a halo, but when I look at streetlights outside, there is a complete rainbow circle. I'm worried that ...
Dr. Gao Pilin Reply:
Hello: Sometimes it is caused by corneal edema or discharge. Of course, elevated intraocular pressure can also lead to this phenomenon. It would be a good idea to schedule an examination.[Read More] Seeing Rainbow Halos Around Lights: Should You Be Concerned?
Understanding Corneal Ulcers: Symptoms, Treatment, and Recovery
What should I do about a corneal ulcer? 🥹 I recently visited a doctor and was diagnosed with a corneal ulcer. I would like to know if it is normal for my vision to deteriorate significantly to the point of being blurry and hard to see. Additionally, with ongoing monitoring and th...
Dr. Gao Pilin Reply:
Hello: The location, size, and depth of the corneal ulcer will all affect the visual outcome after recovery. Please continue to use the medications as directed by your physician and attend follow-up appointments. We will only know the extent of the visual impact once it has fully...[Read More] Understanding Corneal Ulcers: Symptoms, Treatment, and Recovery
Does Orthokeratology Increase Eye Pressure? Understanding the Risks
Shaping plate issues? Hello, doctor. I recently discovered during my health check-up that my intraocular pressure is slightly elevated, around 22-23 mmHg. I usually wear orthokeratology lenses. Could wearing these lenses cause an increase in my intraocular pressure?
Dr. Gao Pilin Reply:
Hello: The orthokeratology lens is placed on the surface of the cornea and does not increase intraocular pressure.[Read More] Does Orthokeratology Increase Eye Pressure? Understanding the Risks
Concerns About Eye Drops and Pseudomyopia: Expert Answers
Inquiry about eye drops and pseudomyopia? I have a few questions for the doctor: 1. Does continuous use of steroid eye drops for two weeks or longer cause elevated intraocular pressure? If so, after using pressure-lowering eye drops and oral medications, and discontinuing the s...
Dr. Gao Pilin Reply:
Hello: 1. It may or may not happen. For example, if intraocular pressure is high, it may decrease after using antihypertensive medications. 2. It should not happen. 3. It is acceptable to use it no more than four times a day. 4. The prescription may worsen; however, if there are ...[Read More] Concerns About Eye Drops and Pseudomyopia: Expert Answers
How to Conceal Scars from Corneal Ulcers After Eye Injury
Corneal ulceration Hello, doctor. My cousin had metal shavings get into her eye while she was working, but since she didn't feel any foreign body sensation afterward, she ignored it. As a result, the metal shavings oxidized on her eyeball, leading to a corneal ulcer. My cous...
Dr. Cai Wenyuan Reply:
Unless the area is large, it is not easily noticeable to the naked eye.[Read More] How to Conceal Scars from Corneal Ulcers After Eye Injury
Persistent Dilated Pupils After Eye Injury: Causes and Next Steps
After the injury, long-acting mydriatic treatment was administered, but it has been over ten days since the last application, and the pupil has not constricted? Hello, doctor. I sustained an eye injury due to a strong impact, and I was treated in the emergency department with a l...
Dr. Gao Pilin Reply:
Hello: 1. It is possible that the drug metabolism is slower, and it may still have an effect. It is also possible that a strong impact has caused injury to the iris muscles, leading to an inability to constrict. 2. You can observe for a while longer; it may gradually recover, or ...[Read More] Persistent Dilated Pupils After Eye Injury: Causes and Next Steps
Post-Stye Surgery Recovery: Ice Packs and Dry Eye Concerns
Recovery from stye surgery? Hello, doctor. Today I underwent a chalazion surgery to remove the pus and granulation tissue inside. I would like to ask if applying ice packs can help reduce swelling? Additionally, I tend to develop chalazia frequently, and my attending physician me...
Dr. Gao Pilin Reply:
Hello: Applying ice within 24 hours can help with hemostasis and pain relief, while also reducing the likelihood of swelling. It is normal to experience dryness after applying heat, as tears can easily evaporate. Therefore, using moist heat is preferable, such as applying a warm,...[Read More] Post-Stye Surgery Recovery: Ice Packs and Dry Eye Concerns
Can Laser Eye Surgery Be Safe for Patients with Dry Eye?
Can patients with dry eye syndrome undergo laser surgery for myopia? Hello, doctor! I am 41 years old with myopia of -3.00/-3.00 and astigmatism of -1.75/-2.00. My corneal thickness is 530 micrometers, and there are no abnormalities in the macula of my retina. I have undergone pr...
Dr. Gao Pilin Reply:
Hello: After surgery for dry eye syndrome, there may be an increased tendency for dryness. If the physician assesses that Small Incision Lenticule Extraction (SMILE) can be performed, using artificial tears appropriately after the procedure should still be feasible.[Read More] Can Laser Eye Surgery Be Safe for Patients with Dry Eye?
Understanding and Treating Monocular Diplopia: Causes and Solutions
Monocular diplopia Doctor, I have double vision in my right eye. When I look with both eyes, the double vision becomes more pronounced the farther away I look. Is this condition treatable?
Dr. Gao Pilin Reply:
Hello: Monocular diplopia is likely due to refractive errors, particularly astigmatism. Other possible causes include corneal disorders, cataracts, lens dislocation, iris atrophy, and vitreoretinal diseases. It is recommended that you visit an ophthalmologist for an examination t...[Read More] Understanding and Treating Monocular Diplopia: Causes and Solutions
Understanding Monocular Diplopia: Causes and Next Steps
Monocular diplopia Hello doctor, I recently visited three or four medical institutions, including Cheng Kung University and clinics, but they couldn't determine the cause of my double vision in the left eye. When I look with my left eye alone, I experience double vision, and...
Dr. Gao Pilin Reply:
Hello: Monocular diplopia is likely not a neurological issue, but rather a refractive error, particularly astigmatism. Other potential causes include corneal disorders, cataracts, lens dislocation, iris atrophy, and vitreoretinal diseases. I recommend consulting with your examini...[Read More] Understanding Monocular Diplopia: Causes and Next Steps
Recovering Vision After Chemical Burn: Understanding Astigmatism and Treatment Options
Issues Following Chemical Burns to the Cornea Hello, doctor! My eyes suffered from a chemical burn (from nitric acid), and after undergoing amniotic membrane treatment, I am currently wearing a third amniotic membrane on my left eye, while the right eye has had the membrane remov...
Dr. Gao Pilin Reply:
Hello: The extent of the injury will determine the situation. Typically, if the cornea is injured, it will affect vision to some degree. As for the level of recovery, it depends on the extent of scarring on the cornea. Corneal reshaping lenses may not be very helpful. Please be p...[Read More] Recovering Vision After Chemical Burn: Understanding Astigmatism and Treatment Options