Understanding Steroid-Induced Eye Pressure Elevation and Glaucoma Risks
Steroid-induced ocular hypertension Hello Doctor, in early April, I visited a clinic due to conjunctivitis and was suspected to have glaucoma; at that time, my intraocular pressure was 18 in both eyes. I then went to two major hospitals for further examination, where glaucoma was...
Dr. He Jianxian Reply:
1. Currently, most devices used to measure intraocular pressure are non-contact tonometers, which can yield elevated readings due to patients blinking from anxiety during the measurement. 2. Theoretically, over-correcting refractive errors can lead to increased eye fatigue; howev...[Read More] Understanding Steroid-Induced Eye Pressure Elevation and Glaucoma Risks
Can Glaucoma Patients Safely Use Hair Loss Medications?
Can glaucoma patients use male pattern baldness medications (Finasteride, Minoxidil) long-term? Hello, doctor. As a glaucoma patient, I use Brimonidine daily to control my intraocular pressure. However, I have recently noticed issues with male pattern baldness and need to use the...
Dr. He Jianxian Reply:
This medication is not a steroid and does not have any associated side effects related to glaucoma. Director He Jian-xian, Ophthalmology Department, Nantou Hospital.[Read More] Can Glaucoma Patients Safely Use Hair Loss Medications?
Understanding the Prescription of Corning Unis for Eye Health Concerns
Confusion regarding the prescription of Corning Optical's lenses during an ophthalmic examination? Hello, Doctor He. I am currently 20 years old and went for my final eye examination before studying abroad. During this examination, a microsonography was performed (I used the...
Dr. He Jianxian Reply:
This medication should only be prescribed if cataracts are present; however, even if cataracts are not present, using it should not pose any issues. Director He Jian-xian, Ophthalmology Department, Nantou Hospital.[Read More] Understanding the Prescription of Corning Unis for Eye Health Concerns
Understanding Eye Pressure: Concerns for High Myopia Patients
Intraocular pressure related? Hello Dr. Gao, I have high myopia (around -800) and regularly undergo eye examinations. In previous years, my intraocular pressure (IOP) was approximately 17-18 mmHg, but last month, during an examination for conjunctivitis, my IOP was found to be ar...
Dr. Gao Pilin Reply:
Hello LIN: If you have elevated intraocular pressure, it is also important to assess the thickness of the cornea. An intraocular pressure of 20-22 mmHg generally does not produce noticeable symptoms. Whether medication is needed should be evaluated based on the condition of the o...[Read More] Understanding Eye Pressure: Concerns for High Myopia Patients
Understanding Eye Discomfort: Causes and Concerns for Vision Loss
Eye problems Hello, sometimes my blind eye feels sore or has a sensation of pressure, almost like wanting to tear up, but there are no tears. This feeling can appear suddenly and sometimes occurs in the other eye after using it for close work. It lasts for a while and then allevi...
Dr. Gao Pilin Reply:
Hello, Xin: When the eyeball undergoes degeneration, there may be a physiological sensation of soreness, which could be attributed to degenerative pain. Of course, prolonged near vision use can lead to fatigue, even if there is blindness, as the ciliary muscles responsible for ey...[Read More] Understanding Eye Discomfort: Causes and Concerns for Vision Loss
Understanding Eye Atrophy: Symptoms, Causes, and Related Conditions
Ocular degeneration Hello, could you please explain what conditions may arise from ocular atrophy? It seems difficult to find relevant information. Does ocular atrophy progress over time, or is it possible for the condition to remain stable? Can ocular atrophy lead to high hypero...
Dr. Gao Pilin Reply:
Hello, Xin: Atrophy of the eyeball may be due to degeneration of the retinal nerves or retinal blood vessels. This can lead to shrinkage of the eyeball, which is sometimes unavoidable. When the eyeball shrinks, blindness is likely to occur. Poor vision may result in strabismus or...[Read More] Understanding Eye Atrophy: Symptoms, Causes, and Related Conditions
Understanding Eye Exam Results and Medication Concerns Before Studying Abroad
Questions about ophthalmic examination content and medications? Hello Dr. Liang. I am currently 20 years old and will be going abroad for studies in a month. I recently had my last routine eye examination before leaving, but I have some concerns and questions regarding the examin...
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 Eye Exam Results and Medication Concerns Before Studying Abroad
What Type of Eye Surgery Did I Undergo? Understanding My Experience
What type of surgery did I undergo? Hello, doctor. Two months ago, I was referred to an emergency department at a teaching hospital in Shihpai due to extremely high intraocular pressure (65 mmHg). Around 6 PM, I was admitted, and while in the emergency room, I vomited. The reside...
Dr. Gao Pilin Reply:
Hello John: The more complex procedure is likely cataract surgery. The success of the surgery may depend on the postoperative results. It is normal for the sclera to appear red after surgery, and it should recover after some time.[Read More] What Type of Eye Surgery Did I Undergo? Understanding My Experience
Understanding Retinal Issues and Floaters: A Patient's Guide
Retinal issues, floaters? Hello, Doctor Gao. I have been experiencing discomfort in my eyes for the past two weeks, and I have a few questions I would like to ask you. 1. Initially, I felt that my right upper eyelid was drooping. After resting for a while, it improved significa...
Dr. Gao Pilin Reply:
Hello: 1. My eyes feel a bit moist, and since the next day, I've been experiencing a foreign body sensation, which could be caused by conjunctivitis. The presence of thread-like objects is likely due to floaters. 2. If you are still concerned, it is perfectly fine to have an...[Read More] Understanding Retinal Issues and Floaters: A Patient's Guide
Understanding Eye Fatigue: Causes, Symptoms, and Prevention Tips
Eye fatigue Hello, if I feel eye strain and discomfort, should I rest my eyes until the discomfort subsides before continuing to read, in order to avoid eye fatigue? After using my eyes for a period of time at close range, I feel tightness and soreness around my eyes and near my ...
Dr. Gao Pilin Reply:
Hello, Xin: Prolonged close-up use of the eyes can lead to eye strain. During this time, vision may become blurry. Therefore, taking appropriate breaks can help prevent damage to the eyes. Extended near work can result in pseudomyopia, which is a phenomenon of fatigue or overexer...[Read More] Understanding Eye Fatigue: Causes, Symptoms, and Prevention Tips
Understanding the Relationship Between High Myopia and Cup-to-Disc Ratio
High myopia cup-to-disc ratio question? Hello, doctor. I have high myopia (R1200, L900) and floaters. Currently, my prescription changes by about 50 degrees after dilation (the doctor said this is normal), and my intraocular pressure measurements have always been normal. During a...
Dr. Gao Pilin Reply:
Hello JJ: 1. The cup-to-disc ratio is an indicator used to assess the optic nerve, and a slightly elevated cup-to-disc ratio caused by high myopia does not necessarily indicate glaucoma. 2. Diagnosis codes are sometimes required for examinations, but the presence of a diagnosis m...[Read More] Understanding the Relationship Between High Myopia and Cup-to-Disc Ratio
Post-Retinal Detachment Surgery: Key Recovery Questions Answered
Post-retinal detachment surgery I have experienced a retinal detachment in my left eye and underwent a vitrectomy with gas tamponade on May 18th. It has now been four weeks. I would like to ask the following questions: 1. How many hours should I maintain a prone position each d...
Dr. Gao Pilin Reply:
Hello Mr. Chen: 1. Whether you need to lie prone depends on whether there is still gas present. If there is no gas, lying prone would be meaningless. Therefore, it is best to consult with the examining physician. 2. Since surgery will result in a wound, there may be redness a...[Read More] Post-Retinal Detachment Surgery: Key Recovery Questions Answered
Understanding High Myopia and Steroid-Related Eye Pressure Issues
High myopia and steroid-related issues? Dear Dr. Gao, Several months ago, you visited the clinic for conjunctivitis. Due to your high myopia, the doctor suspected glaucoma, and your intraocular pressure (IOP) was measured at 18 mmHg. Your refractive error was approximately -8.00...
Dr. Gao Pilin Reply:
Hello, Alley: 1. Anxiety may increase, and there may also be machine errors. 2. The morphology of the optic nerve is one indicator, but visual field testing should be the primary reference. 3. No. 4. If it has already decreased, there is no need for concern, but remember to infor...[Read More] Understanding High Myopia and Steroid-Related Eye Pressure Issues
Understanding Optic Nerve Examination: What You Need to Know
Regarding optic nerve examination? Hello, Doctor. I apologize for the interruption. I would like to ask about the optic nerve examination. I just had a fundus examination, and the doctor determined that the condition of my eyes is normal, with no high intraocular pressure, and bo...
Dr. Gao Pilin Reply:
Hello: Glaucoma is a type of optic nerve disorder, but an examination of the optic nerve does not necessarily mean that glaucoma is being assessed. However, if glaucoma is suspected, some neurological examinations may be conducted.[Read More] Understanding Optic Nerve Examination: What You Need to Know
Understanding Eyeglass Prescription Adjustments and Eye Health Concerns
Follow-up Question #182591: Inquiry about Prescription Glasses? Dear Dr. Gao, Thank you very much for your personal response and guidance in the consultation regarding the prescription glasses in “#182591.” I have greatly benefited from your insights. I would like to ask you the...
Dr. Gao Pilin Reply:
Hello, Dr. Gao: Q1. Regarding my glasses, where the right lens is undercorrected by 25 diopters and the left lens is fully corrected, Dr. Gao replied, "A difference of 25 diopters is not a problem." Does this mean: (1) In terms of myopia, it is acceptable to have a low...[Read More] Understanding Eyeglass Prescription Adjustments and Eye Health Concerns
Understanding Your Eyeglass Prescription: Key Questions Answered
Consultation on Eyeglass Prescription Concerns Dear Dr. Gao, Hello. My left eye has a prescription of approximately -300 degrees with astigmatism of about -50 or -75 degrees; my right eye is around -400 degrees with astigmatism of about -100 degrees. I have been wearing this pre...
Dr. Gao Pilin Reply:
Hello, Ah-Hsiang: 1. A difference of 25 degrees is not a problem. 2. Having two eyes will naturally provide better overall vision. It can also be said that they complement each other. 3. There will be no adverse effects. 4. As long as it is comfortable and both eyes' vision ...[Read More] Understanding Your Eyeglass Prescription: Key Questions Answered
Understanding Fundus Examination: Concerns About Eye Pressure Tests
Fundoscopy examination? Today, I had a routine intraocular pressure check at the hospital. During the examination, a slit lamp and an ophthalmoscope were used to shine bright lights into my eyes. I tried to avoid the light sources, but after the examination, I still noticed some ...
Dr. Gao Pilin Reply:
Hello Sam: This type of examination will not affect your vision and will not cause any damage to the retina, so please rest assured. By the time you see this response, I believe you have already recovered.[Read More] Understanding Fundus Examination: Concerns About Eye Pressure Tests
Understanding Glaucoma Concerns in High Myopia Patients: Key Insights
Concern for glaucoma Hello Doctor, I have high myopia with a prescription of -6.25 and -6.75. I would like to ask about my OCT results. The doctor at the clinic mentioned that my retinal nerve fiber layer is thinner, and my intraocular pressure was 20 and 21 on that day. Later, I...
Dr. Gao Pilin Reply:
Hello Ms. Lin: 1. You might need to ask the interpreting physician; I'm not sure. 2. It could be normal. 3. It's possible.[Read More] Understanding Glaucoma Concerns in High Myopia Patients: Key Insights
Understanding High Eye Pressure: Causes, Concerns, and Treatment Options
The issue of elevated intraocular pressure? Hello, Doctor Gao. I have high myopia (approximately -800 diopters) and severe floaters (I can see many floaters in both eyes). Recently, due to frequently seeing small bright spots, I visited an ophthalmology clinic for a fundus examin...
Dr. Gao Pilin Reply:
Hello: 1. Unilateral hypertension is also common. 2. The two may be unrelated; pain in the brow area is often associated with trigeminal neuralgia. 3. If the reading of 31 is also elevated, it is advisable to use medication before further examination. 4. It may be thought that a ...[Read More] Understanding High Eye Pressure: Causes, Concerns, and Treatment Options
Managing Eye Pressure: Tips for Exercise, Diet, and Lifestyle Adjustments
The sensation of elevated intraocular pressure? Hello Doctor: Recently, I've been troubled by some eye issues. I have previously experienced symptoms of high intraocular pressure (headaches, dizziness, mild nausea), and similar feelings have returned in the past couple of da...
Dr. Cai Wenyuan Reply:
The sensations in the eyes may not necessarily be related to intraocular pressure; it is advisable to seek medical evaluation.[Read More] Managing Eye Pressure: Tips for Exercise, Diet, and Lifestyle Adjustments