When is the Right Time for Preventive Laser Treatment for Retinal Detachment?
When is the most appropriate time to perform laser treatment for the prevention of retinal detachment? Dear Doctor, I have myopia in both eyes, approximately -1100 and -1200. Four months ago, I visited a doctor, and the examination revealed that the upper part of my retina is th...
Dr. Gao Pilin Reply:
Hello, confused person: When is laser treatment needed? It is necessary when the retina may be too thin and at risk of a tear, or if there is already a tear present. Of course, the timing for this needs to be determined by an ophthalmologist. When the doctor recommends the proced...[Read More] When is the Right Time for Preventive Laser Treatment for Retinal Detachment?
Understanding Laser Treatment for Floaters: Are There Hidden Risks?
Retinal laser treatment without scarring? Hello, Doctor. In the past, I visited a small clinic to check for floaters and underwent retinal laser treatment. (Later, I found out that this clinic had numerous negative reviews.) However, subsequent examinations at several other hospi...
Dr. Gao Pilin Reply:
Hello, if it is located very peripherally, a 3-mirror lens must be used to visualize it. Therefore, not seeing any traces does not necessarily mean that the procedure was not performed; it simply means it was not visible. Please rest assured that peripheral laser treatment will n...[Read More] Understanding Laser Treatment for Floaters: Are There Hidden Risks?
Understanding Retinal Surgery: Key Questions for High Myopia Patients
Retinal Surgery and Related Procedures Dear Dr. Gao, I have several questions I would like to ask you: 1. I have high myopia, with my right eye at -1825 diopters and my left eye at -1300 diopters. The doctor performed ultra-widefield imaging (out-of-pocket examination) and ind...
Dr. Gao Pilin Reply:
Hello: 1. If the physician determines that surgery is not necessary, it can be monitored. 2. Flashes can occur at any time, and they are more noticeable in dark environments. If there is a significant increase in flashes or the appearance of floaters, an examination is necessary....[Read More] Understanding Retinal Surgery: Key Questions for High Myopia Patients
Understanding Eye Floaters and Flashing Lights in High Myopia Patients
The appearance of large areas of floaters that resemble stains or ink splashes in the field of vision? Hello, Doctor Gao. I am a person with high myopia (850, 950). Since mid-June, I have experienced the issues mentioned above. I went for a fundus examination at the clinic on Jun...
Dr. Gao Pilin Reply:
Hello: This may be a case of extensive floaters, which is why you see a large area obscured. This is caused by vitreous degeneration. If the examination shows no issues, you will have to coexist with it peacefully, and over time, it should gradually improve. Currently, the more p...[Read More] Understanding Eye Floaters and Flashing Lights in High Myopia Patients
Understanding Retinal Detachment: Recovery and Surgical Options
Retinal detachment Hello, two months ago I suddenly experienced a large number of floaters in my right eye. A few days later, I visited an ophthalmologist who diagnosed me with retinal detachment. At that time, my right eye's vision was still normal, and the doctor performed...
Dr. He Jianxian Reply:
The lower visual field defect is caused by retinal detachment. Generally, retinal detachments do not spontaneously reattach, although I have seen rare exceptions in clinical practice where they do reattach on their own. Given your condition, I do not recommend surgical interventi...[Read More] Understanding Retinal Detachment: Recovery and Surgical Options
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
Can I Undergo PTK Laser Treatment After Smile Surgery?
Can a person who has undergone SMILE refractive surgery still undergo PTK laser treatment? Hello Doctor: I underwent SMILE laser surgery for my myopia two years ago, and since this year, I have been experiencing recurrent corneal abrasions (the cause is uncertain, but I suspect i...
Dr. Gao Pilin Reply:
Hello WLL: Theoretically, it should be possible. However, regarding its effectiveness, whether it will affect previous surgeries, and whether the postoperative refraction will change, it will need to be assessed by a physician. It is best to consult the doctor who performed the p...[Read More] Can I Undergo PTK Laser Treatment After Smile Surgery?
Understanding Post-Laser Surgery Symptoms: Blurriness and Floaters
Post-retinal laser surgery Three days ago, I underwent laser treatment for a retinal tear. Initially, my vision was relatively clear, but a day later, my eyesight began to blur, and I started seeing a foggy appearance along with black thread-like spots. My vision remains unclear,...
Dr. Gao Pilin Reply:
Hello, Shuji: Due to changes in your condition and during the examination, it is recommended that you undergo further testing.[Read More] Understanding Post-Laser Surgery Symptoms: Blurriness and Floaters
Understanding Retinal Laser Treatment: Insights and Concerns for Patients
Retinal laser treatment 1. After going to the ophthalmology clinic for an evaluation of my myopia surgery, I discovered that both of my eyes had holes during the retinal examination. The right eye was more severe, showing signs of retinal detachment. The doctor performed laser tr...
Dr. He Jianxian Reply:
1. A retinal tear, if accompanied by a localized detachment that is very small, can indeed be treated with laser therapy. Surgery is only necessary if the area of detachment continues to expand after the laser treatment. 2. It is best not to rub the eyes, but if rubbing does caus...[Read More] Understanding Retinal Laser Treatment: Insights and Concerns for Patients
Understanding Flashing Lights in Your Vision: Causes and Concerns
When watching videos in the dark, after finishing, there may be a sensation of white flashes around the left eye, which could be a form of visual disturbance? Hello, Doctor Gao. Sometimes, after being exposed to bright light or looking at my phone in a dark room for a while, I ex...
Dr. Gao Pilin Reply:
Hello, A-Wei: It is normal physiological phenomenon to experience this kind of reaction when exposed to bright light; it will resolve after a short while. This is different from the flashes caused by retinal detachment.[Read More] Understanding Flashing Lights in Your Vision: Causes and Concerns
Understanding Retinal Laser Treatment: Key Questions and Insights
Retinal laser treatment Dear Dr. Gao, I recently discovered a retinal tear due to high myopia and underwent laser treatment. I am determined to protect my eyes to avoid the path to blindness in the coming years or even decades. This has led to many questions and decisions regard...
Dr. Gao Pilin Reply:
Hello Andre: 1. There should only be one type. 2. Scarring will persist and typically will not be repeated on the same area. 3. 4. 5. Injecting around the entire circumference is ineffective and does not provide protection to the center; it should be done around the perimeter of ...[Read More] Understanding Retinal Laser Treatment: Key Questions and Insights
Can Rigid Contact Lenses Improve Irregular Astigmatism and Clarity?
Irregular astigmatism is causing issues with clarity, and I would like to wear rigid gas-permeable contact lenses to improve it? Hello, Doctor. I have been wearing prescription glasses, but I still cannot see clearly, even though my vision test shows 20/20. The ophthalmologist ha...
Dr. Gao Pilin Reply:
Hello: Rigid gas permeable contact lenses are one option; they naturally move around, and as long as they don't shift to an incorrect position, you might consider trying them. Laser treatment could also be a possibility. You may want to consult your doctor about this. Contac...[Read More] Can Rigid Contact Lenses Improve Irregular Astigmatism and Clarity?
Understanding Vitreous Degeneration and Macular Fold: Eye Health Insights
Vitreous degeneration and macular folds? Hello, doctor. Yesterday, I went to the hospital for an examination of my eyes. My left eye had previously undergone retinal detachment surgery with vitrectomy and silicone oil filling, and the oil was removed four months ago. During the e...
Dr. Gao Pilin Reply:
Hello: 1. If vision is not significantly affected, observation is sufficient; however, if vision begins to deteriorate and images start to distort, surgical intervention should be considered. 2. Vitrectomy will aim to remove the vitreous body as completely as possible, and any re...[Read More] Understanding Vitreous Degeneration and Macular Fold: Eye Health Insights
Post-Surgery Flash Phenomena After Scleral Buckling: What to Know
Postoperative flashes after scleral buckle surgery? Hello! At the end of January this year, I experienced a partial retinal detachment in my right eye (upper quadrant). Initially, I underwent laser treatment, but after three months of follow-up, the condition of the retinal detac...
Dr. Gao Pilin Reply:
Hello Mr. Zhang: 1. If you notice any abnormalities, you should get checked. If the results are normal, use that as your baseline. If future results significantly differ from the baseline, further examination is needed; if they are similar, just monitor the situation. 2. It i...[Read More] Post-Surgery Flash Phenomena After Scleral Buckling: What to Know
Understanding Vision Changes After Retinal Detachment Surgery
Visual field and vision after retinal detachment surgery? Hello Doctor, I am currently four months post-silicone oil injection surgery for retinal detachment in my left eye (both eyes are approximately -4.00 diopters). After the oil was injected, I noticed a faint white light i...
Dr. Gao Pilin Reply:
Hello: 1. It may be caused by residual oil. It could also be due to retinal damage. 2. Currently, the macula is fine, but it cannot be determined if there was any injury at the time that could lead to sequelae. 3. It is considered severe. 4. Whether the macula is affected may dep...[Read More] Understanding Vision Changes After Retinal Detachment Surgery
Understanding Retinal Detachment and Trabeculectomy: A Patient's Journey
Retinal detachment surgery and trabeculectomy? Hello Doctor, I have high myopia with -9.50 in my left eye and -14.50 in my right eye. I have a history of iritis in my right eye. In February 2019, due to persistent elevated intraocular pressure in both eyes, the doctor decided to ...
Dr. Gao Pilin Reply:
Hello Mr. He: 1. Intraocular pressure may gradually decrease; it is not uncommon to experience elevated eye pressure postoperatively. 2. An evaluation is necessary to determine the appropriate management. 3. Initially, you can engage in light activities such as walking, and gradu...[Read More] Understanding Retinal Detachment and Trabeculectomy: A Patient's Journey
Why Is My Eye Blood Vessel Still Visible After Allergic Conjunctivitis?
Persistent red eye? Hello Doctor, last month I underwent laser treatment for a retinal tear, and I also experienced an outbreak of allergic conjunctivitis. In my right eye, there is a prominent blood vessel that extends from the edge of the eye to near the cornea, and it appears ...
Dr. Gao Pilin Reply:
Hello Ms. Wang: Blood vessels do not form suddenly and become this prominent. They likely existed before but have become more noticeable due to factors such as inflammation. Once the inflammation resolves, they may shrink and become less prominent, but they should still remain.[Read More] Why Is My Eye Blood Vessel Still Visible After Allergic Conjunctivitis?
Understanding Blurry Vision: Causes and Concerns for Eye Health
Blurred vision Hello, I have myopia of -3.50 diopters and astigmatism ranging from -2.75 to over -3.00 diopters (I’m not sure why the astigmatism measurements sometimes vary; isn’t the degree of astigmatism supposed to remain relatively stable?). I have had floaters since childho...
Dr. Gao Pilin Reply:
Hello, Apple: This could be a phenomenon caused by vitreous degeneration. When the posterior vitreous detaches, fluid can enter the cavity, leading to temporary blurriness. It should return to normal afterward.[Read More] Understanding Blurry Vision: Causes and Concerns for Eye Health
Can Laser Eye Surgery Eliminate Nighttime Glare for Myopia?
Glare, myopic laser surgery? Hello, Doctor: I have myopia of -5.50 and astigmatism of -2.50 in my left eye, and myopia of -3.50 and astigmatism of -1.50 in my right eye. I am experiencing issues with nighttime glare. I would like to know if laser vision correction can eliminate n...
Dr. Gao Pilin Reply:
Good morning. Nighttime glare can have various causes; if it is due to astigmatism, laser treatment can eliminate it. It is advisable to visit an ophthalmologist to clarify the cause of the glare.[Read More] Can Laser Eye Surgery Eliminate Nighttime Glare for Myopia?
Understanding Eye Pressure Measurement: Safety Concerns and Procedures
Intraocular pressure measurement Hello, Doctor Gao. Today, during the process of measuring my intraocular pressure by the nurse, I was very nervous, which resulted in poor readings. My eye was measured more than 15 times using the air puff tonometer, and I saw several flashes of ...
Dr. Gao Pilin Reply:
Hello, Xiaomi: The use of jets and blue light will not cause harm to the eyes, so please rest assured.[Read More] Understanding Eye Pressure Measurement: Safety Concerns and Procedures