Post-Cataract Surgery: Understanding Eye Pressure Tests and Vision Changes
Intraocular pressure testing after cataract surgery? Hello Dr. Ke: My father (75 years old) recently underwent cataract surgery. Postoperatively, his color perception and vision were normal, and he followed the doctor's advice to protect his eyes. However, during his follow-...
Dr. Ke Meilan Reply:
Hello Fred: 1. Yes, the airflow is minimal, and the day after the surgery, intraocular pressure checks can be performed to prevent the patient from having elevated pressure that may go unnoticed. 2. Yes, because regular filters appear blue-white, while yellow filters are closer t...[Read More] Post-Cataract Surgery: Understanding Eye Pressure Tests and Vision Changes
Understanding Glaucoma: Managing Eye Pressure and Treatment Options
About glaucoma? I apologize for the inconvenience, but I would like to ask Dr. Wang about glaucoma. I was diagnosed with early-stage glaucoma symptoms at a hospital in the eastern part of Taiwan, with an intraocular pressure (IOP) of 27 mmHg. I have been using Aiferm Eye Drops 0....
Dr. Wang Zhangji Reply:
It is recommended to also accept examinations of the optic nerve and visual field.[Read More] Understanding Glaucoma: Managing Eye Pressure and Treatment Options
Understanding Eye Allergies: Causes, Symptoms, and Relief Strategies
Eye allergies? Today, I woke up with pain in my left eye, and it feels a bit blurry when I look at things. I also experienced a sensation of nausea (I'm not sure if it's more like blurriness or dizziness). In the past, similar symptoms would improve after some rest. I t...
Dr. Wang Zhangji Reply:
(Experiencing slight blurriness and nausea) - It is recommended to check intraocular pressure and the optic nerve. Eye allergies do not necessarily require a history of allergic predisposition; applying a cold compress can help alleviate symptoms. If you are aware of your allerge...[Read More] Understanding Eye Allergies: Causes, Symptoms, and Relief Strategies
Understanding the Impact of Timolol on Optic Nerve Health and Eye Pressure
Optic nerve head hypoplasia I have been using Timolol Chauvin 0.50% eye drops (twice daily) for over a year due to elevated intraocular pressure. My current intraocular pressure is 21 mmHg (it was 26 mmHg before starting the medication). After starting the drops, I noticed my pul...
Dr. Wang Zhishun Reply:
Hello: The diagnosis of glaucoma and the decision to initiate treatment are not always clear-cut and often require a comprehensive consideration of various factors. In your case, it seems not so absolute, and my response may serve as a reference for you. The examination instrumen...[Read More] Understanding the Impact of Timolol on Optic Nerve Health and Eye Pressure
Understanding Eye Drops for Open-Angle Glaucoma Treatment
Regarding eye drops? Hello, doctor. Recently, I went to the hospital for an examination, and the doctor told me that I have elevated intraocular pressure, diagnosing me with "open-angle glaucoma." After that, I was prescribed "Jingming eye drops." I noticed th...
Dr. Ke Meilan Reply:
Dear Sir/Madam: It is possible that glaucoma has not been fully established yet. However, since a diagnosis code needs to be assigned during the examination, I believe this physician will conduct further follow-up. Anti-inflammatory medication is indeed not specifically for glauc...[Read More] Understanding Eye Drops for Open-Angle Glaucoma Treatment
Unusual Iris Inflammation: Why Is Eye Pressure Decreasing?
Atypical iritis, with intraocular pressure not increasing but decreasing??? Hello Doctor: My older brother visited a local ophthalmology clinic last week due to discomfort in his eyes, but he has not been cured. The doctor suggested it might be iritis and prescribed steroid eye d...
Dr. Gao Pilin Reply:
Iritis can sometimes lead to a decrease in intraocular pressure during the remission phase. The uvea is divided into three parts: the iris, the ciliary body, and the choroid. When inflammation occurs in the anterior part of the uvea, specifically in the iris, it is referred to as...[Read More] Unusual Iris Inflammation: Why Is Eye Pressure Decreasing?
Understanding High Eye Pressure: Treatment Options and Long-Term Effects
Confusion about Glaucoma Thank you for your previous response, Doctor. I would like to ask for further analysis on the following issues: I have some questions that I do not understand: Regarding patients with elevated intraocular pressure (IOP) who are not diagnosed with glauco...
Dr. Xie Wenzhen Reply:
Hello, thank you for your question. Here are my suggestions: 1. Although topical medications generally have lower side effects, they are still drugs, so it is advisable not to use them unless necessary. 2. Since responses can vary from person to person, I recommend consulting ...[Read More] Understanding High Eye Pressure: Treatment Options and Long-Term Effects
Does Anxiety Affect Eye Pressure During Glaucoma Tests?
Nervousness and intraocular pressure? Doctor, I often feel anxious and nervous, especially when I go to the hospital for examinations. I would like to ask if being very anxious and tense during an eye pressure test can raise my blood pressure, and if this could also lead to an in...
Dr. Ke Meilan Reply:
Dear Sir/Madam: Anxiety can indeed lead to an increase in intraocular pressure. However, the diagnosis of glaucoma is not solely based on intraocular pressure; it also involves examination of the optic nerve head and visual field testing. Dr. Mei-Lan Ke, Attending Physician, Depa...[Read More] Does Anxiety Affect Eye Pressure During Glaucoma Tests?
Understanding the Impact of Timolol on Optic Nerve Head Size and Health
The optic nerve head has decreased in size? I am currently using Timolol Chauvin 0.50% eye drops (twice daily) and have been using them for about a year. My current intraocular pressure is 19 mmHg (it was 25 mmHg before starting the medication). I understand that individual respo...
Dr. Xie Wenzhen Reply:
Hello: Here are some suggestions regarding your questions: 1. Generally, there is no phenomenon of further shrinkage of the optic nerve head. 2. An enlargement of the optic nerve indicates that the optic nerve is dying. 3. If using timolol causes bradycardia or if there are oth...[Read More] Understanding the Impact of Timolol on Optic Nerve Head Size and Health
Understanding Glaucoma: Key Questions About Medication and Eye Health
Glaucoma issues? Hello, Doctor. I am not sure if you have received my inquiry, so I am resending it and hope for your reply. Thank you. I am currently using timolol Chauvin 0.50% eye drops (twice a day). I would like to ask the following questions: 1) The last time the doctor me...
Dr. Xie Wenzhen Reply:
Hello, sir: Thank you for your inquiry. I would like to respond to your question and provide the following advice: Regarding the issues you mentioned, they exceed the scope of my response. I recommend consulting a glaucoma specialist. Lastly, I wish you peace and happiness![Read More] Understanding Glaucoma: Key Questions About Medication and Eye Health
How to Handle Misuse of Mydriatics and Cycloplegics in Eye Care
What should be done in case of accidental misuse of "mydriatics" and "cycloplegics"? Dear Director Wang, Thank you for your detailed distinction between "mydriatics" and "cycloplegics," as well as the concise explanation of their pharmacol...
Dr. Wang Zhishun Reply:
Hello! Essentially, cycloplegic agents are used for the prevention and treatment of myopia and certain specific eye inflammations. If someone accidentally administers it, it is generally recommended to allow it to metabolize naturally, or to instill a few doses of a miotic agent ...[Read More] How to Handle Misuse of Mydriatics and Cycloplegics in Eye Care
Key Considerations for Trabeculectomy in Open-Angle Glaucoma
Glaucoma surgery Hello Doctor: Regarding open-angle glaucoma, I would like to ask the following questions: 1) If medication fails to control intraocular pressure, at what level of visual field PSD loss in dB should we consider performing a trabeculectomy? 2) If medication fails t...
Dr. Xie Wenzhen Reply:
Hello, Miss: Thank you for your inquiry. I would like to respond to your question and provide the following suggestions: Trabeculectomy is generally performed when medication and laser treatments are unable to control glaucoma, or when the rate of vision deterioration is too rapi...[Read More] Key Considerations for Trabeculectomy in Open-Angle Glaucoma
Understanding OCT Results and Treatment Options for High Eye Pressure
OCT (Optical Coherence Tomography) for glaucoma? Hello, Doctor. I would like to ask the following: My husband is 45 years old and started using Timolol Chauvin 0.50% eye drops (twice daily) on February 21, 2009. However, last month another doctor mentioned that my husband's ...
Dr. Xie Wenzhen Reply:
Hello, sir: Thank you for your inquiry. I would like to respond to your questions and provide the following suggestions: 1. First, after discontinuing the medication, observe changes in visual fields, fundus, and intraocular pressure. If glaucoma is present, the visual field may...[Read More] Understanding OCT Results and Treatment Options for High Eye Pressure
Exploring Alternatives: Safe Eye Pressure Medications Without Side Effects
Ophthalmic hypotensive drops Hello Dr. Ke: I currently have an intraocular pressure of 30 in both my left and right eyes and am suffering from bilateral macular detachment. Previously, I have used two types of eye drops to lower my intraocular pressure: 1. Alphagan P 0.15% (Brimo...
Dr. Ke Meilan Reply:
You may use either Travatan or Halatan; neither will affect the heart or kidneys.[Read More] Exploring Alternatives: Safe Eye Pressure Medications Without Side Effects
Understanding Ocular Hypertension: Treatment, Risks, and Surgical Options
High intraocular pressure 1) Why did the American Ocular Hypertension Treatment Study (OHTS) only last for six years? Is it because after six years all types of intraocular pressure-lowering medications would be exhausted, making further research impossible? If glaucoma cannot be...
Dr. Xie Wenzhen Reply:
Hello, thank you for your inquiry. Here are my responses and suggestions regarding your questions: 1. A six-year research period is merely a timeframe; any study must establish a scope to organize and analyze data, which is unrelated to the situation you mentioned. 2. The circum...[Read More] Understanding Ocular Hypertension: Treatment, Risks, and Surgical Options
Understanding Timolol Eye Drops: Effects, Timing, and Concerns for Glaucoma Management
Glaucoma eye drop issues? I am currently using Timolol Chauvin 0.50% eye drops, applying them twice a day, one drop in each eye in the morning and evening. (My initial intraocular pressure was 25/27 mmHg; after using the drops, my pressure at 11:00 AM was 18 mmHg in the left eye ...
Dr. Xie Wenzhen Reply:
Hello, sir: Thank you for your inquiry. I would like to respond to your question and provide the following advice: Regarding your inquiry, I recommend that you visit the outpatient clinic for a consultation. Lastly, I wish you peace and happiness.[Read More] Understanding Timolol Eye Drops: Effects, Timing, and Concerns for Glaucoma Management
Post-Retinal Detachment Surgery: Navigating Vision Challenges in Teens
Vision Problems After Retinal Detachment Surgery My child is eighteen years old. Last year, he discovered that his right eye was experiencing distortion and narrowing while looking at objects. After being referred for examination, he was diagnosed with retinal detachment. The doc...
Dr. Hu Yusheng Reply:
Hello: The discomfort your child is experiencing after getting new glasses is due to the distorted image in the right eye not being able to merge with the normal image in the left eye, resulting in a sense of strain. When switching back to the old glasses, it effectively blurs th...[Read More] Post-Retinal Detachment Surgery: Navigating Vision Challenges in Teens
Understanding Eye Pain: Causes, Concerns, and Treatment Options
Eye strain? Several years ago, I injured my left eye, and I mainly rely on my right eye for vision. Recently, I experienced pain in my right eye and visited a clinic. My intraocular pressure was measured at 23 mmHg, and the optic nerve appeared to be in poor condition. The doctor...
Dr. Ke Meilan Reply:
Hello: There is no direct relationship between soreness and intraocular pressure. It is evident that you currently have elevated intraocular pressure rather than glaucoma. If you are still uncertain and the doctor has not diagnosed glaucoma, you may continue to monitor the situat...[Read More] Understanding Eye Pain: Causes, Concerns, and Treatment Options
Does Light Pressure on the Eyeball Affect the Retina?
Does a light tap on the eyeball affect the retina? Dear Dr. Hu, Thank you for your detailed answers to my previous questions! I have high myopia in my right eye and have undergone retinal laser treatment to ensure my retina is healthier. I would like to ask you: 1. Last night,...
Dr. Hu Yusheng Reply:
Hello: Individuals with high myopia should indeed avoid pressing, squeezing, or rubbing their eyes (this is generally advised for everyone as well). The eyeball, much like a basketball, is a closed space, and any pressure applied to it can cause a sudden increase in intraocular p...[Read More] Does Light Pressure on the Eyeball Affect the Retina?
Understanding Blurry Vision: Symptoms, Causes, and When to Seek Help
Blurred vision? Hello Doctor: I have been experiencing discomfort in my eyes for over two months. Here are my symptoms: 1. When watching TV, I feel that the image becomes blurry whenever the camera moves. 2. My eyes lose focus, and I have to strain to see clearly. 3. Sometimes, m...
Dr. Hu Yusheng Reply:
Hello: If the physician examines your eyes and finds that the structure is normal, the issue may be functional, such as nystagmus, poor accommodation (either excessive or insufficient), optic neuritis, or imbalance in the extraocular muscle strength, among other causes. However, ...[Read More] Understanding Blurry Vision: Symptoms, Causes, and When to Seek Help