Understanding Visual Disturbances: Glaucoma, Floaters, and Eye Strain
The sensation of light when blinking? Hello, Doctor! I have early-stage glaucoma, floaters, and myopia with a prescription of -5 to -6 diopters along with astigmatism (I have regular check-ups, and my visual field, OCT, and retinal examinations in December all showed normal resul...
Dr. Gao Pilin Reply:
Hello: 1. The phenomenon of seeing white circles resembling eyes after blinking in the dark may be a visual afterimage. A visual afterimage refers to the persistence of a visual impression after the stimulus has been removed. In low light conditions, blinking causes the pupils ...[Read More] Understanding Visual Disturbances: Glaucoma, Floaters, and Eye Strain
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 Pediatric Glaucoma: A Parent's Guide to Diagnosis and Treatment
Pediatric glaucoma My daughter is 5 years old and does not have myopia. During a routine check-up at the end of June last year, the doctor noticed a difference in the optic nerves of her left and right eyes, with a significant cupping of the left optic nerve head. She was referre...
Dr. Liang Ce Reply:
We recommend that you: 1. Discuss the above situation further with your attending physician. 2. Alternatively, consult at a medical center for advice. Wishing you good health. Thank you![Read More] Understanding Pediatric Glaucoma: A Parent's Guide to Diagnosis and Treatment
Post-Surgery Concerns After Macular Hole Vitrectomy: What to Expect
Postoperative issues following macular hole surgery? Hello, Doctor: I underwent a vitrectomy for a macular hole one month ago, and I still have a bubble in my eye measuring about 6 cm (with a transparent center and a dark peripheral shadow that moves with my heartbeat). Sometimes...
Dr. Gao Pilin Reply:
Hello: Based on the situation you described, it is normal to still see a bubble about 6 cm in size one month after your macular hole vitrectomy. During the macular hole vitrectomy, the surgeon injects gas into the vitreous cavity to help close the macular hole. The gas will remai...[Read More] Post-Surgery Concerns After Macular Hole Vitrectomy: What to Expect
Understanding Eye Health: My Journey from Hyperopia to Possible Myopia
About the Eyes Hello, Doctor. After a 7-year gap, I went for an eye examination and discovered something surprising! When I was younger (at least before my first year of college), I clearly remember being diagnosed with high hyperopia, approximately +500 diopters in each eye, and...
Dr. Gao Pilin Reply:
Hello: [Question 1] Based on your description, you have noticed a decrease in your hyperopia during a recent ophthalmic examination, and your corrected vision has improved. This may indicate that your visual condition is changing, as the refractive power of the eyes can vary at...[Read More] Understanding Eye Health: My Journey from Hyperopia to Possible Myopia
Understanding Optic Nerve Cupping: Risks, Management, and Supplements
Optic nerve cupping Hello, doctor. I would like to ask if a cup-to-disc ratio of 0.5 is considered severe. Could this lead to the development of glaucoma, especially since I have a history of retinal detachment surgery and a family history of floaters and glaucoma? What methods c...
Dr. Liang Ce Reply:
We recommend that you consult an ophthalmology medical facility. Wishing you good health. Thank you![Read More] Understanding Optic Nerve Cupping: Risks, Management, and Supplements
Understanding High Eye Pressure: Is It Glaucoma and Should You Consider Surgery?
Regarding elevated intraocular pressure? Hello Dr. Gao, I am the one who asked about seeing rainbows and white fog in my eyes last month <a href="https://adoctor.tw/article/205485">#205485</a>. Initially, my intraocular pressure was within the normal range, ...
Dr. Gao Pilin Reply:
Hello: Based on your description, your intraocular pressure has been consistently elevated, and there has been no significant improvement with medication. This may be a symptom of glaucoma. Glaucoma is an eye condition typically associated with increased intraocular pressure, whi...[Read More] Understanding High Eye Pressure: Is It Glaucoma and Should You Consider Surgery?
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
Understanding Astigmatism: Effects of Under-Corrected Glasses on Eye Health
Please provide the content you would like me to translate? Dear Dr. Gao, Thank you very much for your professional response and advice in article #206774. I have clearly understood my questions Q1 to Q4, and I truly appreciate your thoughtful replies and guidance. Regarding Q5...
Dr. Gao Pilin Reply:
Hello: I am glad to assist you again. Q1. If astigmatism is undercorrected by 25 degrees, is it possible to experience discomfort and visual fatigue over time? The answer is yes. Astigmatism refers to an uneven curvature of the cornea or lens, causing light to focus improperly ...[Read More] Understanding Astigmatism: Effects of Under-Corrected Glasses on Eye Health
Understanding Eye Care: Addressing Concerns After Pupil Dilation
Inquiry for clarification? Dear Dr. Gao, Thank you very much for your previous response to my questions; I have understood everything clearly. I apologize for bothering you again, but I have a sudden issue with my eye that has caused me some concern, so I am reaching out once mo...
Dr. Gao Pilin Reply:
Hello: Based on the situation you described, I would like to provide the following recommendations: Q1. It is unlikely to cause any harm. Q2. If the lower white part of the right eye (sclera) is poked or scratched, the following symptoms may occur: - Sharp pain or burning se...[Read More] Understanding Eye Care: Addressing Concerns After Pupil Dilation
Understanding Double Vision: Causes and Solutions for Eye Issues
Continuation of Inquiry #206758: Question Regarding Diplopia Dear Dr. Gao, Thank you very much for your professional response and advice regarding the "Double Vision Inquiry #206758." I will find time to have my eyes checked at an ophthalmology clinic. I would like to ...
Dr. Gao Pilin Reply:
Hello: Q1. Your understanding is generally correct. If the corneal shape is confirmed to be normal and there is a phenomenon of double vision with text, it may be caused by myopia or astigmatism. Myopia causes distant objects to appear blurry, while astigmatism may prevent ligh...[Read More] Understanding Double Vision: Causes and Solutions for Eye Issues
Post-Surgery Vision Blurriness and Eye Indentation Concerns
Postoperative blurred vision and sunken eyes? On November 27, I underwent surgery for a retinal detachment in my left eye, which included scleral buckle, vitrectomy, retinal laser treatment, and intraocular gas tamponade. After resting at home for a month, I returned for a follow...
Dr. He Jianxian Reply:
Hello Miss Chen: Typically, for such a complex surgery, it is necessary to allow more time for recovery, which could take as long as six months. As for the cause of the eye socket depression, I am not very clear on that. Generally, this condition occurs after multiple surgeries o...[Read More] Post-Surgery Vision Blurriness and Eye Indentation Concerns
Understanding Glaucoma Medications: Changes and Concerns Explained
Inquiry about glaucoma medications? Hello Dr. Liang, previously I was diagnosed with elevated intraocular pressure, and my doctor prescribed two types of eye drops: Compound Timolol and Brimonidine. However, during my recent follow-up, the doctor mentioned that they would change ...
Dr. Liang Ce Reply:
I recommend that you: 1. Discuss the above situation further with your attending physician. 2. Consider consulting an ophthalmologist at a major hospital. Wishing you good health. Thank you![Read More] Understanding Glaucoma Medications: Changes and Concerns Explained
Understanding Macular Health: Insights on OCT and Eye Pressure Management
Macular issues Hello Doctor, due to high intraocular pressure, my doctor scheduled my first OCT examination in mid-January. The results showed that the optic nerve portions of both eyes are thinner than average (indicated in yellow). However, the doctor mentioned that two reports...
Dr. Gao Pilin Reply:
Hello: Based on your description, you underwent an OCT examination, and the report indicates that the optic nerve in both eyes is thinner than average. However, two reports need to be compared to confirm whether this is indicative of pre-glaucoma. Additionally, the values for the...[Read More] Understanding Macular Health: Insights on OCT and Eye Pressure Management
Essential Eye Care: Regular Checkups and Important Tests for Vision Health
Regular Eye Examinations & Eye Care Knowledge Hello, I have been nearsighted for the past five years, with my prescription ranging from -3.50 to -5.00 diopters, and I also have astigmatism (50, 100) and floaters. In my daily life, I can drive, read, and use electronic devices...
Dr. Gao Pilin Reply:
Hello: Question 1: Regarding your vision condition, it is recommended that you have an eye examination annually, which includes a refraction test and a fundus examination. Additionally, glaucoma and cataract screenings will be conducted during the visit, and you can discuss wit...[Read More] Essential Eye Care: Regular Checkups and Important Tests for Vision Health
Do You Need Additional Eye Exams Before Cataract Surgery?
Do I need to undergo examinations for the macula, glaucoma, or other conditions before cataract surgery? Hello Dr. Gao. My left eye is 1700, and my right eye is 2400. Both eyes have presbyopia, astigmatism, and macular degeneration, with the right eye being more severe and requir...
Dr. Gao Pilin Reply:
Hello: Before cataract surgery, the physician will conduct a series of examinations to assess the macula, optic nerve, and other factors. Regarding the choice of intraocular lens (IOL), considering your macular degeneration and work requirements, it is recommended that you select...[Read More] Do You Need Additional Eye Exams Before Cataract Surgery?
Understanding Vision Disturbances: White Haze and Rainbow Effects
Seeing things with a layer of white haze and rainbow colors? Hello doctor, recently I have been experiencing a sensation of having a white veil over my vision, especially after 4 PM. This effect becomes more pronounced under bright lights. When I look at stronger light sources, s...
Dr. Gao Pilin Reply:
Hello: You mentioned that you experience these symptoms after 4 PM, which may be due to the normal fluctuations of intraocular pressure throughout the day. Intraocular pressure is typically lowest in the morning and highest in the evening. If you have glaucoma, these fluctuations...[Read More] Understanding Vision Disturbances: White Haze and Rainbow Effects
Understanding Eye Pressure and Visual Disturbances After Surgery
Intraocular pressure when looking out with the eyes? Happy New Year, Doctor! I would like to ask: 1. Recently, I have noticed that when I focus intently on a specific spot, I can see very fine particles, somewhat similar to a pixelated effect (I've thought for a long time ...
Dr. Gao Pilin Reply:
Hello: 1. It is possible that you are experiencing floaters, a common eye condition caused by the presence of protein or cellular debris in the vitreous humor, which creates shadows that are projected onto the retina as light passes through the vitreous. Symptoms of floaters ty...[Read More] Understanding Eye Pressure and Visual Disturbances After Surgery
Post-Vitreous Surgery Concerns: Understanding Silicone Oil Complications
Postoperative Issues After Vitrectomy Hello, doctor. I have diabetic proliferative retinopathy and retinal detachment, and I just underwent vitrectomy. Silicone oil has been in both of my eyes for about 10 months and has not yet been removed. I would like to ask: 1) What is the t...
Dr. He Jianxian Reply:
Dear Mr. Tsai: The duration of silicone oil emulsification varies from person to person. Typically, if emulsification is observed, it should be removed promptly to prevent complications. Reports indicate that the rate of re-detachment after removal ranges from 10% to 40%, while...[Read More] Post-Vitreous Surgery Concerns: Understanding Silicone Oil Complications
Understanding Proliferative Retinopathy: Key Questions and Answers
Proliferative Retinal Disease Hello, Director. I have developed proliferative retinopathy and retinal detachment in both eyes due to diabetes. I underwent vitrectomy in March and April of last year, and silicone oil was injected into both eyes, which has not yet been removed. I w...
Dr. He Jianxian Reply:
Dear Mr. Tsai, 1. Whether vision will return to pre-operative levels after silicone oil removal depends on the post-operative condition. If the retina does not undergo subsequent changes (such as detachment) due to the removal of silicone oil, we can optimistically expect correc...[Read More] Understanding Proliferative Retinopathy: Key Questions and Answers