Understanding Macular Issues: Symptoms, Diagnosis, and Management
Macular issues Dear Doctor, I am suffering from myopia of -800 (left eye) / -700 (right eye) and have floaters. I undergo regular fundus examinations every year. I work as a driver in transportation and frequently use a computer for additional tasks. Recently, I noticed a sudden...
Dr. Gao Pilin Reply:
Hello HYAH: 1. Macular edema may be due to central serous chorioretinopathy; otherwise, if it is a macular disorder with edema, it should be wet age-related macular degeneration. 2. That should be the case. 3. Currently, there are no preventive methods. 4. It depends on the condi...[Read More] Understanding Macular Issues: Symptoms, Diagnosis, and Management
Choosing the Right Intraocular Lens for Cataract Surgery: Expert Advice
Selection of Intraocular Lenses for Cataract Surgery Dear Dr. Gao, I have significant myopia in my right eye, which has worsened to -10.00 diopters after cataract surgery. Last March, I had cataract surgery with a target of -2.00 diopters for my right eye. However, there is a la...
Dr. Gao Pilin Reply:
Hello Mr. Lee: Using a short focal length intraocular lens in your left eye should not cause any issues. However, the effect may not be significantly different from having a single-focus lens for your left eye with -1.50 diopters of myopia. Both options are actually viable. Pleas...[Read More] Choosing the Right Intraocular Lens for Cataract Surgery: Expert Advice
Can Dilated Fundus Exam Detect Macular Degeneration in High Myopia?
Fundus dilation examination for macular degeneration? Hello doctor, I have high myopia and I undergo dilated fundus examination every year to check my retina. May I ask if this examination can detect macular degeneration, or are there other methods to check for macular degenerati...
Dr. Gao Pilin Reply:
Hello, A: You can self-check for macular degeneration using the Amsler grid. You can refer to the following link: https://bit.ly/3QFmMe7. During a dilated eye exam, the doctor will also examine the macula, and if there are any issues, additional tests will be arranged, so please ...[Read More] Can Dilated Fundus Exam Detect Macular Degeneration in High Myopia?
Understanding Visual Disturbances: Floaters, Dry Eyes, and Anxiety
Frequent perception of transparent floaters in the vision? Hello Doctor, I recently visited an ophthalmologist several times, and the doctor mentioned that I might have floaters and dry eye syndrome, along with elevated intraocular pressure. I am currently 23 years old, and my vi...
Dr. Gao Pilin Reply:
Hello Rong: It is possible that the symptoms are caused by vitreous floaters. If the examination showed no issues, you can be assured that it is safe to coexist with them. Dry eye syndrome and high intraocular pressure should not cause this sensation.[Read More] Understanding Visual Disturbances: Floaters, Dry Eyes, and Anxiety
Understanding and Managing Eye Floaters: Causes and Solutions
Vitreous floaters I have been experiencing issues with floaters for a while, and recently I feel like their number has increased. I went to an ophthalmologist for a fundus examination, but the doctor said everything looked normal, and the macula was also in good condition. I was ...
Dr. He Jianxian Reply:
Hello: Once floaters appear, they are generally difficult to improve. Of course, inflammation caused by infections can also lead to floaters, but this usually accompanies other symptoms, such as visual field loss, eye pain, and other related symptoms. This is for your reference. ...[Read More] Understanding and Managing Eye Floaters: Causes and Solutions
Post-Injection Air Bubbles: Concerns and Recovery in Eye Treatment
Bubbles appearing after an injection? Due to macular degeneration, three injections were administered, and the swelling improved significantly. After a follow-up two months later, signs of recurrence were observed, leading to a fourth injection. However, the injection process was...
Dr. He Jianxian Reply:
Hello: The bubbles should disappear after a while; they may be caused by incomplete air expulsion during the injection process. Director He Jianxian, Ophthalmology Department, Nantou Hospital.[Read More] Post-Injection Air Bubbles: Concerns and Recovery in Eye Treatment
Can Non-Dilated Fundus Exams with Slit Lamp Assess Peripheral Retina?
Fundus examination In a non-dilated state, using a slit lamp with a contact lens for fundus examination, is it possible to assess the peripheral retina, or can it only evaluate the macula and optic nerve?
Dr. Gao Pilin Reply:
Hello, if you are concerned about retinal issues: for peripheral examination, I will perform a dilated fundus examination. However, if we are examining the macula and optic nerve, dilation may not be necessary.[Read More] Can Non-Dilated Fundus Exams with Slit Lamp Assess Peripheral Retina?
Understanding Retinal Issues: Common Questions and Concerns
Retinal-related issues? Thank you for the previous response, Doctor. I would like to ask you some additional questions: 1. When I visited the ophthalmologist, the doctor mentioned that my optic nerve and macula were normal, and my eyes were healthy. Can this be understood as th...
Dr. Gao Pilin Reply:
Hello Mr. Fang: 1. The optic nerve and macula are normal, indicating that the posterior pole of the eye is normal. It is not possible to determine if there is any thinning or holes in the retina. 2. The sensation of flashes caused by retinal traction may not always be prominent. ...[Read More] Understanding Retinal Issues: Common Questions and Concerns
Understanding Post-Cataract Surgery Complications: A Patient's Guide
Complications arising after cataract surgery? Hello Doctor: My mother is 71 years old and has recently undergone cataract surgery on her first eye. She has a history of retinal tear treated with laser and has issues with macular degeneration and wrinkling. Unfortunately, after th...
Dr. He Jianxian Reply:
Hello: The cause of this subjective symptom is actually unclear, so there are no specific solutions to offer. If the examination results are all normal, then it is advisable to continue monitoring and observe. Dr. He Jianxian, Ophthalmology Department, Nantou Hospital.[Read More] Understanding Post-Cataract Surgery Complications: A Patient's Guide
Understanding Fundus Examination: Differences Between Slit Lamp and Direct Ophthalmoscope
Fundus examination Hello, doctor. I have a few questions regarding examinations: 1. What is the difference between a slit lamp (with a convex lens) and a standard fundus camera when examining the fundus? 2. Is dilation necessary when using a slit lamp to examine the fundus? Durin...
Dr. Gao Pilin Reply:
Hello Mr. Fang: 1. There is not much difference; the range varies due to the use of different lenses. 2. If the pupil is not too small, both the optic nerve and the macula can be visualized using a slit lamp with lenses, and dilation is not necessarily required.[Read More] Understanding Fundus Examination: Differences Between Slit Lamp and Direct Ophthalmoscope
Understanding Retinal Laser Treatment: Concerns and Clarifications
Retinal laser therapy Hello, Doctor. I am the person who previously inquired about having undergone laser treatment at another clinic, but no holes or laser marks were found during the examination. Recently, I went to another ophthalmology clinic, and again, no holes or laser mar...
Dr. Gao Pilin Reply:
Hello, the distinction between laser marks and melanin can sometimes be challenging. However, the type of laser should be identifiable. Different lasers may not necessarily emit green light. Peripheral lasers should not cause macular folds.[Read More] Understanding Retinal Laser Treatment: Concerns and Clarifications
Understanding Wavy Vision Distortion in High Myopia Patients
Wavy vision distortion? I would like to ask the doctor, I have high myopia, but after examination, there are no issues with the macula, no retinal tears, and no glaucoma. However, I have noticed that in my right eye on the right side and in my left eye on the left side (it seems ...
Dr. Gao Pilin Reply:
Hello, Ah Da: The water ripples are likely caused by the liquefaction of the vitreous body, rather than a distortion of vision. If the examination shows no issues, you can be reassured.[Read More] Understanding Wavy Vision Distortion in High Myopia Patients
Understanding Floaters vs. Ocular Cysticercosis: Key Insights for Patients
Floaters or ocular toxoplasmosis? I would like to ask the doctor about my condition. After graduating from medical school, I have experienced symptoms of floaters, and I also have high myopia. In late March, I accidentally consumed a few pieces of undercooked pork. At that time, ...
Dr. Gao Pilin Reply:
Hello, it should just be floaters, so please don't worry. However, there is currently no method to improve this condition.[Read More] Understanding Floaters vs. Ocular Cysticercosis: Key Insights for Patients
Understanding Distorted Vision: Possible Causes Beyond Retinal Holes
Suspected retinal tear? The left eye exhibits distortion at a specific angle (peripheral vision), along with flashes of light during eye movement and residual vision. Both eyes have pre-existing myopia and floaters, while the macula appears normal, and the fundus examination show...
Dr. Gao Pilin Reply:
Hello, the presence of flashes indicates that there is vitreous traction on the retina. As for whether there are any tears, a dilated eye examination is necessary to determine that. If the examination shows no issues, it may simply be due to vitreous degeneration causing traction...[Read More] Understanding Distorted Vision: Possible Causes Beyond Retinal Holes
Understanding Macular Degeneration: Symptoms, Risks, and Vision Impact
Could it be macular degeneration? 1. I have seen symptoms of macular degeneration, specifically the presence of black holes on a white wall, twice, with a month apart between the two occurrences. However, I am only 19 years old and not a heavy user of digital devices. Could this ...
Dr. Gao Pilin Reply:
Hello, Xiao Pang: 1. It is not possible to make a judgment based on this; you will need to have an examination by an ophthalmologist to know for sure. 2. Currently, there is no need to worry; after the examination, it might turn out to be normal. Typically, at the age of 19, such...[Read More] Understanding Macular Degeneration: Symptoms, Risks, and Vision Impact
Understanding Macular Edema: Causes, Symptoms, and Recovery
Macular edema Hello doctor, recently I have been experiencing blurred vision in one eye with dark spots. After going to the hospital for an examination, I was diagnosed with macular edema. Will this condition heal on its own? It has been two to three weeks already; will it affect...
Dr. Gao Pilin Reply:
Hello, Xiaoyu: If it is central serous chorioretinopathy, the prognosis is generally good. Please refer to: https://bit.ly/3AQk6Gb. If it is caused by other reasons, corresponding treatment may be necessary, and the physician will arrange that for you. Please refer to: https://bi...[Read More] Understanding Macular Edema: Causes, Symptoms, and Recovery
Understanding Black Spots and Vision Issues in Your Right Eye
There are shadows in the right eye and issues with dilation? Last week, I noticed a small shadow in my right eye, but I only see it when looking at a white wall or similar surfaces; otherwise, I don't pay much attention to it. It disappears after a while, but reappears when ...
Dr. Gao Pilin Reply:
Hello Wei: 1. The physician examined the retina and found no issues; the macula is also fine, so it can be monitored. 2. It is likely related to the dilation of the pupils; once the pupils constrict, everything should return to normal.[Read More] Understanding Black Spots and Vision Issues in Your Right Eye
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 Peripheral Vision Distortion in High Myopia
Visual distortion I saw online that visual distortion typically occurs in the center, but in my case, it is on the far left of my left eye and the far right of my right eye. My retina and macula are fine, and I only experience this distortion when not wearing glasses; with glasse...
Dr. Gao Pilin Reply:
Hello Mr. Chen: As you mentioned, it may be caused by your glasses. Because it doesn't occur when you are not wearing them. You could try using ultra-thin lenses to see if it improves.[Read More] Understanding Peripheral Vision Distortion in High Myopia
Understanding Macular Degeneration: Symptoms and Concerns
Macular degeneration When looking at a grid chart, the distortion in the left eye occurs intermittently. What could this condition be, doctor?
Dr. Gao Pilin Reply:
Hello, confused person: If it is macular degeneration, the distortion will persist. However, if distortion occurs, it is necessary to investigate the underlying cause.[Read More] Understanding Macular Degeneration: Symptoms and Concerns