Understanding Fundus Examination: Common Questions and Concerns
Fundus examination? 1. I recently had a fundus examination at the ophthalmologist. Before dilation, my visual acuity was 20/625 in the left eye and 20/675 in the right eye with astigmatism of 4.00. After dilation, it changed to 20/675 in the left eye and 20/725 in the right eye. ...
Dr. He Jianxian Reply:
1. The occurrence of increased refractive error after dilation is indeed rare, but it can still be encountered in clinical practice, and we cannot rule out the possibility of instrument error. 2. Refractive assessment can indeed be performed using this method, but the margin of ...[Read More] Understanding Fundus Examination: Common Questions and Concerns
Understanding Eye Flashes: When to Seek Medical Attention
Flashes of light in the eyes? Hello, doctor. I have high myopia, and last night after applying a warm compress to my eyes before bed, I noticed a sudden flash of a straight line in my vision, as if it were illuminated by a bright light, while I was in the bathroom. A few minutes ...
Dr. Gao Pilin Reply:
Hello: If this is the first occurrence, it's advisable to observe and see if it happens again. If it recurs, it is recommended that you get it checked.[Read More] Understanding Eye Flashes: When to Seek Medical Attention
Understanding Inner Visual Blind Spots: Causes and Concerns for High Myopia
Blind spot in the inner vision of the eye? Hello, doctor. I currently have myopia in both eyes with a degree of 1000-1050, which is classified as high myopia. I have been undergoing fundus examinations and fundus photography every three to six months, and recently had an OCT scan...
Dr. Gao Pilin Reply:
Hello, Xiao Xu: Sometimes, one's own perception may not be accurate, and the mouse cursor may not be very noticeable. A visual field test is necessary to determine the correct condition. There's no need to worry for now.[Read More] Understanding Inner Visual Blind Spots: Causes and Concerns for High Myopia
Understanding Fundus Examination: Concerns About Eye Pressure Tests
Fundoscopy examination? Today, I had a routine intraocular pressure check at the hospital. During the examination, a slit lamp and an ophthalmoscope were used to shine bright lights into my eyes. I tried to avoid the light sources, but after the examination, I still noticed some ...
Dr. Gao Pilin Reply:
Hello Sam: This type of examination will not affect your vision and will not cause any damage to the retina, so please rest assured. By the time you see this response, I believe you have already recovered.[Read More] Understanding Fundus Examination: Concerns About Eye Pressure Tests
Seeing Black Lines Upon Waking: Causes and Solutions for Eye Issues
Upon waking up, you may see many black lines? Hello, recently I have been experiencing black lines filling my vision every morning as soon as I wake up, which quickly disappear. Sometimes, I also notice them when my eyes are half-closed, but they don't resemble the shapes as...
Dr. Gao Pilin Reply:
Hello: Floaters are generally not something that will disappear. If the doctor has examined you and found no issues, you can feel reassured to coexist with them. They may persist for a long time, but you will get used to them, so please don't worry.[Read More] Seeing Black Lines Upon Waking: Causes and Solutions for Eye Issues
Understanding Fundus Examination: Concerns for High Myopia Patients
Fundus examination Hello, doctor. I have high myopia, with one eye at -6.75 and the other at -6.25. Today, during a fundus examination with a digital scan, I had some difficulty with my left eye. They kept asking me to look to the right, but I was already doing so, and the machin...
Dr. Gao Pilin Reply:
Hello Ms. Wang: 1. It may or may not happen. 2. It could be a possibility, or it might just be congenital. However, normal vision indicates that it has not yet reached the level of glaucoma. 3. Each physician has their own way of making judgments, and interpretations may vary.[Read More] Understanding Fundus Examination: Concerns for High Myopia Patients
Understanding High Eye Pressure: Causes, Concerns, and Treatment Options
The issue of elevated intraocular pressure? Hello, Doctor Gao. I have high myopia (approximately -800 diopters) and severe floaters (I can see many floaters in both eyes). Recently, due to frequently seeing small bright spots, I visited an ophthalmology clinic for a fundus examin...
Dr. Gao Pilin Reply:
Hello: 1. Unilateral hypertension is also common. 2. The two may be unrelated; pain in the brow area is often associated with trigeminal neuralgia. 3. If the reading of 31 is also elevated, it is advisable to use medication before further examination. 4. It may be thought that a ...[Read More] Understanding High Eye Pressure: Causes, Concerns, and Treatment Options
Post-Surgery Flash Phenomena After Scleral Buckling: What to Know
Postoperative flashes after scleral buckle surgery? Hello! At the end of January this year, I experienced a partial retinal detachment in my right eye (upper quadrant). Initially, I underwent laser treatment, but after three months of follow-up, the condition of the retinal detac...
Dr. Gao Pilin Reply:
Hello Mr. Zhang: 1. If you notice any abnormalities, you should get checked. If the results are normal, use that as your baseline. If future results significantly differ from the baseline, further examination is needed; if they are similar, just monitor the situation. 2. It i...[Read More] Post-Surgery Flash Phenomena After Scleral Buckling: What to Know
Understanding Slow Eye Focus: Causes and Solutions for Visual Disturbances
Slower eye focusing speed? Hello Doctor: Two months ago, I woke up one day and noticed that my eye focusing speed had slowed down. I am unable to focus properly on dynamic images (like watching YouTube or playing mobile games). Switching focus from near (text on my phone) to far ...
Dr. Gao Pilin Reply:
Hello, father of the child: Your condition is related to the ciliary muscle's accommodation issue. A dilated fundus examination can be performed, followed by trying on appropriate glasses. Other possibilities may relate to premature aging of the eyes.[Read More] Understanding Slow Eye Focus: Causes and Solutions for Visual Disturbances
Understanding Vision Changes After Retinal Detachment Surgery
Visual field and vision after retinal detachment surgery? Hello Doctor, I am currently four months post-silicone oil injection surgery for retinal detachment in my left eye (both eyes are approximately -4.00 diopters). After the oil was injected, I noticed a faint white light i...
Dr. Gao Pilin Reply:
Hello: 1. It may be caused by residual oil. It could also be due to retinal damage. 2. Currently, the macula is fine, but it cannot be determined if there was any injury at the time that could lead to sequelae. 3. It is considered severe. 4. Whether the macula is affected may dep...[Read More] Understanding Vision Changes After Retinal Detachment Surgery
Common Eye Issues: Concerns About Steroid Use and Dry Eye Management
Eye problems 1. Hello, I would like to ask about my previous long-term use of Betamethasone eye ointment on my eyelids for four years. I later learned that it contains steroids and should not be used long-term, so I stopped using it immediately. I had a fundus examination, and my...
Dr. He Jianxian Reply:
If the examination shows no abnormalities in intraocular pressure or the optic nerve, discontinuing treatment typically does not lead to secondary glaucoma. Regarding dry eyes, using eye ointments can often lead to blockage, so it is important to maintain regular cleaning. There ...[Read More] Common Eye Issues: Concerns About Steroid Use and Dry Eye Management
Understanding Symptoms of Floaters and Flashing Lights in the Eye
Vitreous floaters and flashes? A month ago, I noticed a prominent deep black line in my right eye along with hundreds of tiny black dots surrounding it. Additionally, when I turned my head from left to right in the dark, I saw an arc-shaped flash of light at the outer edge of my ...
Dr. He Jianxian Reply:
The sudden appearance of a large number of floaters should indeed raise concern. However, since you have undergone dilated fundus examinations twice without any issues being detected, it is likely that everything is fine. As for the flashes of light you see when turning your head...[Read More] Understanding Symptoms of Floaters and Flashing Lights in the Eye
Understanding Macular Pucker: Questions and Insights on Eye Health
Macular degeneration Hello Dr. He, I am #180537. Thank you for your reply. I had a follow-up appointment at the hospital three months ago, where the doctor performed an OCT and a fundus examination, but did not conduct a fluorescein angiography. I was only informed that there is ...
Dr. He Jianxian Reply:
Generally, the criteria for considering surgery for macular folds include significant vision loss or severe distortion of vision, even to the point of having a gap in the central vision. If these conditions are not present, regular monitoring is recommended, as surgery does not g...[Read More] Understanding Macular Pucker: Questions and Insights on Eye Health
Understanding the Impact of Incorrect Prescription Glasses on Vision Health
Prescription lens degree issues? Hello, I recently visited an ophthalmology clinic and during the examination, my corrected visual acuity with glasses was R: 0.6 and L: 0.7. It was found that my glasses prescription was overcorrected by more than 100 degrees (my actual myopia is ...
Dr. Gao Pilin Reply:
Hello Mr. Gong: 1. It will not cause any harm to the eyes, but it may lead to increased fatigue. 2. If there are no specific issues, a dilated fundus examination once a year should be sufficient.[Read More] Understanding the Impact of Incorrect Prescription Glasses on Vision Health
Understanding Macular Degeneration: OCT vs. Fluorescein Angiography
Macular degeneration Hello, doctor. Due to my high myopia, I have been regularly visiting the hospital for check-ups, including Optical Coherence Tomography (OCT) and dilated fundus examinations by the doctor. Can dry or wet macular degeneration be detected through OCT, or is it ...
Dr. He Jianxian Reply:
Macular folds and age-related macular degeneration (AMD) are fundamentally different conditions. The latter is classified into dry and wet forms, which can usually be distinguished through a fundus examination. If that is not possible, Optical Coherence Tomography (OCT) can assis...[Read More] Understanding Macular Degeneration: OCT vs. Fluorescein Angiography
Common Eye Issues: Understanding Vision Distortions and Prescription Needs
I have several questions regarding vision? I have a few questions that have persisted for several years: 1. When I focus on a straight line with my right eye alone, it appears slightly distorted, with a subtle wavy sensation. The Amsler grid test seems fine. The images of macular...
Dr. Gao Pilin Reply:
Hello, Ant: 1. A slight waviness may not be indicative of macular degeneration. Sometimes, it could also be related to refractive issues. 2. It is possible that there is a refractive problem, causing the image projected near the blind spot to appear somewhat distorted. 3. This ma...[Read More] Common Eye Issues: Understanding Vision Distortions and Prescription Needs
Understanding Vitreous Detachment: Common Concerns and Eye Health Tips
Some questions regarding posterior vitreous detachment? Hello Doctor, my eyesight is approximately -2.00 diopters in both eyes. Currently, I have been experiencing posterior vitreous detachment in my left eye for about four months. The frequency of flashes has decreased since the...
Dr. He Jianxian Reply:
1. Once the vitreous has completely detached from the retina, the traction on the retina essentially disappears. As long as no retinal tears occurred during the process, the retina should not become more fragile, and engaging in regular strength training should generally not pose...[Read More] Understanding Vitreous Detachment: Common Concerns and Eye Health Tips
Understanding Eye Flashes: Causes and Concerns for Your Vision
There is a sensation of flashes in the eyes? Hello Doctor, I have myopia with -5.00 in my left eye and -4.00 in my right eye, along with astigmatism of -3.00 in my left eye and -4.00 in my right eye. I would like to ask about sudden flashes of light that occur when I open my eyes...
Dr. Gao Pilin Reply:
Hello, Bai Bai: Flashes may be caused by the vitreous pulling on the retina. However, this pulling usually does not result in retinal tears, and if the examination shows no issues, you can simply monitor the situation. The shadows caused by floaters and those from vitreous degene...[Read More] Understanding Eye Flashes: Causes and Concerns for Your Vision
Understanding Indirect Ophthalmoscopy for Macular and Nerve Disease Detection
Fundus examination Hello Doctor: I have high myopia and floaters. In a few days, I will be going to a general clinic for a fundus examination, where the doctor will use an indirect ophthalmoscope. Can this method detect macular degeneration and neurological diseases? If not, what...
Dr. Gao Pilin Reply:
Hello: A dilated eye exam can initially screen for the possibility of abnormalities. For a more detailed examination, OCT (Optical Coherence Tomography) and visual field tests can be performed. Please consult your physician to see if further testing is necessary.[Read More] Understanding Indirect Ophthalmoscopy for Macular and Nerve Disease Detection
Do You Need Annual Referrals for Glaucoma Eye Exams?
Glaucoma examination? 1. When seeing a glaucoma specialist at a clinic for a chronic prescription, is it necessary to be referred to a hospital every year for a fundus examination and visual field testing? 2. If the clinic physician does not provide a referral for a fundus exam...
Dr. Liang Ce Reply:
We recommend that you 1. discuss the above situation further with your attending physician to determine if any additional examinations are necessary. 2. You may also consider consulting at an ophthalmology outpatient clinic at a medical center or large hospital. Thank you, and wi...[Read More] Do You Need Annual Referrals for Glaucoma Eye Exams?