Understanding Normal-Tension Glaucoma: Diagnosis, Treatment, and Lifestyle Impact
Diagnosis and management of glaucoma? Hello Doctor: I have over 700 degrees of myopia in my left eye and 600 degrees in my right eye. Recently, I noticed that the left third of my left eye's visual field is quite blurry, so I went for an eye examination. After undergoing OCT...
Dr. Gao Pilin Reply:
Dear Mr. Tsai: 1. Some types of glaucoma can occur with normal or even low intraocular pressure; your examinations should be sufficient. 2. A gonioscopy is necessary. You may inquire with the attending physician. 3. This refers to gonioscopy. Generally, glaucoma evaluations will...[Read More] Understanding Normal-Tension Glaucoma: Diagnosis, Treatment, and Lifestyle Impact
Protecting Remaining Optic Nerve: Strategies for Vision Preservation
Protection of the remaining optic nerve? Q: How can I preserve the remaining optic nerve? Hello, Dr. Gao. I know that some people have already asked questions regarding the optic nerve. Since treatment has been ineffective, I have been encouraged by your detailed and compassionat...
Dr. Gao Pilin Reply:
Dear Mr. Gao, I regret to inform you that there is currently no method to completely halt the degeneration of the optic nerve. However, research indicates that the glaucoma medication, Aifumu (also known as Latanoprost), has protective effects on the optic nerve. If you wish to ...[Read More] Protecting Remaining Optic Nerve: Strategies for Vision Preservation
Understanding Glaucoma: Key Questions and Insights for Patients
Suspected glaucoma issue? Hello, Doctor He. I previously inquired about the possibility of glaucoma. In your response, you mentioned that the optic nerve cup generally does not enlarge unless there is a condition of "persistent damage to the optic nerve or retina." I am...
Dr. He Jianxian Reply:
The term "the optic nerve head does not enlarge" refers to the absence of a continuous increase in size. If there is a persistent enlargement, it indicates that the optic nerve cells are experiencing damage during that period of enlargement. Essentially, controlling int...[Read More] Understanding Glaucoma: Key Questions and Insights for Patients
Understanding Suspected Glaucoma: What You Need to Know
Suspected glaucoma? Hello, Doctor He. About a year ago, I went to a medical center for an examination, and the doctor mentioned that the optic nerve cupping in my left eye was larger than normal. Subsequently, some glaucoma tests were arranged, and the doctor said that overall, i...
Dr. He Jianxian Reply:
Basically, the optic nerve head does not enlarge unless there is ongoing damage to the optic nerve or retina. Based on your description, your condition should only require regular follow-up examinations.[Read More] Understanding Suspected Glaucoma: What You Need to Know
Enlarged Optic Nerve: Understanding Risks and Monitoring for Eye Health
Optic nerve enlargement? Hello, doctor. Last year, I had an examination at a large hospital, and the doctor mentioned that my left optic nerve appeared larger. Subsequently, some tests were arranged. After the tests, the doctor said that overall, it looked okay, and I only needed...
Dr. Wang Yuwei Reply:
We apologize, but Dr. Wang from our hospital has been transferred and promoted to the position of Director at Xinying Hospital.[Read More] Enlarged Optic Nerve: Understanding Risks and Monitoring for Eye Health
Temporary Increases in Eye Pressure: What You Need to Know
Transient intraocular pressure elevation 1: Inverting a person can increase intraocular pressure by more than 30 mmHg. This transient increase in eye pressure may not have significant adverse effects on normal individuals. 2. Dr. Da-Wen Lu, the head of the general ophthalmology d...
Dr. Gao Pilin Reply:
Hello, Jun: A temporary increase in intraocular pressure should not harm the optic nerve in normal individuals, and you are correct. When sleeping face down, you can avoid putting pressure on your eyes by resting your forehead on your hands, which will prevent these issues. Press...[Read More] Temporary Increases in Eye Pressure: What You Need to Know
How Increased Eye Pressure Affects Retinal Thickness: Key Insights
Actions that increase intraocular pressure? Does an increase in intraocular pressure cause the retina to thin? Why are individuals with a thinner retina advised against activities that can raise intraocular pressure?
Dr. Gao Pilin Reply:
Hello, Awei: It should be noted that an increase in intraocular pressure can cause the eyeball to enlarge, leading to thinning of the retina. No one should frequently engage in activities that raise intraocular pressure to avoid the risk of glaucoma. Your issue may stem from acti...[Read More] How Increased Eye Pressure Affects Retinal Thickness: Key Insights
Managing Blindness from Glaucoma: Key Questions Answered
Management after blindness due to glaucoma? Hello, Doctor. I have been suffering from glaucoma in one eye for five to six years, and that eye has completely lost its vision. I have a few questions I would like to ask for clarification. 1. Should I continue using eye drops to lo...
Dr. Zhuang Yamin Reply:
1. It won't hurt. If there is no light perception at all, there is no need to perform the test. If there is still light perception, then the test should be conducted. 2. Yes, but it will still be a long process. 3. No, it won't. 4. It depends on the type of glauco...[Read More] Managing Blindness from Glaucoma: Key Questions Answered
Can Overuse of Eye Drops Lead to Glaucoma? Understanding Risks
Corticosteroids Doctor, I have chronic conjunctivitis and my ophthalmologist prescribed me Wenmei Eye and Fuyanneng 0.1. During the first application, I accidentally instilled 2 drops of Fuyanneng. Two hours later, I applied it again and instilled another 2 drops. Am I at risk of...
Dr. Gao Pilin Reply:
Hello Feng: Don't worry, it will be fine.[Read More] Can Overuse of Eye Drops Lead to Glaucoma? Understanding Risks
Understanding Intraocular Pressure Fluctuations and Glaucoma Risks
Intraocular pressure fluctuations and glaucoma? Glaucoma occurs primarily due to impaired drainage of aqueous humor, rather than activities that cause an increase in intraocular pressure, correct? As long as the structures responsible for aqueous humor drainage are normal, even i...
Dr. Gao Pilin Reply:
Hello, Intraocular pressure (IOP) is not fixed but rather exists within a certain range. Generally, if aqueous humor drainage is normal, a temporary increase in IOP can still be considered within the normal range. IOP fluctuates within a specific range daily, making it less lik...[Read More] Understanding Intraocular Pressure Fluctuations and Glaucoma Risks
Understanding Optic Nerve Cupping: Is It a Sign of Glaucoma?
Optic nerve cupping Glaucoma Hello, doctor... I had my military service physical examination today, and during the eye exam, it was noted that my optic nerve cupping is greater than 80% (there is no family history of glaucoma). However, I had been on the computer all day before t...
Dr. He Jianxian Reply:
The size of the optic nerve cup is related to glaucoma, but the relationship is not absolute; however, 80% of the optic nerve cups are indeed enlarged. It is recommended that you visit an ophthalmologist for intraocular pressure and visual field tests to determine if glaucoma is ...[Read More] Understanding Optic Nerve Cupping: Is It a Sign of Glaucoma?
Understanding Eye Pressure: Myths About Axial Myopia and Glaucoma Risks
Eye Problems 2 Doctor, I still don't quite understand. When the eyes converge for near vision, it increases the pressure in the vitreous cavity, which can lead to elongation of the eyeball and result in axial myopia over time. Is this situation referring to the eyeball durin...
Dr. Gao Pilin Reply:
Hello: 1. As you are an adult, it is less likely for you to develop axial myopia. However, it is still important to take appropriate breaks; you should rest for ten minutes after every half hour to an hour of screen time. 2. Elevated intraocular pressure is one of the causes ...[Read More] Understanding Eye Pressure: Myths About Axial Myopia and Glaucoma Risks
Understanding Eye Pressure and Axial Length: Myopia Concerns
Intraocular pressure and axial length? Doctor, at my age, is it true that my axial length will no longer increase? Many activities can raise intraocular pressure, and elevated intraocular pressure can lead to an increase in axial length, which in turn causes myopia. Doesn't ...
Dr. Gao Pilin Reply:
Hello Wei: The greatest harm of elevated intraocular pressure is to the optic nerve, leading to glaucoma, rather than myopia. It is crucial not to allow excessively high intraocular pressure to cause permanent damage to the optic nerve. Thank you for your message.[Read More] Understanding Eye Pressure and Axial Length: Myopia Concerns
Understanding OCT and Fundus Examination for Glaucoma Diagnosis
Fundoscopy and OCT interpretation and diagnosis of the optic nerve? Hello Doctor, recently I've been feeling anxious about my health (I have been seeing a psychiatrist...), which led me to worry about my eyes. I am highly myopic, with both eyes at -700 degrees. Yesterday, my...
Dr. Wang Zhangji Reply:
OCT is just one of many tests and cannot be used alone to diagnose glaucoma. There is no need to be overly concerned about hypothetical issues; joy is the best medicine.[Read More] Understanding OCT and Fundus Examination for Glaucoma Diagnosis
Understanding Glaucoma Symptoms and Diagnosis: What You Need to Know
Symptoms and Diagnosis of Glaucoma Hello Doctor: Recently, I experienced conjunctival injection in my right eye and visited an ophthalmology clinic. The doctor indicated that there is inflammation present. During the visit, my visual acuity and intraocular pressure were also chec...
Dr. Zhuang Yamin Reply:
Hello, Miss Huang: The measurement of intraocular pressure is typically performed using a non-contact tonometry method (you may feel a puff of air directed at your eye during the measurement). This method can sometimes yield inaccurate results if the patient experiences discomfo...[Read More] Understanding Glaucoma Symptoms and Diagnosis: What You Need to Know
Understanding Glaucoma Concerns: A Guide for High Myopia Patients
Concern for glaucoma Hello, Doctor. I am a programmer with high myopia. Last year, my intraocular pressure was as high as 26. The doctor prescribed me a fatigue-relief eye drop, and after three days, my pressure dropped to 18-19 during a follow-up. Two months later, I went to Hos...
Dr. He Jianxian Reply:
1. OCT results do not fully represent the presence or absence of glaucoma and must be interpreted in conjunction with other conditions. 2. There are no clinical reports linking excessive eye strain to the development of glaucoma. 3. Essentially, if glaucoma has not been confirmed...[Read More] Understanding Glaucoma Concerns: A Guide for High Myopia Patients
Understanding Glaucoma: Symptoms, Diagnosis, and Treatment Options
Glaucoma Diagnosis I visited a doctor on July 19, who diagnosed me with conjunctivitis. I have been using anti-inflammatory and vasoconstrictor eye drops for two weeks, but my condition has not improved. I have noticed a decline in my vision, my eyes have bloodshot appearance, an...
Dr. Wang Zhishun Reply:
Hello, glaucoma is not solely determined by intraocular pressure; other factors must also be considered. Using steroids for two weeks may rarely cause glaucoma. If the eye drops have been used for two weeks without improvement and vision has worsened, it is important to seek medi...[Read More] Understanding Glaucoma: Symptoms, Diagnosis, and Treatment Options
Understanding Light Sensitivity and Night Vision Issues in Myopia
Photophobia and nocturnal diplopia? Hello, Doctor. I have high myopia (L: -9.25, R: -9.0, latest refraction) but I usually wear glasses with a prescription of L: -7.5, R: -7.25 (from four years ago when I was 22). My left eye has 25 degrees of astigmatism and I experience floater...
Dr. He Jianxian Reply:
It is recommended that you visit an ophthalmology specialist for an examination and consultation, as this may help identify the underlying cause more easily.[Read More] Understanding Light Sensitivity and Night Vision Issues in Myopia
Understanding the Risks of SSRIs in Patients with Glaucoma
The issue of glaucoma and the mydriatic effects of SSRIs (Selective Serotonin Reuptake Inhibitors)? I would like to ask about glaucoma, specifically angle-closure glaucoma. A few years ago, I was prescribed SSRI antidepressants by a psychiatrist and took them continuously for sev...
Dr. Wang Yuwei Reply:
Indeed, as you mentioned, patients with open-angle glaucoma can take these medications with relatively few concerns, as long as they are regularly monitored by an ophthalmologist. Currently, Optical Coherence Tomography (OCT) can indeed detect early damage to the optic nerve or n...[Read More] Understanding the Risks of SSRIs in Patients with Glaucoma
Understanding Optic Nerve Cupping: Signs, Risks, and Eye Care Tips
Optic nerve and cupping issues? Dear Dr. Gao/Director, Happy Lunar New Year! I am currently abroad and today I went to an ophthalmologist for a routine vision health check. My visual acuity was measured (it hasn't worsened compared to last year), and my intraocular pressur...
Dr. Gao Pilin Reply:
Hello, Big Eyes: 1. Disc cupping refers to the excavation of the optic nerve head. When the optic disc is affected by intraocular pressure, it may initially lead to an increase in the cupping of the optic nerve head. Therefore, an increase in disc cupping can be considered an in...[Read More] Understanding Optic Nerve Cupping: Signs, Risks, and Eye Care Tips