Diplopia, Ophthalmology FAQ

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Understanding Vitreous Detachment and Its Impact on Vision Distortion

Vitreous traction distorting the retina? Hello Doctor, I would like to ask you the following questions: Due to vitreous traction causing a retinal macular hole, the recent examination showed that it has expanded downward. The doctor mentioned that it might develop into a full-thi...


Dr. Gao Pilin Reply:
Hello: 1. Does the vitreous traction in the right eye require early surgery? If the vitreous traction in the right eye is severe and symptoms such as shadows or vision abnormalities are present, early vitrectomy may be necessary. This can prevent further retinal damage and avoi...

[Read More] Understanding Vitreous Detachment and Its Impact on Vision Distortion


Understanding Steroid Use in Eye Care: Risks and Considerations

Corticosteroids Hello, Doctor. I previously had recurrent styes, and using a regular eye ointment (without steroids) and eye drops helped them disappear in about 4 to 5 days. However, there was one occasion when a stye was particularly large, and after applying treatment for two ...


Dr. Gao Pilin Reply:
Hello: 1. Long-term use of topical corticosteroids and their effects on the eyes: Using a corticosteroid cream for six weeks can indeed have a certain degree of impact on the eyes. Corticosteroids can reduce inflammation, but prolonged use carries a low risk of increasing the c...

[Read More] Understanding Steroid Use in Eye Care: Risks and Considerations


Understanding Diplopia and Astigmatism: Causes and Concerns

Diplopic astigmatism I would like to consult Dr. Gao regarding my astigmatism, which was previously measured at 0.50 and did not seem to cause any significant issues. Recently, I have been experiencing double vision. I previously mentioned that there is a faint line next to the b...


Dr. Gao Pilin Reply:
Hello: Regarding your situation, I understand your concerns. Based on your description, your main issues currently are double vision and changes in astigmatism. First, the degree of astigmatism can change over time, especially during periods of eye strain or visual adjustment. An...

[Read More] Understanding Diplopia and Astigmatism: Causes and Concerns


Understanding Monocular Diplopia: Causes, Diagnosis, and Treatment Options

Monocular diplopia Hello, Director: I apologize for taking up your time! I have been wearing glasses for my myopia for 40 years, with each eye approximately -500 degrees. In early April of this year, I noticed some blurriness in my left eye, and after an examination, my uncorrect...


Dr. Gao Pilin Reply:
Hello: Possible causes of postoperative vertical diplopia include: 1. Refractive issues: Despite having new glasses prescribed after surgery, there may still be some refractive errors that have not been fully corrected, leading to diplopia. This requires further examination by an...

[Read More] Understanding Monocular Diplopia: Causes, Diagnosis, and Treatment Options


Understanding Diplopia: Is Astigmatism the Cause of Your Visual Disturbances?

Diplopia issue (Sequence 208956) I apologize for the inconvenience, but I would like to ask Dr. Gao if astigmatism issues might only arise when looking at specific objects. I have observed that I can only see a faint line next to a very dark straight line; could this be related t...


Dr. Gao Pilin Reply:
Hello: Astigmatism is a common refractive error that occurs when the curvature of the cornea or lens is uneven, causing light to focus improperly on the retina. It typically affects vision, making objects appear blurry or distorted. This phenomenon is particularly noticeable when...

[Read More] Understanding Diplopia: Is Astigmatism the Cause of Your Visual Disturbances?


Understanding Monocular Diplopia: Causes and Effects of Keratoconus

Monocular diplopia Recently, I suddenly experienced monocular diplopia, especially when looking at lights, scrolling text, or objects illuminated by light or sunlight. However, I noticed that simply squinting (without any special effort) makes the diplopia and ghosting disappear....


Dr. Gao Pilin Reply:
Hello: Keratoconus can indeed cause monocular diplopia and ghosting, as it leads to an irregular corneal surface that prevents light from focusing properly, resulting in blurred vision and double vision. However, squinting may temporarily alleviate symptoms. This is because squin...

[Read More] Understanding Monocular Diplopia: Causes and Effects of Keratoconus


Understanding Monocular Diplopia: Causes and Concerns for Eye Health

Monocular diplopia Hello, Dr. Gao. Thank you for your previous response! After researching some information and consulting with my doctor, I still have a few questions I would like to ask: 1. For individuals with congenital amblyopia (approximately +500 diopters in both eyes), i...


Dr. Gao Pilin Reply:
Hello: 1. Individuals with congenital amblyopia may not necessarily have inferior optic nerves compared to those without the condition. Thinning of the optic nerve may be associated with glaucoma, especially if there are signs of nerve fiber thinning, but the condition of the opt...

[Read More] Understanding Monocular Diplopia: Causes and Concerns for Eye Health


Post-Cataract Surgery Discomfort: Insights on Vision Issues and Solutions

Monocular vision & refractive error & postoperative discomfort after cataract surgery? Hello, Director Gao. Below is a summary of my medical history regarding my "right" eye (the left eye is normal): 1. In 2001 (at age 20), I experienced significant distortion ...


Dr. Gao Pilin Reply:
Hello: 1. Poor visual fusion when using both eyes simultaneously may be related to a previous macular issue in your right eye. Problems with the macula can increase sensitivity to disparity, leading to a decline in visual quality when both eyes work together. This condition may...

[Read More] Post-Cataract Surgery Discomfort: Insights on Vision Issues and Solutions


Understanding Visual Disturbances: Glaucoma, Floaters, and Eye Strain

The sensation of light when blinking? Hello, Doctor! I have early-stage glaucoma, floaters, and myopia with a prescription of -5 to -6 diopters along with astigmatism (I have regular check-ups, and my visual field, OCT, and retinal examinations in December all showed normal resul...


Dr. Gao Pilin Reply:
Hello: 1. The phenomenon of seeing white circles resembling eyes after blinking in the dark may be a visual afterimage. A visual afterimage refers to the persistence of a visual impression after the stimulus has been removed. In low light conditions, blinking causes the pupils ...

[Read More] Understanding Visual Disturbances: Glaucoma, Floaters, and Eye Strain


Understanding Monocular Diplopia: Causes and Concerns for Students

Monocular diplopia In recent weeks, I have been experiencing vertical diplopia in both eyes, especially noticeable when looking at bright lights (such as traffic lights, illuminated signs, and TV subtitles). This occurs mostly during the day when viewing well-lit objects. However...


Dr. Gao Pilin Reply:
Hello: Possible causes of monocular diplopia include: 1. Refractive errors: You mentioned that you have felt an increase in myopia over the past few weeks, along with astigmatism, which may lead to refractive errors causing diplopia. Even if you are wearing contact lenses, if the...

[Read More] Understanding Monocular Diplopia: Causes and Concerns for Students


Understanding Double Vision in Children: When to See an Eye Doctor

My daughter sees double vision above the subtitles when watching TV? My 13-year-old daughter, who does not have myopia or astigmatism, mentioned today while watching TV that when she focuses on the "white" subtitles, there are small overlapping shadows above them. She s...


Dr. Cai Wenyuan Reply:
It is recommended to visit an ophthalmology clinic for an examination.

[Read More] Understanding Double Vision in Children: When to See an Eye Doctor


Seeing White as Pink: Understanding Visual Disturbances in Teens

The white turns pink? Hello, doctor. I am 15 years old, and recently when I look at white objects, they appear pink, especially when I look at the sky, which almost looks entirely pink. I have a history of floaters and double vision. Could this be related?


Dr. He Jianxian Reply:
Hello Mr. M: I have not encountered the phenomenon of white turning pink in clinical practice. As for floaters and diplopia, they theoretically should not affect color perception. Director He Jianxian, Ophthalmology Department, Nantou Hospital.

[Read More] Seeing White as Pink: Understanding Visual Disturbances in Teens


Can Using One Eye for Reading Help with Strabismus Issues?

Strabismus. Reading or using the computer with only one eye? Hello, doctor. Four years ago, I started experiencing double vision when looking at close objects, such as reading or using my phone, especially when reading text. However, I can exert some effort to fuse the images bac...


Dr. Gao Pilin Reply:
Hello: The symptoms of diplopia you described may be related to your latent exotropia. Generally, wearing prisms for strabismus correction is a common approach. However, you mentioned feeling uncomfortable when wearing the prisms, which may indicate poor adaptation to this correc...

[Read More] Can Using One Eye for Reading Help with Strabismus Issues?


Post-Car Accident Subarachnoid Hemorrhage: Vision Issues and Surgery Options

Subarachnoid hemorrhage due to a car accident resulting in re-examination? I was involved in a car accident on June 17 of this year, which resulted in subarachnoid hemorrhage. It has been five months, but my vision has not improved. After being discharged, I have had monthly foll...


Dr. Gao Pilin Reply:
Hello: To apply for disability assistance, an assessment of vision or visual field is required. Please inquire at the organization where you wish to apply for disability assistance about the eligibility criteria and request the necessary documentation to be filled out by an ophth...

[Read More] Post-Car Accident Subarachnoid Hemorrhage: Vision Issues and Surgery Options


Post-Car Accident Subarachnoid Hemorrhage: Vision Issues and Surgery Risks

Subarachnoid hemorrhage due to a car accident resulting in re-examination? I was involved in a car accident on June 17 of this year, which resulted in subarachnoid hemorrhage. It has been five months, but my vision has not improved. After being discharged, I have been attending f...


Dr. Gao Pilin Reply:
Hello: To apply for disability assistance, an assessment of vision or visual field is required. Please inquire at the organization where you wish to apply for disability assistance about the eligibility criteria and request the necessary documentation to be filled out by an ophth...

[Read More] Post-Car Accident Subarachnoid Hemorrhage: Vision Issues and Surgery Risks


Understanding Monocular Diplopia: Causes and Solutions for Eye Fatigue

Inquiry about diplopia? Hello Doctor, I would like to ask about an issue I've been experiencing recently. At night, when I look at bright lights with my right eye, I see afterimages. Could this be due to eye fatigue causing monocular diplopia? I don't notice afterimages...


Dr. Gao Pilin Reply:
Hello: First, you mentioned that your astigmatism is 375, which is considered a relatively high degree of astigmatism. Even when wearing corrective lenses, you may still experience ghosting at times, especially under certain lighting conditions, which can be normal. However, ghos...

[Read More] Understanding Monocular Diplopia: Causes and Solutions for Eye Fatigue


Understanding and Managing Double Vision: Causes and Solutions

Diplopia Hello Doctor, I am currently experiencing double vision, specifically with the left upper and right lower images overlapping (sometimes accompanied by slight throbbing pain in the left forehead). I have visited an ophthalmology clinic and undergone CT and MRI scans at Ka...


Dr. Gao Pilin Reply:
Hello: Sometimes, diplopia may persist for several weeks to months, or even longer, for the following reasons: 1. The causes of diplopia can be various eye issues, such as ocular muscle problems or optic nerve issues. The recovery time will vary depending on the underlying cause....

[Read More] Understanding and Managing Double Vision: Causes and Solutions


Understanding Strabismus: Symptoms, Causes, and When to Seek Help

Strabismus issues? I have high myopia, with both eyes around -700. Recently, I noticed that when I relax and remove my glasses, I see double when looking at my fingers at a distance of about 15 to 30 centimeters. However, when I look with one eye, I do not experience this. I aske...


Dr. Gao Pilin Reply:
Hello: Based on your description, there may be several issues: 1. Diplopia: Seeing two fingers while relaxed is a normal phenomenon, as your eyes are focused on a distance, causing nearby objects to appear double. 2. Focusing issues: You mentioned difficulty maintaining focus on ...

[Read More] Understanding Strabismus: Symptoms, Causes, and When to Seek Help


Can You Apply for Disability Due to Monocular Diplopia?

Can monocular diplopia qualify for disability benefits? Three years ago, I experienced a brainstem hemorrhage, which resulted in double vision in my left eye (the right eye is normal). I need to close one eye to see clearly when looking at screens or reading books and numbers. I ...


Dr. Gao Pilin Reply:
Hello: I apologize, but according to current regulations, visual impairment is not eligible for application. You may inquire with the Rehabilitation Department or Neurology Department to see if it is possible.

[Read More] Can You Apply for Disability Due to Monocular Diplopia?


Understanding Strabismus and Diplopia: A 23-Year-Old's Inquiry

Inquiry about strabismus and diplopia issues? I am currently 23 years old and did not have any strabismus issues before high school. I am a bit confused about the difference between diplopia and strabismus, which is why I am inquiring. I have heard from family members that I may ...


Dr. Gao Pilin Reply:
Hello: Diplopia is a visual problem where you may see a single object as two, which can result in overlapping or unclear images. Based on your description, you may be experiencing binocular diplopia. Monocular diplopia refers to seeing overlapping shadows with one eye covered, wh...

[Read More] Understanding Strabismus and Diplopia: A 23-Year-Old's Inquiry


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