Understanding Retinal Issues: A Guide for High Myopia Patients
Retinal issues Doctor He: Hello! I am a patient with high myopia. About ten years ago, I went to an ophthalmologist due to floaters and was diagnosed with a retinal tear, which was treated with laser therapy. I have been having regular check-ups over the years and have undergone ...
Dr. He Jianxian Reply:
Hello: Basically, you have undergone a dilated fundus examination of the retina, and no new issues were found, so there is no need to worry. Wishing you good health.[Read More] Understanding Retinal Issues: A Guide for High Myopia Patients
Understanding Blue Light Flashes: A Guide for High Myopia Patients
At night, there are blue areas when viewing the lantern festival? Hello Doctor, I am highly myopic and also experience significant flashes. Last Saturday night while riding my bike, I suddenly noticed that when I looked up at the streetlights, there was a patch of blue light belo...
Dr. He Jianxian Reply:
Hello: I suggest that you consult with another physician for further advice. Wishing you good health.[Read More] Understanding Blue Light Flashes: A Guide for High Myopia Patients
Understanding Retinal Tears: Symptoms, Diagnosis, and Treatment Options
Retinal tear At the beginning of June, I went to a regional hospital to have my retina examined. The doctor told me that my retina was fine. However, a few days ago, when I looked up and shook my head, I saw reflective circles with my eyes closed, and shaking my head also produce...
Dr. He Jianxian Reply:
Hello: If there is indeed a tear, I still recommend laser treatment as it is safer. Generally, there is no need for rest after the laser procedure, and there should not be any discomfort. Wishing you good health.[Read More] Understanding Retinal Tears: Symptoms, Diagnosis, and Treatment Options
Understanding Children's Glasses: Managing Myopia and Astigmatism Concerns
Continuation: Issues of Glasses Prescription and Myopia with Astigmatism in Children Dear Dr. Gao, Thank you for your response. After measuring the axis at the optical shop, we found that the prescription with an axis of 5 is much clearer than the one with an axis of 10, so we d...
Dr. Gao Pilin Reply:
Dear Concerned Parent, 1. A difference of 5 degrees in astigmatism is not a concern if there are no symptoms, and it will not affect vision. 2. While textbooks advise prescribing sufficient correction, some optometrists may choose to under-correct astigmatism slightly. Clinicall...[Read More] Understanding Children's Glasses: Managing Myopia and Astigmatism Concerns
Understanding Myopia and Astigmatism in Children: Key Concerns for Parents
Children's prescription glasses and issues with myopia and astigmatism? Dear Doctor, My child is ten years old and was diagnosed with astigmatism of 200 and 175 during kindergarten. I would like to ask you a few questions: 1. During the first examination about five years a...
Dr. Gao Pilin Reply:
Hello: 1. When measuring the axis, even a slight tilt of the head can cause a minor deviation in the axis measurement. The degree of astigmatism is related to the measurement point, so slight variations are normal. Therefore, it is important to measure multiple degrees and axes...[Read More] Understanding Myopia and Astigmatism in Children: Key Concerns for Parents
Understanding Amblyopia and Retinal Detachment Symptoms in High Myopia
Symptoms of amblyopia and retinopathy? Hello Doctor: I am currently studying abroad and facing language barriers, making it difficult to consult local physicians. I cannot return to Taiwan during the semester. I have high myopia in one eye with a prescription of -1500, and I rely...
Dr. Wang Zhishun Reply:
Hello, although there are some potential warning signs of retinal detachment (such as an increase in floaters and seeing flashes of light), most patients encountered in clinical practice do not have any warning signs. Many patients are asymptomatic, and the condition is often dis...[Read More] Understanding Amblyopia and Retinal Detachment Symptoms in High Myopia
Struggling with New Glasses: Headaches and Vision Issues Explained
I recently got new glasses, but I'm experiencing dizziness when wearing them. Please help, thank you? I have been wearing glasses for over ten years, and my eyesight has progressed into the high myopia category. I have changed more than ten pairs of glasses, including glass,...
Dr. Wang Zhishun Reply:
Hello, if vision is clear with one eye and the eye alignment is normal, but dizziness occurs only when using both eyes, it is likely due to a technical issue with the lens grinding. The focal length may be incorrect, and it would be better to regrind the lenses. For distance visi...[Read More] Struggling with New Glasses: Headaches and Vision Issues Explained
Understanding Eye Floaters and Flashing Lights: Causes and Concerns
There is a fixed black shadow in the corner of my eye, along with issues of flashes. I notice the black shadow upon waking up? Hello, Dr. Wang. After going out on May 5th, I noticed a dark shadow in the upper right corner of my right eye when I returned home. It gradually dissipa...
Dr. Wang Zhangji Reply:
The symptoms you described are not common manifestations of optic nerve ischemia and carotid artery stenosis. Floaters can indeed be more pronounced when lying flat, in bright light, and in individuals with high myopia.[Read More] Understanding Eye Floaters and Flashing Lights: Causes and Concerns
Understanding Glaucoma: Managing Fear and Eye Health
Fear of Glaucoma Hello, doctor. Last time I asked you about glaucoma issues, and last week I successfully went to Cathay General Hospital in Taipei for a visual field test. The doctor responded that both eyes are normal. The optical coherence tomography showed that the left eye&#...
Dr. He Jianxian Reply:
Hello: Your test results appear to be quite normal. A follow-up every six months is definitely sufficient, and there is no need for any supplements. Basically, you don't need to worry. Wishing you good health and peace.[Read More] Understanding Glaucoma: Managing Fear and Eye Health
Understanding Glare and Vision Issues After Retinal Laser Treatment
The glare is becoming increasingly severe? Hello Dr. Wang, I apologize for bothering you again. I would like to reiterate my previous question. I have high myopia of approximately -1100 diopters and astigmatism of -5.02. Two weeks ago, I went to the hospital for an examination an...
Dr. Wang Zhishun Reply:
Hello, based on the symptoms you described (experiencing glare from streetlights, occasional eye pain, and frequent tearing), a specific diagnosis cannot be made. However, the eye pain and frequent tearing suggest that there may be something wrong. It is advisable for you to seek...[Read More] Understanding Glare and Vision Issues After Retinal Laser Treatment
Increasing Glare Issues After Laser Treatment for Retinal Tear
The glare is becoming increasingly severe? Hello, doctor. I have high myopia of about 1100 degrees and astigmatism of 502. Two weeks ago, I went to the hospital for an examination and was diagnosed with a retinal tear. I underwent laser treatment, and now, two weeks later, I am n...
Dr. Wang Zhishun Reply:
Hello, 1. You can first look for the Amsler Grid test online; if there are issues with the macula, this chart can generally detect abnormalities. 2. Eye pain and excessive tearing do not seem to be directly related to macular issues, but further examination is necessary. Thank...[Read More] Increasing Glare Issues After Laser Treatment for Retinal Tear
Understanding Optic Nerve Issues in High Myopia: A Patient's Dilemma
Optic nerve issues Hello Doctor, I am highly myopic and have previously experienced elevated intraocular pressure, but after a few days, it can drop below 20. For the next two months, my intraocular pressure remained normal (I have visited the clinic around 10 times to measure my...
Dr. He Jianxian Reply:
Hello: I recommend that you first visit a well-established hospital to undergo a comprehensive visual field test (standard type) to assess whether you have glaucoma or if there are other issues causing your visual field loss. This will help determine the next steps in your treatm...[Read More] Understanding Optic Nerve Issues in High Myopia: A Patient's Dilemma
Can Eye Exercises Restore Vision? Debunking Common Myths
Questions about eye movements? Hello, Dr. Gao: There are many books available that claim to restore vision through eye exercises. Is this really possible? I have previously read medical reports indicating that individuals with high myopia should avoid eye exercises, as the strain...
Dr. Gao Pilin Reply:
Hello: Eye movement cannot restore existing refractive errors; hyperopia and myopia typically cannot be corrected through exercise. As you mentioned, high myopia can easily lead to retinal detachment due to the strain on the eyeball. Taking appropriate breaks to look at distant o...[Read More] Can Eye Exercises Restore Vision? Debunking Common Myths
Managing Anisometropia: Tips for High Myopia and Vision Discrepancies
Regarding parallax? Hello, Doctor Gao: I am highly myopic (left: -10.50, right: -13.00) and have binocular disparity. I usually wear rigid gas permeable contact lenses at work, which are properly prescribed. However, after work, I wear glasses (prescription: left -9.00, right -11...
Dr. Gao Pilin Reply:
Hello: When exercising and looking into the distance, the binocular disparity will not decrease. This is because the higher degree of myopia will not lessen. Covering the left eye and forcing the right eye to look far away will not change the disparity either. The difference in p...[Read More] Managing Anisometropia: Tips for High Myopia and Vision Discrepancies
Understanding Eye Issues: Dry Eyes, Astigmatism, and Vision Problems
Visual problems Thank you, Dr. Wang, for your response. I indeed have dry eyes and fatigue issues. I would like to ask about the problem of misalignment of the eyes. If there is misalignment, can an optical shop detect it when fitting glasses? I just changed my glasses and have a...
Dr. Wang Zhishun Reply:
Hello, the issue of misalignment of the eyes can sometimes be difficult for physicians to detect, especially in cases of intermittent strabismus. However, such conditions are not commonly seen in clinical practice. Lenses with higher light transmission may reduce eye fatigue, par...[Read More] Understanding Eye Issues: Dry Eyes, Astigmatism, and Vision Problems
Understanding Double Vision: Causes and Solutions for Eye Issues
Seeing double vision? Hello, I have approximately 1000 degrees of myopia and 50 degrees of astigmatism. I wear glasses, but recently when looking at light sources, I experience the following situation (please refer to the doctor's link). Typically, this occurs when I look at...
Dr. Wang Zhishun Reply:
Hello, when you see double vision with one eye while looking at lights, is it fixed to a specific eye or does it vary? If it is fixed to one eye, the likelihood of having an issue is greater. Additionally, you can use the Amsler grid test for self-assessment. If you notice any ab...[Read More] Understanding Double Vision: Causes and Solutions for Eye Issues
Laser Eye Surgery for High Myopia: What You Need to Know
Presidential Public Opinion Mail Case - Over 1000 degrees of myopia laser treatment (forwarded from the Director's mailbox) How many diopters can laser eye surgery correct at most? I am currently in the second year of junior high school and my myopia is approaching 1000 diop...
Dr. He Jianxian Reply:
Hello: Myopia laser surgery can generally treat up to thousands of diopters, but the ideal treatment range is below 600 to 800 diopters for better outcomes. The higher the degree of myopia, the more likely it is to experience unpredictable effects or glare. Typically, individuals...[Read More] Laser Eye Surgery for High Myopia: What You Need to Know
Understanding Visual Disturbances: Shadows and Afterimages in Myopia
Afterimages and shadows? I have high myopia, and recently I've been experiencing a specific point in my vision that appears similar to an afterimage after looking at a bright light, which disappears after a while. Additionally, if I turn my head too quickly, I notice shadows...
Dr. Gao Pilin Reply:
Hello: Because you have high myopia, if this situation occurs, you should suspect retinal or vitreous changes. It is recommended that you promptly visit an ophthalmologist for a detailed examination with dilation for your peace of mind. Thank you for your message.[Read More] Understanding Visual Disturbances: Shadows and Afterimages in Myopia
Seeing Blood Vessels with Closed Eyes: Is It Retinal or Eyelid?
When closing your eyes and looking at a bright light, you may see blood vessels? Hello Doctor: Medical history: I have high myopia of 1000 degrees and have experienced hemorrhage in the macula, which has almost completely absorbed. When I close my eyes and look towards a strong l...
Dr. Wang Zhangji Reply:
That should be the blood vessels of the retina, which are generally visible to most people and do not require concern.[Read More] Seeing Blood Vessels with Closed Eyes: Is It Retinal or Eyelid?
Understanding Temporary Visual Disturbances in High Myopia
It feels like there is a cloud passing over my eyes? Myopia of 800 degrees occasionally causes a sensation in the right eye, as if a cloud is passing by, which lasts for a very short time, about one second. When I focus solely with my right eye, I do not notice it; it seems to oc...
Dr. Gao Pilin Reply:
Hello: Based on your description, it seems to be caused by vitreous degeneration, commonly known as floaters. Individuals with myopia are more prone to this condition. This is not an issue related to the optic nerve, so there is no need for concern. However, I still recommend tha...[Read More] Understanding Temporary Visual Disturbances in High Myopia