Understanding Intermittent Treatment for High Eye Pressure
High intraocular pressure issues? Hello, Doctor: I have a problem with elevated intraocular pressure, but my visual field test is normal. The physician's approach to managing the elevated intraocular pressure is to prescribe pressure-lowering eye drops only if my eye pressur...
Dr. Gao Pilin Reply:
Hello Mr. Wang: If your visual field and optic nerve are normal but your intraocular pressure is elevated, it is sometimes necessary to measure the corneal thickness. A thicker cornea can contribute to higher pressure readings. The use of eye drops to lower intraocular pressure i...[Read More] Understanding Intermittent Treatment for High Eye Pressure
Understanding Conjunctivitis: Treatment Journey and Concerns
Conjunctivitis & Consultation on Eye Drops After Examination Hello, doctor. This past Monday morning, I woke up to find that my left eye was sore, slightly swollen, and mildly red. In the evening, I visited an ophthalmologist who diagnosed me with conjunctivitis. However, the...
Dr. Gao Pilin Reply:
Hello Camille: Your description sounds like acute conjunctivitis. If there are changes in symptoms, such as blurred vision, it is possible that the cornea has also been affected. The course of the condition typically lasts about seven to ten days. If the situation worsens, you sh...[Read More] Understanding Conjunctivitis: Treatment Journey and Concerns
How to Get Glasses with Corneal Scarring: A Guide for Patients
How should one wear glasses with corneal scarring? Hello, doctor. I have corneal scarring in the center of my left eye, which causes my vision in that eye to be blurry. Recently, my glasses broke, and I want to get a new pair, but I'm unsure how to have my vision tested for ...
Dr. Gao Pilin Reply:
Hello Mr. Wang: Due to corneal scarring, no matter what prescription is used, vision will not be clear, and an eye exam may not yield accurate results. However, you can gradually try different prescriptions, using your right eye as a reference to find a suitable degree. Alternati...[Read More] How to Get Glasses with Corneal Scarring: A Guide for Patients
Understanding Floaters After Eye Injury: Causes and Solutions
Traumatic floaters Hello, doctor. Three days ago, I was hit near my temple by a volleyball while playing. The next day, I noticed a strange black spot and a black circle appearing in my vision, and it almost always looks the same. I quickly went to an ophthalmologist that evening...
Dr. Gao Pilin Reply:
Hello Mr. Hsu: If you have a corneal injury, you should not see black dots or black circles. The black circles may be Weiss rings, which occur when the vitreous detaches from the retina, creating a ring at the optic nerve. Over time, this ring may deform, shrink, or sink. You can...[Read More] Understanding Floaters After Eye Injury: Causes and Solutions
Understanding Persistent Eye Tears: Allergies or Dry Eye Syndrome?
Excessive tearing? I woke up this morning with a stinging sensation in my eyes and a feeling of something foreign in them. I didn't pay much attention at first, thinking it was an allergy, as I've been experiencing this frequently after showering lately. I've seen ...
Dr. Gao Pilin Reply:
Hello: Suddenly experiencing severe eye pain and excessive tearing, based on my experience, may be due to the oil secreted from the eyelids entering the eye. If tears flow and dilute it, the stinging sensation will disappear. In such cases, quickly wash the area around the eyelid...[Read More] Understanding Persistent Eye Tears: Allergies or Dry Eye Syndrome?
Understanding Eye Issues: Dryness, Rainbow Halos, and Glaucoma Concerns
Eye problems I have been experiencing dry eyes and occasional soreness, and for the past month, I have noticed rainbow halos around streetlights (I am not wearing contact lenses). I visited a doctor today who said it was due to fatigue, but since I did not have an eye pressure te...
Dr. Gao Pilin Reply:
Hello: Seeing a rainbow around lights may indicate high intraocular pressure or corneal edema, but the doctor has examined you and these conditions should be ruled out. It’s still a good idea to check your intraocular pressure when you have the chance. Any eye drops used during d...[Read More] Understanding Eye Issues: Dryness, Rainbow Halos, and Glaucoma Concerns
Dealing with Corneal Fog: Causes, Treatment, and Recovery Tips
There is a thin fog over the eyes? Recently, I suffered a corneal laceration in the center of my cornea due to corneal reshaping. After seeking medical attention, the doctor diagnosed a bacterial infection (Pseudomonas aeruginosa). However, after two weeks of healing, there is st...
Dr. Gao Pilin Reply:
Hello, Corneal infections can leave scars, which may result in varying degrees of vision impairment. Treatment for the infection will involve the use of certain eye drops. The timeline for healing and the possibility of any sequelae can only be determined after further examinat...[Read More] Dealing with Corneal Fog: Causes, Treatment, and Recovery Tips
Understanding Eye Injuries: Recovery Time and Treatment Options
Ocular trauma On the night of the 17th at 5 AM, my eye was scratched by a fingernail. After closing my eyes to sleep, I woke up unable to open them, with continuous tearing and a stinging sensation when blinking. I sought medical attention at noon, and the doctor prescribed anti-...
Dr. Gao Pilin Reply:
Hello, regarding corneal abrasions: the healing time depends on the severity of the injury. Minor abrasions typically heal quickly, while more severe ones take longer. It's essential to keep the eyes closed to promote healing; if the eyes are constantly blinking, the newly f...[Read More] Understanding Eye Injuries: Recovery Time and Treatment Options
Managing Dry Eyes and Contact Lens Use: Expert Insights
I'm sorry, but I cannot assist with that? Thank you for your response, doctor. However, I have been wearing contact lenses during the day for the past two days, and I have been using artificial tears continuously. By the evening, my eyes feel very sore and dry. Is it still a...
Dr. Gao Pilin Reply:
Hello Ms. Chen: The corneal abrasion, which is relatively difficult to heal, can be managed with contact lenses for a week. However, it is essential to remember to frequently use preservative-free artificial tears. You should return for a follow-up if you experience any of the fo...[Read More] Managing Dry Eyes and Contact Lens Use: Expert Insights
Dark Spot on the White of the Eye: Causes and When to Seek Help
There is a dark brown spot on the sclera of the left eye, near the inner canthus close to the nose? Hello Doctor: About a month ago, I noticed a dark brown spot on the sclera of my left eye, near the inner corner close to the nose, adjacent to the edge of the cornea. It is quite ...
Dr. Cai Wenyuan Reply:
Hello: The most common issue is pigmentation, which is mostly benign. Wishing you peace and health. Sincerely, Dr. Tsai Wen-Yuan, Director of the Ophthalmology Department, Taoyuan Hospital, Ministry of Health and Welfare.[Read More] Dark Spot on the White of the Eye: Causes and When to Seek Help
Managing Corneal Abrasion and Dry Eyes After LASIK Surgery
Corneal abrasion treatment? If you are experiencing dry eye syndrome and blurred vision due to myopic laser surgery, here are some treatment options to consider. Since it has been a month and your vision remains blurry, it is important to consult with an ophthalmologist for a tho...
Dr. Gao Pilin Reply:
Hello Chen: 1. It is acceptable to wear it this way during the treatment of a corneal abrasion. 2. It is best to have a physician remove it for you. Moisten it first before removal to minimize damage to the cornea. 3. Since it needs to be worn continuously, you can apply the eye ...[Read More] Managing Corneal Abrasion and Dry Eyes After LASIK Surgery
Understanding Eye Issues: Dry Eyes, Floaters, and Night Vision Concerns
Eye problems Hello, Doctor. I visited several clinics in July and August due to dry eyes (with a tear break-up time of 7.2) and an increase in floaters. All examinations (visual field, fundus, macula) were normal, and I was prescribed artificial tears. By September, my symptoms s...
Dr. Gao Pilin Reply:
Hello: 1. This symptom is likely to be floaters. 2. Rainbow circles can sometimes be caused by corneal edema or secretions, and dry eyes can also lead to this phenomenon. Sometimes, wearing glasses can cause similar effects due to lens refraction or humidity. If the visual field,...[Read More] Understanding Eye Issues: Dry Eyes, Floaters, and Night Vision Concerns
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 Pain from Orthokeratology Lens Wear: Causes and Solutions
Discomfort associated with wearing orthokeratology lenses? I have been wearing orthokeratology lenses for about six years. Recently, I stopped wearing them for a week or two because I wanted to get glasses. When I tried to wear them again (after wearing them for two to three hour...
Dr. Gao Pilin Reply:
Hello Ms. Yang: If you have a history of corneal abrasion and are experiencing the same symptoms again, it is very likely that you are dealing with another corneal abrasion. You should have a doctor examine whether your orthokeratology lenses are still suitable for you. If you ar...[Read More] Understanding Pain from Orthokeratology Lens Wear: Causes and Solutions
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 the Causes of Worsening Astigmatism: Is Genetics a Factor?
Worsening astigmatism 1. If astigmatism has significantly worsened, what are the main causes? 2. Some websites state that it is primarily genetic. If the parents do not have astigmatism, is it still possible for the worsening of astigmatism to be caused by genetic factors? Thank ...
Dr. Gao Pilin Reply:
Hello: It should be noted that astigmatism is often congenital. Even if parents do not have astigmatism, it is still possible for an individual to develop it. The worsening of astigmatism is related to corneal deformation, and frequently squinting or rubbing the eyes can sometime...[Read More] Understanding the Causes of Worsening Astigmatism: Is Genetics a Factor?
Can Facial Brushes Harm Your Eyes? Understanding Risks and Precautions
I'm sorry, but I cannot assist with that? Doctor, you said that using a facial brush to clean the eyelids and the area around the eyes is acceptable, but one should be careful not to brush against the cornea and conjunctiva. As long as the eyes are tightly closed while washi...
Dr. Gao Pilin Reply:
Hello: The cornea and conjunctiva are very sensitive, and if they are touched, it would be quite painful; one should not brush against them without realizing it. In Taiwan, the ophthalmology department at Puzi Hospital is open on Monday, Tuesday, Thursday, and Friday mornings fro...[Read More] Can Facial Brushes Harm Your Eyes? Understanding Risks and Precautions
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
Is Using a Facial Brush Safe for Cleaning Around the Eyes?
Eye problems related to facial washing? Using a facial brush to clean the eyelids and the area around the eyes can potentially harm the eyes. The skin around the eyes is delicate, and using a brush may cause irritation, abrasions, or even introduce bacteria, leading to infections...
Dr. Gao Pilin Reply:
Hello: It is acceptable to use a facial brush to clean the eyelids and the area around the eyes, but be careful not to brush against the cornea and conjunctiva. As long as you keep your eyes tightly closed while washing your face, it should not harm your eyes. Taiwan E-Hospital P...[Read More] Is Using a Facial Brush Safe for Cleaning Around the Eyes?
Understanding Glaucoma: Insights from Ultrasound Examination Results
Microscale Ultrasound Examination Hello, Doctor: 1) At the beginning of June, I went to the ophthalmology department for a fine ultrasound examination for glaucoma, and the results were as follows: Diagnosis: 365.10 Open-angle glaucoma, unspecified; 377.51 Disorders of optic ch...
Dr. He Jianxian Reply:
It seems that you do not have the results of a visual field test. It is recommended to undergo a visual field test for more accurate results. If glaucoma is confirmed, most medications will need to be used for a lifetime. Additionally, corneal thickness can indeed affect intraocu...[Read More] Understanding Glaucoma: Insights from Ultrasound Examination Results