Understanding Glaucoma Symptoms and Diagnosis: What You Need to Know
Symptoms and Diagnosis of Glaucoma Hello Doctor: Recently, I experienced conjunctival injection in my right eye and visited an ophthalmology clinic. The doctor indicated that there is inflammation present. During the visit, my visual acuity and intraocular pressure were also chec...
Dr. Zhuang Yamin Reply:
Hello, Miss Huang: The measurement of intraocular pressure is typically performed using a non-contact tonometry method (you may feel a puff of air directed at your eye during the measurement). This method can sometimes yield inaccurate results if the patient experiences discomfo...[Read More] Understanding Glaucoma Symptoms and Diagnosis: What You Need to Know
Understanding Keratoconus: When to Consider Rigid Contact Lenses
Keratoconus..? Hello Doctor: I previously asked about keratoconus. I currently have astigmatism of nearly 600 degrees, and after being diagnosed with keratoconus, my doctor has only advised me to wear glasses and has not prescribed rigid gas permeable contact lenses. Does this me...
Dr. Zhuang Yamin Reply:
Hello: The purpose of wearing rigid gas permeable (RGP) contact lenses is not to compress the cornea, but rather to improve the corneal shape for better visual acuity. Initially, mild astigmatism can indeed be corrected with regular glasses or soft contact lenses, but high astigm...[Read More] Understanding Keratoconus: When to Consider Rigid Contact Lenses
Understanding Eyelid Pressure: Effects on Astigmatism and Eye Health
Eyelid pressure Excuse me, doctor. I would like to ask, if I am already an adult at 28 years old, does eyelid pressure refer to the squinting or forcefully closing my eyes causing changes in astigmatism? Will this lead to a significant increase in the degree of astigmatism? Could...
Dr. Zhuang Yamin Reply:
Hello: Examples of astigmatism caused by eyelid pressure affecting vision are mostly seen in children with congenital ptosis. In adulthood, the corneal condition tends to stabilize, and the impact of eyelid pressure is usually temporary, with minimal changes in prescription. Addi...[Read More] Understanding Eyelid Pressure: Effects on Astigmatism and Eye Health
Understanding Myopia, Astigmatism, and Strabismus: Your Questions Answered
Myopia, astigmatism, and strabismus? Hello, doctor: "I'm afraid it still cannot decrease by 100 degrees." Does this mean it is completely impossible to decrease, or is it just "very difficult"? I don't want laser treatment... Is it not possible to de...
Dr. Zhuang Yamin Reply:
Hello: Regarding myopia, the part that has potential for improvement is what is known as "pseudomyopia." Even in adulthood, prolonged near work can still lead to the development of pseudomyopia. To determine the extent of pseudomyopia, it is necessary to perform a dilat...[Read More] Understanding Myopia, Astigmatism, and Strabismus: Your Questions Answered
Impact of Eye Muscle Tension on Eye Health: Risks and Concerns
Muscles around the eyes Does muscle tension around the eyes cause harm to the eyes? Does pressure from the eyelids pose a risk to the eyes? Thank you.
Dr. Zhuang Yamin Reply:
Hello: The sensation of tightness around the eyelid muscles often originates from excessive eye strain, dryness, and fatigue, which can lead to discomfort but typically does not cause permanent damage to the eyeball. However, pressure on the eyelids can exert pressure on the corn...[Read More] Impact of Eye Muscle Tension on Eye Health: Risks and Concerns
Managing Keratoconus: Tips for Eye Care and Prevention
Eye problems~~~~~ Hello Doctor: I was diagnosed with astigmatism at over 200 degrees when I was 20 years old, which progressed to over 400 degrees four years later. Now at 27, it has reached nearly 600 degrees, and I have been diagnosed with keratoconus. I would like to ask the d...
Dr. Zhuang Yamin Reply:
Hello: The primary treatment for keratoconus involves wearing rigid gas permeable contact lenses, which not only improve vision but also help prevent further corneal protrusion. Additionally, some literature suggests that taking "fish oil" may enhance corneal strength a...[Read More] Managing Keratoconus: Tips for Eye Care and Prevention
Managing Anisometropia and Astigmatism: Laser Correction Options
Anisometropia with astigmatism? Hello Doctor: I believe my vision problems stem from poor reading posture during childhood, and I have not corrected this issue for over ten years. I have a significant anisometropia of 300 degrees. I visited an ophthalmologist for an examination t...
Dr. Gao Pilin Reply:
Hello Kelly: For individuals with a disparity of more than 300 diopters between the two eyes, it is generally more challenging to fit glasses, and even with proper fitting, discomfort can occur. There are two solutions: one is to wear contact lenses, and the other is laser correc...[Read More] Managing Anisometropia and Astigmatism: Laser Correction Options
Managing Worsening Astigmatism: Causes, Concerns, and Solutions
Astigmatism? My astigmatism is getting worse year by year, what should I do? Will I go blind? I originally had astigmatism of 2.00, which increased to 4.50 after two years, and then to 6.00 after another year. What should I do? Will I go blind? How can I manage my astigmatism?
Dr. Zhuang Yamin Reply:
Hello: The degree of astigmatism in adults generally does not change significantly. The causes may stem from abnormalities in the curvature of the lens or cornea, with the most common being early-onset cataracts or keratoconus. These issues require diagnostic evaluation through s...[Read More] Managing Worsening Astigmatism: Causes, Concerns, and Solutions
Understanding Marginal Corneal Ulcers: Symptoms and Treatment Options
Marginal corneal ulcer Hello, Doctor Gao: I experience intermittent episodes of eye discomfort on both sides, sometimes affecting all three areas at once. During the onset, my eyes feel sharp pain and redness, accompanied by a white halo. After two to three days, the redness grad...
Dr. Gao Pilin Reply:
Dear Mrs. Chen, If your symptoms are indicative of marginal keratitis (ulcer), it is primarily due to an immune allergic reaction to staphylococcal toxins. When medication is necessary, the main treatments are antibiotics and corticosteroids. To prevent recurrence, it is essenti...[Read More] Understanding Marginal Corneal Ulcers: Symptoms and Treatment Options
Understanding Vision Changes: Dry Eyes and Dynamic Vision Issues
Deterioration of vision? Doctor, I have dry eye syndrome. Recently, I've been feeling a lot of eye fatigue and there are many blood vessels in my eyes. The doctor prescribed me with sodium hyaluronate eye drops, and I have also been doing warm compresses, but I still feel li...
Dr. Zhuang Yamin Reply:
Hello Mr. Chen: Dry eye syndrome often presents with a variety of symptoms, such as fatigue, conjunctival hyperemia, and a burning sensation, which are common phenomena. Additionally, insufficient tear film can lead to unstable visual quality, occasionally resulting in intermitte...[Read More] Understanding Vision Changes: Dry Eyes and Dynamic Vision Issues
Managing Discomfort After Retinal Detachment and Cataract Surgery
Retinal detachment with cataract? 1. My grandmother underwent cataract surgery at a local clinic, but the surgery failed, resulting in a detached retina. She was later referred to Chi Mei Medical Center, where her retina was successfully reattached. 2. Nearly two years later, her...
Dr. Wang Zhangji Reply:
Eye discomfort and pain are primarily caused by surface eye diseases. In addition, elevated intraocular pressure, inflammation of the internal eye structures, or extraocular muscles can also lead to discomfort. It is advisable to seek assistance from multiple cornea specialists a...[Read More] Managing Discomfort After Retinal Detachment and Cataract Surgery
Choosing the Right Contact Lenses: Tips for First-Time Users
Contact lenses Hello, doctor. I would like to ask how to determine which type of contact lenses is suitable for my eyes. I usually wear glasses, and when I wear contact lenses, I sometimes feel like they might fall out when I look down to write or read. I'm not sure if it&#x...
Dr. Zhuang Yamin Reply:
Hello: May I ask whether you are wearing "soft" or "hard" contact lenses? Generally, soft contact lenses conform to the surface of the cornea, so they are less affected by the size and curvature of the eyeball, which should reduce the likelihood of the issues ...[Read More] Choosing the Right Contact Lenses: Tips for First-Time Users
Managing High Myopia: Non-Surgical Solutions and Lutein Benefits
High myopia 1. Doctor, I would like to ask if there are non-surgical methods to reduce my myopia, as my left eye is -600 degrees and my right eye is -550 degrees. Thank you. 2. Since I have dry eye syndrome and am regularly taking lutein, can lutein help prevent the progression...
Dr. Wang Zhangji Reply:
Corneal reshaping therapy can also reduce myopia. The primary use of lutein is not aimed at treating dry eye syndrome or myopia.[Read More] Managing High Myopia: Non-Surgical Solutions and Lutein Benefits
Understanding Post-Surgery Eye Spots: What You Need to Know
Adjustable surgical eye with a large black spot? It has been ten days since my surgery, and I have noticed a dark area near the corner of my eye. I initially thought it would fade away, but it doesn't seem to be improving. The doctor I see is four hours away by car, so I can...
Dr. Zhuang Yamin Reply:
Hello: The black spots near the cornea are mostly coagulation necrosis from electrocautery used during the surgical procedure. Hemostasis is essential in surgery, but the bleeding conditions vary for each individual and each eye, resulting in different levels of hemostatic needs....[Read More] Understanding Post-Surgery Eye Spots: What You Need to Know
Understanding Blurred Vision and Light Sensitivity in Older Adults
Blurred vision, loss of color perception, photophobia? Hello, doctor. The patient is a 69-year-old male with congenital exotropia who needs to read a large volume of text daily for work. In June 2013, he fell and hit his head in his bathroom. Before the decline in vision, he freq...
Dr. Wang Zhangji Reply:
Photophobia is usually associated with issues related to the cornea and conjunctiva, so it is advisable to consult a cornea specialist for treatment. Color vision is more related to the function of the optic nerve, and the potential causes of poor vision are very diverse. It is r...[Read More] Understanding Blurred Vision and Light Sensitivity in Older Adults
Understanding Increasing Eye Prescription: Risks and Concerns
Flash~~~~ Hello, doctor~~ I would like to ask about my astigmatism. My prescription increased from 200 degrees to 500 degrees a while ago. It seems that my astigmatism is not improving. If this continues to worsen, will I eventually go blind?
Dr. He Jianxian Reply:
Hello: Under normal circumstances, astigmatism does not tend to increase significantly. If you notice a continuous increase in your astigmatism, it is recommended that you visit a medical center or a large hospital for a corneal topography examination to determine if there are an...[Read More] Understanding Increasing Eye Prescription: Risks and Concerns
White Spots on the Eye: Causes and Potential Risks Explained
White spots on the sclera? A white spot has appeared on the sclera, and initially, it didn't seem concerning. However, after six months, it appears to have enlarged. Could this be harmful to the eyes?
Dr. Wang Zhishun Reply:
Hello, the appearance of white spots on the sclera is commonly associated with pinguecula (a type of degenerative growth). If it is gradually increasing in size, it is advisable to seek an examination. If it spreads to the cornea, it may affect vision.[Read More] White Spots on the Eye: Causes and Potential Risks Explained
Does Floaters Affect Vision and Cause Astigmatism After LASIK?
Does floaters cause astigmatism? Hello, Doctor He. I would like to ask you about my situation. I underwent LASIK surgery for my myopia ten years ago, but I started experiencing floaters in my right eye two months ago and in my left eye one month ago. Will floaters affect my visio...
Dr. He Jianxian Reply:
Hello: Floaters are generally not related to the degree of myopia or astigmatism. Since your prescription has changed and your corrected vision is unsatisfactory, it is recommended that you return to the facility where you had the laser surgery for further examination to check fo...[Read More] Does Floaters Affect Vision and Cause Astigmatism After LASIK?
Post-Corneal Repair: Addressing Vision Issues and Emotional Support
Corneal suture healing? Hello Doctor: I would like to ask about a patient who sustained an eye injury from being struck by a ball, resulting in a corneal rupture that was sutured at the upper edge, not centrally on the pupil. Currently, two months post-surgery, the best-corrected...
Dr. Wang Yuwei Reply:
You are fortunate that the corneal center was not affected, allowing you to maintain good corrected vision. Whether hard contact lenses are suitable for you should be determined based on the extent of wound healing and the health of the corneal epithelium. Mydriatic agents may ca...[Read More] Post-Corneal Repair: Addressing Vision Issues and Emotional Support
Understanding Blue Light Phenomena in Nighttime Vision: When to Seek Further Eye Care
Seeing blue patches at night during a lantern festival? Hello Doctor, I previously consulted you about seeing a blue light under streetlights when viewed from an upward angle. I later noticed that this phenomenon occurs at various angles, and the blue light does not remain fixed ...
Dr. He Jianxian Reply:
Hello: Basically, since you have already consulted so many doctors, there is no need to worry. Wishing you good health.[Read More] Understanding Blue Light Phenomena in Nighttime Vision: When to Seek Further Eye Care