Understanding Amblyopia: Concerns and Progress in Children's Vision Treatment
Amblyopia Dr. Wu: Hello, my child was diagnosed with severe amblyopia in one eye (around 1400 degrees) at the age of four years and eleven months. We have been patching the eye every day from 8:00 AM to 9:00 PM (six days a week, with one day without glasses and no patching). On S...
Dr. Liu Jingxian Reply:
Dear Concerned Mother, What is "amblyopia"? Amblyopia refers to a condition where, after the normal developmental period of the eyes, one or both eyes cannot achieve the best corrected visual acuity of 0.8 or above with glasses, despite the absence of any pathological ...[Read More] Understanding Amblyopia: Concerns and Progress in Children's Vision Treatment
Understanding Retrograde Neurotherapy for Amblyopia Treatment in Children
What is retrograde neurotherapy? My 6.5-year-old daughter was diagnosed with amblyopia in her left eye (combined with hyperopia of +1.25 diopters and astigmatism of +2.25 diopters) during a vision screening at her kindergarten four months ago. Her right eye is normal. Currently, ...
Dr. Liu Jingxian Reply:
Hello, Mrs. Tsai: The mechanism of "amblyopia" involves the process of visual development, where the eyes and the visual cortex need to receive adequate light and visual stimulation to develop properly. When light enters the eye, it is refracted by the cornea, lens, an...[Read More] Understanding Retrograde Neurotherapy for Amblyopia Treatment in Children
Managing Keratoconus, Uveitis, and Amblyopia: Challenges and Solutions
Keratoconus, uveitis, amblyopia? A family member has severe keratoconus and underwent a corneal transplant in the right eye two years ago. However, due to accompanying severe amblyopia, the vision in the right eye has not improved, with the best-corrected visual acuity measured a...
Dr. Ke Meilan Reply:
Dear Netizen: 1. After corneal transplantation, using laser treatment to improve astigmatism carries a high risk and requires thorough evaluation. 2. With uveitis in the left eye, the transplanted cornea is more likely to fail; it is necessary to wait for the inflammation to s...[Read More] Managing Keratoconus, Uveitis, and Amblyopia: Challenges and Solutions
How to Safely Remove a Stuck Contact Lens After Eye Injury
Unable to remove contact lenses? Hello Dr. Wang, I sustained an impact to the area around my right eye while playing basketball. After applying ice, I have the following symptoms: 1. Swelling and redness of the lower eyelid, 2. My contact lens has become dislodged and I cannot re...
Dr. Wang Zhangji Reply:
Hello: The redness of the lower eyelid is caused by trauma. In outpatient clinics, we often encounter patients who complain that they cannot remove their contact lenses. Upon examination, it is found that in most cases, the contact lenses are no longer present; instead, the corne...[Read More] How to Safely Remove a Stuck Contact Lens After Eye Injury
Understanding Corneal Inflammation: Risks and Treatment Options
Keratitis Hello Doctor: Recently, my eyes have been filled with blood vessels, and I am sensitive to light and experiencing foreign body sensations. When I consulted a doctor, they said I have corneal inflammation, and the blood vessels are extending towards the center of my corn...
Dr. Zhang Yanrui Reply:
Are you referring to contact lenses? Typically, the presence of neovascularization indicates that you have been wearing them for too long or that the contact lenses have poor oxygen permeability. If the blood vessels grow into the center of the cornea, it can lead to the death of...[Read More] Understanding Corneal Inflammation: Risks and Treatment Options
Understanding Rapid Vision Changes: Causes and Treatment Options
The eyes are tearing, vision is becoming increasingly blurred, and there is a feeling of approaching blindness? A week before I enlisted, I went to get glasses, and my refractive error was measured at 150 degrees. Now, just two months later, my vision feels increasingly blurry, t...
Dr. Ke Meilan Reply:
Hello: During your vacation, please take the opportunity to get a corneal topography done at the hospital. If it is confirmed to be keratoconus (and astigmatism exceeds 400 degrees), please have the doctor issue a certificate. Following that, proceed gradually according to nation...[Read More] Understanding Rapid Vision Changes: Causes and Treatment Options
Understanding Eye Pain and Discomfort: Causes and Solutions
Eye pressure and pain? Hello, I have significant astigmatism in both eyes, approximately 300 degrees. I have been wearing contact lenses for a long time, but recently my eyes have been experiencing pressure, pain, and a foreign body sensation. After consulting a doctor, I was tol...
Dr. Feng Jiefan Reply:
Hello: Long-term use of contact lenses can lead to allergic conjunctivitis, which I believe your doctor has managed for you. Additionally, prolonged contact lens wear can cause dry eye syndrome, and the symptoms of dry eye can lead to corneal erosion, resulting in a foreign body ...[Read More] Understanding Eye Pain and Discomfort: Causes and Solutions
Understanding Laser Eye Surgery: Options, Risks, and Costs
About laser surgery? Hello, I have a prescription of -1075 diopters in both eyes. However, I feel very uncomfortable wearing glasses, so I have been using soft contact lenses. Unfortunately, my eyes become easily fatigued and dry, and I experience some temporary discomfort with e...
Dr. Zhang Yanrui Reply:
Based on your prescription, you are indeed a suitable candidate for laser surgery for myopia, but it is essential to confirm that your corneal thickness is sufficient to accommodate such a degree of correction. Currently, the success rate of laser surgery for myopia is extremely ...[Read More] Understanding Laser Eye Surgery: Options, Risks, and Costs
Understanding Floaters: Are They Related to Corneal Reshaping?
Is it floaters? Doctor, I recently noticed that when I look at reflective surfaces (or the computer screen), I see "small light spots" moving across my peripheral vision. If I deliberately look at a large bright area (like the sky), I can see many small light spots movi...
Dr. Liu Jingxian Reply:
Dear Concerned Fish, Regarding your question, here are the answers: 1. As shown in the image, there is a transparent structure inside the eyeball (which occupies 4/5 of the eyeball's volume) known as the "vitreous body." 2. With age or in cases of high myopia, th...[Read More] Understanding Floaters: Are They Related to Corneal Reshaping?
Understanding Astigmatism in Children: Treatment Options and Recommendations
Astigmatism in children A 5.5-year-old child has astigmatism of 150 degrees in one eye and 175 degrees in the other eye (no myopia). The uncorrected visual acuity is 0.6 and 0.7, while corrected visual acuity is 1.0. Dr. A recommends glasses for amblyopia correction, Dr. B sugges...
Dr. Liu Jingxian Reply:
Dear Concerned Mother, Regarding your questions, here are the answers: 1. The developmental process of children's vision follows certain "vision milestones": - At age 3: 0.5 - At age 4: 0.6 - At age 5: 0.7 - At age 6: 0.8 If a child's best-cor...[Read More] Understanding Astigmatism in Children: Treatment Options and Recommendations
Understanding High Astigmatism: My Eye Care Journey and Concerns
My high astigmatism? Hello, doctor: I got my current pair of glasses at the end of last year. At that time, the equipment measured my astigmatism to be over 700 degrees, and the optometrist suggested that I see an ophthalmologist for a check-up before getting glasses. When I visi...
Dr. Liu Jingxian Reply:
Hello Feng-Zai, Your question is actually not straightforward and may require the use of some instruments to obtain a result. Based on your description, there is insufficient information to provide a conclusion. I also recommend visiting a larger hospital and consulting with a ...[Read More] Understanding High Astigmatism: My Eye Care Journey and Concerns
Understanding Vascular Proliferation Risks from Contact Lens Use
Vascular proliferation Hello, Director Ke. I would like to ask about the issue of neovascularization related to wearing contact lenses. Is it true that anyone who wears contact lenses will experience this problem to some extent, or is it not necessarily the case for everyone? (I ...
Dr. Ke Meilan Reply:
Hello: 1. Not everyone will experience neovascularization; if one wears contact lenses for no more than 10 hours a day and frequently replaces them, maintaining better oxygen permeability, neovascularization is unlikely to occur. 2. Neovascularization typically develops due to ch...[Read More] Understanding Vascular Proliferation Risks from Contact Lens Use
Effective Treatments for Dry Eye Syndrome: Beyond Artificial Tears
Vision problems I am experiencing stinging in my eyes, tearing, and blurred vision. After an examination, the doctor diagnosed me with dry eye syndrome and prescribed artificial tears and a moisturizing solution, but I still experience stinging and tearing. Are there any better t...
Dr. Lin Zhengyi Reply:
Hello! The tear film on the surface of the eye is primarily composed of three layers: the outermost lipid layer, the middle aqueous layer, and the innermost mucin layer. Generally, dry eye syndrome refers to insufficient secretion of the aqueous layer. Tear secretion includes bot...[Read More] Effective Treatments for Dry Eye Syndrome: Beyond Artificial Tears
Common Concerns About Contact Lenses and Laser Eye Surgery
Questions about contact lenses? I recently started wearing contact lenses, and besides feeling like there's something small in my eye, which the optician said is normal at first, I have some questions. Since I have soft lenses, I had to spend some time checking which side is...
Dr. Zhang Yanrui Reply:
Wearing contact lenses inside out will still provide clear vision, but they may feel less comfortable and can often pop out with a blink, which indicates they are reversed. Aside from that, there are typically no adverse effects. Your degree of myopia is not too severe, so underg...[Read More] Common Concerns About Contact Lenses and Laser Eye Surgery
Understanding Corneal Reshaping Surgery for Myopia: Costs and Recovery
Myopia correction surgery I am nearsighted with approximately -4.20 diopters and have previously undergone double eyelid surgery. I am considering orthokeratology. Could you please provide information on the following: 1. Does Taipei Medical University Hospital currently perform ...
Dr. Zhang Yanrui Reply:
The corneal reshaping procedure takes approximately one minute, but the pre-operative preparation requires about half an hour or more. Recovery is quick, and most patients are able to walk home immediately after the surgery. Currently, the Taipei City Hospital Yangming Branch has...[Read More] Understanding Corneal Reshaping Surgery for Myopia: Costs and Recovery
Understanding Keratoconus: Symptoms, Treatment, and Daily Lens Use
Keratoconus I recently had an examination and was diagnosed with keratoconus. I am wearing rigid gas permeable contact lenses for correction. How long should I wear them each day for optimal results? The hospital only advised wearing them from morning until evening, but sometimes...
Dr. Ke Meilan Reply:
Hello, 1. Itching may indicate that the lenses are not cleaned properly or that the patient has conjunctivitis that needs treatment. 2. There are no specific precautions to note. 3. Corneal curvature still needs to be monitored. Sincerely, Dr. Mei-Lan Ke, Ophthalmology Depa...[Read More] Understanding Keratoconus: Symptoms, Treatment, and Daily Lens Use
Why Is My Vision Blurry Despite Normal Eye Exam Results?
All eye examinations are normal, so why is vision still blurry? Hello Doctor: I had laser vision correction about six months ago, but in the past few weeks, I've suddenly experienced blurred vision in my left eye, with uncorrected vision dropping to 0.4. Both distant and nea...
Dr. Feng Jiefan Reply:
Hello: Your issue is quite complex and should be addressed by a well-funded ophthalmology department for a detailed examination. For good vision, the structure of the eyeball must be normal, the optic nerve must function properly, and the visual center in the brain must also be i...[Read More] Why Is My Vision Blurry Despite Normal Eye Exam Results?
Are Bi-Weekly Contact Lenses Safe for Long-Term Use? Expert Insights
Wearing weekly disposable contact lenses for an extended period can have adverse effects on the eyes. Prolonged use may lead to complications such as dry eyes, irritation, increased risk of infections, and potential corneal damage. It is essential to follow the recommended wearin...
Dr. Wang Zhangji Reply:
Hello: When comparing disposable contact lenses with extended wear lenses, disposable lenses are certainly cleaner and more convenient. However, when compared to traditional glasses, they still have more disadvantages, such as hypoxia and allergies. Sincerely, Dr. Wang Zhang-ji, ...[Read More] Are Bi-Weekly Contact Lenses Safe for Long-Term Use? Expert Insights
Understanding Corneal Abrasions: Care Tips and Recovery Time
Corneal abrasion? Hello, Doctor. Recently, I accidentally scratched my cornea while moving boxes and have already visited the hospital. I was prescribed medication for two days, along with eye drops and ointment. What else should I pay attention to? Are there any foods I should a...
Dr. Feng Jiefan Reply:
Hello, in general, superficial corneal injuries can heal on their own unless the area is very large or there is a chemical burn from acids or alkalis. With careful management, most cases can recover. Medications are provided to support epithelial growth and prevent secondary infe...[Read More] Understanding Corneal Abrasions: Care Tips and Recovery Time
Am I Suffering from Glaucoma? Understanding Symptoms and Risks
Do I have glaucoma? I am 18 years old and have approximately 600 degrees of myopia. About six months ago, I went for an eye examination, and the doctor mentioned that my intraocular pressure was slightly elevated (I forgot the exact value). Sometimes I experience eye pain in both...
Dr. Ke Meilan Reply:
Hello: Student Lin's eye pain may be a symptom of glaucoma, but it is not necessarily glaucoma. Elevated intraocular pressure does not always require medication; however, if it exceeds 28 mm Hg, treatment is recommended. It is also essential to assess corneal thickness and m...[Read More] Am I Suffering from Glaucoma? Understanding Symptoms and Risks