Corneal Transplantation Challenges After Silicone Oil Surgery
Corneal transplantation Hello, Doctor. Last year, I underwent gas tamponade surgery for retinal detachment at a hospital near my residence, but both surgeries were unsuccessful. As a result, my original treating physician referred me to a medical center in central Taiwan for furt...
Dr. Gao Pilin Reply:
Hello: Regarding your situation, the presence of silicone oil after retinal detachment can indeed affect the success rate of corneal transplantation. The silicone oil can lead to damage of the corneal endothelial cells, which in turn affects corneal transparency and function, red...[Read More] Corneal Transplantation Challenges After Silicone Oil Surgery
Are Persistent Flashes or Waves in Vision Harmless?
Persistent flashes or wave-like patterns? Regarding the persistent flashes or wavy patterns mentioned in question 209224, could this condition potentially be completely harmless? Similar to the situation with floaters, could it simply be a result of degeneration? Since the earlie...
Dr. Gao Pilin Reply:
Hello: Possible benign causes: 1. Vitreous degeneration: Similar to floaters, vitreous degeneration can lead to flashes and wavy patterns. This is usually a natural degenerative process that occurs with aging or high myopia and may not require treatment. 2. Vitreous traction: Occ...[Read More] Are Persistent Flashes or Waves in Vision Harmless?
Understanding Retinal Detachment: Symptoms and Early Warning Signs
Retinal detachment Doctor, I would like to ask a few questions: Is it necessary to see shadows before retinal detachment occurs? What are the warning signs that may indicate retinal detachment? Also, what are the warning signs of glaucoma? Thank you, doctor; I really want to know...
Dr. Gao Pilin Reply:
Hello: Symptoms and Warning Signs of Retinal Detachment Retinal detachment is a serious ophthalmic emergency that requires prompt treatment. When the retina detaches from its underlying tissue, it can lead to vision loss. Here are common warning signs and symptoms: 1. Flashes...[Read More] Understanding Retinal Detachment: Symptoms and Early Warning Signs
Understanding Eye Pressure Measurement: Is Hardness a Reliable Indicator?
Intraocular pressure measurement It is commonly stated online that a hard eyeball indicates high intraocular pressure. Is this a valid method of measurement?
Dr. Gao Pilin Reply:
Hello: Discussions about intraocular pressure (IOP) found online may lead to misunderstandings. The hardness of the eyeball is indeed related to IOP, but assessing IOP solely by palpating the eyeball is not accurate. Intraocular pressure is an indicator of the pressure of the int...[Read More] Understanding Eye Pressure Measurement: Is Hardness a Reliable Indicator?
Long-Term Use of Eye Drops: Safety and Effects on Eye Health
Usage of Eye Drops Hello Dr. Gao, I previously inquired about your article #206983. I am currently returning for monthly check-ups, likely due to the continuous use of orthokeratology lenses. Each time, the doctor prescribes either Gentamicin eye drops or OcuSoft Antimicrobial ey...
Dr. Gao Pilin Reply:
Hello: Question 1: Regarding the eye drops you mentioned, <Hsin-Hui Gentamicin Eye Drops> and <Oasis Anti-Resistance Eye Drops>, these are both antibiotic eye drops primarily used to prevent or treat eye infections. The practice of using them once daily for an exten...[Read More] Long-Term Use of Eye Drops: Safety and Effects on Eye Health
Should You See an Eye Doctor for Increased Astigmatism?
Increased astigmatism? On April 22, the refraction showed that the right eye had astigmatism of 3.25 (axis 180) and the left eye had astigmatism of 2.75. During the follow-up exam, the right eye's astigmatism increased to 4.25 (axis 5) and the left eye's astigmatism was...
Dr. Gao Pilin Reply:
Hello: Changes in astigmatism degree and axis can be caused by various factors, including alterations in corneal shape, fluctuations in intraocular pressure, or other underlying eye health issues. Particularly, if these changes occur in a short period, it is essential to be vigil...[Read More] Should You See an Eye Doctor for Increased Astigmatism?
Common Eye Issues: Managing High Eye Pressure and Visual Disturbances
Eye problems Hello, Doctor. I have a few questions: 1. My intraocular pressure seems to be a bit high; do you have any methods to help lower it? 2. I wear orthokeratology lenses at night, but when I blink quickly in the dark, I see a circular light in the center of my vision. 3. ...
Dr. Gao Pilin Reply:
Hello: 1. Management of elevated intraocular pressure: - Pharmacological treatment: If intraocular pressure is elevated, topical medications to lower eye pressure are typically used. The specific medication should be based on the ophthalmologist's prescription. - L...[Read More] Common Eye Issues: Managing High Eye Pressure and Visual Disturbances
Why Do My Eyes Hurt in Bright Sunlight? Understanding Eye Pain
Experiencing sharp pain in the eyes when exposed to sunlight? Hello doctor, this morning when I opened the window and sunlight came in, I suddenly felt a sharp pain in my eyes. Later, when I rode my bike from the basement to the entrance and encountered the sunlight again, I expe...
Dr. Gao Pilin Reply:
Hello: Based on the symptoms you described, experiencing sharp pain in the eyes after exposure to sunlight may have multiple causes. Here are some possible explanations: 1. Photophobia: This refers to an increased sensitivity of the eyes to light. Photophobia can be caused by va...[Read More] Why Do My Eyes Hurt in Bright Sunlight? Understanding Eye Pain
Seeing Shadows While Coughing: Is It a Retina Issue?
Coughing with dark sputum? Hello, doctor. I experience floaters when looking at the sky or under bright sunlight. Two years ago, I also noticed some patterns that appeared to be shaking. At that time, I visited a major hospital and underwent tests for glaucoma and optical coheren...
Dr. Gao Pilin Reply:
Hello: Based on the symptoms you described, particularly the appearance of black shadows during coughing, it is indeed important to pay special attention. Here are some possible causes and recommendations: 1. Vitreous traction: Coughing or straining may cause a temporary change...[Read More] Seeing Shadows While Coughing: Is It a Retina Issue?
Understanding Blurry Vision with Soft Contact Lenses: A Guide for High Myopia
One eye is blurry with soft contact lenses? Hello Doctor: I have high myopia (the most recent measurement was two weeks ago: left eye approximately -1200 diopters with astigmatism of -175; right eye approximately -1075 diopters with astigmatism of -175). However, each time I have...
Dr. Gao Pilin Reply:
Hello: Based on the situation you described, there are several possible reasons that could explain your vision fluctuations: 1. Inconsistent prescription between glasses and contact lenses: You mentioned that the prescriptions for your glasses and contact lenses differ, which ma...[Read More] Understanding Blurry Vision with Soft Contact Lenses: A Guide for High Myopia
Understanding Eye Pressure Issues: Symptoms and Solutions
Intraocular pressure issues? Hello Doctor, I have some questions regarding my eyes. 1. Protruding Eyes: Recently, I noticed that when I lie down or sit and touch my eyes, they seem to protrude, accompanied by a feeling of pressure. However, after applying a warm towel or exerci...
Dr. Gao Pilin Reply:
Hello: 1. Protruding eyes accompanied by a feeling of fullness that improves with warm compresses or exercise may be related to blood circulation in the eyes rather than a symptom of elevated intraocular pressure. Elevated intraocular pressure is typically associated with symptom...[Read More] Understanding Eye Pressure Issues: Symptoms and Solutions
Understanding the Impact of Pressure Glasses on Eye Health and Vision
1. Glasses issues 2. Glasses causing red, blue, and yellow fringes around objects 3. Eye pain issues Hello, doctor. I have the following questions that are troubling me, and I would like your clarification: Question 1: 1. Are pressure-relieving lenses / comfort lenses / stud...
Dr. Gao Pilin Reply:
Hello: Question 1: 1. Generally speaking, multifocal lenses are not discouraged; rather, they should be evaluated by a qualified ophthalmologist or optometrist to determine their suitability for you. 2. Currently, there is no clear evidence indicating that long-term use of mult...[Read More] Understanding the Impact of Pressure Glasses on Eye Health and Vision
Understanding Vision Issues: Glaucoma, Floaters, and Eye Clarity
Poor vision? I have early-stage glaucoma and floaters (with regular check-ups). Hello, doctor. I would like to ask about my condition. I have over 600 degrees of myopia and flashes. Currently, I wear glasses for distance vision. When looking at distant objects with one eye, my le...
Dr. Gao Pilin Reply:
Hello: It is quite common for one eye to be sharper than the other. Additionally, it is related to the prescription of your glasses. If the glasses are prescribed with a slightly stronger power than your actual eye prescription, it may appear sharper. Conversely, if the prescript...[Read More] Understanding Vision Issues: Glaucoma, Floaters, and Eye Clarity
Understanding Vision Issues: Thin Optic Nerve and Shadow Symptoms
Regarding visual field issues? Hello doctor, about three months ago, I was diagnosed with thinning of the optic nerve in the upper part of both eyes. The doctor mentioned that the thickness is approximately 79, while the lower part is normal at 100. The night before last, while m...
Dr. Gao Pilin Reply:
Hello: Based on the symptoms you described, the fact that the shadow changes position with the movement of your face suggests that it is less likely to be related to an optic nerve issue. However, an examination is still necessary to clarify the problem. Here are several steps yo...[Read More] Understanding Vision Issues: Thin Optic Nerve and Shadow Symptoms
Can Short-Acting Mydriatics Help Adults Relieve Eye Fatigue?
Can adults use short-acting mydriatics before bedtime to relieve fatigue? Hello, doctor. In recent years, I have been experiencing frequent eye swelling, orbital pain, and allergies, which led me to seek medical attention. After examination, the clinic physician found that my int...
Dr. Gao Pilin Reply:
Hello: Mydriatics are medications that can dilate the pupils and are commonly used for eye examinations or the treatment of eye diseases. The mechanism of action of mydriatics involves paralyzing the ciliary muscle, relaxing the pupil, and temporarily altering the refractive powe...[Read More] Can Short-Acting Mydriatics Help Adults Relieve Eye Fatigue?
Understanding Eye Flashes: Should You Seek Further Evaluation?
Eye flickering Hello, Dr. Gao. I am the person who inquired about #207988. I went to the clinic yesterday for a dilated eye exam. The doctor said that my fundus, intraocular pressure, and macula are all normal, but did not explain what the persistent flickering sensation in my ey...
Dr. Gao Pilin Reply:
Hello: 1. Floaters and flashes: The phenomenon of floaters is usually caused by tiny particles in the vitreous gel casting shadows. Flashes may be related to vitreous detachment, but since the fundus examination appears normal, this could represent a new variation of floaters. 2....[Read More] Understanding Eye Flashes: Should You Seek Further Evaluation?
Understanding the Link Between Glaucoma and Flashing Lights in Vision
Glaucoma and flashing lights during blinking? Hello, doctor. Recently, I have been experiencing flashes of light when I blink (I have high myopia). This occurs after staying in a dark place for about 10 to 20 minutes and then returning to a bright environment. When I blink, I fee...
Dr. Gao Pilin Reply:
Hello: Based on the symptoms you described, experiencing flashes of light after spending some time in a dark environment and then returning to a bright area may be related to glaucoma or other ophthalmic issues, but it could also be caused by other factors. Here are my responses ...[Read More] Understanding the Link Between Glaucoma and Flashing Lights in Vision
Post-Laser Treatment Eye Complications: Glaucoma or Anemia Effects?
Three months after laser surgery for retinal tear, suspected glaucoma was found during the examination? Three months ago, I suddenly experienced a large number of floaters and went to the hospital for an examination, where a retinal tear was found in the upper right quadrant of m...
Dr. He Jianxian Reply:
Dear Ms. Hsu, 1. The location of the laser treatment is usually at the periphery and does not significantly affect visual field testing. Since the laser was applied to the upper right corner, any potential visual field loss would likely occur in the lower left quadrant, so your ...[Read More] Post-Laser Treatment Eye Complications: Glaucoma or Anemia Effects?
Understanding Enlarged Optic Nerve Head: Risks and Management
Optic disc cupping is enlarged? Hello Doctor, Last week I visited an ophthalmologist due to conjunctivitis and also asked the doctor to check my optic nerve. The neurologist mentioned that my optic nerve head is larger than normal, approximately 0.6 to 0.7. Consequently, I was ...
Dr. He Jianxian Reply:
Hello, Miss Mo: 1. Congenital optic nerve pits are indeed present, but they are not common, and there is no evidence to suggest that they are more likely to lead to glaucoma. 2. This question cannot be answered definitively. 3. Since glaucoma is mostly asymptomatic, regular moni...[Read More] Understanding Enlarged Optic Nerve Head: Risks and Management
Is Long-Term Use of Mydriatics Safe for Open-Angle Glaucoma Patients?
Is it suitable for patients with open-angle glaucoma to use mydriatics long-term to relieve eye fatigue? Hello, I am a 54-year-old patient with open-angle glaucoma, cataracts, and myopia. 1. What are the indications for using mydriatic agents in ophthalmology? From the informat...
Dr. He Jianxian Reply:
Dear Ms. Li, 1. Mydriatic agents are not intended for routine use to alleviate eye fatigue, and this applies to both glaucoma and non-glaucoma patients. 2. Clinically, the routine use of mydriatic agents as a choice for relieving eye fatigue is not recommended; please discuss th...[Read More] Is Long-Term Use of Mydriatics Safe for Open-Angle Glaucoma Patients?