Understanding Diplopia: When to Consider Surgery and Treatment Options
Diplopia issues (Supplementary Question #103696) Hello Dr. Wang, thank you for taking the time to respond. I am the person who asked question #103696. I apologize for asking again, but if I still experience double vision after six months, can I undergo surgery again? Are there ot...
Dr. Wang Zhishun Reply:
Hello, if you still experience difficulties when looking down (such as reading books or newspapers), you might consider further correction. Surgery is not the only option; alternatives such as prism glasses or Botox injections may also be effective.[Read More] Understanding Diplopia: When to Consider Surgery and Treatment Options
Understanding Eye Issues in Seniors: Symptoms and Causes
Eye problems in the elderly? Hello Doctor, I am trying to identify the eye issues my grandfather is experiencing. For the past few days, he has felt as if there is a thin film over his vision, and when watching television, he perceives characters as having double vision (one pers...
Dr. Wang Zhangji Reply:
To determine if there are any effects caused by hypertension, a fundus examination is necessary. If the symptoms do not improve, further detailed examination is recommended.[Read More] Understanding Eye Issues in Seniors: Symptoms and Causes
Anesthesia Options for Strabismus Surgery in Elderly Patients
Strabismus surgery can be performed under general anesthesia or local anesthesia? Hello Dr. Wang: My mother is 76 years old and is suspected to have exotropia due to poorly controlled diabetes, currently experiencing double vision. She has been observed for about two years withou...
Dr. Wang Zhishun Reply:
Hello: Generally, elderly patients should receive local anesthesia unless there are special circumstances. Especially for elderly individuals with diabetes, the risks associated with general anesthesia are higher. If there are concerns about pain or anxiety, mild oral sedatives c...[Read More] Anesthesia Options for Strabismus Surgery in Elderly Patients
Understanding Your Eye Discomfort: Symptoms and Possible Causes
Eye discomfort? Hello Doctor, I have the following symptoms: my eyes feel hot, itchy, and dry; sometimes I feel like there is a white film over my eyes, which makes me want to blink frequently (or I feel like my vision is blurry). At times, I find that everything appears too brig...
Dr. Gao Pilin Reply:
Hello, regarding your symptoms: dry and itchy eyes with a white layer may indicate dryness or could be caused by an infection or inflammation. The presence of floaters could be due to vitreous degeneration, commonly known as floaters syndrome. The causes of double vision are more...[Read More] Understanding Your Eye Discomfort: Symptoms and Possible Causes
Can Distorted Vision and Double Vision Improve After Retinal Surgery?
After retinal detachment surgery, visual distortion and deformation may occur? I have experienced two retinal detachments in my right eye, which affected the macula, and I have undergone several gas tamponade procedures, one silicone oil tamponade surgery, and multiple laser trea...
Dr. Wang Zhishun Reply:
Hello, the visual distortion caused by retinal detachment can be assessed for recovery approximately six months later. If recovery does not occur, the patient will need to gradually adapt.[Read More] Can Distorted Vision and Double Vision Improve After Retinal Surgery?
Double Vision: Understanding Retinal Issues and Eye Health
Seeing double images of objects? Seeing double images when using both eyes but having normal vision with one eye may indicate an issue with binocular vision or alignment, rather than a problem with the retina itself. This condition is known as diplopia. It could be caused by vari...
Dr. Wang Zhishun Reply:
Hello, if you can only see with one eye, the likelihood of strabismus is higher. If there are issues with the retina, vision in the affected eye should be abnormal.[Read More] Double Vision: Understanding Retinal Issues and Eye Health
Understanding Astigmatism Changes and Eyeglass Prescription Advice
Inquiry about increasing astigmatism prescription for glasses? Hello Doctor, a year and a half ago, my eye examination showed my right eye as 1025/200 and my left eye as 1000/225. Recently, my vision check revealed my right eye as 1200/200 and my left eye as 1000/300. Currently, ...
Dr. Gao Pilin Reply:
Hello, 1. There is no definitive answer. For near vision, you can use the lowest prescription that allows you to see clearly on the computer. For distance vision, you should choose a prescription based on your daily visual needs, and multifocal glasses can be an option. 2. As...[Read More] Understanding Astigmatism Changes and Eyeglass Prescription Advice
Is Floaters a Side Effect of Cataract Surgery? Expert Insights
Is floaters a complication of cataracts? I have not experienced floaters for 65 years. I was diagnosed with cataracts 2-3 months ago, and I had double vision in my left eye, which led me to seek surgical treatment. The right eye did not show symptoms of double vision. Due to the ...
Dr. Wang Zhangji Reply:
After cataract surgery, varying degrees of floaters are commonly observed. This is due to the increased light exposure post-surgery, which makes it easier to notice the opacities in the vitreous body. Most cases are not serious, but it is advisable to have an eye doctor examine t...[Read More] Is Floaters a Side Effect of Cataract Surgery? Expert Insights
Understanding Prism Glasses for Diplopia: Do Both Eyes Need Correction?
Prism glasses fitting Hello Doctor: I have been experiencing double vision for about four years, where I see two images with both eyes, but there is no issue when I look with one eye. Last month, during a hospital examination, the doctor mentioned that my right eye has an esotrop...
Dr. Wang Zhishun Reply:
Hello: Generally, strabismus is alternating between the two eyes; however, patients often perceive it as affecting only one eye. The physician's note should indicate that both eyes are indeed involved.[Read More] Understanding Prism Glasses for Diplopia: Do Both Eyes Need Correction?
Understanding Eyelid Drooping and Double Vision: Next Steps in Diagnosis
Right eyelid ptosis, diplopia upon opening both eyes? My father has recently experienced ptosis in his right eyelid, which he cannot open without using his hand to lift it. When he does so, he experiences diplopia. The findings and preliminary examinations are as follows: 1. The ...
Dr. Gao Pilin Reply:
Hello Mr. Liu: This may be caused by a third cranial nerve palsy. This article is well written, you can take a look at http://blog.udn.com/jnwu/2724896. However, it is still best to consult a neurologist for diagnosis and treatment.[Read More] Understanding Eyelid Drooping and Double Vision: Next Steps in Diagnosis
Understanding Eye Pressure and Discomfort: Causes and Solutions
Eye strain or ocular discomfort? Hello, doctor. For the past six months, I have been experiencing a feeling of pressure and mild pain in my upper eye, along with slightly blurred vision and difficulty focusing, although I have not experienced double vision. Additionally, I have b...
Dr. Gao Pilin Reply:
Hello: Sinusitis can indeed cause a sensation of pressure or discomfort. It's important to fully treat the sinusitis and see if the symptoms improve. If the issue is related to the eyes, it usually alleviates with rest. If you are using your eyes all day, you will need to ta...[Read More] Understanding Eye Pressure and Discomfort: Causes and Solutions
Managing Double Vision After Brain Surgery: Tips and Solutions
Diplopia following brain surgery? It has been six months since my surgery for a brain hemorrhage caused by vascular abnormalities, and my double vision symptoms have not improved. This has made daily life and work very difficult, making me hesitant to drive, and I often have to c...
Dr. Wang Zhishun Reply:
Hello, if it has been six months, you may need to consider interventional treatment, which requires evaluation by a physician.[Read More] Managing Double Vision After Brain Surgery: Tips and Solutions
Understanding the Differences Between Types of Exotropia in Eye Care
The distinction of exotropia? Hello Dr. Chuang, I recently went to an optical shop to get new glasses and unexpectedly discovered that I have a problem with exotropia. The owner mentioned that the previous optical shops I visited did not measure my eyes properly. I would like to ...
Dr. Zhuang Yamin Reply:
Dear Mr. Yeh, Based on your description, it appears that your condition is classified as "intermittent exotropia," also known as "hidden exotropia." In simple terms, this occurs when there is a difference in the strength of the medial and lateral rectus muscl...[Read More] Understanding the Differences Between Types of Exotropia in Eye Care
Understanding Optic Nerve Atrophy: Causes, Symptoms, and Treatment Options
About optic nerve atrophy? Due to a car accident in April of last year, I suffered from intracranial hemorrhage in my right hemisphere. At the time of the accident, it was uncertain whether my right eye was impacted. After undergoing brain surgery, I was in a coma for about one t...
Dr. Gao Pilin Reply:
Hello: Optic nerve atrophy itself does not cause strabismus; it is possible that the extraocular muscles are also affected, or that the eyes may deviate due to impaired vision. If optic nerve atrophy becomes more severe, it can lead to blindness. If only the right eye has optic n...[Read More] Understanding Optic Nerve Atrophy: Causes, Symptoms, and Treatment Options
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?
Understanding Unstable Vision: Causes and Solutions for Eye Health Issues
Unstable vision prescription? In early January, I accidentally pressed on my right eyeball while napping, causing the angle of the right eye to change from 170 degrees to 10 degrees. Additionally, there was a small hole in the upper right part of the retina. I underwent laser sur...
Dr. He Jianxian Reply:
Hello: 1. If there is a problem with sinusitis, you should seek treatment from an otolaryngologist. 2. Changing the angle basically only requires adjusting the lens angle, which does not affect clarity or depth perception. 3. Severe astigmatism can cause significant image distort...[Read More] Understanding Unstable Vision: Causes and Solutions for Eye Health Issues
Preventing Retinal Fluid Accumulation: Tips for Eye Health Recovery
Thank you, doctor, for the update on the status of the retinal detachment? Dr. Wang: Thank you so much! I'm not very familiar with the system, so I couldn't leave a review, and I had to express my gratitude this way! My mother was able to go on her cruise trip! Fortunat...
Dr. Wang Zhangji Reply:
You're welcome. Try to avoid excessive force or sudden acceleration and deceleration during activities. If you have vascular conditions such as diabetes or hypertension, it's important to manage them well. Remember to have regular retinal examinations, and sun protectio...[Read More] Preventing Retinal Fluid Accumulation: Tips for Eye Health Recovery
Understanding Double Vision: Causes and Solutions for Eye Issues
Seeing double vision? Hello, I have approximately 1000 degrees of myopia and 50 degrees of astigmatism. I wear glasses, but recently when looking at light sources, I experience the following situation (please refer to the doctor's link). Typically, this occurs when I look at...
Dr. Wang Zhishun Reply:
Hello, when you see double vision with one eye while looking at lights, is it fixed to a specific eye or does it vary? If it is fixed to one eye, the likelihood of having an issue is greater. Additionally, you can use the Amsler grid test for self-assessment. If you notice any ab...[Read More] Understanding Double Vision: Causes and Solutions for Eye Issues
Post-Scleral Buckling Surgery: Understanding Recovery and Vision Issues
Post-scleral buckle surgery Hello, Doctor. I underwent scleral buckle surgery two weeks ago. I understand that postoperative double vision and distortion are part of the recovery process, but the shadow I experienced before the surgery is still present. Should the shadow have dis...
Dr. He Jianxian Reply:
Hello: The presence of distortion and shadows post-surgery may be due to the retina not being fully reattached yet. The timeline for complete reattachment can vary from person to person and will require careful monitoring by the surgeon who performed your procedure. Wishing you p...[Read More] Post-Scleral Buckling Surgery: Understanding Recovery and Vision Issues
Understanding Severe Amblyopia and Diplopia in a 7-Year-Old: Treatment Options
7-year-old with amblyopia of varying degrees ~ severe amblyopia in one eye + diplopia issues? The 7-year-old patient has amblyopia with severe vision impairment in the right eye: uncorrected vision is 0.03 (after dilation - myopia of -9.00 and astigmatism of -3.00). There is a ph...
Dr. Zhuang Yamin Reply:
Dear Mommy, Hello! Based on the information you provided, your child is already seven years old. Generally speaking, although the critical period for treatment has been missed, there is still room for improvement with increased effort! The treatment for amblyopia should begin wi...[Read More] Understanding Severe Amblyopia and Diplopia in a 7-Year-Old: Treatment Options