Understanding Vitreous Degeneration and Retinal Detachment Risks
Vitreous degeneration and retinal detachment? Hello Doctor: I have high myopia of 900 to 1000 degrees. Last night, while blinking in a dark place, I noticed flashes of light in my left eye. It’s difficult to get an appointment at a large hospital's retina department, so I vi...
Dr. Gao Pilin Reply:
Hello Joyce: 1. If possible, seek medical attention as soon as possible. 2. Check if there are any ophthalmologists on duty that day; emergency surgery may not be available at midnight, but arrangements can be made as soon as possible. 3. Lutein and vitamins A, C, and E. 4. I bel...[Read More] Understanding Vitreous Degeneration and Retinal Detachment Risks
Post-Surgery Follow-Up for Macular Hole Repair: What to Expect
Postoperative follow-up for macular hole surgery? Hello Director He, My mother, who is 63 years old and has high myopia, recently underwent surgery for a macular hole, including a vitrectomy. During her follow-up examination, it was discovered that she has cataracts in both eyes...
Dr. He Jianxian Reply:
If there are no special arrangements, a follow-up consultation in about six months should be sufficient. This is for your reference. Dr. Ho Chien-Hsien, Ophthalmology Department, Nantou Hospital.[Read More] Post-Surgery Follow-Up for Macular Hole Repair: What to Expect
Common Eye Concerns: Retinal Detachment, Visual Afterimages, and Floaters
Some personal questions? Hello, Doctor. I have some personal questions I would like to ask: 1. I have high myopia and am concerned about the risk of retinal detachment and tears. What can I do to prevent these issues? If they occur, what symptoms should I look out for? 2. I als...
Dr. Gao Pilin Reply:
Hello: 1. There is basically no way to prevent it, but you can try to minimize head movements and eye impacts, and have regular check-ups. If there is a tear, timely laser treatment is necessary. Symptoms may include an increase in floaters, flashes of light, and shadows. 2. This...[Read More] Common Eye Concerns: Retinal Detachment, Visual Afterimages, and Floaters
Understanding Combigan: Effects on Pupil Size and Myopia Management
Combigan eye drop issues? Hello, Dr. Gao. Due to my high myopia and elevated intraocular pressure, I have been using eye drops to manage my eye pressure. Last week, I switched to Combigan (twice a day, 12 hours apart). After using it for the first time yesterday, I noticed that m...
Dr. Gao Pilin Reply:
Hello: Combigan may cause miosis as a potential side effect. Regarding medication and interactions, it is important to refer to clinical examination results, so it is best to discuss this with your attending physician. Diagnoses and recommendations cannot be made without proper e...[Read More] Understanding Combigan: Effects on Pupil Size and Myopia Management
Understanding Eye Shadows: Is It Floaters or Something More?
Black spots in the eyes? You have high myopia of approximately 1000 degrees in both eyes. Last October, you underwent laser treatment for a retinal tear in your right eye, while your left eye is being monitored with follow-up appointments every three months. A month ago, your doc...
Dr. Gao Pilin Reply:
Hello Qz: Based on your description, it seems you are experiencing floaters. If the condition remains the same, you can return for a follow-up appointment as scheduled. However, if there are any changes, you should come in for an earlier visit. The ophthalmology department at Puz...[Read More] Understanding Eye Shadows: Is It Floaters or Something More?
Understanding Black Shadows in Vision: Causes and Concerns
There are shadows in the eye? Today, due to itchy eyes, when I rubbed the inner corner of my eye, a dark circle appeared on the other side of the eye socket (it moved up and down), but it disappeared when I didn't press on it. Since I have high myopia and also experience flo...
Dr. Gao Pilin Reply:
Hello Ms. Li: The reason you see moving circles when pressure is applied is due to the pressure affecting the inner retina, causing stimulation that manifests on the outer side. Similarly, pressure applied to the upper side will appear on the lower side, as the retinal image is i...[Read More] Understanding Black Shadows in Vision: Causes and Concerns
Understanding Retinal Atrophy: Impacts and Treatment Options Explained
Retinal atrophy spots Hello, doctor. A month ago, I went to an ophthalmologist for a check-up due to changes in my floaters. During the examination, it was found that my retina has thinner areas due to high myopia, but I was advised to just monitor it. Today, I went to another op...
Dr. Gao Pilin Reply:
Hello, Xiao Xiao: High myopia can cause thinning of the peripheral retina. Since this occurs in the periphery, it does not affect vision; however, it is important to note that sometimes the thinned areas can develop holes, which may lead to retinal detachment. Therefore, laser tr...[Read More] Understanding Retinal Atrophy: Impacts and Treatment Options Explained
Understanding Eye Symptoms After Laser Treatment for Myopia
Ophthalmic issues consultation? Hello, Doctor. I have high myopia (600 degrees in both eyes) and underwent laser treatment for lattice degeneration of the retina about a year ago. The doctor said this would stabilize the retina and prevent it from tearing, and I should follow up ...
Dr. Gao Pilin Reply:
Hello Lilian: Since I have not personally examined you, I cannot determine whether the light spots are new or old; you may need to consult the examining physician for that information. Macular degeneration should not present this way. Certain letters appearing relatively grayer m...[Read More] Understanding Eye Symptoms After Laser Treatment for Myopia
Understanding Visual Distortions: When Your Eye Sees Through Water
Looking upward? Hello, Doctor Gao. I have noticed in the past few days that when I look up with my right eye, it slowly moves to the upper right, and I experience a sensation as if I am looking through water (a circular area). To describe it, it feels like a camera lens has been ...
Dr. Gao Pilin Reply:
Hello: Typically, this situation is caused by vitreous liquefaction. However, we cannot rule out retinal issues, especially in cases of high myopia, which requires more caution. It is advisable to have an examination for peace of mind. In Taiwan, the Department of Ophthalmology a...[Read More] Understanding Visual Distortions: When Your Eye Sees Through Water
Exercise Recommendations for High Myopia Patients with Glaucoma
Exercise Recommendations for Individuals with High Myopia Complicated by Glaucoma Hello, Doctor. I would like to ask you the following questions. I am a patient who has been regularly monitoring my eye condition. Currently, I have controlled my intraocular pressure to below 20 mm...
Dr. Liang Ce Reply:
It is advisable for you to discuss the above situation further with your attending physician. Thank you, and wishing you good health![Read More] Exercise Recommendations for High Myopia Patients with Glaucoma
Understanding Retinal Degeneration: Causes and Implications for Eye Health
Retinal degeneration Hello, doctor. In addition to high myopia causing thinning of the eye axis leading to retinal degeneration or thinning, is it possible for vitreous traction to pull on the retina, resulting in retinal degeneration or thinning? Furthermore, can this traction l...
Dr. He Jianxian Reply:
Vitreous traction can potentially cause retinal thinning or rupture, and it is not exclusively associated with high myopia. Therefore, individuals without myopia can also experience retinal tears or detachments due to traction. Dr. He Jianxian, Department of Ophthalmology, Nantou...[Read More] Understanding Retinal Degeneration: Causes and Implications for Eye Health
Understanding Eyelid Issues: Causes and Solutions for Double Eyelids
Eyelid issues Hello, Doctor. Recently, both of my eyelids have developed multiple layers (I originally had double eyelids). The left eye has a smaller multilayer condition, and I feel normal when blinking; however, the right eye clearly shows multiple layers, and when I blink, it...
Dr. Gao Pilin Reply:
Hello: A chalazion can potentially affect blinking, and if it becomes too large, it may also cause eyelid drooping or astigmatism. Typically, warm compresses and topical medications may reduce its size, but they will not eliminate it completely. For definitive treatment, surgical...[Read More] Understanding Eyelid Issues: Causes and Solutions for Double Eyelids
Understanding High Eye Pressure: Common Concerns and Solutions
Issues Related to Elevated Intraocular Pressure Hello, Dr. Gao. I recently had an eye examination, and the doctor diagnosed the following after dilation: Myopia: Right eye - -9.25 diopters (dominant eye) / Left eye - -8.75 diopters; Astigmatism: Right eye - -1.25 diopters / Left ...
Dr. Gao Pilin Reply:
Hello, Miss who has been feeling a bit anxious: 1. It's important to monitor and check, as most conditions are manageable and can be assessed through examinations. 2. There may be possibilities to consider. 3. Please refer to: https://bit.ly/3fGudTq 4. There may not be any ...[Read More] Understanding High Eye Pressure: Common Concerns and Solutions
Understanding Unusual Sensations Between Eyeball and Eyebrow: Causes and Solutions
Abnormal sensation between the upper orbit and the eyeball? Hello, Dr. Gao. Recently, I have been experiencing a tight sensation between my upper eyelid (below the eyebrow) and the eyeball (as shown in the image https://img.onl/s7ZuEO). However, it does not feel like pressure or ...
Dr. Gao Pilin Reply:
Hello: Fatigue and pain or trigeminal neuralgia are both possibilities. Sinusitis can also cause such pain. When symptoms occur, one should consult an ophthalmologist or an otolaryngologist. Individual constitution may sometimes lead to an increase in myopia. This is because the ...[Read More] Understanding Unusual Sensations Between Eyeball and Eyebrow: Causes and Solutions
Understanding Glaucoma Risks for High Myopia Patients: Key Insights
Suspected glaucoma? I have high myopia of 800-900 diopters and underwent an eye examination. My intraocular pressure readings were around 17, 19, 20, and 21 mmHg, and my corneal thickness was 560 and 570 micrometers. My corrected vision is 1.0, and the visual field test was norma...
Dr. Gao Pilin Reply:
Hello Jun: 1. Please continue to monitor your condition, and if there are any changes in your vision, treatment may be necessary. 2. Chronic glaucoma is a long-term condition that often presents with few symptoms. However, if there is a sudden significant increase in intraocul...[Read More] Understanding Glaucoma Risks for High Myopia Patients: Key Insights
Understanding Styes: Treatment, Symptoms, and When to Seek Help
Medication status for styes? Hello, Dr. Gao. Last week, when I closed my eyes, I felt a bump on my right eyelid, as if there was something there, but it wasn't painful. After visiting an ophthalmologist, I was informed that it was a stye (the health insurance name is "b...
Dr. Gao Pilin Reply:
Hello, S59: 1. You may observe for a few more days; sometimes it takes more than a week. 2. No steroids. 3. No, it will not. Taiwan E-Hospital, Puzi Hospital, Ophthalmology: Monday, Tuesday, Thursday, and Friday from 8:00 AM to 12:00 PM; Wednesday from 2:00 PM to 4:30 PM. Online ...[Read More] Understanding Styes: Treatment, Symptoms, and When to Seek Help
Managing Slightly Elevated Eye Pressure in High Myopia Patients
The intraocular pressure is slightly elevated? I have high myopia in both eyes, with the left eye being -800 diopters and astigmatism of -1.25 diopters, and the right eye being -600 diopters with astigmatism of -4.00 diopters. My intraocular pressure has been fluctuating between ...
Dr. Gao Pilin Reply:
Hello: Your intraocular pressure may frequently exceed the standard range, and there may be some issues with your optic nerve, which is why your physician believes medication is necessary. Sometimes, when you are tense, your eyes may close tightly, and measuring the pressure afte...[Read More] Managing Slightly Elevated Eye Pressure in High Myopia Patients
Can People with High Myopia Safely Practice Inversions and Exercise?
Is it safe for individuals with high myopia to perform inverted exercises? Hello, Doctor. I am 24 years old, with myopia of -7.75 in my left eye and -8.00 in my right eye, without astigmatism. A few days ago, I suddenly noticed the presence of floaters, so I went for a fundus exa...
Dr. Gao Pilin Reply:
Hello, Xiao Qiu: 1. Inversion can cause blood to flow backward rapidly, leading to increased blood pressure, intracranial pressure, and intraocular pressure. Performing sit-ups on an inversion table can further accelerate venous return, resulting in even higher blood pressure an...[Read More] Can People with High Myopia Safely Practice Inversions and Exercise?
Choosing the Right Intraocular Lens for Cataract Surgery: A Patient's Journey
Selection of Intraocular Lenses (IOLs) Dear Dr. Gao, Hello! About 18 years ago, I underwent laser surgery for my myopia (1200 degrees). From 2017, my vision gradually worsened, and by 2020, my eyesight had been dim for three years. I initially thought it was due to regression of...
Dr. Gao Pilin Reply:
Hello Jane, I believe this is a great approach: using single-vision lenses for distance without glasses and wearing reading glasses for close-up work. This may provide better quality vision. If you prefer not to constantly take glasses on and off, you might consider multifocal l...[Read More] Choosing the Right Intraocular Lens for Cataract Surgery: A Patient's Journey
Seeing Shadows After Closing Eyes: Possible Causes and Concerns
Seeing shadows upon closing and reopening the eyes? Hello Doctor: I am a patient with high myopia. At the end of February, I noticed that after closing my eyes for about 10 seconds and then reopening them, there is a small area in the lower right part of my right eye that takes a...
Dr. Gao Pilin Reply:
Hello, Phy: It is possible that there is a functional issue with the photoreceptor cells in this part of the retina, which may be causing a slower response. Functional problems cannot be detected through dilation and are also difficult to measure with instruments. It is advisable...[Read More] Seeing Shadows After Closing Eyes: Possible Causes and Concerns