Understanding Eye Symptoms: When to Seek Medical Attention
Eye problems Hello, doctor. I would like to ask a few questions. 1. For the past few days, I've noticed that when I open or close my eyes, I seem to see a faint rainbow (not very clear, but it feels like it’s there, wherever I look). Is this normal? 2. A few days ago, I ...
Dr. Gao Pilin Reply:
Hello, 1. Over the past few days, I have noticed that when I open and close my eyes, it seems like I can see a rainbow (though it's not very clear and I'm not completely sure, but it feels like it appears wherever I look). Is this normal? Generally, this is normal and...[Read More] Understanding Eye Symptoms: When to Seek Medical Attention
Understanding Selective Laser Trabeculoplasty for Open-Angle Glaucoma
Questions related to laser treatment for open-angle glaucoma? Hello, Doctor: May I ask if the current treatment for open-angle glaucoma in Taiwan primarily uses Selective Laser Trabeculoplasty (SLT)? Does National Taiwan University Hospital have this equipment? Are there hospital...
Dr. Gao Pilin Reply:
Hello Dongdong: Since I am not a glaucoma specialist and do not have extensive knowledge in this area, nor do I have clinical experience with this type of equipment, I am unable to provide you with a satisfactory answer. For inquiries about whether National Taiwan University Hosp...[Read More] Understanding Selective Laser Trabeculoplasty for Open-Angle Glaucoma
Understanding Elevated Eye Pressure: Risks of Glaucoma and What to Expect
Intraocular pressure issues? Hello Doctor, my corneal thickness is over 600 micrometers, and I have myopia of around -8.00 diopters in both eyes. My usual intraocular pressure is around 21 mmHg. Two months ago, I measured it at the clinic, and it was still around 21-22 mmHg. Howe...
Dr. Gao Pilin Reply:
Hello Mr. Huang: The term "marginal" likely indicates that you have not yet undergone a visual field test, while the eye pressure and the appearance of the optic nerve suggest signs of glaucoma. If the intraocular pressure is elevated and there are changes in the optic ...[Read More] Understanding Elevated Eye Pressure: Risks of Glaucoma and What to Expect
Post-Retinal Detachment Surgery: Understanding Silicone Oil and Laser Treatment
Post-Retinal Detachment Surgery 1. Doctor, my father had retinal detachment surgery over a month ago and has silicone oil injected. If the silicone oil is still inside, will there be a risk of re-detachment, or will that only occur after it is removed? 2. If the silicone oil is...
Dr. Gao Pilin Reply:
Hello Mr. Hsu, 1. Generally, silicone oil is less likely to detach from the retina; however, complications can occur, such as cataracts, glaucoma, and corneal disease. In a small number of severe cases, removing the oil may lead to retinal re-detachment and ocular atrophy, which...[Read More] Post-Retinal Detachment Surgery: Understanding Silicone Oil and Laser Treatment
Can High Eye Pressure Improve? Understanding Glaucoma Management
Can high eye pressure improve? I went for an eye examination the day before yesterday, and my intraocular pressure was 38 mmHg. The doctor suspected glaucoma. I also had a visual field test, which appeared to be normal. The doctor prescribed medication to lower my eye pressure. T...
Dr. He Jianxian Reply:
Sometimes, inflammation in the eyes can lead to temporary elevated intraocular pressure. Since it is not possible to determine the exact cause of your elevated eye pressure, we cannot inform you whether your intraocular pressure will return to normal without medication.[Read More] Can High Eye Pressure Improve? Understanding Glaucoma Management
Post-Laser Eye Surgery: Common Concerns and Recovery Insights
Both eyes underwent laser treatment due to retinal thinning. Post-operative related questions? A week ago, I visited an ophthalmologist due to persistent blurred vision in my left eye. After a dilated examination of both eyes, it was found that there was retinal degeneration (thi...
Dr. Gao Pilin Reply:
Hello Winnie, Q1. It is common to experience muscle tightness, dryness, and elevated intraocular pressure after laser treatment. Is this normal? Could it be related to emotional stress? The laser procedure itself is likely not related to these symptoms; they may be more associat...[Read More] Post-Laser Eye Surgery: Common Concerns and Recovery Insights
Understanding Retinal Detachment: Recovery, Risks, and Precautions
Retinal detachment Dear Doctor: 1. I underwent scleral buckle and vitrectomy surgery for a left retinal detachment in late August 2019. Currently, I feel that the light sensitivity in my left eye is diminished. How long might it take for this condition to improve? 2. After un...
Dr. He Jianxian Reply:
Hello, 1. This phenomenon varies from person to person, and it is difficult to determine the exact recovery time. 2. Clinically, some patients do develop glaucoma after undergoing retinal detachment surgery, while the occurrence of macular degeneration is less certain. 3. Excessi...[Read More] Understanding Retinal Detachment: Recovery, Risks, and Precautions
Understanding Pain Above the Left Eye: Causes and Concerns
Regarding pain above the left eye? Hello Doctor: I work in soldering electronic components, with the size of the components being approximately 0.4mm. On November 4, 2019, I felt a foreign body sensation above my left eye (I had been playing mobile games for about a week prior). ...
Dr. Gao Pilin Reply:
Hello Mr. Lai: Your intraocular pressure is normal, so the soreness should not be caused by it. The doctor has examined you and should be able to rule out glaucoma. If there is a sensation of a foreign body without any actual foreign object present, the most common causes are dry...[Read More] Understanding Pain Above the Left Eye: Causes and Concerns
Can Patients with Glaucoma Use Progressive Lenses Safely?
Can patients with glaucoma use progressive addition lenses? Hello Doctor: I would like to ask if patients diagnosed with glaucoma can choose progressive lenses. Will photochromic lenses cause increased intraocular pressure? Thank you!
Dr. Gao Pilin Reply:
Hello Ms. Su: You can choose progressive lenses for glaucoma. I understand your concern about larger pupils potentially causing an increase in intraocular pressure due to angle-closure glaucoma. When progressive lenses transition to tinted, it occurs in brighter light conditions,...[Read More] Can Patients with Glaucoma Use Progressive Lenses Safely?
Understanding Optic Nerve and Retina Thinning in High Myopia
Optic nerve & retina Hello Doctor: I have high myopia (550, 600). Yesterday, I underwent a routine dilated eye exam (showing retinal thinning, non-patterned degeneration) and also had a fundus scan. The report indicated that the optic nerves in both eyes are thinning, and I n...
Dr. Gao Pilin Reply:
Hello May: The thinning of the optic nerve can sometimes be congenital, so a visual field test is necessary to determine if there are any abnormalities. High myopia can lead to thinning of the peripheral retina, but it does not necessarily result in holes or retinal detachment. T...[Read More] Understanding Optic Nerve and Retina Thinning in High Myopia
Understanding Rainbow Halos and Light Distortion in Vision
Light Rainbow Halo Hello, doctor. When I look at lights directly, everything appears normal, but when I look at them from an angle, the lights seem to extend. Why is that? Additionally, when I look at lights, I see rainbow halos around them, but I don't experience nausea or ...
Dr. Liang Ce Reply:
It is recommended that you visit an ophthalmology clinic to assess your eye condition, which would be more appropriate. Wishing you good health.[Read More] Understanding Rainbow Halos and Light Distortion in Vision
Understanding Eye Issues: Dryness, Rainbow Halos, and Glaucoma Concerns
Eye problems I have been experiencing dry eyes and occasional soreness, and for the past month, I have noticed rainbow halos around streetlights (I am not wearing contact lenses). I visited a doctor today who said it was due to fatigue, but since I did not have an eye pressure te...
Dr. Gao Pilin Reply:
Hello: Seeing a rainbow around lights may indicate high intraocular pressure or corneal edema, but the doctor has examined you and these conditions should be ruled out. It’s still a good idea to check your intraocular pressure when you have the chance. Any eye drops used during d...[Read More] Understanding Eye Issues: Dryness, Rainbow Halos, and Glaucoma Concerns
Understanding Short-Acting Mydriatics for Adults: Safety and Effects
Short-acting mydriatics for adults Due to my major, I've been staying up late staring at the computer to complete assignments. My glasses, which I got a year ago (left eye -3.25, right eye -1.75), have recently become ineffective, so I got a new prescription (left eye -3.50,...
Dr. Gao Pilin Reply:
Hello Mr. Zhou: Mydriatic agents have limited effectiveness in preventing myopia in adults, and short-acting mydriatics are generally less effective for myopia prevention, so they are not necessarily required. Additionally, long-term use does not necessarily induce glaucoma. The ...[Read More] Understanding Short-Acting Mydriatics for Adults: Safety and Effects
Managing Allergic Conjunctivitis: Concerns About Long-Term Steroid Use
Allergic conjunctivitis and corticosteroid issues? I would like to ask if it is safe to use steroid eye drops continuously for one month? I have been treating allergic conjunctivitis for a week without improvement and need to continue for another 2-3 weeks (originally 4 times a d...
Dr. Gao Pilin Reply:
Hello Ms. Kuo: If you have not fully recovered, you may continue using the medication. Please have a physician check your condition in two weeks to determine if you should continue. The likelihood of corticosteroids causing elevated intraocular pressure leading to glaucoma is low...[Read More] Managing Allergic Conjunctivitis: Concerns About Long-Term Steroid Use
Understanding Eye Issues: Dry Eyes, Floaters, and Night Vision Concerns
Eye problems Hello, Doctor. I visited several clinics in July and August due to dry eyes (with a tear break-up time of 7.2) and an increase in floaters. All examinations (visual field, fundus, macula) were normal, and I was prescribed artificial tears. By September, my symptoms s...
Dr. Gao Pilin Reply:
Hello: 1. This symptom is likely to be floaters. 2. Rainbow circles can sometimes be caused by corneal edema or secretions, and dry eyes can also lead to this phenomenon. Sometimes, wearing glasses can cause similar effects due to lens refraction or humidity. If the visual field,...[Read More] Understanding Eye Issues: Dry Eyes, Floaters, and Night Vision Concerns
Understanding Glaucoma: Navigating Conflicting Eye Exam Results
Glaucoma issues Hello, Director: (1) Can you please tell me if the following examination results are normal? Slit lamp examination: OU C: hyperemia K: c AC: DC L: c disc: c/d 0.4 (2) I underwent a fine ultrasound examination at a major hospital, and the doctor's conclusion w...
Dr. Gao Pilin Reply:
Hello Mr. Wang: If your visual field is normal and your intraocular pressures are 19 and 17 mmHg, these are considered normal. The cup-to-disc ratio of your optic nerve is 0.4, which means you generally do not need to use glaucoma eye drops. You can continue to monitor your intra...[Read More] Understanding Glaucoma: Navigating Conflicting Eye Exam Results
Impact of Glaucoma Medications on Blood Pressure: What You Need to Know
Glaucoma medications and blood pressure? Hello, I would like to ask about my current situation. I am being monitored for glaucoma, and my doctor has prescribed eye drops called Alphagan (Brimonidine). After reviewing the instructions, I noticed that it seems to be related to bloo...
Dr. Gao Pilin Reply:
Hello, according to the medication insert, Alphagan (brimonidine) is an alpha-agonist, and this class of drugs may reduce pulse and lower blood pressure. Therefore, caution should be exercised when combining alpha-agonists with beta-blockers (including both topical and systemic u...[Read More] Impact of Glaucoma Medications on Blood Pressure: What You Need to Know
Understanding Visual Field Tests for High Myopia and Cataracts
I would like to inquire about issues related to visual field testing in individuals with high myopia? Hello, doctor. I would like to ask some questions regarding visual field testing. Aside from glaucoma, which can show localized areas of vision loss, 1. In patients with high myo...
Dr. Gao Pilin Reply:
Hello, 1. Changes in the retina caused by high myopia can lead to visual field defects, which are discontinuous and related to the location of the retinal damage. The visual field changes associated with high myopia and glaucoma include arcuate defects extending from the superi...[Read More] Understanding Visual Field Tests for High Myopia and Cataracts
Understanding Glaucoma: Insights from Ultrasound Examination Results
Microscale Ultrasound Examination Hello, Doctor: 1) At the beginning of June, I went to the ophthalmology department for a fine ultrasound examination for glaucoma, and the results were as follows: Diagnosis: 365.10 Open-angle glaucoma, unspecified; 377.51 Disorders of optic ch...
Dr. He Jianxian Reply:
It seems that you do not have the results of a visual field test. It is recommended to undergo a visual field test for more accurate results. If glaucoma is confirmed, most medications will need to be used for a lifetime. Additionally, corneal thickness can indeed affect intraocu...[Read More] Understanding Glaucoma: Insights from Ultrasound Examination Results
Understanding High Eye Pressure: Is Thick Cornea a Shield Against Glaucoma?
Intraocular pressure issues? Hello Doctor, my intraocular pressure has been consistently high, around 22-23. Previously, my fundus examination was normal. Recently, I visited an ophthalmology clinic where the doctor performed an OCT scan. He was quite surprised to find that my co...
Dr. Gao Pilin Reply:
Hello Mr. Huang: Your corneal thickness is relatively high, which can result in elevated intraocular pressure measurements; however, there is still a possibility of developing glaucoma. The measured intraocular pressure may be significantly higher than the standard. The doctor ...[Read More] Understanding High Eye Pressure: Is Thick Cornea a Shield Against Glaucoma?