Understanding Keratoconus: Symptoms, Diagnosis, and Management Options
Keratoconus Hello, doctor. I am 20 years old and have had astigmatism and myopia since I was 7. In December 2012, I suffered a left eye contusion due to a car accident, which resulted in a laceration and bleeding of the eyelid. After suturing and a month of recovery, I thought th...
Dr. Gao Pilin Reply:
Dear Student Ma, 1. Keratoconus, although not very common, is not classified as a rare disease. 2. The initial symptoms of keratoconus include deteriorating vision and increased astigmatism, which can sometimes be mistaken for severe astigmatism. Therefore, high levels of astigm...[Read More] Understanding Keratoconus: Symptoms, Diagnosis, and Management Options
Understanding Dry Eye Syndrome: Causes of Pain and Redness Despite Tears
Dry Eye Syndrome? Doctor, I am a patient with dry eye syndrome. Why do I have a small amount of tears in my eyes, yet still experience pain and have bloodshot eyes?
Dr. Zhuang Yamin Reply:
Dear Ziping, Hello! The so-called "dry eye syndrome" does not mean that the eyes are completely dry and devoid of moisture! Simply put, there are many types of tears secreted by the eyes, such as tears produced when crying, or those that flow out in response to irritat...[Read More] Understanding Dry Eye Syndrome: Causes of Pain and Redness Despite Tears
Understanding Glaucoma: Managing Fear and Eye Health
Fear of Glaucoma Hello, doctor. Last time I asked you about glaucoma issues, and last week I successfully went to Cathay General Hospital in Taipei for a visual field test. The doctor responded that both eyes are normal. The optical coherence tomography showed that the left eye&#...
Dr. He Jianxian Reply:
Hello: Your test results appear to be quite normal. A follow-up every six months is definitely sufficient, and there is no need for any supplements. Basically, you don't need to worry. Wishing you good health and peace.[Read More] Understanding Glaucoma: Managing Fear and Eye Health
Understanding Glaucoma: What Do Rainbow Halos Around Lights Mean?
Glaucoma halos The halos seen in glaucoma can appear as rainbow-colored rings around lights. If you are experiencing severe eye pain accompanied by nausea and seeing halos around streetlights, it is important to seek medical attention promptly, as these could be symptoms of acute...
Dr. Zhuang Yamin Reply:
Dear "Handsome," Hello! The halos seen in glaucoma are very similar to what you described. Due to elevated intraocular pressure leading to corneal edema, you may see a ring of light around light sources. Additionally, the symptom of "eye pain so severe it makes y...[Read More] Understanding Glaucoma: What Do Rainbow Halos Around Lights Mean?
Understanding Laser Surgery for Myopia and Presbyopia: What to Expect
Regarding laser surgery for myopia and presbyopia? Hello Dr. Chuang: Recently, I heard a radio advertisement about laser surgery for myopia and presbyopia. Myopia can be corrected with laser treatment, but presbyopia tends to change with age, requiring different prescriptions for...
Dr. Zhuang Yamin Reply:
Dear Ya-Ya, Currently, the laser surgery for myopia and presbyopia typically involves correcting one eye for distance vision and the other eye for near vision. This way, when both eyes are open, one can see near and the other can see far, allowing for both distances to be percei...[Read More] Understanding Laser Surgery for Myopia and Presbyopia: What to Expect
Understanding Variations in Corneal Endothelial Cell Counts: What You Need to Know
Corneal endothelial cell count Hello Doctor: Two weeks ago, I went to the hospital to measure my corneal endothelial cell count. The left eye had 2,358 cells, and the right eye had 3,025 cells (the report was in color). I was a bit concerned about the left eye, so today I went to...
Dr. Gao Pilin Reply:
The number of corneal endothelial cells in newborn infants is approximately 4,000 per square millimeter, but this number decreases with age. In general, adults under 40 years old should have a normal corneal endothelial cell count ranging from 2,900 to 3,000 cells. However, many ...[Read More] Understanding Variations in Corneal Endothelial Cell Counts: What You Need to Know
Understanding Myopia Progression: Tips for College Students
Worsening myopia? Hello doctor, I am 19 years old. Last year, my myopia was -3.00 (which hasn't changed in the past three years) and -5.00 (which worsens every year). I originally thought that my vision would stabilize after reaching adulthood, but since starting college and...
Dr. Zhuang Yamin Reply:
Dear Ting-Ting, Generally speaking, after the age of 18, the refractive status of the cornea tends to stabilize, and the prescription will be more consistent. However, if there is prolonged near work, it is still possible to experience symptoms similar to pseudomyopia. Whether u...[Read More] Understanding Myopia Progression: Tips for College Students
Uneven Eye White Color: Causes and Solutions for Eye Discomfort
The sclera of the two eyes is different in color? Hello Doctor: Due to my high myopia and work requirements, I have to wear contact lenses. I have been accustomed to wearing them for many years. However, recently I have been experiencing some discharge from my eyes (perhaps eye m...
Dr. Wang Yuwei Reply:
Prolonged use of contact lenses can lead to complications such as conjunctivitis, dry eye syndrome, and corneal infections. Therefore, please seek a nearby ophthalmologist for diagnosis and treatment.[Read More] Uneven Eye White Color: Causes and Solutions for Eye Discomfort
Understanding Corneal Abnormalities in Children: A Mother's Concern
Pediatric corneal abnormalities Hello Doctor: An ophthalmologist recently discovered small bubble-like spots on my 8-year-old son's left cornea. During an examination of the endothelial cell count, it was found that there are approximately 2300 cells in the left eye and abou...
Dr. Gao Pilin Reply:
Hello: The number of corneal endothelial cells in newborns is approximately 4,000 per square millimeter, but this number decreases with age. In general, adults under 40 years old should have a normal corneal endothelial cell count ranging from 2,900 to 3,000. However, many indivi...[Read More] Understanding Corneal Abnormalities in Children: A Mother's Concern
Understanding Dry Eye Symptoms Linked to Accutane: A Patient's Journey
Accutane (isotretinoin) can cause dry eye symptoms? Hello, doctor. I have dry eye symptoms, so I can only wear contact lenses for a maximum of three hours. I found out that there are specialized treatments for dry eye patients in the U.S., specifically custom scleral lenses. Thes...
Dr. Wang Zhangji Reply:
The primary function of scleral lenses is not to treat dry eye syndrome. Accutane may cause dry eyes and can also lead to optic nerve damage. Regardless of which part is affected, an ophthalmologist should be capable of distinguishing the issues.[Read More] Understanding Dry Eye Symptoms Linked to Accutane: A Patient's Journey
Is It Safe to Apply Lin-Derlong V Ointment on the Eyes?
Lin-Derlong-V ointment should not be applied to the eyes? Applying "Lingde Long-V ointment" to the eyes may cause irritation or other adverse effects, as this medication is not intended for ophthalmic use. If the ointment comes into contact with the eyes, it is importan...
Dr. Zhuang Yamin Reply:
Dear "Dongdong": I apologize for the delayed response due to the holiday season and hope I can still be of assistance. If the ointment you mentioned is not an ophthalmic medication, it may cause irritation to the cornea or conjunctiva due to factors such as pH levels, l...[Read More] Is It Safe to Apply Lin-Derlong V Ointment on the Eyes?
Understanding Vision Changes After LASIK Surgery: What to Expect
Regarding vision after myopia laser surgery? Hello, doctor. Before my laser surgery for myopia, my left eye had a prescription of -500 degrees and my right eye -250 degrees. After the surgery, my left eye's vision is 0.9 and my right eye's vision is 1.2. Is this differe...
Dr. Gao Pilin Reply:
Hello: Postoperative vision and refractive error are not necessarily inversely proportional. It does not mean that a lower refractive error guarantees better vision. After surgery, a visual acuity of 0.9 in the left eye and 1.2 in the right eye falls within the normal range of va...[Read More] Understanding Vision Changes After LASIK Surgery: What to Expect
Can Natural Birth Be Safe for Pregnant Women with Corneal Scarring?
Can a person with a scar on the cornea have a natural birth during pregnancy? Hello, Doctor: I would like to ask about my situation. I had a laceration of the eyelid from a car accident 12 years ago, and since I did not have the eyelid repaired at that time, it has resulted in in...
Dr. Wang Yuwei Reply:
Based on your description, it appears to be a laceration of the eyelid, with no corneal injury. The scarring is due to poor eyelid closure, so you can be assured that a natural delivery is safe. Wishing you and your baby good health and a smooth delivery![Read More] Can Natural Birth Be Safe for Pregnant Women with Corneal Scarring?
Post-Scleral Buckling Surgery: Can I Wear Contact Lenses?
Scleral buckle surgery Hello Doctor, I have undergone scleral buckle surgery for retinal detachment in my left eye 40 days ago. At the time of diagnosis, the macula was not affected, so my current corrected vision is 1.0. However, I still notice that the white part of my left eye...
Dr. He Jianxian Reply:
Hello: Since it has been 40 days, the surface wound has mostly healed, and wearing contact lenses should not be an issue, although wearing them for extended periods may not be ideal. Additionally, the impact of working as a flight attendant on this condition should be manageable,...[Read More] Post-Scleral Buckling Surgery: Can I Wear Contact Lenses?
Why Do My Eyes Feel Dry Upon Waking? Understanding Morning Dryness
Dry eyes upon waking? Hello, Dr. Gao: I apologize for the interruption during your busy schedule. I would like to ask you the following questions: 1. If I have had corneal abrasions in the past (approximately two occurrences this year, which have healed without scarring), could...
Dr. Gao Pilin Reply:
Hello: When sleeping, the eyelids are closed and do not blink, which prevents tears from spreading across the entire surface of the eye. Sometimes, the eyelids do not close completely, leading to increased evaporation of moisture from the eyes, even without air conditioning. If t...[Read More] Why Do My Eyes Feel Dry Upon Waking? Understanding Morning Dryness
Can Eye Fatigue Increase Intraocular Pressure? Understanding the Connection
Intraocular pressure issues? Due to my work, I have been using the computer at close range for an extended period. Additionally, I have nasal allergies, and whenever I feel fatigued, my eyes become inflamed. In the past week or two, due to the eye inflammation, my doctor prescrib...
Dr. Wang Zhangji Reply:
Glaucoma is not diagnosed solely based on intraocular pressure. Some individuals may have inherently high eye pressure but do not necessarily have glaucoma. The optic nerve head is one of the examinations used in the diagnosis. For a more detailed assessment, additional tests suc...[Read More] Can Eye Fatigue Increase Intraocular Pressure? Understanding the Connection
Understanding Retinal Issues in High Myopia: Symptoms and Treatments
Retinal issues Hello doctor, I am a patient with high myopia, and I have a few questions I would like to ask. 1. When I look straight ahead with my right eye alone, I notice that vehicles approaching from the right side, around the 1 to 2 o'clock position, seem to disappea...
Dr. Wang Zhishun Reply:
1. It is recommended that you have your retina examined as soon as possible. 2. In addition to intraocular pressure, you should also consider issues related to the conjunctiva and cornea. 3. It is advisable to maintain good vision care (similar to that of children) and suppleme...[Read More] Understanding Retinal Issues in High Myopia: Symptoms and Treatments
Persistent Corneal Erosion: Seeking Solutions for Ongoing Eye Pain
Recurrent corneal erosion? Hello, Doctor. When I was five months pregnant, I suddenly experienced eye pain. After an examination, I was diagnosed with a corneal abrasion. On average, I would experience pain once a month. Due to my pregnancy, I did not undergo any other treatments...
Dr. Gao Pilin Reply:
Hello: Based on your description of the condition, it appears to be recurrent corneal erosion. This occurs when the epithelium of the cornea is damaged (corneal abrasion), and the regeneration of the epithelium does not adhere tightly enough to the basement membrane and Bowman&#x...[Read More] Persistent Corneal Erosion: Seeking Solutions for Ongoing Eye Pain
Understanding Corneal Abrasions: Causes, Treatment, and Prevention
Corneal abrasion Dear Dr. Gao, I apologize for the interruption during your busy schedule. I would like to ask a couple of questions: 1. I previously read a book called "Matsuzaki Vision Improvement Method," which mentioned a 15-point eye exercise routine that involve...
Dr. Gao Pilin Reply:
Hello: 1. The Matsuzaki vision enhancement method should primarily train the six extraocular muscles responsible for eye movement. Myopia is caused by an increase in the axial length of the eyeball. I believe that appropriate eye exercises can provide rest for the eyes, but I r...[Read More] Understanding Corneal Abrasions: Causes, Treatment, and Prevention
Can Amblyopia Be Treated in a 15-Year-Old? Effective Solutions Explored
How to treat amblyopia? The 15-year-old child has amblyopia with a corrected visual acuity of only 0.6. Are there any treatment options available?
Dr. Qiu Hanqing Reply:
Thank you for your hard work! Diseases of the cornea, lens, and retina can also cause blurred vision. Therefore, if visual acuity is only 0.6, we must first conduct a thorough examination to establish a diagnosis before providing appropriate treatment. If the diagnosis is amblyop...[Read More] Can Amblyopia Be Treated in a 15-Year-Old? Effective Solutions Explored