Why Reading in Low Light Causes Eye Strain: Understanding Your Vision
Difficulty reading (eye problems) Doctor, why do I need complete lighting on the book when reading (for example, comics or novels) to avoid straining my eyes? Even a slight shadow on the book makes it more difficult for me to read. I personally suspect it might be dry eye syndrom...
Dr. Gao Pilin Reply:
Hello: First, shadows cast on books or other materials can obstruct vision because they reduce light penetration, making the text appear blurry or difficult to read. In such cases, you may need more light to compensate for the effects of the shadows, which also explains why readi...[Read More] Why Reading in Low Light Causes Eye Strain: Understanding Your Vision
Understanding Flashing Lights and Visual Disturbances After Retinal Repair
The eyes perceive light as extremely bright, and the light appears to pulsate or change in size? Hello Doctor, I had an eye examination in mid-April and found that there were many retinal tears that have been repaired. Prior to the retinal repair, I also had dry eye syndrome. I h...
Dr. Gao Pilin Reply:
Hello: Based on the situation you described, the symptoms of flashes of light, changes in light intensity, and seeing rainbows that you experienced around early April may be related to your retinal tear. These symptoms could be caused by dynamic changes in the vitreous fluid due ...[Read More] Understanding Flashing Lights and Visual Disturbances After Retinal Repair
Is Nasal Inflammation After Using Vitis Gel an Allergic Reaction?
After using Vitis gel, inflammation of the nasal mucosa occurred, but the medication's package insert does not mention this side effect. Is this phenomenon considered an allergic reaction? I visited a doctor due to dry eye syndrome. The doctor advised me to use artificial te...
Dr. Gao Pilin Reply:
Hello: Based on your description, the symptoms of nasal pain and sinusitis after using Vitus gel cannot be ruled out as being related to the medication. Although the product insert does not explicitly mention this side effect, individual responses can vary due to differences in p...[Read More] Is Nasal Inflammation After Using Vitis Gel an Allergic Reaction?
Is Nasal Inflammation After Using Vitreous Gel an Allergic Reaction?
After using Vitis gel, inflammation of the nasal mucosa occurred, but the medication's package insert did not mention this side effect. Is this phenomenon considered an allergic reaction? I visited a doctor due to dry eye syndrome. The doctor advised me to use artificial tea...
Dr. Gao Pilin Reply:
Hello: Based on your description, the symptoms of nasal pain and sinusitis after using Vitus gel cannot be ruled out as being related to the medication. Although the product insert does not explicitly mention this side effect, individual responses can vary due to differences in p...[Read More] Is Nasal Inflammation After Using Vitreous Gel an Allergic Reaction?
Persistent Left Eyelid Twitching: Causes, Concerns, and Next Steps
The left eyelid has been twitching intermittently for nearly a year? Hello, my left eyelid has been twitching constantly for nearly a year. It feels like there is something inside my eyeball that is expanding and contracting rhythmically, which is very uncomfortable. I have not b...
Dr. He Jianxian Reply:
Hello Mr. Lin: The subjective twitching of the eyelid is generally not considered to require treatment in ophthalmology, unless it is accompanied by severe spasms that make it difficult to open the eyes or simultaneous facial twitching. If these two phenomena are present, it is n...[Read More] Persistent Left Eyelid Twitching: Causes, Concerns, and Next Steps
Understanding Fixed Black Spots in Vision: Possible Causes and Next Steps
The appearance of a fixed black spot in the vision when looking at distant light sources? Hello Doctor, I apologize for bothering you. A few months ago, I noticed that without my glasses, there is a fixed black circular spot (with a transparent perimeter) that appears in my field...
Dr. He Jianxian Reply:
Hello Mr. Turtle: I am unable to understand what situation you are experiencing, because if there is indeed a problem, it typically does not disappear when wearing glasses. Director He Jianxian, Ophthalmology Department, Nantou Hospital.[Read More] Understanding Fixed Black Spots in Vision: Possible Causes and Next Steps
Understanding Astigmatism and Halo Effects in Night Vision
Astigmatism and aperture? Hello Doctor: In the past few months, I have been seeing halos and glare around streetlights at night, and even during the day, I notice this effect when looking at bright lights indoors. There are also rainbow-colored rings around lights. I have seen a ...
Dr. Gao Pilin Reply:
Hello: If you experience halos and glare when looking at streetlights at night or bright lights indoors during the day, along with nearby rainbow halos, this may be due to irregularities in the cornea or the surface of the eye. This phenomenon is typically associated with several...[Read More] Understanding Astigmatism and Halo Effects in Night Vision
Understanding Vision Problems: Contact Lenses vs. Glasses and Keratoconus Concerns
Vision examination issues I recently visited an ophthalmologist and found that my vision with contact lenses is 0.8 and 0.9, while with regular glasses, it is only 0.4 and 0.5. The axial length of my eyes was measured, but the doctor did not assess the true degree of astigmatism....
Dr. Gao Pilin Reply:
Hello: There may be differences in the prescription between contact lenses and glasses for several reasons: 1. Different fitting methods: Contact lenses are typically fitted directly on the cornea, while glasses are fitted at a distance in front of the eyeball. Since the curvatur...[Read More] Understanding Vision Problems: Contact Lenses vs. Glasses and Keratoconus Concerns
Understanding Foreign Body Sensation in Contact Lens Wearers
Contact lenses I have been wearing contact lenses for a while, and recently I've been experiencing a persistent foreign body sensation in my left eye, whether I'm wearing the lenses or not. I've confirmed that there is nothing else in my eye. Sometimes the sensatio...
Dr. Gao Pilin Reply:
Hello: The sensation of a foreign body in the eye, whether wearing contact lenses or not, may be caused by several factors: 1. Dry Eyes: Individuals with dry eye syndrome may experience a foreign body sensation both with and without contact lenses. Symptoms of dry eye include d...[Read More] Understanding Foreign Body Sensation in Contact Lens Wearers
Is Eye Pain After LASIK Surgery Normal? Understanding Long-Term Effects
Myopia laser surgery Is it normal to experience pain when seeing light above the eye after undergoing laser surgery for myopia? This has been ongoing for many years and severely affects my ability to ride a bike and drive.
Dr. Gao Pilin Reply:
Hello: Generally speaking, symptoms such as glare, photophobia, and hazy vision after myopic laser surgery typically diminish within three to six months post-operation. However, if these symptoms persist for several years and significantly impact daily life, the possibility of ot...[Read More] Is Eye Pain After LASIK Surgery Normal? Understanding Long-Term Effects
Understanding Low Optic Nerve Fiber Thickness and Its Implications for Glaucoma
Optic nerve fibers Hello, doctor. Last week, I went to an optical shop for an OCT examination, and it showed that my optic nerve fibers are low, with measurements of 72 and 69 for each eye. My intraocular pressure was normal except for the low optic nerve fiber count. They sugges...
Dr. Liang Ce Reply:
We recommend that you: 1. Discuss the above situation further with your attending physician. 2. Consider consulting another ophthalmology clinic for a second opinion. Wishing you good health. Thank you![Read More] Understanding Low Optic Nerve Fiber Thickness and Its Implications for Glaucoma
Understanding Eyelid Droop After Cataract Surgery: Causes and Connections
Postoperative Issues Related to Cataract Surgery Hello Doctor: I would like to ask about the drooping of the upper eyelid that I noticed after cataract surgery. Is this a possible complication following cataract surgery? If so, what could be the cause? Is it related to dry eye sy...
Dr. Liang Ce Reply:
We recommend that you discuss the above situation further with your attending physician. Wishing you good health. Thank you![Read More] Understanding Eyelid Droop After Cataract Surgery: Causes and Connections
Understanding Dry Eye Syndrome and Conjunctivitis: Common Questions Answered
Dry eye syndrome and conjunctivitis issues? Hello, doctor. May I ask you some questions? 1. I do not wear contact lenses or use makeup, so why do I still experience meibomian gland obstruction? Is it related to my dietary habits, particularly eating fried foods? 2. Will meibom...
Dr. Gao Pilin Reply:
Hello: 1. Meibomian gland obstruction is often related to eye hygiene, and it can occur even if you do not wear contact lenses or makeup. Dietary habits may also be a factor, particularly excessive intake of fats or fried foods, which can increase the risk of meibomian gland obst...[Read More] Understanding Dry Eye Syndrome and Conjunctivitis: Common Questions Answered
Understanding Eye Pressure and Dry Eye Syndrome: Key Concerns and Solutions
Intraocular pressure and dry eye syndrome issues? Hello Doctor, I would like to ask: 1. When I visit the clinic, my intraocular pressure is often measured at 19-20 mmHg. I am concerned that this borderline level indicates that my eye pressure might be high at certain times of the...
Dr. He Jianxian Reply:
Hello Mr. Chang: 1. Your intraocular pressure appears to be normal. If you are concerned, please have the ophthalmologist check your optic nerve cupping during your next visit. If the cup-to-disc ratio is normal, then it is considered normal. 2. Insufficient tear production is ac...[Read More] Understanding Eye Pressure and Dry Eye Syndrome: Key Concerns and Solutions
Understanding Follicular Conjunctivitis: Questions for Your Eye Doctor
Follow-up question #207079: Questions after the consultation? Dear Dr. Gao, Thank you very much for your response and suggestions regarding my concerns after the consultation in "<a href='https://adoctor.tw/article/207079'>#207079</a>". I truly ap...
Dr. Gao Pilin Reply:
Hello: No one is puncturing the follicles, and they are not the blister-like structures you might imagine. Follicles are hundreds of small elevations formed by the proliferation of lymphoid tissue within the conjunctival stroma. Regarding the second issue you mentioned, to elimin...[Read More] Understanding Follicular Conjunctivitis: Questions for Your Eye Doctor
Understanding Follicles and Allergic Conjunctivitis: Expert Answers
Questions After the Consultation Dear Dr. Gao, Hello. I previously mentioned to you that there is a protrusion on the conjunctiva of my right lower eyelid. Yesterday (March 29), I visited the ophthalmology department of a regional hospital for examination. The doctor informed me...
Dr. Gao Pilin Reply:
Hello: Q1. For follicles caused by allergic conjunctivitis, treatment does not involve puncturing the follicles. The best approach is to properly use medications prescribed by a physician and to avoid exposure to allergens such as pollen and dust mites to treat and prevent the ...[Read More] Understanding Follicles and Allergic Conjunctivitis: Expert Answers
Is Traditional Eye Exercise Safe for High Myopia and Cataracts?
Is the traditional Chinese eye exercise suitable for high myopia? Hello Dr. Gao, I was recently diagnosed with mild cataracts, and I have also undergone laser treatment for peripheral retinal issues. I remember the doctor mentioned it was not urgent and that the retina was thinni...
Dr. Gao Pilin Reply:
Hello: Regarding the traditional eye exercises, I personally believe they may not be very helpful for cataracts. Movements like closing the eyes and rolling the eyes may not be suitable for individuals with high myopia, as they could increase the risk of retinal detachment. Addit...[Read More] Is Traditional Eye Exercise Safe for High Myopia and Cataracts?
Understanding Thinning of the Optic Nerve Fibers and Glaucoma Risks
Optic nerve fiber thinning Hello, Doctor~~ Over the past six years, my intraocular pressure has increased from an initial 18-19 to 26-27 this year, and I was subsequently diagnosed with suspected glaucoma! The doctor noted that my optic nerve fibers have thinned, and after perfor...
Dr. Gao Pilin Reply:
Hello: Based on your description, your intraocular pressure has increased from 18 and 19 to 26 and 27 over the past six years, with thinning of the optic nerve fibers. The OCT examination shows abnormalities in the inferior quadrant of the left eye, but the visual field test is n...[Read More] Understanding Thinning of the Optic Nerve Fibers and Glaucoma Risks
Can Intense Pulsed Light Therapy Help with Dry Eye Symptoms?
Eye discomfort (dry eye) I would like to ask the doctor: Recently, I have been using hyaluronic acid artificial tears and an ointment prescribed by a Chinese medicine practitioner, but they have not improved the glare and occasional redness in my eyes. Given that I do not experie...
Dr. Gao Pilin Reply:
Hello: For patients with dry eye syndrome, Intense Pulsed Light (IPL) therapy may be one of the effective treatment options. IPL therapy works by applying pulsed light energy to reduce inflammation and vascular dilation in the tissues surrounding the eyes, thereby alleviating sym...[Read More] Can Intense Pulsed Light Therapy Help with Dry Eye Symptoms?
Understanding the Impact of Stress on Dry Eye Syndrome
Possible causes of exacerbation of dry eye syndrome? Hello, doctor! I would like to ask you about my wife. Last year, I was in a car accident that required her to take time off work to care for me. During that period, she experienced a lot of stress, which resulted in a corneal a...
Dr. Gao Pilin Reply:
Hello: Stress and emotional fluctuations can indeed impact eye health, including exacerbating dry eye syndrome. This may be related to hormonal imbalances or autonomic nervous system dysregulation. For treatment, I recommend that your wife consider the following suggestions: 1....[Read More] Understanding the Impact of Stress on Dry Eye Syndrome