Understanding Dark Spots in Vision After Dilation Exam: What to Know
Pupil dilation examination A couple of days ago, I underwent a dilated eye exam and explained to the doctor that I have been experiencing increased flashes of light and noticed a dark spot in the inner part of my right eye. After the examination, the doctor informed me that there...
Dr. Gao Pilin Reply:
Hello: Based on your description, the doctor has examined you and informed you that there are no holes or tears in the macula of your retina, and indicated that the dark spots may be related to high myopia. I cannot determine what the dark spots are, but since the doctor found no...[Read More] Understanding Dark Spots in Vision After Dilation Exam: What to Know
Understanding Glaucoma: Is High Myopia a Risk Factor?
Glaucoma issues Hello, doctor. I would like to inquire about the OCT scan of the optic disc today, which appears to be larger than normal. Could this possibly be caused by high myopia (500 degrees)? The doctor mentioned that the optic nerve looks normal and there are no other iss...
Dr. Gao Pilin Reply:
Hello: Based on your description, you underwent an OCT examination today, and it was found that your optic disc is larger than average. The doctor indicated that the optic nerve is normal and there are no other issues, which may be due to traction caused by high myopia. Here are ...[Read More] Understanding Glaucoma: Is High Myopia a Risk Factor?
Understanding Myopia Progression in Adults: Causes and Solutions
Concerns about the increase in myopia levels among adults who use their eyes intensively? Hello Dr. Gao, Due to my academic work, I have developed a routine of high-intensity eye use—approximately 6 hours of close reading of academic journals and about 3 hours of computer work ...
Dr. Gao Pilin Reply:
Hello: Regarding your recent eye condition, I would like to offer some suggestions. 1. The situation you mentioned, where "vision tends to stabilize and not increase significantly after adulthood," generally holds true. However, in cases like yours, where there is hig...[Read More] Understanding Myopia Progression in Adults: Causes and Solutions
Understanding Colorful Floaters in Vision: Causes and Concerns
The appearance of colorful dot-like floaters in the eyes? Hello Doctor: I have high myopia and had a dilated fundus examination at the end of November last year. The doctor said everything was normal, just typical degeneration associated with high myopia. I would like to ask a qu...
Dr. Gao Pilin Reply:
Hello: This symptom is described in the field of ophthalmology as photopsia, which typically occurs when the eyes move suddenly, potentially resulting in the perception of colored flashes or spots. This may originate from certain substances within the eye, such as proteins or oth...[Read More] Understanding Colorful Floaters in Vision: Causes and Concerns
Understanding Post-Cataract Surgery Halo Effects and Solutions
After cataract surgery, a halo effect appears in front of the eyes? Hello, Doctor. I am 59 years old and have had high myopia. I underwent laser surgery for myopia over ten years ago. On December 14, 2023, I had phacoemulsification surgery for cataracts in my left eye, where a no...
Dr. He Jianxian Reply:
Hello Mr. Lee: 1. I have not used this brand of intraocular lens, and none of my patients who have undergone surgery have reported similar issues, so I cannot determine the source of the halo you are seeing. 3. If you wish to replace the implanted intraocular lens, it should not ...[Read More] Understanding Post-Cataract Surgery Halo Effects and Solutions
Understanding Visual Disturbances After Removing Glasses: Causes and Insights
After removing glasses, there may be a sensation of fluctuation? Hello, could you please explain why I experience a sensation of fluctuation when looking at objects, especially after removing my glasses? This sensation seems more pronounced when I am staring blankly at something,...
Dr. Gao Pilin Reply:
Hello: Based on the situation you described, you may be experiencing some visual changes that could be related to your high myopia and floaters. It is important to note that these are only preliminary assumptions. For a more accurate assessment, I recommend that you visit an opht...[Read More] Understanding Visual Disturbances After Removing Glasses: Causes and Insights
Understanding the Differences Between Ultra-Widefield and Standard Eye Exams
Ultra-widefield fundus photography What is the difference between ultra-widefield fundus photography and standard dilated eye examinations? Can it detect conditions such as glaucoma, retinal diseases, or visual field defects? Traditionally, high myopia has been assessed using dil...
Dr. Gao Pilin Reply:
Hello: There are some differences between ultra-widefield fundus photography and standard dilated eye examinations in assessing eye health. Here are the main distinctions between the two and their capabilities in detecting specific eye diseases: 1. Field of View: - Ultra-wide...[Read More] Understanding the Differences Between Ultra-Widefield and Standard Eye Exams
Sudden Amblyopia in Adulthood: Causes and Treatment Options
Amblyopia that suddenly appears in adulthood? Hello, Doctor. I have myopia of -600 degrees with astigmatism of -250 degrees in my left eye, and -700 degrees with astigmatism of -350 degrees in my right eye, with my left eye being the dominant eye. The last time I had my glasses p...
Dr. Gao Pilin Reply:
Hello: 1. Causes of Amblyopia: Amblyopia is a visual impairment typically identified and treated during childhood. However, new vision deterioration in adulthood may stem from issues related to the optic nerve, eyeball, retina, or other parts of the visual system, requiring fur...[Read More] Sudden Amblyopia in Adulthood: Causes and Treatment Options
Understanding Sudden Black Flashes in Vision: Causes and Concerns
Sudden appearance of black spots in the vision? Hello Doctor, I have high myopia with prescriptions of -8.75 and -9.25. In 2010, I visited an ophthalmologist due to experiencing flashes of light, eye discomfort, and severe headaches. The ophthalmologist diagnosed me with migraine...
Dr. He Jianxian Reply:
Hello Ms. Fu: Based on your description, your condition seems to differ from that of a vascular thromboembolic event. This situation involves a sudden complete blackout that may return to normal after a few seconds. It is difficult to determine the cause of your symptoms, and I h...[Read More] Understanding Sudden Black Flashes in Vision: Causes and Concerns
Assessing Risks of Retinal Tears and Detachment in High Myopia Patients
Check for the risk of retinal perforation or detachment? Dear Dr. Gao, I am seeking a preventive examination at the Taoyuan General Hospital due to my high myopia. Currently, there are no abnormalities when viewing the Amsler grid. The main purpose of the examination is to check...
Dr. Gao Pilin Reply:
Hello: 1. The Taoyuan General Hospital is a regional teaching hospital, so there should be no issues with retinal examinations and laser treatments. Preventive laser therapy typically carries very low risk. 2. Generally, fluorescein fundus photography is not necessary, so there i...[Read More] Assessing Risks of Retinal Tears and Detachment in High Myopia Patients
Understanding Floaters and Retinal Issues: When to Seek Medical Attention
Floaters and Retinal Disorders In response to the follow-up question regarding the increase in floaters, both nurses and doctors emphasize that "if there is a significant increase in black spots, it is important to seek medical attention promptly." I would like to ask h...
Dr. Gao Pilin Reply:
Hello: 1. Sudden increase in floaters or black spots: If you suddenly notice a large number of new floaters or black spots, especially if these symptoms appear suddenly, continue to increase, or spread rapidly, you should seek medical attention immediately. Use your own judgmen...[Read More] Understanding Floaters and Retinal Issues: When to Seek Medical Attention
Understanding Eye Lightning: Causes and Concerns for Vision Issues
Closed-eye visual phenomena The phenomenon of seeing flashes of light when closing the eyes, especially after a thorough dilated eye examination in early October, is concerning. Here are the questions I have: For instance, when I close my eyes in bright light, I can perceive some...
Dr. Gao Pilin Reply:
Hello: The sensation of flashes or lightning may be one of the signs of retinal abnormalities. Flashes are typically caused by the vitreous pulling on the retina due to internal fibrous changes. Floaters are small dots, lines, or cloud-like shapes seen in the visual field, usuall...[Read More] Understanding Eye Lightning: Causes and Concerns for Vision Issues
Understanding Eye Drop Expiration and Prescription Management
Expiration date of eye drops and medication dispensing issues? Hello, Director Gao. Due to my high myopia, I have been regularly visiting the glaucoma department at a designated hospital for follow-ups. After undergoing surgery on my left eye at the end of October, I was prescrib...
Dr. Gao Pilin Reply:
Hello: 1. It can be used until December 28. 2. Please return for a follow-up appointment as directed by the physician. 3. Four weeks is 28 days, so a new prescription can be issued on December 18.[Read More] Understanding Eye Drop Expiration and Prescription Management
Understanding High Myopia and Its Impact on Eye Health
High myopia and retinal issues? Hello, Doctor. I would like to ask you some questions. Thank you, Doctor! 1. In a dimly lit room, when I cover one eye, the vision in that eye appears very blurry, as if there is noise in front of me. Could this be related to retinal or macular de...
Dr. He Jianxian Reply:
Dear Ms. M: 1 & 2: Lesions or diseases do not simply resolve on their own. 3: Theoretically, we cannot see holes in our own retina; it is more likely to be floaters. 4: If you are concerned about potential retinal issues, you should prioritize a dilated eye examination by ...[Read More] Understanding High Myopia and Its Impact on Eye Health
Can I Skydive with My Eye Conditions? A Guide for Safety
Can I still go skydiving under these circumstances? Hello Doctor: Currently, my myopia is around 600 to nearly 700. Last year, I developed physiological floaters, but my retinal examination showed that both the retina and macula are completely normal. Previously, my intraocular p...
Dr. He Jianxian Reply:
Hello Mr. Azou: I haven't heard that glaucoma or high myopia prohibits skydiving; however, individuals with recent onset myopia may face slightly higher risks when skydiving. This is related to the more pronounced degeneration of the vitreous body and retina in those with hi...[Read More] Can I Skydive with My Eye Conditions? A Guide for Safety
Can Glasses Improve Vision for High Myopia and Astigmatism?
Degree issue If my eyesight is around -700 to -800 for myopia and over -400 for astigmatism, can wearing glasses restore my vision to 0.6 or 0.8? I'm concerned about passing the vision test for my motorcycle license. Thank you!
Dr. He Jianxian Reply:
Hello, Wan-Ting: We need to conduct an actual fitting for the glasses to determine the correct prescription; it cannot be inferred just from the description. Dr. Ho Chien-Hsien, Ophthalmology Department, Nantou Hospital.[Read More] Can Glasses Improve Vision for High Myopia and Astigmatism?
Understanding Brief Blackouts in Vision: Causes and When to Seek Help
Sometimes the eyes may experience flashes of darkness? Recently, I have been experiencing brief moments of darkness lasting a second or less, sometimes feeling like it's coming from above. The duration is very short, and it doesn't seem to be an issue with the lighting....
Dr. He Jianxian Reply:
Hello Ms. Serein: It is difficult to determine your condition. If you experienced a sudden blackout, as if the lights were turned off, lasting for several seconds or tens of seconds, it could likely be related to a thrombus issue, and you should see a cardiologist for a thorough ...[Read More] Understanding Brief Blackouts in Vision: Causes and When to Seek Help
Understanding Brief Blackouts in Vision: Causes and When to Seek Help
Sometimes the eyes may experience flashes of darkness? Recently, I have been experiencing brief moments of darkness, lasting a second or less, sometimes feeling like it's coming from above. The duration is very short, and it doesn't seem to be an issue with the lighting...
Dr. He Jianxian Reply:
Hello Ms. Serein: It is difficult to determine your condition. If you experienced a sudden blackout, as if the lights were turned off, lasting for several seconds or even tens of seconds, it is likely related to a thrombotic issue, and you should see a cardiologist for a thorough...[Read More] Understanding Brief Blackouts in Vision: Causes and When to Seek Help
Managing High Myopia: Eye Care Tips and Mental Well-being
Care and Mindset Adjustment for High Myopia Hello, Doctor. Due to genetic factors, I have developed high myopia at an early age (currently around 900-1000 degrees). I undergo dilated eye examinations every six months. During my recent check-up, the doctor informed me of a mild ca...
Dr. Gao Pilin Reply:
Hello: 1. The perception of floaters being more noticeable in bright light is a common phenomenon, especially among patients with high myopia. Typically, these floaters are caused by small fluctuations in the vitreous gel within the eye. In most cases, these floaters are harmle...[Read More] Managing High Myopia: Eye Care Tips and Mental Well-being
Understanding Eye Lightning: Symptoms of Vitreous Degeneration in Myopia
Flashes of light when moving the eyes? As mentioned, I have noticed flashes of light when moving my eyes. Recently, I have indeed felt an increase in floaters, but it is not a rapid or significant increase, and I do not experience blurred vision. I had a dilated eye exam in early...
Dr. Gao Pilin Reply:
Hello: Based on your description, experiencing flashes of light when moving your eyes is a common symptom of vitreous degeneration, which is often accompanied by an increase in floaters. Vitreous degeneration is a natural aging process where, as one ages, the vitreous humor gradu...[Read More] Understanding Eye Lightning: Symptoms of Vitreous Degeneration in Myopia