High myopia, Ophthalmology FAQ

Should Myopia Patients Use Two Pairs of Glasses for Prevention?

Regarding the prevention of myopia, should one have two pairs of glasses? Hello Doctor: I am a patient with high myopia. I would like to ask if, in order to prevent the progression of myopia, I should have two pairs of glasses for both distance and near vision? Thank you for taki...

Dr. Wang Zhishun Reply:
Hello: You can visit an ophthalmologist to try on contact lenses and see if you notice a difference before getting a prescription (because at your age, it may not be necessary).

Understanding Retinal Thinning: Symptoms and Prevention for Teens

Thinned retina? Hello, doctor. I am currently 17 years old and have floaters. How can I prevent them from worsening? When I close my eyes and move my eyes side to side, I see circular flashes of light; does this indicate that my retina is thinning or detaching (I don't see f...

Dr. Wang Zhishun Reply:
Hello, it is recommended to see an ophthalmologist. (It may be a result of the developmental process, and it is not necessarily due to thinning.)

Understanding Orthokeratology: Is It Right for High Myopia and Astigmatism?

I would like to learn more about orthokeratology lenses? Is it suitable for a person who is six months away from turning 20 years old, with myopia of -7.00 diopters and astigmatism of -4.00 diopters, to wear orthokeratology lenses? If they start wearing them now, will it still he...

Dr. Wang Zhishun Reply:
Generally, by the age of 18, the eyeball has fully developed, and the prescription tends to stabilize, showing little increase. Your astigmatism exceeds 3.00 diopters, which may make you less suitable for wearing contact lenses.

Understanding Floaters: Causes and Concerns for High Myopia Patients

Floaters issue Hello, doctor. I have high myopia and severe floaters. Whether my eyes are closed or open, I see light spots when I exert myself or move my eyes, and there are two fixed spots in my field of vision. What could be the issue?

Dr. He Jianxian Reply:
If you experience floaters and see flashes of light, it is advisable to undergo a comprehensive dilated eye examination by an ophthalmologist for safety.

Understanding High Myopia: Is Your Prescription Increasing?

Myopia degree Hello, doctor: I have high myopia in both eyes. Previously, when I had my vision tested while wearing glasses, I could see 1.0 in both eyes. However, when I tested my vision without glasses, I had to adjust to my original prescription, and I couldn't see clearl...

Dr. Wang Zhishun Reply:
Hello, it might be due to the frame of the glasses; it probably isn't a real increase.

Understanding Floaters: Is It Just Myopia or a Bigger Concern?

Floaters issue? Hello doctor, I have high myopia and severe floaters. Whenever I exert even a little bit of effort with my eyes, I see two light circles in front of me. Is this an issue related to floaters, or could it be something else?

Dr. Gao Pilin Reply:
Hello, Cocoa: It is possible that you are experiencing floaters, but it is still necessary to have an eye examination, as there may be an issue with the retina. The ophthalmology department at Puzi Hospital in Taiwan is open Monday to Friday from 8:00 AM to 12:00 PM and Wednesday...

Understanding Eye Fatigue: Causes, Risks, and Solutions for High Myopia

Eye fatigue Hello Doctor: 1. Recently, my eyes have been very sensitive to light and somewhat fatigued, and sometimes they even hurt. This has been going on for several months. Is there any solution? 2. If I experience long-term eye fatigue, could it lead to any problems? 3...

Dr. Gao Pilin Reply:
Hello Mr. Chen: If you are feeling fatigued, please take more rest. Eye strain can lead to such conditions. Remember the "20-20-20" rule: after using the computer for 20 minutes, stand up and move your head, shoulders, neck, and lower back, while also gazing into the di...

Understanding Floaters: Common Eye Issues and Expert Insights

Eye problems Hello, Doctor Gao... 1. I have just developed floaters and I'm not quite used to it. I keep seeing black shadows moving around. The doctor I consulted told me to let my eyes rest, and after a while, the shadows will move to the side and I won't notice the...

Dr. Gao Pilin Reply:
Hello, Bee: 1. Because floaters move and drift around, they become less noticeable when they leave the center of the visual axis. However, it is important to get used to them. 2. It is generally necessary for everyone. 3. It can be said that the risk of retinal complications inc...

Understanding Retinal Tears: Symptoms and Concerns for High Myopia Patients

Regarding retinal tears? Hello, doctor. I have high myopia and floaters, and I undergo regular fundus examinations. The day before yesterday, I experienced eye allergies and couldn't help but rub my eyes. Suddenly, the floaters in my vision appeared as if it were raining, bu...

Dr. Wang Zhishun Reply:
Hello, after rubbing your eyes, if you suddenly see floaters like rain, it is likely a phenomenon caused by the vitreous body being shaken, and it is not necessarily related to a tear. Simple tears often do not present any symptoms. Eye movements or rubbing the eyes can affect th...

Is It Normal to See Flashing Lights with Floaters in My Eyes?

Is there a flashing type of floaters? Hello Doctor, I have high myopia and also suffer from floaters. Recently, I occasionally see a bit of flashing light, and I had a retinal examination yesterday. The doctor said there were no tears or retinal detachment issues. Is it normal to...

Dr. Gao Pilin Reply:
Hello NuuIM: Floaters are a result of vitreous degeneration, and if the retina is involved, there may be flashes of light. If the examination shows no issues, there is no need to worry. In Taiwan, the Department of Ophthalmology at Puzi Hospital is open from Monday to Friday, 8:0...

Safe Exercise Options for Individuals with High Myopia

What types of exercise are suitable for individuals with high myopia? Dear Doctor, I would like to inquire about the exercise routine for individuals with high myopia. I have a prescription of -900 diopters in both eyes, and I have regular eye examinations every six months to c...

Dr. Gao Pilin Reply:
Hello, Thick Glasses: Individuals with high myopia should avoid sports that pose a risk of impact to the eyes, such as basketball, diving, and combat sports. (If you must participate, wearing protective goggles is essential.) Aerobic exercises, weight training, squat jumps, and j...

Understanding Retinal Issues in High Myopia: Risks and Prevention

High myopia retinal issues? Hello, Dr. Gao. I apologize for bothering you. During my eye examination last month, the doctor informed me that my retina is thinner than normal, but mentioned that I only need to have a follow-up in six months and that laser treatment is not necessar...

Dr. Gao Pilin Reply:
Hello, Yaya: 1. If there are no holes, the likelihood is low. 2. It’s not a concern. 3. Using electronic devices does not affect retinal tears or detachments. 4. Retinal detachments can occur either rapidly or slowly; regular check-ups are the best approach. If there are tears ...

How to Improve Vision for High Myopia and Eye Discomfort

Deterioration of vision? Hello, I have high myopia (around 800-900 degrees), with a vision of 0.7. I need to take off my glasses to see things up close clearly, and my eyes often feel dry and fatigued, appearing extremely dull. What can I do to improve this?

Dr. Gao Pilin Reply:
Hello Wei: You may find it clearer to see nearby objects without your glasses, which could indicate that your prescription is too strong. I recommend that you visit an ophthalmologist for a comprehensive eye examination, and dilation may be necessary to determine the correct pres...

Understanding Pseudomyopia: Effects on Axial Length and Retina Health

Pseudomyopia issues Hello, Dr. Gao: 1. Does an increase in adult pseudomyopia lead to further elongation of the axial length? 2. If adult pseudomyopia is successfully corrected, can it help in shortening the axial length? 3. Does adult pseudomyopia affect the thickness of the r...

Dr. Gao Pilin Reply:
Hello, Guan-Min: 1. The cause of pseudomyopia is the contraction of the ciliary muscle. Axial elongation is the cause of true myopia. The two are different. 2. Same as 13. It will not happen. 4. It should not happen, but high myopia can lead to retinal degeneration. Taiwan ...

Safe Exercise Options for High Myopia Patients: Weight Training Guidelines

How should patients with high myopia exercise? Hello, Doctor Gao: I recently had my first fundus examination at a large hospital, and the physician informed me that my retina is thinner than usual for a high myopia patient, but there is no need for laser treatment or special inte...

Dr. Gao Pilin Reply:
Hello, Xia Bao: Individuals with high myopia should avoid engaging in sports that pose a risk of impact to the eyes, such as playing ball, diving, and combat sports. (If participation is necessary, wearing protective eyewear is essential.) However, if the retina is merely thinnin...

Understanding Eye Symptoms: Seeing Blood Vessels During Blinking

In the moment of blinking, one can see blood vessels similar to those observed during a fundus examination? I have high myopia, with both eyes having approximately 1000 diopters. Over ten years ago, I experienced symptoms of retinal detachment in my right eye, which was treated w...

Dr. Gao Pilin Reply:
Hello Jun-Hsiang: If the fundus examination shows no issues, there is no need to worry; it is likely a phenomenon of floaters, and regular check-ups are sufficient. Sometimes, there may be visual field defects in the laser-treated area, but if they are peripheral, they will not a...

Understanding Flashing Lights and Visual Disturbances After Waking Up

Experiencing flashes of light in vision, especially upon waking, can be indicative of various conditions. It may be related to visual disturbances such as photopsia or could be a symptom of a more serious issue like retinal detachment or migraine aura. It is advisable to consult ...

Dr. He Jianxian Reply:
1. The visual phenomenon you are experiencing, referred to as "photopsia," should be evaluated by an ophthalmologist if there is an increase in frequency. 2. Rapid eye movements or actions that apply pressure to the eyes are not recommended. 3. When calling out, try to ...

Understanding Pseudomyopia Treatment Options for Adults

Treatment for Adult Pseudomyopia Hello Dr. Gao, I recently went for an eye examination and found that there is a difference of over 125 degrees between the refractive measurements of my left and right eyes before and after dilation. Before dilation: Left eye - 9.00 with astigmati...

Dr. Gao Pilin Reply:
Hello, Xiao Luo: 1. Your myopia is likely caused by the strain on the ciliary muscles from wearing glasses that may be too strong. You can use the prescription obtained after dilation to wear glasses, which will help relax your eyes and prevent further increase in myopia. 2. Thi...

Understanding Fixed Black Lines in Vision: A Guide for Patients

There are black lines in my field of vision (unlike floaters that drift around)? Initially, I noticed this phenomenon when I closed my eyes; as my eyeballs turned downward, a black arc would bend more as my eyes descended (similar to the shape changing from ︶ to ∪). This black li...

Dr. Wang Zhishun Reply:
Hello, based on your description, it seems more like vitreous degeneration. If the retina is not affected, it should be fine.

Preventing Retinal Thinning: Tips for Myopia Management and Eye Health

Retinal thinning I am nearsighted, with my left eye around 600 and my right eye around 700. Recently, I experienced some floaters and went to have my eyes checked. The doctor mentioned that my retina is slightly thinning, but I don't need laser treatment yet. I would like to...

Dr. Wang Zhishun Reply:
Hello, 1. The same as the measures for preventing myopia. 2. 20 years. 3. Pay attention to usage time; it should be fine. 4. Be mindful of eye safety; it's best to have protective eyewear. 5. The probability is higher, but not excessively high; regular annual check...

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