Assessing Cataract Surgery Feasibility for Diabetic Patients
Feasibility of Cataract Surgery Hello, Dr. Gao: Recently, an elder in my family visited a nearby clinic and was informed that the maturity of their cataract is about 70%. They also underwent a fundus examination, which revealed poor retinal health. After administering a mydriatic...
Dr. Gao Pilin Reply:
Hello: Generally speaking, the success rate of cataract surgery is very high, and postoperative vision can significantly improve. However, in certain cases, postoperative vision may not be ideal. This may be due to several reasons (unrelated to the surgical technique used): the p...[Read More] Assessing Cataract Surgery Feasibility for Diabetic Patients
Understanding Blurry Vision with Soft Contact Lenses: A Guide for High Myopia
One eye is blurry with soft contact lenses? Hello Doctor: I have high myopia (the most recent measurement was two weeks ago: left eye approximately -1200 diopters with astigmatism of -175; right eye approximately -1075 diopters with astigmatism of -175). However, each time I have...
Dr. Gao Pilin Reply:
Hello: Based on the situation you described, there are several possible reasons that could explain your vision fluctuations: 1. Inconsistent prescription between glasses and contact lenses: You mentioned that the prescriptions for your glasses and contact lenses differ, which ma...[Read More] Understanding Blurry Vision with Soft Contact Lenses: A Guide for High Myopia
Understanding Vision Issues: Glaucoma, Floaters, and Eye Clarity
Poor vision? I have early-stage glaucoma and floaters (with regular check-ups). Hello, doctor. I would like to ask about my condition. I have over 600 degrees of myopia and flashes. Currently, I wear glasses for distance vision. When looking at distant objects with one eye, my le...
Dr. Gao Pilin Reply:
Hello: It is quite common for one eye to be sharper than the other. Additionally, it is related to the prescription of your glasses. If the glasses are prescribed with a slightly stronger power than your actual eye prescription, it may appear sharper. Conversely, if the prescript...[Read More] Understanding Vision Issues: Glaucoma, Floaters, and Eye Clarity
Glaucoma or Night Blindness: Understanding Your Eye Condition
Is it glaucoma or night blindness? Hello doctor, I was diagnosed with macular degeneration during my health check-up in January this year. Subsequent follow-up examinations revealed that I have low-tension glaucoma (my eye pressure was approximately 10-15 before using eye drops)....
Dr. He Jianxian Reply:
Dear Confused Individual: Due to the complexity of your condition, it is difficult to provide a recommendation. I suggest you go directly to a medical center for an examination, as you may receive a more accurate diagnosis. Dr. He Jianxian, Department of Ophthalmology, Nantou Hos...[Read More] Glaucoma or Night Blindness: Understanding Your Eye Condition
Understanding Floaters, Flashes, and Visual Disturbances in Teens
Floaters, flashes, and dark lines? Hello, doctor. I am a seventeen-year-old student with a family history of glaucoma. I have myopia in both eyes, with prescriptions of ((575°, 250°), (625°, 275°)). I was diagnosed with floaters in my first year of high school and have been follo...
Dr. Cai Wenyuan Reply:
Observe the symptoms, and if they persist, seek medical evaluation.[Read More] Understanding Floaters, Flashes, and Visual Disturbances in Teens
Can Short-Acting Mydriatics Help Adults Relieve Eye Fatigue?
Can adults use short-acting mydriatics before bedtime to relieve fatigue? Hello, doctor. In recent years, I have been experiencing frequent eye swelling, orbital pain, and allergies, which led me to seek medical attention. After examination, the clinic physician found that my int...
Dr. Gao Pilin Reply:
Hello: Mydriatics are medications that can dilate the pupils and are commonly used for eye examinations or the treatment of eye diseases. The mechanism of action of mydriatics involves paralyzing the ciliary muscle, relaxing the pupil, and temporarily altering the refractive powe...[Read More] Can Short-Acting Mydriatics Help Adults Relieve Eye Fatigue?
Post-Glaucoma Surgery: Common Concerns and Care Instructions
Postoperative care after glaucoma surgery? Hello Doctor, I apologize for the interruption. My father underwent glaucoma laser surgery yesterday, which involved using a laser to create an opening in the eye to facilitate aqueous humor drainage. I have a few questions regarding s...
Dr. Gao Pilin Reply:
Hello: 1. Visual dimming: Early postoperative visual dimming may be due to inflammation or swelling caused by the surgery, and this condition typically improves gradually over time. However, if this condition persists or worsens, please contact an ophthalmologist as soon as pos...[Read More] Post-Glaucoma Surgery: Common Concerns and Care Instructions
Understanding the Link Between Glaucoma and Flashing Lights in Vision
Glaucoma and flashing lights during blinking? Hello, doctor. Recently, I have been experiencing flashes of light when I blink (I have high myopia). This occurs after staying in a dark place for about 10 to 20 minutes and then returning to a bright environment. When I blink, I fee...
Dr. Gao Pilin Reply:
Hello: Based on the symptoms you described, experiencing flashes of light after spending some time in a dark environment and then returning to a bright area may be related to glaucoma or other ophthalmic issues, but it could also be caused by other factors. Here are my responses ...[Read More] Understanding the Link Between Glaucoma and Flashing Lights in Vision
Post-Laser Treatment Eye Complications: Glaucoma or Anemia Effects?
Three months after laser surgery for retinal tear, suspected glaucoma was found during the examination? Three months ago, I suddenly experienced a large number of floaters and went to the hospital for an examination, where a retinal tear was found in the upper right quadrant of m...
Dr. He Jianxian Reply:
Dear Ms. Hsu, 1. The location of the laser treatment is usually at the periphery and does not significantly affect visual field testing. Since the laser was applied to the upper right corner, any potential visual field loss would likely occur in the lower left quadrant, so your ...[Read More] Post-Laser Treatment Eye Complications: Glaucoma or Anemia Effects?
Understanding Enlarged Optic Nerve Head: Risks and Management
Optic disc cupping is enlarged? Hello Doctor, Last week I visited an ophthalmologist due to conjunctivitis and also asked the doctor to check my optic nerve. The neurologist mentioned that my optic nerve head is larger than normal, approximately 0.6 to 0.7. Consequently, I was ...
Dr. He Jianxian Reply:
Hello, Miss Mo: 1. Congenital optic nerve pits are indeed present, but they are not common, and there is no evidence to suggest that they are more likely to lead to glaucoma. 2. This question cannot be answered definitively. 3. Since glaucoma is mostly asymptomatic, regular moni...[Read More] Understanding Enlarged Optic Nerve Head: Risks and Management
Is Long-Term Use of Mydriatics Safe for Open-Angle Glaucoma Patients?
Is it suitable for patients with open-angle glaucoma to use mydriatics long-term to relieve eye fatigue? Hello, I am a 54-year-old patient with open-angle glaucoma, cataracts, and myopia. 1. What are the indications for using mydriatic agents in ophthalmology? From the informat...
Dr. He Jianxian Reply:
Dear Ms. Li, 1. Mydriatic agents are not intended for routine use to alleviate eye fatigue, and this applies to both glaucoma and non-glaucoma patients. 2. Clinically, the routine use of mydriatic agents as a choice for relieving eye fatigue is not recommended; please discuss th...[Read More] Is Long-Term Use of Mydriatics Safe for Open-Angle Glaucoma Patients?
Understanding Eye Issues: From Floaters to Glaucoma Concerns
Eye problems Hello Doctor, I am patient 207864. I have a few questions regarding your previous response, particularly about the issue of rainbow halos. I mentioned my experience with floaters a few years ago, and at that time, my eye pressure was normal. Last year, I had an eye e...
Dr. Gao Pilin Reply:
Hello: Based on the symptoms and experiences you described, here are my recommendations: 1. Rainbow halos and intraocular pressure issues: Rainbow halos may be related to glaucoma, but your previous eye pressure checks were normal. If you have recently noticed rainbow halos acc...[Read More] Understanding Eye Issues: From Floaters to Glaucoma Concerns
Understanding Eye Flashes and Nerve Cupping in High Myopia
Flashes of light; optic nerve cupping? Hello Doctor: A few months ago, I discovered floaters in my vision, and after undergoing dilation, no issues were found at that time. Over the past few months, I have intermittently experienced flashes of light (similar to a light bulb flick...
Dr. Gao Pilin Reply:
Hello: Floaters refer to the appearance of black dots, dust, or small insects in your line of sight, usually caused by floating debris in the vitreous body. If the symptoms of flashes change significantly and persist, it is advisable to seek medical evaluation promptly. If they a...[Read More] Understanding Eye Flashes and Nerve Cupping in High Myopia
Understanding Post-Cataract Surgery Vision Changes and Solutions
Post-cataract surgery Subject: Questions Regarding Post-Surgery Vision I would like to ask the doctor a few questions based on my previous inquiry on April 18 (#207625): 1. My right eye (which has an artificial intraocular lens implanted) sees images significantly magnified com...
Dr. Gao Pilin Reply:
Hello: 1. Right eye image magnification and its impact on binocular fusion: After the implantation of an artificial lens in the right eye, the difference in refractive power between the artificial lens and the original natural lens can lead to a disparity in vision between the ...[Read More] Understanding Post-Cataract Surgery Vision Changes and Solutions
Understanding Eye Swelling: Causes and Solutions for Discomfort
Eye swelling Hello doctor, since last night, I've been experiencing dizziness and nausea for some unknown reason. However, when I tested with a line chart, there were no defects or distortions. After sleeping last night, I felt a bit better, but tonight it started again. I&#...
Dr. Gao Pilin Reply:
Hello: The symptoms you described may be related to various factors, including your high myopia, intermittent strabismus, and possibly insufficient sleep. Here are some potential causes and recommendations: 1. Eye Strain: You mentioned that you engage in the same activities dai...[Read More] Understanding Eye Swelling: Causes and Solutions for Discomfort
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
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
Light Sensitivity After Stopping Eye Drops: When to Seek Help?
After discontinuing the eye drops for one month, there is still photophobia? Hello, doctor. I was misdiagnosed with glaucoma on March 18 and used 2% eye drops for nearly a week. Later, on March 25, I visited an ophthalmologist with more advanced equipment, and the doctor advised ...
Dr. Gao Pilin Reply:
Hello: The symptoms you described may be related to the side effects of the topical ophthalmic solution (2%). Generally, side effects should gradually subside after discontinuation of the medication, but individual responses may vary. If you have stopped the medication for nearly...[Read More] Light Sensitivity After Stopping Eye Drops: When to Seek Help?
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 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