Understanding Floaters and Light Spots: Are They Related to Myopia?
Occasionally, bright spots appear in the vision; this is known as floaters? Hello Doctor: I have high myopia (both eyes at -10.00 diopters); a few months ago, I noticed symptoms of floaters. Currently, the floaters I see are semi-transparent floating objects, and occasionally, wh...
Dr. Gao Pilin Reply:
Hello: Based on the symptoms you described, your eyes may be undergoing some changes that could be related to your high myopia. Floaters typically present as the translucent specks you mentioned, and the rapidly moving gray-black dots you see when tired also align with one of the...[Read More] Understanding Floaters and Light Spots: Are They Related to Myopia?
Can Iris Implant Surgery Correct Significant Eye Disparity?
Excessive binocular disparity? I have one eye with a prescription of -1.00 diopters and the other eye with -2.00 diopters. Can I undergo iris-fixated lens implantation surgery? What would the results be? Will my prescription change after the implantation? Will I need to have a di...
Dr. Gao Pilin Reply:
Hello: Iris-implanted phakic intraocular lens surgery is a procedure used to correct high myopia. It is a reversible surgery that involves implanting a miniature lens behind the iris. Generally, this surgery is suitable for individuals with myopia ranging from -2.00 diopters to -...[Read More] Can Iris Implant Surgery Correct Significant Eye Disparity?
Managing Macular Issues in Pregnant Women with High Myopia
Macular issues in pregnant women? Hello, doctor. My wife has high myopia and experienced a sudden macular hemorrhage four days ago. Fundus photography showed a hemorrhage area of about 2mm. The initial doctor recommended an intravitreal injection to inhibit vascular endothelial g...
Dr. Gao Pilin Reply:
Hello: 1. Regarding the extent of retinal hemorrhage of approximately 2mm, it is considered a relatively small area; however, its location is more important than its size. The closer it is to the fovea, the greater the impact. Whether the hemorrhage in the macula has the potent...[Read More] Managing Macular Issues in Pregnant Women with High Myopia
Is Traditional Eye Exercise Safe for High Myopia and Cataracts?
Is the traditional Chinese eye exercise suitable for high myopia? Hello Dr. Gao, I was recently diagnosed with mild cataracts, and I have also undergone laser treatment for peripheral retinal issues. I remember the doctor mentioned it was not urgent and that the retina was thinni...
Dr. Gao Pilin Reply:
Hello: Regarding the traditional eye exercises, I personally believe they may not be very helpful for cataracts. Movements like closing the eyes and rolling the eyes may not be suitable for individuals with high myopia, as they could increase the risk of retinal detachment. Addit...[Read More] Is Traditional Eye Exercise Safe for High Myopia and Cataracts?
Understanding Retinal Risks in High Myopia After Head Trauma
High myopia and retinal issues? Hello Doctor, I have approximately 1000 degrees of myopia. About 10 years ago, I underwent retinal laser treatment. After being hit on the head (not the eyes) by a ball six months ago, I found that my retina had thinned and underwent another laser ...
Dr. He Jianxian Reply:
Dear Mr. Anonymous: Pressing on the eye while sleeping and being struck by a ball are indeed different scenarios. The duration of pressure applied differs; the impact from a ball is sudden and intense, which can more easily lead to issues with the retina. After such an impact, ...[Read More] Understanding Retinal Risks in High Myopia After Head Trauma
Post-COVID Symptoms: Understanding Floaters and Vision Changes
Symptoms of floaters after a COVID-19 diagnosis? Hello Doctor, I was diagnosed with COVID-19 at the end of January, and a week later, I noticed symptoms of floaters in my eyes. Initially, it was very noticeable in my right eye, where I could see black specks. Since then, it has b...
Dr. He Jianxian Reply:
Hello Ms. C: Floaters are primarily caused by vitreous degeneration, and their correlation with the use of electronic devices is unclear. However, there is a stronger association with high myopia, trauma, inflammation, and surgery. As for whether COVID-19 can cause floaters, I am...[Read More] Post-COVID Symptoms: Understanding Floaters and Vision Changes
Understanding Posterior Vitreous Detachment and Retinal Issues: Key Questions Answered
Regarding issues related to posterior vitreous detachment and retinal disorders? Hello Doctor: 1. I have always seen black spots in my vision, and a few days ago, I suddenly experienced very rapid movement of black spots at the lower edges of both eyes. After about six to seven...
Dr. He Jianxian Reply:
Hello, Mr. Squirrel: 1-3: Posterior vitreous detachment typically occurs in older individuals. However, it can also happen earlier in those with high myopia, inflammation, or injury. It usually occurs suddenly and is often accompanied by noticeable floaters. In such cases, it i...[Read More] Understanding Posterior Vitreous Detachment and Retinal Issues: Key Questions Answered
Essential Eye Exams for High Myopia: Addressing Retina Risks and Concerns
Eye examination for individuals with high myopia? Hello, Doctor Gao. I am a patient with high myopia (600-700 degrees). I undergo dilated fundus examinations every year, and both of my eyes have been found to have peripheral lattice degeneration, for which I have received laser t...
Dr. Gao Pilin Reply:
Hello: 1. Is having two fundus examinations each year sufficient to assess the condition of the macula? Generally, it is recommended for individuals with high myopia to undergo 1-2 fundus examinations annually. Fundus examination allows for the observation of the retina, macula...[Read More] Essential Eye Exams for High Myopia: Addressing Retina Risks and Concerns
Does Weight Training Increase Risk of Macular Issues in Myopic Patients?
Does strength training cause macular tears? Hello, Doctor Gao. I am a patient with high myopia, with both eyes around -1300 diopters. I have been undergoing fundus examinations every six months at the clinic. In 2018, the doctor noted white spots and thinning of the retina in my ...
Dr. Gao Pilin Reply:
Hello: 1) Retinal white spots and thinning are common complications of high myopia. Retinal white spots are caused by the atrophy or detachment of retinal pigment epithelial cells and usually do not affect vision. However, if retinal thinning is severe, it may lead to retinal tea...[Read More] Does Weight Training Increase Risk of Macular Issues in Myopic Patients?
Understanding Eye Flashes and Floaters: When to Seek Help
Flashes of light when closing the eyes? Hello Doctor: I have high myopia (approximately -1000 in both eyes) and recently discovered symptoms of floaters and flashes of light. I have visited the ophthalmologist multiple times for dilated eye examinations, and just yesterday I comp...
Dr. Gao Pilin Reply:
Hello: Based on the current examination results, the physician did not find any obvious issues and has recommended regular follow-up. However, you mentioned experiencing sleep paralysis and visual disturbances, which may cause some discomfort. I suggest you closely monitor the fr...[Read More] Understanding Eye Flashes and Floaters: When to Seek Help
Understanding Eye Flickering: Causes and Concerns for Myopia Patients
Eye twitching I have high myopia (left eye -750, right eye -1050) and was diagnosed with floaters two years ago, so I regularly undergo dilated eye examinations. I have a few questions for the doctor. 1. Three days ago, I had a dilated eye exam, during which the nurse administe...
Dr. Gao Pilin Reply:
Hello: 1. Regarding the use of eye drops for dilation examination, generally speaking, dilating eye drops are relatively safe when used correctly and should not cause harm. 2. Concerning the symptoms you experienced after sun exposure, there are a few possibilities. One possibili...[Read More] Understanding Eye Flickering: Causes and Concerns for Myopia Patients
Understanding Flashing Lights: Symptoms of Vitreous Detachment vs. Retinal Issues
Seeing a point of light from a certain angle in the dark? Hello Dr. Gao, I am a patient with high myopia. I have been experiencing floaters for about four years and have previously undergone retinal laser treatment for lattice degeneration and vitreous tuft in both eyes. In the p...
Dr. Gao Pilin Reply:
Hello: 1. This condition may be caused by vitreous traction rather than retinal detachment. However, considering your medical history and symptoms, it is advisable to seek further evaluation from an ophthalmologist to ensure an accurate diagnosis. 2. The flashes associated with r...[Read More] Understanding Flashing Lights: Symptoms of Vitreous Detachment vs. Retinal Issues
Understanding Vitreous Degeneration and Its Impact on Eye Health
Vitreous degeneration Continuing from question 204644, I apologize for bothering you again, Doctor. I would like to ask if, under the premise that there are no issues found during the dilated eye examination, is there still a possibility of 1. glaucoma, 2. visual field defects, o...
Dr. Gao Pilin Reply:
Hello: Based on your recent dilated eye examination being normal, it is generally possible to rule out certain conditions such as retinal and optic nerve atrophy. However, glaucoma and visual field defects may not be detected through a dilated exam, and additional tests are neede...[Read More] Understanding Vitreous Degeneration and Its Impact on Eye Health
Understanding Suspected Early Glaucoma and Vision Loss: Key Insights
Glaucoma and Visual Field Loss: The Gray Area Between Presence and Absence Hello, Director. Recently, during a routine eye examination (which included intraocular pressure, fundus examination, OCT, and visual field tests), the physician determined that there was some visual field...
Dr. Gao Pilin Reply:
Hello: Since I have not examined you in person, my response is for reference only. Please consult your ophthalmologist for specific treatment recommendations. 1. It appears that your fundus examination results show some changes, including the structure of the optic nerve head. ...[Read More] Understanding Suspected Early Glaucoma and Vision Loss: Key Insights
Understanding Eye Symptoms: White Spots and Floaters After Contact Lens Use
Upon removing the contact lenses using a scissor-like motion, white speckled light spots were observed? Hello Doctor: I have a family history of high myopia (currently around -1000 diopters in both eyes). About a week ago, I noticed symptoms of floaters, so I had a dilated eye ex...
Dr. Gao Pilin Reply:
Hello: (1) Using a scissor-like motion to remove contact lenses will not pull on the retina. However, considering that you already have high myopia and are experiencing symptoms of floaters, it is advisable to remain cautious in this regard. Please ensure that the action of remov...[Read More] Understanding Eye Symptoms: White Spots and Floaters After Contact Lens Use
Understanding Eye Exams: Differences Between Refraction and Dilation
Vision examination Hello, doctor. A few days ago, I got new glasses, and my prescription increased by less than one diopter in each eye, while my astigmatism remains unchanged at 2.00. I've heard that it's quite normal for prescriptions to increase slightly during high ...
Dr. Gao Pilin Reply:
Hello: 1. It is quite common to experience a slight increase in prescription during high school, especially after prolonged reading or eye use. This may be related to changes in myopia, but it does not necessarily indicate pseudomyopia. To gain a clearer understanding, it is reco...[Read More] Understanding Eye Exams: Differences Between Refraction and Dilation
Understanding Pupil Dilation Exams: What They Reveal About Eye Health
Pupil Dilation Examination I apologize for bothering the doctor. A few days ago, I went to the ophthalmologist for a dilated eye exam. At that time, there were no signs of retinal tears or detachments. The doctor explained that the flashes I was experiencing were part of a pullin...
Dr. Gao Pilin Reply:
Hello: I understand your situation. First, through a dilated eye exam, the physician can examine various parts of the eye, including the fundus, to ensure the health of the retina and other structures. The flashes you are experiencing may be caused by changes in the retina or vit...[Read More] Understanding Pupil Dilation Exams: What They Reveal About Eye Health
Understanding Post-Laser Treatment: Shadows and Concerns for High Myopia Patients
Local shadowing after retinal laser treatment? Hello Dr. Gao, I am a patient with high myopia and have been regularly undergoing fundus examinations. Three days ago, I was diagnosed with a retinal tuft in the lower nasal quadrant of my right eye, and I underwent preventive retina...
Dr. Gao Pilin Reply:
Hello: 1. Location of fluid accumulation: When fluid accumulation occurs after laser treatment, it is usually located beneath the retina. Generally, this type of fluid accumulation does not directly lead to retinal detachment or necrosis. 2. Resolution of fluid accumulation: The ...[Read More] Understanding Post-Laser Treatment: Shadows and Concerns for High Myopia Patients
Understanding Prescription Changes and Eye Health Concerns
Regarding prescription and eyewear issues? Hello, Director Gao! I apologize for the interruption. I recently experienced some issues with my eyes and would like to seek your advice. I have high myopia in my right eye (over -900 degrees) and moderate myopia in my left eye (over -6...
Dr. Gao Pilin Reply:
Hello: 1. Muscle aging can lead to slower focusing, and increasing the prescription of your lenses may help improve focusing speed. New glasses can provide clearer vision, reduce muscle fatigue, and thereby enhance focusing performance. As you are approaching 40 years old, you ma...[Read More] Understanding Prescription Changes and Eye Health Concerns
Understanding Thin Peripheral Retina: Concerns and Management for High Myopia
The peripheral retina is very thin? Dear Doctor, I have high myopia in both eyes (L: 900, R: 1000) and high astigmatism (L ~ 400, R ~ 400). Both my left and right eyes underwent retinal laser treatment this year. During a retinal examination yesterday, the doctor noticed somethi...
Dr. Gao Pilin Reply:
Hello: Based on the situation you described, the physician recommends regular monitoring and observation, which is reasonable. Here are some suggestions to improve eye health and reduce the risk of retinal tears: 1. Maintain regular follow-ups: According to the physician's...[Read More] Understanding Thin Peripheral Retina: Concerns and Management for High Myopia