Glaucoma and Military Service: Vision Requirements for Exemption
Regarding the military service issues related to glaucoma? Hello, doctor: I have currently been diagnosed with glaucoma but have no other pathological changes. The military service assessment mentioned exemption: glaucoma without pathological changes is determined by visual acuit...
Dr. Wang Zhishun Reply:
Hello, for simple refractive errors, it is necessary to perform dilation and measure the total spherical equivalent refractive error in one eye greater than 1000 diopters, or a binocular disparity greater than 500 diopters. Thank you.[Read More] Glaucoma and Military Service: Vision Requirements for Exemption
Understanding Glaucoma Medications: Concerns and Side Effects
Please inquire about glaucoma medications? I was informed during a fundus examination in 2006 that there was a cupping of the optic nerve, indicating a possibility of glaucoma. Since then, I have been undergoing regular visual field and OCT examinations every six months at a teac...
Dr. Wang Zhishun Reply:
Hello, Mikelan (metolazone) may have some effects on the heart, but generally, the impact is minimal. It is recommended that you discuss this with a cardiologist and an ophthalmologist. As for Xalatant (latanoprost) and Mikelan, currently, there is no known liver or kidney damage...[Read More] Understanding Glaucoma Medications: Concerns and Side Effects
The Connection Between Peripheral Nerves and Vision Health
The relationship between peripheral nerves and vision? Hello, doctor. 1. Recently, I saw the actor Lei Hong performing on television, using only the strength of his fingers to squeeze juice from a pineapple. During my military service, I also witnessed someone who could split a...
Dr. Wang Zhishun Reply:
Hello, regarding point 1, I have not seen such information in ophthalmology literature to date. As for point 2, activities that involve straining the abdomen may require caution for patients with high myopia or glaucoma. Thank you for your question, and feel free to discuss furth...[Read More] The Connection Between Peripheral Nerves and Vision Health
Understanding Eye Stroke vs. Blood Clots: A Patient's Guide
Is it a blood clot that hasn't resolved or an eye stroke? Hello, Dr. Ke. My father is 59 years old and underwent cataract surgery after experiencing blurred vision. A few days post-surgery, he began seeing spider-like images in his eye, and over the past few days, the dark s...
Dr. Ke Meilan Reply:
Ocular stroke can occur in both arteries and veins, and without examining the patient, it is impossible to determine the specific type. Damage occurs at the time of the vascular occlusion, and the prognosis depends on the extent and location of the blockage. Treatment focuses on ...[Read More] Understanding Eye Stroke vs. Blood Clots: A Patient's Guide
Understanding Mydriatic Agents: Effects on Eye Health and Vision
Regarding mydriatics? Hello Doctor: I am currently 34 years old. My left and right eyes have myopia of -250 and -275, respectively, with astigmatism of -1.25 and -1.00. Recently, I visited a clinic due to eye fatigue, and the doctor prescribed a short-acting dilating agent, which...
Dr. Feng Jiefan Reply:
1. The symptoms of glaucoma are quite diverse, and it is necessary to have data from intraocular pressure measurements, fundus examinations, and visual field tests to make a diagnosis. If there are any doubts, one should consult a physician for an examination. 2. Mydriatic agen...[Read More] Understanding Mydriatic Agents: Effects on Eye Health and Vision
Understanding Vision Loss After Glaucoma Surgery: Causes and Concerns
Glaucoma Hello Doctor: My husband underwent trabeculectomy for glaucoma in mid-March, starting with the left eye. After the surgery, his vision was blurry, and the doctor said it would gradually improve. The right eye was operated on a week later, and after the bandage was remove...
Dr. Ke Meilan Reply:
Hello, Miss: Dr. Kuo Mei-Lan replied: When vision cannot be restored, the first consideration should be refractive changes. Generally, recovery occurs within a month. When the intraocular pressure is 8, it is considered good; however, for individuals with high myopia, significant...[Read More] Understanding Vision Loss After Glaucoma Surgery: Causes and Concerns
Understanding Glaucoma: Is Your Vision Below 0.02 on the Chart?
Questions about glaucoma? Hello, doctor. My friend underwent trabeculectomy for glaucoma 8 to 9 years ago. During a recent follow-up visit, the physician issued a diagnosis report stating that the visual acuity in the left eye is 20 cm with the ability to count fingers, and the a...
Dr. Ke Meilan Reply:
Hello Mr. Chen: Dr. Komeilan has answered the question: Yes. Wishing you health and safety. Ophthalmology, 99/08/27.[Read More] Understanding Glaucoma: Is Your Vision Below 0.02 on the Chart?
Understanding Sudden Vision Changes: Possible Causes and Solutions
Eyes Hello Doctor: My sister, who is 22 years old and in her first year of graduate school, recently woke up to find her vision completely black in the morning. She sometimes has difficulty seeing during the day, and her vision appears foggy. She has myopia and astigmatism exceed...
Dr. Gao Pilin Reply:
Hello: Based on your sister's symptoms, since she is highly myopic, the blackness she experiences in the morning may be caused by vitreous degeneration, commonly known as floaters. If the cloudy part of the vitreous obstructs the central visual axis, it can create a dark, ha...[Read More] Understanding Sudden Vision Changes: Possible Causes and Solutions
Understanding Glaucoma: Managing Eye Pressure and Treatment Options
About glaucoma? I apologize for the inconvenience, but I would like to ask Dr. Wang about glaucoma. I was diagnosed with early-stage glaucoma symptoms at a hospital in the eastern part of Taiwan, with an intraocular pressure (IOP) of 27 mmHg. I have been using Aiferm Eye Drops 0....
Dr. Wang Zhangji Reply:
It is recommended to also accept examinations of the optic nerve and visual field.[Read More] Understanding Glaucoma: Managing Eye Pressure and Treatment Options
Understanding the Impact of Timolol on Optic Nerve Health and Eye Pressure
Optic nerve head hypoplasia I have been using Timolol Chauvin 0.50% eye drops (twice daily) for over a year due to elevated intraocular pressure. My current intraocular pressure is 21 mmHg (it was 26 mmHg before starting the medication). After starting the drops, I noticed my pul...
Dr. Wang Zhishun Reply:
Hello: The diagnosis of glaucoma and the decision to initiate treatment are not always clear-cut and often require a comprehensive consideration of various factors. In your case, it seems not so absolute, and my response may serve as a reference for you. The examination instrumen...[Read More] Understanding the Impact of Timolol on Optic Nerve Health and Eye Pressure
Understanding Amblyopia: Genetic Factors and Contact Lens Concerns
I would like to ask a question about contact lenses? I am not sure if amblyopia is hereditary. My mother has it, and I also have it. My mother said it might have been passed down to me, which is why there is a significant difference in the prescription between my left and right e...
Dr. Xie Wenzhen Reply:
Hello, Miss: Thank you for your inquiry. I would like to respond to your question and provide the following suggestions: What is your best corrected vision with glasses? If your corrected vision is 0.8 or above and you are currently 21 years old, you should not be overly concerne...[Read More] Understanding Amblyopia: Genetic Factors and Contact Lens Concerns
Understanding Eye Hemorrhage Treatment: Self-Pay vs. Insurance Options
The issue of clearing blood clots within the eye? Thank you for the previous doctor's response. My father has already undergone cataract surgery, but prior to the surgery, he experienced an eye injury which may have caused bleeding inside the eye. After the cataract and glau...
Dr. Wang Zhangji Reply:
Self-funded vitrectomy can be performed without sutures due to the use of smaller instruments, resulting in faster recovery and less foreign body sensation postoperatively.[Read More] Understanding Eye Hemorrhage Treatment: Self-Pay vs. Insurance Options
Understanding Eye Hemorrhage Treatment: Self-Pay vs. Insurance Options
Removal of intraocular hemorrhage The father sought medical attention due to unclear vision in his left eye. After undergoing surgery for glaucoma and cataracts, the doctor indicated that there was a blood clot in the eye, which may require surgical intervention if it does not ab...
Dr. Wang Zhangji Reply:
Based on your description, the out-of-pocket expenses likely refer to the intraocular lens that needs to be implanted during cataract surgery. However, you also mentioned that your father has already undergone cataract surgery, which seems contradictory. I recommend that you dire...[Read More] Understanding Eye Hemorrhage Treatment: Self-Pay vs. Insurance Options
Understanding Eye Drops for Open-Angle Glaucoma Treatment
Regarding eye drops? Hello, doctor. Recently, I went to the hospital for an examination, and the doctor told me that I have elevated intraocular pressure, diagnosing me with "open-angle glaucoma." After that, I was prescribed "Jingming eye drops." I noticed th...
Dr. Ke Meilan Reply:
Dear Sir/Madam: It is possible that glaucoma has not been fully established yet. However, since a diagnosis code needs to be assigned during the examination, I believe this physician will conduct further follow-up. Anti-inflammatory medication is indeed not specifically for glauc...[Read More] Understanding Eye Drops for Open-Angle Glaucoma Treatment
Understanding High Eye Pressure: Treatment Options and Long-Term Effects
Confusion about Glaucoma Thank you for your previous response, Doctor. I would like to ask for further analysis on the following issues: I have some questions that I do not understand: Regarding patients with elevated intraocular pressure (IOP) who are not diagnosed with glauco...
Dr. Xie Wenzhen Reply:
Hello, thank you for your question. Here are my suggestions: 1. Although topical medications generally have lower side effects, they are still drugs, so it is advisable not to use them unless necessary. 2. Since responses can vary from person to person, I recommend consulting ...[Read More] Understanding High Eye Pressure: Treatment Options and Long-Term Effects
Does Anxiety Affect Eye Pressure During Glaucoma Tests?
Nervousness and intraocular pressure? Doctor, I often feel anxious and nervous, especially when I go to the hospital for examinations. I would like to ask if being very anxious and tense during an eye pressure test can raise my blood pressure, and if this could also lead to an in...
Dr. Ke Meilan Reply:
Dear Sir/Madam: Anxiety can indeed lead to an increase in intraocular pressure. However, the diagnosis of glaucoma is not solely based on intraocular pressure; it also involves examination of the optic nerve head and visual field testing. Dr. Mei-Lan Ke, Attending Physician, Depa...[Read More] Does Anxiety Affect Eye Pressure During Glaucoma Tests?
Understanding Chronic Conjunctivitis: Symptoms, Concerns, and Relief
Eye pain with photophobia? Hello, two weeks ago I visited a doctor due to a stabbing pain in my right eye, which was diagnosed as mild conjunctivitis. A few days later, my left eye exhibited the same symptoms, including itching and pain, along with a feeling of pressure that made...
Dr. Feng Jiefan Reply:
Hello: The main symptoms based on the patient's complaints are itching and pain in both eyes, pressure sensation, photophobia, and headache. These symptoms are common in general ophthalmology and require clinical examination for diagnosis. It is recommended to consult an oph...[Read More] Understanding Chronic Conjunctivitis: Symptoms, Concerns, and Relief
Choosing Between LASIK and PRK for Laser Vision Correction: What You Need to Know
Choosing between LASIK and PRK for myopia correction? I want to get rid of my glasses, so I'm preparing to undergo laser vision correction. A few days ago, I went to an ophthalmologist for an examination, and the corneal thickness in both eyes is 600 micrometers (which is co...
Dr. Hu Yusheng Reply:
Hello: Myopia laser surgery refers to excimer laser surgery for myopia. Depending on your corneal thickness, options such as LASIK, PRK, or blade-free LASIK are all viable choices. It is best to discuss the advantages and disadvantages of each option with your surgeon. A thorough...[Read More] Choosing Between LASIK and PRK for Laser Vision Correction: What You Need to Know
Understanding Glaucoma: Key Questions About Medication and Eye Health
Glaucoma issues? Hello, Doctor. I am not sure if you have received my inquiry, so I am resending it and hope for your reply. Thank you. I am currently using timolol Chauvin 0.50% eye drops (twice a day). I would like to ask the following questions: 1) The last time the doctor me...
Dr. Xie Wenzhen Reply:
Hello, sir: Thank you for your inquiry. I would like to respond to your question and provide the following advice: Regarding the issues you mentioned, they exceed the scope of my response. I recommend consulting a glaucoma specialist. Lastly, I wish you peace and happiness![Read More] Understanding Glaucoma: Key Questions About Medication and Eye Health
Key Considerations for Trabeculectomy in Open-Angle Glaucoma
Glaucoma surgery Hello Doctor: Regarding open-angle glaucoma, I would like to ask the following questions: 1) If medication fails to control intraocular pressure, at what level of visual field PSD loss in dB should we consider performing a trabeculectomy? 2) If medication fails t...
Dr. Xie Wenzhen Reply:
Hello, Miss: Thank you for your inquiry. I would like to respond to your question and provide the following suggestions: Trabeculectomy is generally performed when medication and laser treatments are unable to control glaucoma, or when the rate of vision deterioration is too rapi...[Read More] Key Considerations for Trabeculectomy in Open-Angle Glaucoma