Understanding Macular Pucker: Treatment Options and Patient Guidance
Macular folds Dear Director, I sincerely apologize for taking up your valuable time. 1. I would like to inquire about macular folds. I have heard that there are medications available abroad that can be administered, but they may have some mild side effects. What would you reco...
Dr. He Jianxian Reply:
Currently, there are no medications available for the treatment of macular folds. Surgery is generally recommended only when the condition has deteriorated to a point that it affects vision or causes distortion in images. This is because the degree of visual improvement from such...[Read More] Understanding Macular Pucker: Treatment Options and Patient Guidance
Understanding Retinal Health: OCT Limitations and Flashing Lights Explained
Still regarding the issue of retinal examination and flashes? Hello, Doctor. 1. I recently researched some information and found articles stating that standard OCT cannot confirm the presence of retinal tears due to its limited observation range and should be used in conjunctio...
Dr. Gao Pilin Reply:
Hello, those who are making efforts to adjust: 1. It is certainly best when both are combined. 2. 3. This should be an electrophysiological response of the retina. The detailed situation cannot be determined. 4. The vast majority of retinal tears are accompanied by some symp...[Read More] Understanding Retinal Health: OCT Limitations and Flashing Lights Explained
Understanding Amblyopia: Symptoms, Diagnosis, and Treatment Options for Children
Amblyopia issues? Hello, Doctor. Thank you for your patient responses to my questions! I previously inquired about my child's eye issues, and I would like to ask you a few more questions. Hello, Doctor. Thank you for your prompt reply last night! I would like to ask you a f...
Dr. Gao Pilin Reply:
Hello, regarding your inquiries: 1. A corneal topography can be performed, but there is mild astigmatism, which is less pronounced. 2. Previously, vision was between 0.9 and 1.0, and there is still a possibility of recovery, but it requires wearing the correct prescription glasse...[Read More] Understanding Amblyopia: Symptoms, Diagnosis, and Treatment Options for Children
Understanding Risks and Solutions for Retinal Tear Laser Treatment
Follow-up questions regarding retinal tear laser treatment? Hello, Doctor: I have high myopia (650 degrees in both eyes) and have undergone cataract surgery in both eyes. During a recent follow-up visit, I was found to have a retinal tear, and the doctor advised me to undergo las...
Dr. He Jianxian Reply:
1. Laser treatment generally carries very low risks and is unlikely to produce side effects, and the claim that it is more likely to cause retinal detachment is unfounded. 2. The notion of addressing vitreous traction issues is fundamentally misguided, as it requires surgical int...[Read More] Understanding Risks and Solutions for Retinal Tear Laser Treatment
Understanding Choroidal Neovascularization: Eylea Treatment and Recovery Tips
Choroidal neovascularization Hello, doctor. I have high myopia that has led to the proliferation of blood vessels in the macula. Three days ago, I received an Eylea injection treatment, and the doctor informed me that the medication may take 1 to 2 weeks to show effects. I would ...
Dr. He Jianxian Reply:
After the administration of the medication, it indeed takes several weeks to see effects. The expected therapeutic outcomes include the regression of neovascularization and improvement in visual distortion. Dr. Jian-Hsien Ho, Department of Ophthalmology, Nantou Hospital.[Read More] Understanding Choroidal Neovascularization: Eylea Treatment and Recovery Tips
Understanding Brief Blackouts and Visual Disturbances in High Myopia
The eyes may briefly flash black for a moment (a few seconds), and when the eyes are unfocused, there is a sensation of something moving in the periphery? I have high myopia (left eye 650 / right eye 800) and experience floaters. Almost every weekday, I have a brief moment (0.x s...
Dr. He Jianxian Reply:
Hello, if all the tests are normal, I cannot provide a better explanation. Theoretically, there should be no issues. Director He Jianxian, Ophthalmology, Nantou Hospital.[Read More] Understanding Brief Blackouts and Visual Disturbances in High Myopia
Understanding Complications of High Myopia: New Vascular Issues Explained
High myopia can lead to issues related to neovascularization? Hello, I have a high degree of myopia in both eyes, and about two years ago, I started noticing a blind spot in my left eye, with straight lines near the blind spot appearing distorted. A year ago, I underwent examinat...
Dr. He Jianxian Reply:
You should have undergone all the necessary examinations, which are quite thorough. Any issues should have been detected. As for questions regarding health insurance coverage, I am not an expert in that area and cannot provide an answer. Director He Jian-xian, Department of Ophth...[Read More] Understanding Complications of High Myopia: New Vascular Issues Explained
Understanding Eye Symptoms: Flashes, Floaters, and Vision Concerns
Blinking and shadow issues? Hello Doctor, I am a student who has asked questions before. Recently, my eye condition has not improved and seems to be gradually worsening, which is making me very anxious. I would like to inquire about my situation. Last year, I developed floaters, ...
Dr. Gao Pilin Reply:
Hello, anxious college student: 1. First, it's important to know that if your retina has been examined and found to be normal, there is no need to worry about floaters. Therefore, your concern is unfounded, and you do not need to feel anxious. Occasional floaters are not i...[Read More] Understanding Eye Symptoms: Flashes, Floaters, and Vision Concerns
Understanding Black Shadows in Vision: Is It Macular Degeneration?
Seeing shadows in the vision could indicate a problem with the macula, or it may be related to other issues? Thank you for the prompt response, Doctor! Your question: Hello Doctor, my son is eight years old and has over 200 degrees of astigmatism in both eyes, with myopia of +25 ...
Dr. Gao Pilin Reply:
Hello, Xiaowu: 1. It is likely not a macular issue. We should first rule out the optical effects caused by dilation; let the pupils constrict and see if the symptoms persist. 2. The observation of very round black circular shadows does not sound like a pathological finding; it se...[Read More] Understanding Black Shadows in Vision: Is It Macular Degeneration?
Understanding Black Shadows in Vision: Causes and Concerns for Kids
Seeing shadows or dark spots in the vision? Hello Doctor, my son is eight years old and has over 200 degrees of astigmatism in both eyes, with myopia of +25 in the right eye and -25 in the left eye. He has been using a 0.125% cycloplegic agent every night for the past year and a ...
Dr. Gao Pilin Reply:
Hello, Xiaowu: The phenomenon of being able to see far but not near does not resemble macular degeneration. It may be caused by astigmatism or dilation. If you are not wearing glasses, you might try wearing them to see if your condition improves. You can discuss this with your do...[Read More] Understanding Black Shadows in Vision: Causes and Concerns for Kids
Understanding Shadows in Vision: Causes and Concerns for Eye Strain
When straining the eyes, there may be shadows or dark spots? Hello Doctor: When I use my eyes, I notice black shadows appearing in my peripheral vision (not at the center of my vision) when I strain to look up, left, or right. Specifically, when I fix my gaze on a point and turn ...
Dr. Gao Pilin Reply:
Hello, it sounds like a phenomenon caused by ocular pressure. Such activities should be avoided to prevent injury.[Read More] Understanding Shadows in Vision: Causes and Concerns for Eye Strain
Understanding Macular Hole Surgery: Recovery and Expectations
Macular hole I had surgery for a macular hole four weeks ago. Most of my vision is still occupied by gas, but there is a small portion in the upper part that I can see slightly. The visible area no longer has distorted objects, but when I look at lines, they appear somewhat broke...
Dr. Gao Pilin Reply:
Hello, Ms. Fang: There is still gas present, so we need to wait for it to dissipate before we can assess the situation. As for whether the procedure was successful, it cannot be determined at this moment; we may need to wait until your follow-up appointment for an examination. Th...[Read More] Understanding Macular Hole Surgery: Recovery and Expectations
Managing Severe Anisometropia: Coping with 1500-Diopter Difference
Binocular disparity exceeds 1300 diopters? I have high myopia of about -1300 diopters and developed macular degeneration in one eye at the age of 20, which worsened my vision. By the age of 50, that eye experienced retinal detachment, and one year after surgery, I was diagnosed w...
Dr. He Jianxian Reply:
One solution is to wear contact lenses, which can reduce discomfort caused by aberrations. Wearing glasses can be difficult to adapt to due to significant aberrations. Alternatively, if the other eye develops cataracts in the future, surgery could be performed to also correct the...[Read More] Managing Severe Anisometropia: Coping with 1500-Diopter Difference
Understanding Eye Symptoms: Glare, Floaters, and Vision Concerns
Aperture, glare, floaters? 1. After watching videos about macular degeneration on YouTube, I became very afraid that I might go blind. I have high myopia (over -900 diopters with astigmatism in my left eye and over -800 diopters with astigmatism in my right eye). I usually don&#x...
Dr. Liang Ce Reply:
It is advisable for you to discuss the above situation further with your attending physician. Thank you, and wishing you good health![Read More] Understanding Eye Symptoms: Glare, Floaters, and Vision Concerns
Understanding Macular Issues: When to Seek Eye Care
Macular issues I would like to consult a doctor. My eyesight is approximately -4.00 diopters in both eyes, and I have floaters in my right eye but not in my left. Recently, I used an Amsler grid with a white background and black lines to check my vision and noticed that the lower...
Dr. Gao Pilin Reply:
Hello, Kang Kang: This is likely a phenomenon of floaters. Macular degeneration does not resolve with a blink, so it should not be the case. You may continue to observe it yourself.[Read More] Understanding Macular Issues: When to Seek Eye Care
Can Glasses Help Improve Vision in Macular Degeneration Patients?
Can people with macular degeneration wear glasses? Hello, doctor! My father is 80 years old and has undergone surgical treatment for macular degeneration, but the results have not been good. He reports that his vision has actually worsened. Now, he needs to return to the hospital...
Dr. Gao Pilin Reply:
Hello, Ran: Macular degeneration cannot be improved with glasses, but it is possible to recognize some objects with the help of a magnifying glass. Please refer to: https://bit.ly/3Drh7CL https://bit.ly/3kBEwsH[Read More] Can Glasses Help Improve Vision in Macular Degeneration Patients?
Can Glasses Improve Vision for Macular Degeneration Patients?
Can individuals with macular degeneration wear glasses? Hello, doctor! My father is 80 years old and has undergone surgical treatment for macular degeneration, but the results have not been good. He reports that his vision has actually worsened. Now, he needs to return to the hos...
Dr. Gao Pilin Reply:
Hello, regarding macular degeneration, vision cannot be improved with glasses; however, using a magnifying glass may allow for some recognition of objects. Please refer to: https://bit.ly/3Drh7CL https://bit.ly/3kBEwsH[Read More] Can Glasses Improve Vision for Macular Degeneration Patients?
Understanding Eye Issues: Fatigue vs. Serious Conditions Explained
Eye problems Hello, doctor. A few days ago, I experienced discomfort in my right eye and went to an ophthalmologist for an examination. My vision was tested, and the doctor used a fundus camera to examine my eyes. My right eye was slightly dilated with a mydriatic agent, and the ...
Dr. Gao Pilin Reply:
Hello, if you are experiencing floaters and light spots, and your examination shows no issues, you should be able to feel reassured. Any problems should be detectable. If there is a retinal issue, it may cause blurred vision, but it typically does not cause discomfort. Discomfort...[Read More] Understanding Eye Issues: Fatigue vs. Serious Conditions Explained
Understanding Eye Floaters and Blinking Issues: What You Need to Know
Subsequent Issues with Floaters and Blinking Problems Hello, Doctor. I apologize for bothering you, but I have a few questions that have been troubling me for a long time, and I am really anxious. I developed floaters around November last year, and it has been very distressing. I...
Dr. Gao Pilin Reply:
Hello, anxious college student: 1. It's a common phenomenon among adolescents, but I'm not sure either. 2. The Amsler grid test assesses the macula but cannot determine retinal thinning. 3. Floaters are not related to bright lights. 4. If you see bright lights when blin...[Read More] Understanding Eye Floaters and Blinking Issues: What You Need to Know
Understanding Peripheral Blurriness: Causes and Diagnostic Options
Blurred vision in the peripheral field? Hello Dr. Gao, I am the patient who consulted you yesterday regarding the peripheral vision blurriness. I would like to ask you again about what you mentioned yesterday regarding the visual field test results being normal, yet there is some...
Dr. Gao Pilin Reply:
Hello Kevin: Currently, there is no treatment for retinal function degeneration. Intervention is only necessary when symptoms such as retinal tears or detachments occur. If you are still concerned, I recommend visiting a retina specialist for further evaluation and to see if any ...[Read More] Understanding Peripheral Blurriness: Causes and Diagnostic Options