Understanding Macular Pucker: Monitoring and Treatment Options Explained
Macular degeneration Hello, Doctor. I have myopia in both eyes, with a degree of -1000. Three years ago, I checked the Amsler grid, and the horizontal lines were normal, while the vertical lines were slightly wavy but returned to normal. I also had an OCT of the retina, which was...
Dr. Gao Pilin Reply:
Hello KEN Tsai: 1. The doctor suggests that six months should be acceptable, and currently, there are no methods to reduce the deterioration. 2. It is possible. If it significantly affects vision, surgery may need to be considered.[Read More] Understanding Macular Pucker: Monitoring and Treatment Options Explained
Understanding High Myopia: Questions on Retinal and Macular Health
Questions related to high myopia? Hello Doctor: I previously inquired about issue <a href="https://adoctor.tw/article/178383">#178383</a>. I have high myopia (before dilation L975, R1250) and also experience floaters. During my most recent examination, the d...
Dr. Gao Pilin Reply:
Hello JJ: 1. It is possible to maintain the current condition; however, with high myopia, the retina may be less healthy, and there is a possibility of degeneration occurring more rapidly with age compared to the general population. 2. Degeneration of the retina and macula can se...[Read More] Understanding High Myopia: Questions on Retinal and Macular Health
Understanding High Myopia: Risks, Complications, and Prevention Tips
Questions related to high myopia? Hello Doctor: I have high myopia (before dilation L975, R1250) and also experience floaters. I regularly undergo fundus examinations, and during my most recent check-up, the doctor said everything was normal, but the fundus of my right eye is thi...
Dr. Gao Pilin Reply:
Hello JJ: 1. This is the most common condition associated with high myopia. 2. Retinal tears, retinal detachment, macular degeneration, and retinal degeneration, among others. 3. Currently, there are no preventive measures; early detection of lesions (such as retinal tears and re...[Read More] Understanding High Myopia: Risks, Complications, and Prevention Tips
Understanding Retinal Laser Treatment: When Is It Necessary?
Retinal laser treatment According to news reports, Dr. Tsui Yong-Ping pointed out that if individuals suffer from lattice degeneration of the retina, they do not necessarily need to undergo laser surgery if there are no symptoms or if the affected area is small. However, if patie...
Dr. Gao Pilin Reply:
Hello, concerned individual: 1. There are no holes or thinning observed. 2. It should be considered large. 3. It is unlikely; the focus is on the retina. 4. Uncertain. It may not be too high.[Read More] Understanding Retinal Laser Treatment: When Is It Necessary?
Understanding Eye Issues: Insights on Retinal Checks and Fatigue
Eye problems Hello Dr. Wang. I am the gentleman who inquired about seeing slight flashes of light when looking at the sky or dark areas a couple of days ago. Today, I visited an ophthalmologist. The doctor had an assistant turn off the lights and then used an instrument to examin...
Dr. Gao Pilin Reply:
Hello Mr. Lin: It is possible to have a non-dilated fundus examination. If the examination shows no issues, you should be able to feel reassured.[Read More] Understanding Eye Issues: Insights on Retinal Checks and Fatigue
Understanding Diabetic Retinopathy: Surgery and Injection Treatments Explained
Diabetes has caused retinal hemorrhage? Hello Dr. He: My mother has developed retinal hemorrhage due to diabetes. The laser treatment for hemostasis has not been very effective, and the doctor has recommended surgery. During each follow-up visit, the doctor has requested that fam...
Dr. He Jianxian Reply:
In cases of macular edema that cannot be treated with laser therapy, intravitreal injection of medication may be considered. Since the effects of the medication are not permanent, repeated injections may be necessary. Whether injections are required at every follow-up visit must ...[Read More] Understanding Diabetic Retinopathy: Surgery and Injection Treatments Explained
Understanding Eye Health: Addressing Concerns of High Myopia and Floaters
Many issues? Hello Doctor: I am 24 years old and have high myopia in both eyes. Right eye: -9.50, left eye: -6.75 (with astigmatism of 2.00-2.50 in both eyes). I have undergone retinal laser treatment for holes in both eyes twice; the last treatment for my left eye was on Decembe...
Dr. Gao Pilin Reply:
Hello Krystal: 1.2. These are phenomena of vitreous degeneration, which are usually benign and harmless. As long as the retina has been checked and is fine, you can rest assured. 3. It is likely a sensation caused by the rapid pulling of the extraocular tissues. This is considere...[Read More] Understanding Eye Health: Addressing Concerns of High Myopia and Floaters
Can Patients with Macular Pucker Safely Drive at Night?
Can a person with macular folds drive? Hello, my father is a patient with macular pucker, and he is currently afraid to drive at night. However, during the day, he insists that he can still drive. What advice do you have, doctor?
Dr. Gao Pilin Reply:
Hello Mr. Lin: To assess how much the macular folds affect your vision, if the impact is minimal and your visual acuity and field are sufficient for driving, you should still be able to drive. It would be advisable to check your vision before making a decision. However, it's...[Read More] Can Patients with Macular Pucker Safely Drive at Night?
Understanding Floaters and Macular Issues: What You Need to Know
Floaters and the Macula Doctor, I originally had floaters in my right eye and a macular fold in my left eye. Recently, I noticed a dark shadow in my left eye's visual field. I went to an ophthalmologist, and the doctor diagnosed it as floaters as well. However, I feel that t...
Dr. Gao Pilin Reply:
Hello Joanna: Some cases of floaters can feel different from what you described; not all floaters have a light and airy sensation. Some may feel denser and are less mobile. Issues related to the macula do not move with eye movement.[Read More] Understanding Floaters and Macular Issues: What You Need to Know
Understanding Occasional Blackouts in Vision: Causes and Solutions
The eyes may briefly flash black (for a few seconds), and occasionally there may be a perception of the visual field appearing darker or brighter? 1. Since around the middle of last month, I have been experiencing occasional brief flashes of darkness in my vision (lasting a few s...
Dr. Gao Pilin Reply:
Hello Jason: On December 10th, I already answered your question regarding the same issue, which you may have missed. I would like to explain it again. If all the tests have come back normal, it may just be a temporary phenomenon caused by the constriction of the retinal blood ves...[Read More] Understanding Occasional Blackouts in Vision: Causes and Solutions
Understanding Occasional Blackouts in Vision: Causes and Solutions
The eyes may briefly flash black for a moment (a few seconds), and occasionally there is a perception of the visual field appearing darker or brighter? 1. Since around mid-last year, I have occasionally experienced brief flashes of darkness in my vision (lasting a few seconds). H...
Dr. Gao Pilin Reply:
Hello Jason: If all these tests are normal, it may just be a phenomenon caused by temporary constriction of the retinal blood vessels. For this issue, it would be advisable to seek an evaluation from the retina department at a teaching hospital and get the opinion of a retina spe...[Read More] Understanding Occasional Blackouts in Vision: Causes and Solutions
Understanding Brief Blackouts and Visual Fluctuations in Your Eyes
The eyes may briefly flash black (for a few seconds), and when staring blankly, there is a sensation of fluctuating brightness? 1. From Monday to Friday, during workdays, I often feel a momentary blackout in my vision, similar to a flickering light bulb above my head. When it’s l...
Dr. He Jianxian Reply:
If you have undergone so many tests and all results are normal, there should be no need for excessive concern, as no issues are apparent. The truly dangerous condition known as "amaurosis fugax," which is characterized by transient vision loss, typically lasts for sever...[Read More] Understanding Brief Blackouts and Visual Fluctuations in Your Eyes
Understanding Flashing Lights in Vision: Causes and Treatments
Flashes of light in the eyes? Hello, Doctor Gao! I have a series of questions that span issues related to flashes in the eyes, the retina, and the macula. Recently, the "flashes" have been the most troubling, so I apologize for the number of questions. I first experienc...
Dr. Gao Pilin Reply:
Hello: 1. Macular folds may affect drug penetration. The ophthalmologist's examination indicated that "the retina appears to have no significant issues, and regular follow-up visits are sufficient," so you can be reassured. 2. There should be no major impact; just ...[Read More] Understanding Flashing Lights in Vision: Causes and Treatments
Hope for Recovery After Retinal Detachment Surgery One Month Later
Retinal detachment surgery Dear Doctor: If a retinal detachment has been present for a month before surgery, is there still hope for recovery? Thank you!
Dr. Gao Pilin Reply:
Hello Ms. Liu: Of course, the longer the time is delayed, the less ideal the recovery will be. However, we also need to consider the extent and location of the detachment; the closer it is to the macula, the greater the impact on vision. Nevertheless, if the physician assesses th...[Read More] Hope for Recovery After Retinal Detachment Surgery One Month Later
Understanding Flashing Lights in Vision: Causes and Concerns
Flashing lights in the eyes? Hello, Doctor. I have moderate myopia and floaters (the optometrist assessed my eyes as -3.50 diopters of myopia and -0.75 diopters of astigmatism). Recently, I experienced bleeding from a non-vascularized macular spot in my left eye (the ophthalmolog...
Dr. Gao Pilin Reply:
Hello Mr. Cheng: The appearance of streaks or shadows passing by is likely not an issue with the macula. It also does not seem to be a retinal detachment; it is more probable that it is related to floaters. However, since you have a history of macular degeneration, it is still ad...[Read More] Understanding Flashing Lights in Vision: Causes and Concerns
Understanding Macular Changes: Causes and Implications for High Myopia
Macular issues Hello, doctor. A few days ago, I was examined at the hospital and found slight changes in the photoreceptive area of the macula, and I have high myopia. I need to undergo further fluorescein angiography. When I look at the Amsler grid, the lines appear straight at ...
Dr. He Jianxian Reply:
A correct diagnosis may only be determined after the completion of fluorescein angiography; if there are any issues, they can generally be identified through the fluorescein angiography. Dr. He Jianxian, Ophthalmology Department, Nantou Hospital.[Read More] Understanding Macular Changes: Causes and Implications for High Myopia
Understanding Macular Fold: Surgical Options and Risks Explained
Macular folds Hello Doctor, I had a retinal detachment surgery on my left eye in May 2016, and it was found that there is a macular pucker (no black spots, just distortion, with a vision of 0.1). In December of the same year, I underwent cataract surgery on the same eye, and sinc...
Dr. Gao Pilin Reply:
Hello Mr. Huang: 1. If you are unable to decide, you can visit the retina department at a medical center for a detailed examination. After all, medical centers have more experience with these types of surgeries. 2. There is a possibility of deterioration, but it is likely just po...[Read More] Understanding Macular Fold: Surgical Options and Risks Explained
Understanding Monocular Diplopia: Causes and Solutions for Eye Issues
Both eyes have issues with monocular diplopia? Hello, Doctor Gao. My symptoms are as follows: I have congenital intermittent exotropia, as well as myopia (approximately 300 degrees) and astigmatism (both of which are acquired). In recent years, I have developed floaters in both e...
Dr. Gao Pilin Reply:
Hello Rusa: 1. Monocular diplopia is likely caused by astigmatism. Binocular diplopia is related to strabismus. 2. This is the situation seen with astigmatism. Therefore, astigmatism is the most probable cause of diplopia. The prescription for glasses is quite strong, and focusin...[Read More] Understanding Monocular Diplopia: Causes and Solutions for Eye Issues
Understanding Macular Holes: When Surgery is Necessary and Recovery Insights
Macular hole Hello, I am 65 years old. A few weeks ago, I noticed a small spot missing when looking at things with my left eye, and there is a larger thin circle around it. In bright light, I can see through the circle, but not through the small spot. The ophthalmologist said it ...
Dr. Gao Pilin Reply:
Hello Peter: 1. You can refer to the following link for complete information, so I won't elaborate here. https://bit.ly/3BqWxAj 2. Strabismus will not increase the difficulty of the surgery, as the eyeball will be stabilized during the procedure.[Read More] Understanding Macular Holes: When Surgery is Necessary and Recovery Insights
Understanding Floaters and Retinal Holes: Expert Insights and Guidance
Regarding floaters and retinal tears? Hello Doctor: A few months ago, I discovered floaters in my vision. During this time, I visited different clinics for dilated eye examinations. Initially, several doctors said there were no tears, until the last one found a tear at the six o&...
Dr. Gao Pilin Reply:
Hello Ms. Chen: 1. I apologize for not being able to see it, so I cannot make a judgment. If you truly cannot decide, I recommend getting an examination at a hospital with a retina department. 2. Sometimes, issues at the peripheral areas are harder to detect, which can lead to s...[Read More] Understanding Floaters and Retinal Holes: Expert Insights and Guidance