Macula, Ophthalmology FAQ

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Understanding High Myopia: Impact on Retina and Visual Perception

High myopia with enlarged blind spots and retinal degeneration issues? Hello, Doctor. I previously inquired about the issues related to high myopia and the expansion of blind spots, and I have a few more questions I would like to ask: 1. During a previous eye examination, you m...


Dr. Gao Pilin Reply:
Hello: 1. Retinal thinning and brightness perception: High myopia can indeed lead to retinal thinning, particularly around the macula. Thinning of the retina may affect the distribution and function of photoreceptor cells, thereby impacting visual quality. The macular region is...

[Read More] Understanding High Myopia: Impact on Retina and Visual Perception


Can High Myopia Cause Enlarged Blind Spots and Visual Shadows?

Does high myopia cause an expansion of blind spots? + Visual shadows in dimly lit areas? Hello Doctor, I have a few questions I would like to ask. 1. I noticed in the past year or two that when I close one eye, I can see a dark area near my blind spot in both eyes. Previously, ...


Dr. Gao Pilin Reply:
Hello: 1. High myopia and the expansion of the blind spot associated with high myopia (1000 and 1200 diopters) can indeed lead to retinal degeneration, which may affect the structures surrounding the optic nerve, resulting in an enlarged blind spot. Although your OCT scan shows...

[Read More] Can High Myopia Cause Enlarged Blind Spots and Visual Shadows?


Can I Wear Contact Lenses with Early Macular Fold Diagnosis?

Can contact lenses be worn in the early stages of macular folds? Hello, doctor. I am 22 years old and have just been diagnosed with macular folds. During my visit to the hospital, the doctor indicated that it is currently in the early stage, and there is no significant vision los...


Dr. He Jianxian Reply:
Dear Ms. Kennis: 1. Macular folds are a retinal issue and have no correlation with the use of corrective lenses. 2. Macular folds cannot be prevented from worsening through other means; they can only be monitored and followed up. Director He Jian-xian, Ophthalmology Departme...

[Read More] Can I Wear Contact Lenses with Early Macular Fold Diagnosis?


Vision Issues in Seniors: Is Cataract Surgery the Right Choice?

Vision problems in the elderly? Hello, doctor. My elderly relative is over 80 years old and has blurry vision for both distance and near. Due to their age, they have chronic conditions such as heart disease and hypertension. They wear glasses for both near and distance vision, bu...


Dr. He Jianxian Reply:
Dear Mr. Xiao You: If cataracts are affecting your vision and daily life, relying on corrective lenses may not be very effective. If the situation allows, you might consider addressing the cataract issue, as it could lead to more significant improvement. Director He Jianxian, Oph...

[Read More] Vision Issues in Seniors: Is Cataract Surgery the Right Choice?


Understanding Posterior Vitreous Detachment: Symptoms and Concerns

Posterior vitreous detachment Hello Doctor, due to my constitution, I was diagnosed with cataracts last year and I do not have myopia. In May, I underwent vitrectomy combined with intraocular lens implantation due to a rupture of the posterior capsule of the lens in my left eye. ...


Dr. Gao Pilin Reply:
Hello: Based on your description, you underwent vitrectomy and intraocular lens implantation for cataracts last year, and your recovery has been good. However, you have recently experienced some new visual symptoms. Here are some explanations and recommendations regarding your si...

[Read More] Understanding Posterior Vitreous Detachment: Symptoms and Concerns


Understanding Visual Field Issues: Are They Related to Floaters?

Visual field issues Hello doctor, I recently noticed that when I look at something with one eye, a certain point just outside the center of my vision causes that object to disappear. Both eyes have the same condition, and the object seems to blend into the background. Could this ...


Dr. Gao Pilin Reply:
Hello: Based on your description, the phenomenon of objects disappearing at a certain point in the central vision of one eye, and both eyes experiencing the same condition, may be related to issues with the retina or optic nerve. Floaters typically present as floating black dots ...

[Read More] Understanding Visual Field Issues: Are They Related to Floaters?


What to Do If a Barber Brushes Your Hair into Your Eye?

If a hairdresser accidentally brushes against the eyeball while styling hair, it is important to take the following steps: 1. **Stay Calm**: Try to remain calm to avoid further irritation. 2. **Do Not Rub the Eye**: Avoid rubbing the eye, as this can cause more damage. 3. **Flus...


Dr. Gao Pilin Reply:
Hello: First, please relax. It seems that there are no immediate signs of obvious external injury or changes in vision, which is a good sign. However, given your high myopia and thinning of the macula, it is still important to proceed with caution. Here are some recommendations: ...

[Read More] What to Do If a Barber Brushes Your Hair into Your Eye?


Understanding Vitreous Detachment and Its Impact on Vision Distortion

Vitreous traction distorting the retina? Hello Doctor, I would like to ask you the following questions: Due to vitreous traction causing a retinal macular hole, the recent examination showed that it has expanded downward. The doctor mentioned that it might develop into a full-thi...


Dr. Gao Pilin Reply:
Hello: 1. Does the vitreous traction in the right eye require early surgery? If the vitreous traction in the right eye is severe and symptoms such as shadows or vision abnormalities are present, early vitrectomy may be necessary. This can prevent further retinal damage and avoi...

[Read More] Understanding Vitreous Detachment and Its Impact on Vision Distortion


Understanding Visual Distortion: Causes and Concerns in Eye Health

Visual distortion issues Hello Doctor, at the beginning of March, when I looked at the Amsler grid with my left eye while gazing to the right, I noticed that the squares on the left side appeared distorted. Later, I found that this distortion also occurred when looking at cabinet...


Dr. Gao Pilin Reply:
Hello: Possible causes of visual distortion include: 1. Macular degeneration: The Amsler grid test is primarily used to detect macular degeneration. After retinal tear repair surgery, some patients may experience changes in the macula, which could be one of the reasons for visual...

[Read More] Understanding Visual Distortion: Causes and Concerns in Eye Health


Managing Macular Degeneration with Intravitreal Injections: A Patient's Journey

Intravitreal pharmacotherapy for macular degeneration with neovascularization? Hello, Doctor. My mother, who is 72 years old, was diagnosed with macular degeneration with neovascularization in her right eye this January. She is undergoing intravitreal injections, and after approv...


Dr. He Jianxian Reply:
Dear Ms. Li: 1. Scabbing is an irreversible condition, and there is currently no appropriate treatment available. 2. Based on your description, the condition can only be stabilized and cannot be restored to the state prior to the illness. Director He Jianxian, Ophthalmology,...

[Read More] Managing Macular Degeneration with Intravitreal Injections: A Patient's Journey


Understanding Macular Degeneration with Vascular Changes: Key Insights and Management

Macular degeneration with vascular involvement? Hello, doctor. I recently had an eye examination, and the doctor mentioned that I have several blood vessels in my macula. Currently, there is no fluid accumulation, and the thickness is acceptable with some scarring, which may be r...


Dr. He Jianxian Reply:
Dear Mr. Chuang, 1. It is not only wet macular degeneration that can cause fluid accumulation; other conditions may also lead to this issue. 2. The clinical physician recommends that you only need to undergo monitoring, and there are no treatment suggestions at this time. If you...

[Read More] Understanding Macular Degeneration with Vascular Changes: Key Insights and Management


Understanding Eye Fatigue and Macular Degeneration: Key Insights

Eye fatigue? Macular degeneration? Hello, doctor. I have high myopia (around 1000 degrees). Last month, I had a comprehensive eye examination at an ophthalmology clinic, which included dilation and OCT. Aside from experiencing symptoms of floaters, everything else was normal. Rec...


Dr. Gao Pilin Reply:
Hello: Based on your situation, there are several points to consider: 1. Eye Strain: Prolonged exposure to electronic screens can easily lead to eye strain, especially in individuals with high myopia. This strain may cause visual distortions, such as slight tilting of images or...

[Read More] Understanding Eye Fatigue and Macular Degeneration: Key Insights


Understanding Glaucoma Medications and Eye Health Concerns

Glaucoma medications and eye-related conditions? Hello, Doctor Gao! I've been anxious for a while and would like to ask you a few questions: 1. I previously visited a glaucoma specialist and had a test called an Epithelial Map. I found online that the epithelial cell layer...


Dr. Gao Pilin Reply:
Hello: 1. The epithelial thickness measured by the Epithelial Map is typically around 50 micrometers, while your upper layer has reduced to 28 micrometers, indicating a significant thinning of the corneal epithelium, possibly related to previous corneal abrasion. As for the Pac...

[Read More] Understanding Glaucoma Medications and Eye Health Concerns


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 Retinal Detachment Surgery: Key Questions Answered

Retinal detachment surgery Hello, Doctor. Last Friday afternoon, I noticed a shadow in the eye where I had a lens replacement. On Monday, I returned for a follow-up and was diagnosed with retinal detachment. On Tuesday, I was referred to a major hospital, where they confirmed the...


Dr. Gao Pilin Reply:
Hello: 1. Isn't this an emergency surgery? Why can't it be performed immediately? Retinal detachment is an ophthalmic emergency, but the definition and timing of emergency treatment can vary depending on the situation. Generally, if the retinal detachment has not affe...

[Read More] Understanding Retinal Detachment Surgery: Key Questions Answered


Understanding Macular Vascular Changes: Risks and Management Strategies

There are blood vessels in the macula? Hello, doctor. I recently had an examination, and the physician mentioned that I have several blood vessels in my macula. Currently, there is no fluid accumulation, and the thickness is acceptable with some scarring. It was suggested that th...


Dr. Liang Ce Reply:
We recommend that you: 1. Discuss the above situation further with your attending physician. 2. Seek consultation at another medical facility. Thank you, and wish you good health!

[Read More] Understanding Macular Vascular Changes: Risks and Management Strategies


Impact of Eye Exams on Vision: Macular Degeneration Concerns

Issues Affecting Eye Examinations Individuals with macular degeneration often undergo dilation and optical scanning examinations before and after surgery. Will this affect their vision or lead to any complications?


Dr. He Jianxian Reply:
Hello Mr. Pan R: In theory, there should not be any sequelae; however, if there are, clinical practice will certainly impose restrictions on how long one must wait before undergoing the procedure again. Director He Jianxian, Ophthalmology Department, Nantou Hospital.

[Read More] Impact of Eye Exams on Vision: Macular Degeneration Concerns


Understanding Double Vision: Causes, Control, and When to See an Eye Doctor

Diplopia issues I would like to inquire about a sudden decrease in vision that Dr. Gao mentioned previously. Recently, my right eye has started to become blurry again, and the measurement has returned to the original prescription of -4.75. Over the past couple of days, I noticed ...


Dr. Gao Pilin Reply:
Hello: Regarding your sudden vision loss that has since recovered: Your vision loss may have been caused by a temporary condition such as eye strain, an eye infection, or dry eye syndrome. If your vision has returned to normal and you have no other symptoms, then there may not be...

[Read More] Understanding Double Vision: Causes, Control, and When to See an Eye Doctor


Understanding Diplopia: Is Astigmatism the Cause of Your Visual Disturbances?

Diplopia issue (Sequence 208956) I apologize for the inconvenience, but I would like to ask Dr. Gao if astigmatism issues might only arise when looking at specific objects. I have observed that I can only see a faint line next to a very dark straight line; could this be related t...


Dr. Gao Pilin Reply:
Hello: Astigmatism is a common refractive error that occurs when the curvature of the cornea or lens is uneven, causing light to focus improperly on the retina. It typically affects vision, making objects appear blurry or distorted. This phenomenon is particularly noticeable when...

[Read More] Understanding Diplopia: Is Astigmatism the Cause of Your Visual Disturbances?


Why Do I See a Black Circle in Bright Lights? Eye Health Explained

A black circular object appears at the center of the light source? Recently, I have noticed that when I look at light sources (such as light bulbs, headlights of cars at night, and streetlights) with my left eye, a small black circular object occasionally appears at the center of...


Dr. Gao Pilin Reply:
Hello: Based on your description, the appearance of a black circular object in your left eye when looking at a light source may be caused by various factors, and further examination is needed to determine the specific cause. Here are several possible reasons: 1. Vitreous opacit...

[Read More] Why Do I See a Black Circle in Bright Lights? Eye Health Explained


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