Understanding Retinal Detachment: Challenges and Treatment Options
Retinal detachment issues? Last July, I went to the hospital for an examination and was diagnosed with retinal detachment. The next day, I underwent surgery to inject gas. After regular follow-ups, over a month later, I discovered another detachment. I was transferred to another ...
Dr. Gao Pilin Reply:
Hello Yan: 1. Is proliferative vitreoretinopathy (PVR) difficult to treat? What is the likelihood of it not being resolved? The chance of resolution depends on the severity of the folds; it is usually a complex surgery, and if the retina can be reattached, it is considered succe...[Read More] Understanding Retinal Detachment: Challenges and Treatment Options
Can Modern Treatments Improve Vision After Retinal Detachment Surgery?
Post-retinal detachment surgery, concerns regarding vision recovery? Over a decade ago, I underwent surgery for retinal detachment (I have forgotten the specific surgical method, but I know that gas was used for the reattachment). The surgery was likely successful, but my vision ...
Dr. He Jianxian Reply:
After such a long time since the surgery, the condition should be stable. If cataracts were not caused by the surgery, the current treatment techniques may have limited effectiveness in achieving significant improvement. This is for your reference. Dr. He Jianxian, Nantou Hospita...[Read More] Can Modern Treatments Improve Vision After Retinal Detachment Surgery?
Laser Treatment for Children's Retinal Issues: Risks and Considerations
Pediatric retinal laser treatment Hello Doctor, my child is 12 years old and has a myopia of approximately -2.50 diopters. Both my husband and I have a history of retinal tears, so our child underwent a fundus examination. The results showed that there are two areas of thinning i...
Dr. Gao Pilin Reply:
Hello, Ms. Yeh: 1. No, it won't. 2. The laser only delivers a stronger energy to the treated area and has minimal impact on other areas. 3. If the physician determines that laser treatment is necessary, there should be a valid reason for it. You can discuss your concerns wi...[Read More] Laser Treatment for Children's Retinal Issues: Risks and Considerations
Understanding Scleral Buckling Surgery for Retinal Detachment
Scleral Buckling Surgery Thank you, Dr. Gao, for your response. A silicone implant is placed on the outer layer of the sclera, applying a compressive force to the sclera, which reduces the traction between the vitreous body and the retina, while also sealing retinal tears. This h...
Dr. Gao Pilin Reply:
Hello Mr. Yang: 1. The phrase "depending on the condition, laser treatment may also be performed" implies that there are cases where laser treatment is not necessary, correct? Typically, laser treatment or cryotherapy is applied around the retinal tear. Additional inte...[Read More] Understanding Scleral Buckling Surgery for Retinal Detachment
Understanding Blurred Vision After Retinal Laser Repair: Causes and Solutions
Follow-up appointment after retinal hole repair? Hello, Director Gao: On February 28, I discovered a hole in the retina of my left eye and underwent laser treatment to repair it on the same day. Starting the next day, I noticed that objects appeared blurry in the upper part of my...
Dr. Gao Pilin Reply:
Hello: If the doctor has examined you and found no issues, then you can rest assured! It is normal for there to be peripheral vision loss in the area treated with laser, but most people typically do not notice it. You may be more sensitive and have detected a difference compared ...[Read More] Understanding Blurred Vision After Retinal Laser Repair: Causes and Solutions
Understanding Selective Laser Trabeculoplasty for Open-Angle Glaucoma
Questions related to laser treatment for open-angle glaucoma? Hello, Doctor: May I ask if the current treatment for open-angle glaucoma in Taiwan primarily uses Selective Laser Trabeculoplasty (SLT)? Does National Taiwan University Hospital have this equipment? Are there hospital...
Dr. Cai Wenyuan Reply:
I'm sorry, but it would be best to discuss your question with your attending physician.[Read More] Understanding Selective Laser Trabeculoplasty for Open-Angle Glaucoma
Understanding Blurriness After Retinal Laser Repair: What to Expect
After retinal hole repair, the vision may be blurry? Hello, Dr. Gao: About 5 or 6 days ago, I went for an eye examination and suddenly discovered a hole in the retina of my left eye (I don't know the exact location of the hole, just that it's in the left eye). It was tr...
Dr. Gao Pilin Reply:
Dear concerned individual, Laser treatment involves applying energy to the retina, which may initially cause some discomfort or a stinging sensation, as it essentially involves a burning effect. Additionally, the treated area may experience temporary retinal edema, leading to sy...[Read More] Understanding Blurriness After Retinal Laser Repair: What to Expect
Understanding Selective Laser Trabeculoplasty for Open-Angle Glaucoma
Questions related to laser treatment for open-angle glaucoma? Hello, Doctor: May I ask if the current treatment for open-angle glaucoma in Taiwan primarily uses Selective Laser Trabeculoplasty (SLT)? Does National Taiwan University Hospital have this equipment? Are there hospital...
Dr. Gao Pilin Reply:
Hello Dongdong: Since I am not a glaucoma specialist and do not have extensive knowledge in this area, nor do I have clinical experience with this type of equipment, I am unable to provide you with a satisfactory answer. For inquiries about whether National Taiwan University Hosp...[Read More] Understanding Selective Laser Trabeculoplasty for Open-Angle Glaucoma
Understanding Multiple Surgeries for Retinal Detachment: What to Expect
Retinal detachment surgery requires a third operation? Hello Doctor, I was diagnosed with a retinal detachment in my right eye on December 9th of last year. That morning, I underwent laser treatment for a retinal tear, and in the afternoon, I had a vitrectomy with gas tamponade. ...
Dr. Gao Pilin Reply:
Hello, Xiao Cai: If retinal detachment is not addressed immediately, subsequent surgical interventions may not be effective. Therefore, if surgery is deemed feasible, it is best to proceed with the operation right away. Complex retinal detachments may sometimes require multiple s...[Read More] Understanding Multiple Surgeries for Retinal Detachment: What to Expect
Understanding Eye Pigmentation Deposits: Treatment Options in Taichung
Scleral pigmentation? Recently, I noticed a yellow spot on the sclera of my left eye. I went to an ophthalmologist, and the doctor said it is a pigment deposition. I am very interested in having surgery to remove it for cosmetic reasons. Which hospitals in Taichung can perform th...
Dr. Gao Pilin Reply:
Hello Nana: Pigmentation can be removed using laser treatments. As for which hospital in Taichung offers this service, I'm not sure, so you may want to inquire on your own. It will not affect your future myopia laser surgery. Dr. Wang in Taipei has clinical experience; pleas...[Read More] Understanding Eye Pigmentation Deposits: Treatment Options in Taichung
Understanding Eye Pigmentation Deposits: Treatment Options and Laser Surgery Impact
Scleral pigmentation? Recently, I noticed a yellow spot on the white part of my left eye. After visiting an ophthalmologist, I was informed that it is a pigment deposit. I am considering surgery to remove it for cosmetic reasons. Could you recommend hospitals in Taichung that off...
Dr. Gao Pilin Reply:
Hello Nana: Pigmentation can be removed using laser treatment. As for which hospital in Taichung offers this service, I'm not sure, so you may need to inquire on your own. It will not affect your future myopia laser surgery. Dr. Wang in Taipei has clinical experience; please...[Read More] Understanding Eye Pigmentation Deposits: Treatment Options and Laser Surgery Impact
Post-Retinal Detachment Surgery: Understanding Symptoms and Recovery
Post-Retinal Detachment Surgery Dear Doctor: My family member had a retinal detachment in the left eye 14 days ago and underwent scleral buckle, vitrectomy, and intraoperative laser treatment. Currently, when lying face down: 1. When bending down or getting up, there are bright f...
Dr. Gao Pilin Reply:
Hello Sarah, 1. When lying down or getting up, there are flashes of light and colored spots in the left eye, which disappear after a while. 2. When looking out with the left eye, the upper third appears black, while the rest is a hazy white. 3. The sclera of the left eye appears...[Read More] Post-Retinal Detachment Surgery: Understanding Symptoms and Recovery
Understanding Retinal Risks: When to Seek Immediate Treatment for Eye Flashes
Please provide the content you would like me to translate? I would like to ask the doctor: Does the occurrence of flashes of light in the peripheral vision due to vitreous traction on the retina indicate a high risk of retinal tear or detachment, requiring immediate laser treatme...
Dr. Gao Pilin Reply:
Hello Rick: The flashes of light at the edge of your vision caused by vitreous traction on the retina do not necessarily indicate that there will be a tear or detachment of the retina. If the examination shows no thinning or holes, then laser treatment is not required. Laser trea...[Read More] Understanding Retinal Risks: When to Seek Immediate Treatment for Eye Flashes
Understanding Retinal Changes in High Myopia: Symptoms and Prevention
Retinopathy I have high myopia, with one eye at -7.00 and the other at -6.00. Recently, I had a fundus examination, and the doctor mentioned that my retina is thinning, but there are no tears. When I close my eyes at night and reopen them after about five minutes, or if I wake up...
Dr. Gao Pilin Reply:
Hello Rick: This symptom is caused by the vitreous pulling on the retina. Most of these symptoms do not lead to retinal detachment. The thinning of the retina should be assessed based on its severity; if necessary, the examining physician may recommend laser treatment. In Taiwan,...[Read More] Understanding Retinal Changes in High Myopia: Symptoms and Prevention
Post-Retinal Detachment Surgery: Common Concerns and Recovery Tips
Post-retinal detachment surgery? Hello Doctor, I had a retinal detachment and underwent gas injection treatment (SF6) and retinal laser treatment for my left eye on December 23. It has been almost 4 weeks since my discharge, during which I have had 3 follow-up visits and addition...
Dr. Gao Pilin Reply:
Hello Mr. Lai, 1. I have seen responses from doctors on the forum stating that SF6 gas typically absorbs within about two weeks. It has been four weeks for me, and the gas is still quite significant. Is this a normal situation, or could there be an issue with absorption? It can ...[Read More] Post-Retinal Detachment Surgery: Common Concerns and Recovery Tips
Understanding Retinal Thinning: Symptoms, Risks, and Treatment Options
Retinopathy Last week, I had a retinal examination at the ophthalmologist. The doctor told me that my retina is not torn, but it is thinning. Currently, my myopia is -7.00 and -6.00 diopters, and I was advised to follow up in six months. At night, when I lie in bed, about five mi...
Dr. Gao Pilin Reply:
Hello Rick: The flashes at the corners of your eyes may be caused by the vitreous pulling on the retina. The thinning of the peripheral retina should be assessed for severity, and if necessary, the doctor may recommend laser treatment. If you do not overstrain your eyes, there is...[Read More] Understanding Retinal Thinning: Symptoms, Risks, and Treatment Options
Post-Retinal Detachment Surgery: Understanding Silicone Oil and Laser Treatment
Post-Retinal Detachment Surgery 1. Doctor, my father had retinal detachment surgery over a month ago and has silicone oil injected. If the silicone oil is still inside, will there be a risk of re-detachment, or will that only occur after it is removed? 2. If the silicone oil is...
Dr. Gao Pilin Reply:
Hello Mr. Hsu, 1. Generally, silicone oil is less likely to detach from the retina; however, complications can occur, such as cataracts, glaucoma, and corneal disease. In a small number of severe cases, removing the oil may lead to retinal re-detachment and ocular atrophy, which...[Read More] Post-Retinal Detachment Surgery: Understanding Silicone Oil and Laser Treatment
Understanding Eye Symptoms: Flashing Lights and Sounds When Moving Eyes
Eye problems Dear Dr. He, When I turn my eyes to the right to the extreme limit, I experience flashes of light (similar to lightning) accompanied by popping sounds (similar to the sound of electrical wires short-circuiting). However, there are no such phenomena when I move my ey...
Dr. He Jianxian Reply:
Typically, seeing flashes of light is caused by the vitreous pulling on the retina. It is recommended to consult an ophthalmologist for a dilated eye examination. If the retina is found to be intact, simple monitoring is sufficient. However, if there is any damage, laser treatmen...[Read More] Understanding Eye Symptoms: Flashing Lights and Sounds When Moving Eyes
Understanding Black Spots on the Eye: Causes, Risks, and Treatment Options
Follow-up question #151742: Black spots on the sclera? Dear Dr. Gao, Thank you very much for your response regarding the article "<a href='https://adoctor.tw/article/151742'>#151742 Eye White Black Spot</a>." I would like to ask the following ques...
Dr. Gao Pilin Reply:
Hello, Ah Xiang: 1. Is it possible that repeatedly picking at the white part of the eye with your fingers could cause irritation and result in a black spot or "mole"? It is possible, but maybe not. However, this is not important; the outcome is the same. 2. As long ...[Read More] Understanding Black Spots on the Eye: Causes, Risks, and Treatment Options
Understanding Symptoms of Vitreous Detachment and Their Impact on Vision
Symptoms caused by vitreous traction on the retina? Thank you very much, Dr. Gao, for your patient response! It seems that every day after the laser treatment has some slight changes, but it's difficult to gauge to what extent I should return for a follow-up... Therefore, I ...
Dr. Gao Pilin Reply:
Hello Winnie, Q1. "The symptoms caused by the vitreous pulling on the retina," are these similar to floaters in that they are unlikely to disappear? When the vitreous no longer pulls on the retina, the symptoms will resolve. This indicates that the vitreous has detache...[Read More] Understanding Symptoms of Vitreous Detachment and Their Impact on Vision