Understanding Blurred Vision and Light Sensitivity in Older Adults
Blurred vision, loss of color perception, photophobia? Hello, doctor. The patient is a 69-year-old male with congenital exotropia who needs to read a large volume of text daily for work. In June 2013, he fell and hit his head in his bathroom. Before the decline in vision, he freq...
Dr. Wang Zhangji Reply:
Photophobia is usually associated with issues related to the cornea and conjunctiva, so it is advisable to consult a cornea specialist for treatment. Color vision is more related to the function of the optic nerve, and the potential causes of poor vision are very diverse. It is r...[Read More] Understanding Blurred Vision and Light Sensitivity in Older Adults
Post-Scleral Buckling Surgery: Managing Acute Glaucoma Risks
Acute glaucoma following scleral buckle surgery? Hello Doctor, I underwent scleral buckle surgery on my right eye ten years ago before the Lunar New Year. After that, I used Timolol eye drops for about six months, along with other medications like pilocarpine to lower intraocular...
Dr. He Jianxian Reply:
Hello: I cannot provide a definitive answer to this question. I recommend that you consult a retinal specialist, as they have more experience in addressing related issues. Wishing you good health.[Read More] Post-Scleral Buckling Surgery: Managing Acute Glaucoma Risks
Managing Elevated Eye Pressure: Symptoms, Diagnosis, and Treatment Options
Elevated intraocular pressure? I have been experiencing eye pain and headaches for over a month, and sometimes the pain is severe enough to cause nausea. An ophthalmologist checked my intraocular pressure, which was 28 in the left eye and 29 in the right eye, leading to a suspici...
Dr. He Jianxian Reply:
Hello: It is recommended that you stop using the intraocular pressure-lowering medication and visit a major hospital for an examination to confirm whether there is a glaucoma issue before proceeding with further treatment. Wishing you good health.[Read More] Managing Elevated Eye Pressure: Symptoms, Diagnosis, and Treatment Options
Understanding 55% Optic Nerve Cupping in a Child: Key Concerns and Next Steps
Optic nerve cupping 55%? Hello, doctor. Two days ago, I took my six-year-old daughter to an ophthalmology clinic for a vision check. Her vision is normal, but it was unexpectedly found that she has a 55% optic nerve cupping. Her intraocular pressure is normal, and her visual fiel...
Dr. Wang Yuwei Reply:
Your daughter may indeed have a naturally larger optic nerve head depression, so it is important to monitor her intraocular pressure and visual fields. If there are any abnormalities in the future regarding intraocular pressure or visual fields, it could indicate glaucoma, which ...[Read More] Understanding 55% Optic Nerve Cupping in a Child: Key Concerns and Next Steps
Understanding Unstable Vision: Causes and Solutions for Eye Health Issues
Unstable vision prescription? In early January, I accidentally pressed on my right eyeball while napping, causing the angle of the right eye to change from 170 degrees to 10 degrees. Additionally, there was a small hole in the upper right part of the retina. I underwent laser sur...
Dr. He Jianxian Reply:
Hello: 1. If there is a problem with sinusitis, you should seek treatment from an otolaryngologist. 2. Changing the angle basically only requires adjusting the lens angle, which does not affect clarity or depth perception. 3. Severe astigmatism can cause significant image distort...[Read More] Understanding Unstable Vision: Causes and Solutions for Eye Health Issues
Facing the Fear of Blindness: A Young Professional's Eye Health Journey
Fear of blindness Hello, Doctor. I am highly myopic with astigmatism and work in the technology industry, where I spend long hours using a computer. I have been working for less than a year. In April, I was suspected of having glaucoma, and in June, I underwent visual field tests...
Dr. He Jianxian Reply:
Hello: I think you are worrying too much. I suggest you come to our outpatient clinic for an examination; the explanation will be clearer. Wishing you good health.[Read More] Facing the Fear of Blindness: A Young Professional's Eye Health Journey
Understanding the Link Between High Eye Pressure and Dizziness Symptoms
High intraocular pressure can cause feelings of dizziness? Hello Doctor, I have previously experienced high intraocular pressure. In June, I underwent visual field and optic nerve examinations, and the doctor said that there are currently no signs of glaucoma. However, this week,...
Dr. He Jianxian Reply:
Hello: At the age of 27, it is almost impossible to experience acute glaucoma that causes nausea, vomiting, or even headaches, unless there is a congenital abnormality in your eye structure. Therefore, considering the numerous episodes of discomfort you have experienced, and the ...[Read More] Understanding the Link Between High Eye Pressure and Dizziness Symptoms
Understanding Glaucoma: Managing Fear and Eye Health
Fear of Glaucoma Hello, doctor. Last time I asked you about glaucoma issues, and last week I successfully went to Cathay General Hospital in Taipei for a visual field test. The doctor responded that both eyes are normal. The optical coherence tomography showed that the left eye&#...
Dr. He Jianxian Reply:
Hello: Your test results appear to be quite normal. A follow-up every six months is definitely sufficient, and there is no need for any supplements. Basically, you don't need to worry. Wishing you good health and peace.[Read More] Understanding Glaucoma: Managing Fear and Eye Health
Understanding Optic Nerve Issues in High Myopia: A Patient's Dilemma
Optic nerve issues Hello Doctor, I am highly myopic and have previously experienced elevated intraocular pressure, but after a few days, it can drop below 20. For the next two months, my intraocular pressure remained normal (I have visited the clinic around 10 times to measure my...
Dr. He Jianxian Reply:
Hello: I recommend that you first visit a well-established hospital to undergo a comprehensive visual field test (standard type) to assess whether you have glaucoma or if there are other issues causing your visual field loss. This will help determine the next steps in your treatm...[Read More] Understanding Optic Nerve Issues in High Myopia: A Patient's Dilemma
Understanding Glaucoma: What Do Rainbow Halos Around Lights Mean?
Glaucoma halos The halos seen in glaucoma can appear as rainbow-colored rings around lights. If you are experiencing severe eye pain accompanied by nausea and seeing halos around streetlights, it is important to seek medical attention promptly, as these could be symptoms of acute...
Dr. Zhuang Yamin Reply:
Dear "Handsome," Hello! The halos seen in glaucoma are very similar to what you described. Due to elevated intraocular pressure leading to corneal edema, you may see a ring of light around light sources. Additionally, the symptom of "eye pain so severe it makes y...[Read More] Understanding Glaucoma: What Do Rainbow Halos Around Lights Mean?
Understanding Optic Nerve Issues: Eye Pressure, Vision Loss, and Next Steps
Optic nerve issues? Hello, Doctor. I previously had an eye pressure spike up to 26, but after using eye drops (not for lowering eye pressure), it has been maintained between 15 and 19. Yesterday, I found a clinic that could perform a visual field test on-site (the doctor said it ...
Dr. He Jianxian Reply:
Hello: Essentially, your question contains too many uncertain assumptions. I recommend that you first seek a well-established hospital capable of conducting a comprehensive examination to confirm the diagnosis before considering subsequent treatment options. This would be a more ...[Read More] Understanding Optic Nerve Issues: Eye Pressure, Vision Loss, and Next Steps
Understanding Glaucoma: Beyond Eye Pressure and Long-Term Management
Concerns about glaucoma? Doctor, I would like to ask about glaucoma. Isn't it caused by chronically high intraocular pressure leading to optic nerve damage? However, I recently saw online that "in recent years, diagnosing glaucoma cannot rely solely on intraocular press...
Dr. He Jianxian Reply:
Hello: Normal-tension glaucoma, also known as low-tension glaucoma, is diagnosed based on the condition of visual field and optic nerve damage. Therefore, if your visual field test is normal, there is generally no need for excessive concern; however, regular follow-up is still ne...[Read More] Understanding Glaucoma: Beyond Eye Pressure and Long-Term Management
Understanding Glaucoma: Symptoms, Risks, and What to Expect
Glaucoma examination Recently, I experienced discomfort in my eyes and had headaches, so I went to a clinic for an examination. My eye pressure was as high as 26 mmHg, and after using eye drops for three days, it decreased to 20 mmHg, but it has been fluctuating between 18-20 mmH...
Dr. He Jianxian Reply:
Hello: First of all, your headache is likely not significantly related to intraocular pressure. Generally, intraocular pressure must be quite high to cause headaches, commonly seen in acute glaucoma with pressures above 40 mmHg. Therefore, your headache should not be related to g...[Read More] Understanding Glaucoma: Symptoms, Risks, and What to Expect
Can Glaucoma Patients Safely Wear Sunglasses Outdoors?
Glaucoma Can glaucoma patients wear full-vision (photochromic) glasses or sunglasses outdoors? There have been reports suggesting that glaucoma patients should avoid wearing sunglasses, as they may cause pupil dilation and increase intraocular pressure. However, when outdoors in ...
Dr. Wang Yuwei Reply:
Pupil dilation can lead to increased intraocular pressure, which is limited to angle-closure glaucoma. It is still recommended for the general public to wear sunglasses when outdoors in sunlight.[Read More] Can Glaucoma Patients Safely Wear Sunglasses Outdoors?
Understanding Steroid Use and Eye Symptoms: Blue Flashes and More
Steroids blue bright spot lightning? 1. Can using a steroid cream (for seborrheic dermatitis) cause pigmentation deposits in the eyes? Is there a high risk of developing glaucoma from using steroid creams? I often apply the cream near my eyes. 2. In dark areas, I consistently s...
Dr. Zhuang Yamin Reply:
Dear "Instant Noodles", Regarding the concerns about the use of steroids, since they are not directly applied to the eye and the amount absorbed systemically from topical application is usually quite small, there is less concern about inducing glaucoma, and it is rare ...[Read More] Understanding Steroid Use and Eye Symptoms: Blue Flashes and More
Managing Eye Allergies: Tips for Weather-Related Itchiness
Eye itching due to changes in weather? Dear Dr. Gao, I apologize for disturbing you during your busy schedule! I would like to ask you the following question: I have been experiencing allergic itching in my eyes when the weather changes (when it fluctuates between hot and cold)....
Dr. Gao Pilin Reply:
Hello: Based on your description, it seems you have seasonal conjunctivitis, which is an allergic condition. This is related to your constitution and often recurs, making it difficult to cure completely. The main preventive measures include avoiding known allergens (you may consu...[Read More] Managing Eye Allergies: Tips for Weather-Related Itchiness
Understanding Anterior Chamber Blockage: Symptoms and Treatment Options
Regarding anterior chamber obstruction? Hello Doctor, Thank you very much for taking the time to respond to my question amidst your busy schedule. My situation is as follows: In April of this year, an ophthalmologist in Taipei informed me that my eye (anterior chamber) was half ...
Dr. He Jianxian Reply:
Hello: Glaucoma is not solely characterized by the presence of a blue-yellow halo around objects; most cases of glaucoma do not have any warning signs, except in the case of acute glaucoma. The eye drops Aishiming and Zhimoumin are not specifically used to treat glaucoma, but the...[Read More] Understanding Anterior Chamber Blockage: Symptoms and Treatment Options
Can Eye Fatigue Increase Intraocular Pressure? Understanding the Connection
Intraocular pressure issues? Due to my work, I have been using the computer at close range for an extended period. Additionally, I have nasal allergies, and whenever I feel fatigued, my eyes become inflamed. In the past week or two, due to the eye inflammation, my doctor prescrib...
Dr. Wang Zhangji Reply:
Glaucoma is not diagnosed solely based on intraocular pressure. Some individuals may have inherently high eye pressure but do not necessarily have glaucoma. The optic nerve head is one of the examinations used in the diagnosis. For a more detailed assessment, additional tests suc...[Read More] Can Eye Fatigue Increase Intraocular Pressure? Understanding the Connection
Understanding Artificial Tears: Safe Usage and Eye Health Concerns
Eye drops prescribed by an ophthalmology clinic? Doctor, I have a question. I often visit the ophthalmologist, and the doctor prescribes me Five Blessings eye drops (artificial tears). The doctor mentioned that I can use them when my eyes feel fatigued. The medication label also ...
Dr. He Jianxian Reply:
Hello: Instilling artificial tears generally does not cause glaucoma. However, most bottled artificial tears contain traditional preservatives such as Benzalkonium Chloride, which can be somewhat toxic to the corneal epithelium. Therefore, excessive use may lead to punctate epith...[Read More] Understanding Artificial Tears: Safe Usage and Eye Health Concerns
Understanding Normal Tension Glaucoma: Causes and Symptoms Explained
About glaucoma? Yes, the term "Normal Tension Glaucoma (NTG)" does exist. It refers to a type of glaucoma where optic nerve damage occurs despite the intraocular pressure being within the normal range. The exact cause of NTG is not fully understood, but it is believed t...
Dr. Qiu Hanqing Reply:
Hello! 1) Glaucoma refers to a group of diseases that cause "optic nerve damage" and lead to "visual function abnormalities," with elevated intraocular pressure being just one of the risk factors. 2) Normal-tension glaucoma (also known as low-tension glaucoma)...[Read More] Understanding Normal Tension Glaucoma: Causes and Symptoms Explained