Understanding High Myopia Complications: Eye Pressure and Visual Disturbances
Complications of high myopia: flashes and intraocular pressure? Hello Doctor, I am highly myopic with approximately -700 degrees in my left eye and -1000 degrees in my right eye. Recently, I have been under a lot of exam stress and have been using my eyes more frequently, studyin...
Dr. Wang Zhishun Reply:
Hello, 1. It is recommended to monitor your intraocular pressure; generally, a reading below 21 mmHg is considered normal. Eye fatigue, insufficient rest, and a higher prescription for glasses can all contribute to elevated intraocular pressure. 2. Regarding questions 2 and 3...[Read More] Understanding High Myopia Complications: Eye Pressure and Visual Disturbances
Understanding Optic Nerve Cupping: Signs, Risks, and Eye Care Tips
Optic nerve and cupping issues? Dear Dr. Gao/Director, Happy Lunar New Year! I am currently abroad and today I went to an ophthalmologist for a routine vision health check. My visual acuity was measured (it hasn't worsened compared to last year), and my intraocular pressur...
Dr. Gao Pilin Reply:
Hello, Big Eyes: 1. Disc cupping refers to the excavation of the optic nerve head. When the optic disc is affected by intraocular pressure, it may initially lead to an increase in the cupping of the optic nerve head. Therefore, an increase in disc cupping can be considered an in...[Read More] Understanding Optic Nerve Cupping: Signs, Risks, and Eye Care Tips
Understanding Vitreous Degeneration: Symptoms, Concerns, and Next Steps
Vitreous degeneration issues Dear Dr. Wang, In September of this year, I experienced flashes of light in the corner of my left eye while looking at things (this occurred frequently in my left eye, while my right eye only experienced it a few times). I visited a nearby ophthalmol...
Dr. Wang Zhangji Reply:
If there is a difference in the refractive status of both eyes, it is more likely to result in a disparity in the images perceived by each eye. Sleeping on one's stomach can more easily exert pressure on the eyeballs, which may lead to an increase in intraocular pressure. Ey...[Read More] Understanding Vitreous Degeneration: Symptoms, Concerns, and Next Steps
Managing Macular Holes and Cataracts: Surgical Considerations and Post-Op Care
Macular hole Dear Doctor: In the case of surgery for a macular hole, if there is also mild cataract present, should both conditions be addressed simultaneously? Are there any postoperative precautions to consider to prevent the recurrence of the hole or other complications in the...
Dr. He Jianxian Reply:
Hello: Generally, the two surgeries do not need to be performed together. After surgery for a macular hole, patients may experience more discomfort, as they need to maintain a face-down position for about 3 to 4 weeks. As for potential complications, there may be issues such as e...[Read More] Managing Macular Holes and Cataracts: Surgical Considerations and Post-Op Care
Post-Scleral Buckling Surgery: Managing Acute Glaucoma Risks
Acute glaucoma following scleral buckle surgery? Hello Doctor, I underwent scleral buckle surgery on my right eye ten years ago before the Lunar New Year. After that, I used Timolol eye drops for about six months, along with other medications like pilocarpine to lower intraocular...
Dr. He Jianxian Reply:
Hello: I cannot provide a definitive answer to this question. I recommend that you consult a retinal specialist, as they have more experience in addressing related issues. Wishing you good health.[Read More] Post-Scleral Buckling Surgery: Managing Acute Glaucoma Risks
Flashing Lights in the Corner of Right Eye: Causes and Concerns
Flashing light sensation when blinking in the lower left area of the right eye, near the nose? Hello, Doctor. About two months ago, I started noticing flashes of light when I stared at a white wall ("bright" area). When I blink, I see flashes (lines that resemble mounta...
Dr. Gao Pilin Reply:
Hello Mr. Yu: Based on your description, this phenomenon is caused by vitreous degeneration, which can persist for a long time. If the fundus examination shows no issues, the best course of action is to coexist with it peacefully. However, if there are any unusual changes, please...[Read More] Flashing Lights in the Corner of Right Eye: Causes and Concerns
Managing Elevated Eye Pressure: Symptoms, Diagnosis, and Treatment Options
Elevated intraocular pressure? I have been experiencing eye pain and headaches for over a month, and sometimes the pain is severe enough to cause nausea. An ophthalmologist checked my intraocular pressure, which was 28 in the left eye and 29 in the right eye, leading to a suspici...
Dr. He Jianxian Reply:
Hello: It is recommended that you stop using the intraocular pressure-lowering medication and visit a major hospital for an examination to confirm whether there is a glaucoma issue before proceeding with further treatment. Wishing you good health.[Read More] Managing Elevated Eye Pressure: Symptoms, Diagnosis, and Treatment Options
Concerns About Vision Loss: Managing High Myopia and Eye Health
Worried about going blind? I am severely myopic (both eyes close to 1000 degrees). In recent years, I have been paying close attention to my eyes while studying, having regular check-ups every three to six months to monitor my retina at an ophthalmology clinic. Fortunately, the d...
Dr. He Jianxian Reply:
Hello: Basically, you have been undergoing regular check-ups, so there is no need to worry too much. Your work will not cause blindness, and you can feel reassured. Wishing you good health.[Read More] Concerns About Vision Loss: Managing High Myopia and Eye Health
Understanding 55% Optic Nerve Cupping in a Child: Key Concerns and Next Steps
Optic nerve cupping 55%? Hello, doctor. Two days ago, I took my six-year-old daughter to an ophthalmology clinic for a vision check. Her vision is normal, but it was unexpectedly found that she has a 55% optic nerve cupping. Her intraocular pressure is normal, and her visual fiel...
Dr. Wang Yuwei Reply:
Your daughter may indeed have a naturally larger optic nerve head depression, so it is important to monitor her intraocular pressure and visual fields. If there are any abnormalities in the future regarding intraocular pressure or visual fields, it could indicate glaucoma, which ...[Read More] Understanding 55% Optic Nerve Cupping in a Child: Key Concerns and Next Steps
Post-Corneal Repair: Addressing Vision Issues and Emotional Support
Corneal suture healing? Hello Doctor: I would like to ask about a patient who sustained an eye injury from being struck by a ball, resulting in a corneal rupture that was sutured at the upper edge, not centrally on the pupil. Currently, two months post-surgery, the best-corrected...
Dr. Wang Yuwei Reply:
You are fortunate that the corneal center was not affected, allowing you to maintain good corrected vision. Whether hard contact lenses are suitable for you should be determined based on the extent of wound healing and the health of the corneal epithelium. Mydriatic agents may ca...[Read More] Post-Corneal Repair: Addressing Vision Issues and Emotional Support
Understanding Unstable Vision: Causes and Solutions for Eye Health Issues
Unstable vision prescription? In early January, I accidentally pressed on my right eyeball while napping, causing the angle of the right eye to change from 170 degrees to 10 degrees. Additionally, there was a small hole in the upper right part of the retina. I underwent laser sur...
Dr. He Jianxian Reply:
Hello: 1. If there is a problem with sinusitis, you should seek treatment from an otolaryngologist. 2. Changing the angle basically only requires adjusting the lens angle, which does not affect clarity or depth perception. 3. Severe astigmatism can cause significant image distort...[Read More] Understanding Unstable Vision: Causes and Solutions for Eye Health Issues
Facing the Fear of Blindness: A Young Professional's Eye Health Journey
Fear of blindness Hello, Doctor. I am highly myopic with astigmatism and work in the technology industry, where I spend long hours using a computer. I have been working for less than a year. In April, I was suspected of having glaucoma, and in June, I underwent visual field tests...
Dr. He Jianxian Reply:
Hello: I think you are worrying too much. I suggest you come to our outpatient clinic for an examination; the explanation will be clearer. Wishing you good health.[Read More] Facing the Fear of Blindness: A Young Professional's Eye Health Journey
Understanding the Link Between High Eye Pressure and Dizziness Symptoms
High intraocular pressure can cause feelings of dizziness? Hello Doctor, I have previously experienced high intraocular pressure. In June, I underwent visual field and optic nerve examinations, and the doctor said that there are currently no signs of glaucoma. However, this week,...
Dr. He Jianxian Reply:
Hello: At the age of 27, it is almost impossible to experience acute glaucoma that causes nausea, vomiting, or even headaches, unless there is a congenital abnormality in your eye structure. Therefore, considering the numerous episodes of discomfort you have experienced, and the ...[Read More] Understanding the Link Between High Eye Pressure and Dizziness Symptoms
Persistent Cool Sensation in Left Eye Corners: Causes and Solutions
The corners of my left eye always feel cool, and I'm confused? I have a persistent sensation of coolness at the corners of my left eye, which sometimes leads to tearing. I can feel even a slight breeze on my eyes, and it can become uncomfortable to the point of causing migra...
Dr. Gao Pilin Reply:
Hello: Based on your description, the sensation of a sharp pain in the corner of the eye can trigger migraines, which I have not encountered in previous cases. Migraines should be treated by a neurologist, and this should lead to improvement. If treating it as dry eye syndrome do...[Read More] Persistent Cool Sensation in Left Eye Corners: Causes and Solutions
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 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
Understanding Discomfort in the Eye: Causes and Solutions for Pain and Tears
Eye discomfort? I would like to ask about my recent discomfort in my left eye, which feels sore and painful (the pain is not constant and sometimes disappears after resting). My eye often waters and feels moist. I visited an ophthalmologist, who found that I have +1.50 diopters o...
Dr. Zhuang Yamin Reply:
Dear Ching, Generally speaking, patients with +150 diopters of hyperopia who do not wear corrective lenses typically do not experience frequent discomfort unless they engage in prolonged near vision activities such as reading. Have you been overusing your eyes recently, leading ...[Read More] Understanding Discomfort in the Eye: Causes and Solutions for Pain and Tears
Understanding Glaucoma: What Do Rainbow Halos Around Lights Mean?
Glaucoma halos The halos seen in glaucoma can appear as rainbow-colored rings around lights. If you are experiencing severe eye pain accompanied by nausea and seeing halos around streetlights, it is important to seek medical attention promptly, as these could be symptoms of acute...
Dr. Zhuang Yamin Reply:
Dear "Handsome," Hello! The halos seen in glaucoma are very similar to what you described. Due to elevated intraocular pressure leading to corneal edema, you may see a ring of light around light sources. Additionally, the symptom of "eye pain so severe it makes y...[Read More] Understanding Glaucoma: What Do Rainbow Halos Around Lights Mean?
Understanding Glaucoma: Beyond Eye Pressure and Long-Term Management
Concerns about glaucoma? Doctor, I would like to ask about glaucoma. Isn't it caused by chronically high intraocular pressure leading to optic nerve damage? However, I recently saw online that "in recent years, diagnosing glaucoma cannot rely solely on intraocular press...
Dr. He Jianxian Reply:
Hello: Normal-tension glaucoma, also known as low-tension glaucoma, is diagnosed based on the condition of visual field and optic nerve damage. Therefore, if your visual field test is normal, there is generally no need for excessive concern; however, regular follow-up is still ne...[Read More] Understanding Glaucoma: Beyond Eye Pressure and Long-Term Management
Understanding Visual Disturbances: Common Eye Issues Explained
Visual problems Hello, doctor. I would like to ask you a few questions: 1. When I read text, if the two lines above and below are the same, I experience a brief sensation of blurriness for about a second, making it difficult to distinguish whether it is one line or two. This on...
Dr. Wang Zhishun Reply:
Hello, 1. In this situation, it is more common to experience dry eyes or eye fatigue. If symptoms improve with blinking or resting, they likely fall into this category. Additionally, strabismus could also be a possibility. 2. The symptoms of floaters can vary greatly; if ther...[Read More] Understanding Visual Disturbances: Common Eye Issues Explained