Macula, Ophthalmology FAQ

Understanding Eyelid Issues: Causes and Solutions for Double Eyelids

Eyelid issues Hello, Doctor. Recently, both of my eyelids have developed multiple layers (I originally had double eyelids). The left eye has a smaller multilayer condition, and I feel normal when blinking; however, the right eye clearly shows multiple layers, and when I blink, it...

Dr. Gao Pilin Reply:
Hello: A chalazion can potentially affect blinking, and if it becomes too large, it may also cause eyelid drooping or astigmatism. Typically, warm compresses and topical medications may reduce its size, but they will not eliminate it completely. For definitive treatment, surgical...

Understanding Eye Injuries: Common Concerns and Misconceptions

Eye injury issues 1. If you hold a mirror to your face during sunset and the sunlight reflects from the mirror into your eyes for a few seconds (with the sun behind you), will this cause damage to your eyes (such as macular degeneration, retinal tears or detachment, cataracts, et...

Dr. Gao Pilin Reply:
Hello, please be cautious: 1. No. 2. Without a picture, it's unclear what is being referred to; it could possibly be the conjunctiva. 3. No. 4. No. 5. Convenience stores may use LED lights, while large supermarkets may use lasers. 6. Superficial issues typically won't c...

Understanding High Eye Pressure: Common Concerns and Solutions

Issues Related to Elevated Intraocular Pressure Hello, Dr. Gao. I recently had an eye examination, and the doctor diagnosed the following after dilation: Myopia: Right eye - -9.25 diopters (dominant eye) / Left eye - -8.75 diopters; Astigmatism: Right eye - -1.25 diopters / Left ...

Dr. Gao Pilin Reply:
Hello, Miss who has been feeling a bit anxious: 1. It's important to monitor and check, as most conditions are manageable and can be assessed through examinations. 2. There may be possibilities to consider. 3. Please refer to: https://bit.ly/3fGudTq 4. There may not be any ...

Understanding Glaucoma Risks for High Myopia Patients: Key Insights

Suspected glaucoma? I have high myopia of 800-900 diopters and underwent an eye examination. My intraocular pressure readings were around 17, 19, 20, and 21 mmHg, and my corneal thickness was 560 and 570 micrometers. My corrected vision is 1.0, and the visual field test was norma...

Dr. Gao Pilin Reply:
Hello Jun: 1. Please continue to monitor your condition, and if there are any changes in your vision, treatment may be necessary. 2. Chronic glaucoma is a long-term condition that often presents with few symptoms. However, if there is a sudden significant increase in intraocul...

Can Retinal Exams Detect Cataracts? Understanding Eye Health Concerns

Can a retinal fundus examination detect the presence of cataracts? Hello Doctor: I have been experiencing double vision in both eyes (even when covering one eye), and it feels like the shadow is gradually expanding. I have visited the retina and cornea departments at Chang Gung M...

Dr. Gao Pilin Reply:
Hello: If cataracts are present, they can definitely be detected. If the physician did not mention it, it is likely that there are none. In Taiwan, the ophthalmology department at Puzi Hospital is open on Monday, Tuesday, Thursday, and Friday mornings from 8:00 AM to 12:00 PM, an...

How Long is the Validity of Pupil Dilation Exams?

Pupil Dilation Duration Hello, doctor. I would like to inquire about the validity period of a dilated eye exam. I had a dilated exam at the end of December last year, and there were no issues. However, I am a bit concerned about my macula recently, so I would like to know how lon...

Dr. Gao Pilin Reply:
Hello, Wei: How often you should have your retina checked depends on the condition of your eyes. If your vision has not deteriorated, once a year should be sufficient. However, it is still important to consult with your examining physician, who will assess your situation and info...

Can People with High Myopia Safely Practice Inversions and Exercise?

Is it safe for individuals with high myopia to perform inverted exercises? Hello, Doctor. I am 24 years old, with myopia of -7.75 in my left eye and -8.00 in my right eye, without astigmatism. A few days ago, I suddenly noticed the presence of floaters, so I went for a fundus exa...

Dr. Gao Pilin Reply:
Hello, Xiao Qiu: 1. Inversion can cause blood to flow backward rapidly, leading to increased blood pressure, intracranial pressure, and intraocular pressure. Performing sit-ups on an inversion table can further accelerate venous return, resulting in even higher blood pressure an...

Understanding Early Macular Degeneration: Symptoms and Concerns

Macular degeneration Hello, doctor. I have myopia of around 500-600 degrees and have experienced floaters for many years. A few days ago, while looking at text on my phone, I noticed that the letters on the far left or far right appeared slightly distorted (this issue is limited ...

Dr. He Jianxian Reply:
In the absence of clinical changes, it is generally difficult to predict what changes may occur in the future. It is recommended to have a dilated fundus examination periodically to detect any issues early for timely treatment. Additionally, you can use the Amsler Grid for self-m...

Choosing the Right Intraocular Lens for Cataract Surgery: A Patient's Journey

Selection of Intraocular Lenses (IOLs) Dear Dr. Gao, Hello! About 18 years ago, I underwent laser surgery for my myopia (1200 degrees). From 2017, my vision gradually worsened, and by 2020, my eyesight had been dim for three years. I initially thought it was due to regression of...

Dr. Gao Pilin Reply:
Hello Jane, I believe this is a great approach: using single-vision lenses for distance without glasses and wearing reading glasses for close-up work. This may provide better quality vision. If you prefer not to constantly take glasses on and off, you might consider multifocal l...

Seeing Shadows After Closing Eyes: Possible Causes and Concerns

Seeing shadows upon closing and reopening the eyes? Hello Doctor: I am a patient with high myopia. At the end of February, I noticed that after closing my eyes for about 10 seconds and then reopening them, there is a small area in the lower right part of my right eye that takes a...

Dr. Gao Pilin Reply:
Hello, Phy: It is possible that there is a functional issue with the photoreceptor cells in this part of the retina, which may be causing a slower response. Functional problems cannot be detected through dilation and are also difficult to measure with instruments. It is advisable...

Understanding Macular Fold: Treatment Options and Recovery Insights

Macular fold Hello, Doctor Gao. I originally had a retinal detachment in my right eye. After surgery, I developed cataracts and macular folds. The cataract surgery has been completed, and an artificial lens has been implanted. However, due to the issue with the macular folds, my ...

Dr. Gao Pilin Reply:
Hello Mr. Tsai: 1. A type of silicone oil will help your retina adhere more closely, reducing the likelihood of re-detachment. 2. You still need to lie face down during the silicone oil infusion, as silicone oil is lighter than water, and the retina is located at the back of t...

Retinal Issues and Macular Fold in Right Eye: Laser Treatment or Monitoring?

Retinal issues + right eye macular fold? Hello, Director Gao. I have a myopia of -7.50 diopters in both eyes. Recently, during a fundus examination, it was found that there is traction under the retina in both eyes, but no holes. There is also a macular fold in my right eye. Shou...

Dr. Gao Pilin Reply:
Hello Wen: As you mentioned, laser treatment does carry certain risks. If there is no immediate need, monitoring is advisable, and your attending physician will provide further management based on your condition. The Ophthalmology Department at Puzi Hospital in Taiwan is availabl...

Minimizing Side Effects of Glaucoma Eye Drops: A Doctor's Insight

Medication issues Hello Doctor, thank you for taking the time to reply to me amidst your busy schedule. I am very grateful. I have a few questions: 1. There are many types of glaucoma eye drops. Which glaucoma eye drop has the least side effects? I found that the side effects of...

Dr. Cai Wenyuan Reply:
1. There is no specific glaucoma eye drop with the least side effects. 2. It is uncommon. 3. No particular opinion. 4. Medical centers offer ophthalmology emergency services; you may inquire about it. Wishing you a Happy New Year and all the best.

Understanding Floaters and Visual Disturbances: A Guide for Patients

Floaters, wavy lines, and shadows in the left eye..? Hello Doctor, my vision has always been 1.5 until now. At the age of 41, I developed floaters in my right eye, and after a medical examination, it was confirmed that there was a slight tear. The doctor also checked my left eye ...

Dr. He Jianxian Reply:
1. After retinal detachment, it is impossible to regain vision without treatment. 2. There is no correlation between retinal laser treatment and an increase in floaters. 3. I cannot explain the occurrence of wavy lines and shadows based on your description, but it should not be r...

Understanding the Side Effects of Shuran Tan in Eye Care

The issue with Shuratan? Dear Director He, I have researched the side effects of brimonidine (舒而坦) and found that they include deepening of iris and eyelid pigmentation, lengthening of eyelashes, darkening of the skin around the eyes, macular edema, and iritis. Recent studies ha...

Dr. He Jianxian Reply:
Prolonged use of Shuratane can indeed lead to eyelid drooping and darkening of the iris and eyelid color, resembling a smoky makeup effect. Other effects are minimal. In contrast, Shulutong does not have these side effects, although it may cause more irritation. - Dr. He Jianxian...

Understanding Macular Pucker: Causes, Symptoms, and Management Options

Macular folds In the past week or two, I suddenly found it very difficult to read small text (my eyes cannot focus, making it seem like there are two letters). After a little self-testing, it seems that my left eye sees a slight wrinkling when looking at a grid. I went to the hos...

Dr. He Jianxian Reply:
Dear Mr. Anonymous: The difficulty you are experiencing with reading small text is likely not directly related to your macular fold. It seems more probable that you are experiencing early onset presbyopia due to prolonged computer use. If you are nearsighted, I recommend reduci...

Understanding Macular Degeneration: Amsler Grid Test Insights

Macular degeneration Hello, Doctor: Using the Amsler grid test can help check for macular degeneration. Although I see straight lines, I have noticed the following: 1. At first, the lines appear black, but after looking for a while, I feel that the lines have colors (brown, gre...

Dr. Gao Pilin Reply:
Hello Jenny: 1. It should not be, it may be caused by the afterimage. 2. It is likely astigmatism, but myopia can also cause blurred vision. 3. It will not. In Taiwan, the Department of Ophthalmology at Puzi Hospital is open: Monday, Tuesday, Thursday, and Friday mornings from 8:...

Understanding Macular Degeneration: Symptoms, Tests, and Eye Care

Macular degeneration Hello Doctor: 1. I apologize for bothering you. I previously researched a method to check for early eye diseases by "opening one eye and closing the other" to see if the straight lines on the ceiling appear distorted or interrupted. After doing th...

Dr. Gao Pilin Reply:
Hello, confused person: 1. It is not macular degeneration; the sensation of the wall seeming to soften may simply be due to the movement of the vitreous body. 2. The probability is very low unless there is a pre-existing eye condition. 3. Dilated eye exams do not harm the eye...

Choosing the Right Glaucoma Eye Drops: A Guide for Patients

Issues related to glaucoma? Hello, Director Gao: During my recent visit to the doctor, I was given two options to choose from: 1. Shulutong (Brimonidine) 2. Shuer Tan (Apraclonidine). I would like to ask the doctor which one I should choose. I found information online about the s...

Dr. Gao Pilin Reply:
Hello, These two medications are completely different and have different effects, so they should be selected based on clinical needs. I cannot provide specific recommendations. However, it is generally uncommon to use Shulutong alone. The likelihood of these two medications cau...

Understanding Weiss Ring Floaters: Causes, Risks, and Eye Health Concerns

Weiss ring floaters I developed a significant number of floaters in June of last year, and upon examination, it was found that there were holes in the retina of both eyes, which have since been repaired. Notably, after undergoing laser treatment for the retinal holes in July, I b...

Dr. Gao Pilin Reply:
Hello, Stargazing Cafe: 1. The Weiss ring refers to the location where the vitreous body has detached from the optic nerve. It only indicates that the part of the vitreous near the optic nerve has detached, while other parts may not necessarily be detached. 2. There is no imp...

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