Understanding Vitreous Degeneration: Managing Symptoms and Lifestyle Changes
Vitreous degeneration Hello, Doctor. I underwent retinal laser treatment on January 5th, and a few days later, I noticed flashes in my left eye. During a check-up on February 16th, it was found that a hole may have been torn due to the flashes, so I had another treatment, which m...
Dr. Gao Pilin Reply:
Hello, anxious student: 1. This condition may not necessarily resolve, but if there are no issues with the retina, you can feel reassured. 2. It is possible, but precautions should be taken to avoid any impact to the eyeball, as this could lead to a retinal tear. Puzih Hospi...[Read More] Understanding Vitreous Degeneration: Managing Symptoms and Lifestyle Changes
Understanding Wavy Vision Upon Waking: Causes and Concerns
Seeing waves upon waking up? Dear Dr. Gao, In early October last year, I noticed some wave-like patterns appearing on the left side of my left eye. It looked like a series of fan blades rotating, but only on one side. However, it disappeared after a few days. Then, in early Janu...
Dr. Gao Pilin Reply:
Hello: This phenomenon is most likely due to vitreous degeneration, which can cause a wave-like sensation. If the retinal examination shows no issues, you can generally feel reassured. In Taiwan, the ophthalmology department at Puzi Hospital is available on Monday, Tuesday, Thurs...[Read More] Understanding Wavy Vision Upon Waking: Causes and Concerns
Understanding Macular Pucker: Causes, Symptoms, and Management Options
Macular folds In the past week or two, I suddenly found it very difficult to read small text (my eyes cannot focus, making it seem like there are two letters). After a little self-testing, it seems that my left eye sees a slight wrinkling when looking at a grid. I went to the hos...
Dr. He Jianxian Reply:
Dear Mr. Anonymous: The difficulty you are experiencing with reading small text is likely not directly related to your macular fold. It seems more probable that you are experiencing early onset presbyopia due to prolonged computer use. If you are nearsighted, I recommend reduci...[Read More] Understanding Macular Pucker: Causes, Symptoms, and Management Options
Understanding Retinal Detachment and Cataracts: Common Concerns and Misconceptions
Retinal Detachment and Cataracts Hello, doctor. I would like to ask... 1. I underwent a vitrectomy due to severe floaters (the surgeon informed me of the potential complications). However, why do some doctors say there is mild cataract while others believe there isn't? 2. I ...
Dr. Gao Pilin Reply:
Hello, Jun: 1. The degree of mild cataracts can vary among different physicians, so there is no need to be overly concerned. 2. If there are no holes or thin areas, there is really no need for laser treatment. Laser treatment is a form of destruction and should only be done wh...[Read More] Understanding Retinal Detachment and Cataracts: Common Concerns and Misconceptions
Understanding Special Floaters: Symptoms and Concerns in Myopia
Special types of floaters? Hello, doctor. I have high myopia and floaters. Recently, I noticed that when I quickly move my right eye up and down against a bright background, I see a small dark round spot that quickly disappears, which is different from the usual floaters I see mo...
Dr. Gao Pilin Reply:
Hello James: This type of spot does not seem to be related to the macula. If there are no issues with the retina, you should feel reassured. This is likely harmless. It would be advisable to have a doctor check it again when possible. In Taiwan, at Puzi Hospital's ophthalmol...[Read More] Understanding Special Floaters: Symptoms and Concerns in Myopia
Understanding Flickering Vision in High Myopia: Causes and Concerns
Blinking visual field scintillation Hello, Doctor Gao. I am a person with high myopia (approximately -9.00 diopters). About a year and a half ago, I began experiencing symptoms of floaters. I have been going to the ophthalmologist for retinal examinations every 2 to 3 months, and...
Dr. Gao Pilin Reply:
Hello Kevin: A small flicker in your visual field may be caused by vitreous pulling on the retina. If it remains the same, there is no need to worry; the doctor will examine you during your appointment. Just inform the doctor about your condition, and don't worry about expre...[Read More] Understanding Flickering Vision in High Myopia: Causes and Concerns
Blurred Vision in Bright Light: Cataracts or Presbyopia Symptoms?
Seeing light appears blurry? Hello, doctor. I have high myopia and I spend about 5 hours a day looking at my phone. Recently, when I go outside in sunlight, my vision appears to have a white haze. However, if I shield my eyes from the sunlight with my hand or wear sunglasses, the...
Dr. Gao Pilin Reply:
Hello Mr. Lin: Given your age, it may not be cataracts or presbyopia, but these conditions cannot be completely ruled out. I recommend that you visit a clinic for an examination. In the meantime, try to limit your screen time on your phone to give your eyes a rest and see if your...[Read More] Blurred Vision in Bright Light: Cataracts or Presbyopia Symptoms?
Understanding Vision Changes: Questions About Floaters and Eye Health
Questions about changes in vision? Hello, Doctor Gao! I have high myopia, with each eye measuring -7.00 diopters. Aside from experiencing floaters, I do not have any significant health issues. Six months ago, I visited two clinics for a fundus examination, and both doctors indica...
Dr. Gao Pilin Reply:
Hello, Qunqin: 1.2 may be visual illusions, which are not a concern. They are mostly physiological phenomena. You can refer to https://bit.ly/2VNsdxL. Snorkeling or diving should not pose any issues for you at this time, as there are no retinal problems, so there is no need for...[Read More] Understanding Vision Changes: Questions About Floaters and Eye Health
Can Corneal Transplants or Artificial Lenses Help Severe Myopia?
High myopia degeneration? Hello doctor, I am asking on behalf of my mother. My mother has severe myopia of around -2000 diopters and has seen a doctor who said that her condition is deteriorating too quickly and they cannot provide further assistance. I would like to ask if corne...
Dr. He Jianxian Reply:
Dear Ms. Hsiao-Ping, Retinal degeneration caused by high myopia cannot be improved through corneal transplantation or artificial lenses. Current technology is unable to alter the progression of the disease. Please consider this information. Sincerely, Dr. Jian-Hsien Ho Depa...[Read More] Can Corneal Transplants or Artificial Lenses Help Severe Myopia?
Understanding High Myopia: Risks, Treatments, and Eye Care Tips
Vision problems Hello Dr. He: 1. I have high myopia, and I really don’t want to wear glasses for the rest of my life. I haven't taken good care of my eyes since childhood. 2. Why do I frequently have high intraocular pressure? 3. My myopia is -10.00 diopters, and I've ...
Dr. He Jianxian Reply:
Dear Ms. Chen, Most individuals do not experience significant increases in myopia after reaching adulthood; however, there are some exceptions, and you may be among this group. This could explain the continuous increase in your myopic refractive error. Once the axial length of t...[Read More] Understanding High Myopia: Risks, Treatments, and Eye Care Tips
Understanding Eye Fatigue: Is It Glaucoma or Something Else?
Eye fatigue I have myopia of -600 diopters and astigmatism of -50. I now see a halo of color around lights, and my eyes sometimes feel swollen. Recently, I've been yawning a lot. Could this be glaucoma?
Dr. He Jianxian Reply:
Hello Mr. Fei Xiang: Your description suggests a suspicion of acute glaucoma causing the "iris" phenomenon. This condition typically does not occur in individuals with natural high myopia. Your situation is likely just eye fatigue, for your reference. Director He Jianxi...[Read More] Understanding Eye Fatigue: Is It Glaucoma or Something Else?
Understanding High Eye Pressure and Its Impact on Vision Health
Elevated intraocular pressure, slightly compromised optic nerve, normal visual field examination? Hello, Doctor. I have myopia of -9.00 diopters and astigmatism of -1.50 in my left eye, and myopia of -9.75 diopters and astigmatism of -7.51 in my right eye. I have been wearing gla...
Dr. Liang Ce Reply:
It is recommended that you discuss the above situation with your attending physician to determine if further examinations are necessary. Thank you, and wishing you good health![Read More] Understanding High Eye Pressure and Its Impact on Vision Health
Post-Retinal Detachment Surgery: Safe Exercises and Swimming Guidelines
Post-retinal detachment surgery, the types of exercises that can be performed include: I underwent scleral buckle surgery for retinal detachment on April 17 of this year, and it has been more than six months since the procedure. My attending physician mentioned that my recovery i...
Dr. Gao Pilin Reply:
Hello Mr. You: Swimming should be fine, but please avoid diving. It is important to steer clear of high-risk sports such as diving, boxing, soccer, basketball, volleyball, jumping, weightlifting, and activities like roller coasters, skydiving, and bungee jumping, which involve r...[Read More] Post-Retinal Detachment Surgery: Safe Exercises and Swimming Guidelines
Post-Retinal Hole Laser Surgery: When Is It Safe to Fly?
Postoperative care after retinal hole laser surgery? Dear Dr. Gao, how long after retinal hole laser surgery can one fly? Thank you!
Dr. Gao Pilin Reply:
Hello, Mei Mei: There is no correlation between retinal hole laser treatment and flying, as there is typically no severe turbulence on airplanes. However, it is essential to reduce or avoid high-risk activities. Sports such as diving, boxing, soccer, basketball, volleyball, jumpi...[Read More] Post-Retinal Hole Laser Surgery: When Is It Safe to Fly?
How to Prevent Retinal Tears: Expert Answers to Your Concerns
How can retinal tears be prevented? Dear Doctor, In September of this year, I discovered a hole in my retina, and the doctor immediately performed laser repair. However, I later noticed that sometimes there are moving light spots in my field of vision, especially when looking at...
Dr. Gao Pilin Reply:
Hello, Mr. Reddy: 1. During your last visit, the doctor mentioned that seeing flashes of light is due to something pulling inside the eye, which could potentially cause a retinal tear again. Generally, the risk is low, but you should monitor your symptoms. If you notice a signif...[Read More] How to Prevent Retinal Tears: Expert Answers to Your Concerns
Understanding High Myopia: Risks, Symptoms, and Treatment Options
High myopia Hello, Doctor Gao. 1. With a high myopia of -750 diopters at the age of 30, is it certain that retinal detachment will occur in the future, particularly by the age of 60 or 70? 2. If I notice symptoms during a self-examination, is there a critical treatment window...
Dr. Gao Pilin Reply:
Hello, 1. As long as the retina is healthy, retinal detachment does not necessarily occur. 2. It depends on the situation; if it is in the periphery, one hour is sufficient. 3. The follow-up appointment should be determined based on the physician's examination results. A...[Read More] Understanding High Myopia: Risks, Symptoms, and Treatment Options
Impact of Cataract Surgery on Retinal Detachment Success Rate in High Myopia
High myopia Hello, Doctor Gao. After cataract surgery and the replacement of the artificial lens, if a patient has a pre-existing refractive error of -7.50 diopters and later requires retinal detachment surgery, will this affect the success rate of the surgery? I am concerned abo...
Dr. Gao Pilin Reply:
Hello, after cataract surgery with the replacement of an intraocular lens, undergoing retinal detachment surgery generally does not affect the intraocular lens and does not impact the success rate. At the E-Hospital in Puzi, Taiwan, the ophthalmology department is open on Monday,...[Read More] Impact of Cataract Surgery on Retinal Detachment Success Rate in High Myopia
Understanding Myopia: Causes, Progression, and Management in Adults
Myopia, axial length Hello, Dr. Gao: 1. The eye's development is completed in adulthood, so the refractive error should not increase, right? Why do ophthalmologists say that the degree can still increase in adults? 2. Why is it that some people who have overused their eyes...
Dr. Gao Pilin Reply:
Hello Jiajing: 1. Clinically, there are a small number of adults who, even after reaching the age of 18, continue to experience an increase of more than 100 diopters each year, with some individuals accumulating myopia levels exceeding 2000 diopters, which is referred to as "...[Read More] Understanding Myopia: Causes, Progression, and Management in Adults
Can Early Replacement of Intraocular Lenses Eliminate Glasses for High Myopia?
Intraocular lens (IOL) Dr. Gao, if individuals with high myopia can undergo early replacement of the intraocular lens, will they no longer need to wear glasses? I heard that it might require a certain amount of out-of-pocket expense.
Dr. Gao Pilin Reply:
Hello Jiajing: If the only reason for not wearing glasses is myopia, this surgery is not recommended. The out-of-pocket cost for the surgery ranges from tens of thousands to over a hundred thousand NT dollars. At the E-Hospital in Puzi, Taiwan, the ophthalmology department is ope...[Read More] Can Early Replacement of Intraocular Lenses Eliminate Glasses for High Myopia?
Effective Strategies to Prevent Retinal Tears After Laser Surgery
How to prevent retinal re-tear? Hello: 1. I have already undergone laser repair for a retinal tear once, and two weeks later during a follow-up visit, a new tear was discovered, requiring another laser repair. I would like to ask how to prevent further retinal tears? Is taking di...
Dr. Gao Pilin Reply:
Hello Steven: Currently, there is no way to prevent retinal tears; the only options are early detection, early treatment, and avoiding intense physical activities such as diving, boxing, soccer, basketball, volleyball, weightlifting, and other sports, as well as activities that i...[Read More] Effective Strategies to Prevent Retinal Tears After Laser Surgery