Understanding Special Floaters: Symptoms and Concerns in Myopia
Special types of floaters? Hello, doctor. I have high myopia and floaters. Recently, I noticed that when I quickly move my right eye up and down against a bright background, I see a small dark round spot that quickly disappears, which is different from the usual floaters I see mo...
Dr. Gao Pilin Reply:
Hello James: This type of spot does not seem to be related to the macula. If there are no issues with the retina, you should feel reassured. This is likely harmless. It would be advisable to have a doctor check it again when possible. In Taiwan, at Puzi Hospital's ophthalmol...[Read More] Understanding Special Floaters: Symptoms and Concerns in Myopia
Understanding High Myopia: Risks, Treatments, and Eye Care Tips
Vision problems Hello Dr. He: 1. I have high myopia, and I really don’t want to wear glasses for the rest of my life. I haven't taken good care of my eyes since childhood. 2. Why do I frequently have high intraocular pressure? 3. My myopia is -10.00 diopters, and I've ...
Dr. He Jianxian Reply:
Dear Ms. Chen, Most individuals do not experience significant increases in myopia after reaching adulthood; however, there are some exceptions, and you may be among this group. This could explain the continuous increase in your myopic refractive error. Once the axial length of t...[Read More] Understanding High Myopia: Risks, Treatments, and Eye Care Tips
Timing for Macular Pucker Surgery: Key Considerations and Insights
Timing for Surgery of Macular Pucker Dear Director, I am 40 years old. In June 2018, I was diagnosed with macular folds in my left eye at a teaching hospital. My attending physician recommended a vitrectomy combined with the removal of the epiretinal membrane. At that time, I wa...
Dr. Gao Pilin Reply:
Hello Mr. Fang: 1. The presence of sequelae depends on whether the surgery was successful. If the surgery goes well, there should be no sequelae. If there are any other sequelae, the attending physician will discuss them with you in detail before the procedure. 2. There is not ...[Read More] Timing for Macular Pucker Surgery: Key Considerations and Insights
Understanding Gradual Vision Loss: Seeking Answers for Blurry Sight
I have been gradually experiencing blurred vision for the past three years? I am 30 years old and about three years ago, I suddenly noticed that my vision became somewhat blurry without my glasses. Previously, I did not need to wear glasses for daily activities like seeing and dr...
Dr. Gao Pilin Reply:
Hello Tony: If all the tests have been done and some diseases have been ruled out, however, based on your description, it seems somewhat like an issue related to retinal pigment degeneration. I wonder if this diagnosis has already been excluded? In Taiwan, the Department of Ophth...[Read More] Understanding Gradual Vision Loss: Seeking Answers for Blurry Sight
Understanding Night Blindness: Why Do I See Better in Dim Light?
Is this night blindness? Does anyone know why when the lighting is dim at night, I can't see anything when looking directly at objects, but I can see them using peripheral vision? This issue has been bothering me for a long time, and I've consulted a doctor. The doctor ...
Dr. Cai Wenyuan Reply:
It is recommended to visit a medical center for an examination, which should provide the answers needed.[Read More] Understanding Night Blindness: Why Do I See Better in Dim Light?
Are Vision and IOP Tests for Glaucoma Covered by Health Insurance?
National Health Insurance Coverage Items Could you please let me know if the visual field test/IOP measurement and OCT macula/disc examination, which the doctor recommended due to the possibility of glaucoma, are covered by health insurance? Thank you!
Dr. Gao Pilin Reply:
Hello Liz: Is the coverage dependent on the condition, or should I consult the attending physician to find out? In Taiwan, at Puzi Hospital's ophthalmology department: Monday, Tuesday, Thursday, and Friday mornings from 8:00 AM to 12:00 PM, and Wednesday afternoons from 2:00...[Read More] Are Vision and IOP Tests for Glaucoma Covered by Health Insurance?
Understanding High Myopia: Risks, Treatments, and Lifestyle Adjustments
High myopia I have high myopia, and I really don't want to wear glasses for the rest of my life. I haven't properly protected my eyes since childhood, which is why I often experience high intraocular pressure. My myopia is -10.00 diopters, and I've been told that h...
Dr. Gao Pilin Reply:
Hello Jiajing: I apologize, but it is currently not possible to restore the eyeball to a state of emmetropia before myopia developed. In cases of high myopia, the condition of the retina must be assessed. If there is no retinal damage, one can generally live a life similar to tha...[Read More] Understanding High Myopia: Risks, Treatments, and Lifestyle Adjustments
Understanding High Myopia: Key Concerns and Eye Health Tips
Issues Related to High Myopia Hello, Doctor. I am highly myopic (900, 1200) and have floaters. I would like to ask you a few questions: 1. In addition to detecting retinal tears or holes, can a regular dilated fundus examination also assess the macula? Or does the macula requir...
Dr. Gao Pilin Reply:
Hello James: 1. Typically, a fundus examination can assess the macula. 2. This is also a phenomenon of floaters, which is due to vitreous degeneration. 3. It is possible to maintain the condition; regular check-ups are necessary, and laser treatment may be required if needed. 4. ...[Read More] Understanding High Myopia: Key Concerns and Eye Health Tips
Understanding Post-Injection Symptoms After Macular Hemorrhage Treatment
Intravitreal injection for macular hemorrhage? Hello Doctor: My elder relative was recently diagnosed with macular hemorrhage (with a blood clot). They received an injection yesterday and are scheduled for surgery to drain it in a few days. However, today their vision seems blurr...
Dr. Gao Pilin Reply:
Hello Ms. Liu: After the injection, you may experience "seeing floating black dots or line-like bodies," or temporary blurred vision. These phenomena will gradually improve. For reference, please visit: https://bit.ly/39lhGlb. The ophthalmology department at Puzi Hospit...[Read More] Understanding Post-Injection Symptoms After Macular Hemorrhage Treatment
Understanding Macular Degeneration Treatment: Key Questions and Concerns
Questions about the treatment of macular degeneration? I have high myopia (left eye -1050 diopters, right eye -1250 diopters). In February 2019, I was diagnosed with macular degeneration in my right eye, which recurred once this February, both instances being dry degeneration. In...
Dr. He Jianxian Reply:
Hello Angelina: Visual distortion caused by macular degeneration may not fully recover even after treatment. Generally, the treatment approach taken by the physicians in Vietnam follows standard protocols, so you can be reassured. If you are considering pregnancy, it is recommend...[Read More] Understanding Macular Degeneration Treatment: Key Questions and Concerns
Understanding the Risks of LED and Laser Light Exposure to Eyes
Bright light exposure to the eyes? 1. Are the flashlight functions on current smartphones all LED lights? Could they potentially contain laser light? 2. If a smartphone flashlight shines into the eyes for about 5 seconds under normal conditions, will it cause damage to the surfa...
Dr. Gao Pilin Reply:
Hello, Xiao Qiang: 1. The mobile phone light is generally LED; LED is not a laser. 2. In a short duration, it should not cause harm, as no experiments have been conducted, and the intensity of light can vary. 3. No experiments have been conducted, and the light from a flashlight...[Read More] Understanding the Risks of LED and Laser Light Exposure to Eyes
Understanding Optos 200-Degree Ultra-Widefield Imaging in Eye Care
Optos 200-degree ultra-widefield non-dilated fundus photography? 1. I would like to ask if, during the Optos 200-degree ultra-widefield non-dilated retinal imaging examination, it is possible for the device to come into contact with the cornea. During the procedure, my eyes had t...
Dr. Gao Pilin Reply:
Hello Kuan-Ying, 1. To see a wider field, according to optical principles, one should be closer to the eye. However, under normal circumstances, this should not touch the cornea, so there should be no risk of infection. 2. Traditional dilated fundus examinations and photography ...[Read More] Understanding Optos 200-Degree Ultra-Widefield Imaging in Eye Care
Long-Term Use of Mydriatics: Risks of Glaucoma and Other Eye Conditions
Side effects of eye drops? 1. If the angle is normal but there is a predisposition to "chronic" open-angle glaucoma, will long-term use of mydriatic agents induce glaucoma? 2. I have seen different opinions online. Doctor A says, "Long-term use should be cautious ...
Dr. Gao Pilin Reply:
Hello Daniel: Open-angle glaucoma is less likely to experience acute attacks due to mydriatic agents. Closed-angle glaucoma is more prone to such occurrences. Mydriatic agents cause the pupils to dilate, increasing the amount of light entering the eye. Prolonged exposure to brigh...[Read More] Long-Term Use of Mydriatics: Risks of Glaucoma and Other Eye Conditions
Understanding the Safety of Dilating Eye Drops: Risks and Concerns
Pupil-dilating eye drops 1. If a patient undergoes two dilated fundus examinations at different ophthalmology clinics approximately six days apart, will the proximity of the dilation drops cause any harm to the eyes, such as corneal injury, cataracts, macular degeneration, or gla...
Dr. Gao Pilin Reply:
Hello, Delhi: 1. No, it won't happen. 2. No, it won't happen. 3. It's temporary, as the angle will return to its original size once the pupil constricts. Taiwan E-Hospital Puzi Hospital Ophthalmology: Monday, Tuesday, Thursday, and Friday from 8:00 AM to 12:00 PM; ...[Read More] Understanding the Safety of Dilating Eye Drops: Risks and Concerns
Understanding Glaucoma and Eye Care: Key Questions Answered
Glaucoma and Eye Care Issues Dear Dr. Gao, Thank you very much for your kind and prompt responses to my previous inquiries. I am the patient who previously inquired about suspected glaucoma (https://reurl.cc/x0oG3e). I apologize for bothering you again. I have a few questions I ...
Dr. Gao Pilin Reply:
Hello: 1. If the angle is narrow, dilation can sometimes trigger glaucoma; however, if it is open-angle glaucoma, dilation will not cause an issue. 2. It can occur immediately. 3. Symptoms may include sudden blurred vision, photophobia, redness of the eyes, headache/eye pain, acc...[Read More] Understanding Glaucoma and Eye Care: Key Questions Answered
Post-Surgery Macular Edema: Do You Need Treatment or Will It Heal?
Macular folds after surgery can lead to macular edema. Whether it resolves on its own or requires treatment depends on the severity and duration of the edema. In some cases, macular edema may improve spontaneously, while in others, medical intervention such as corticosteroids or ...
Dr. He Jianxian Reply:
Hello Petit Pois: Macular edema can affect vision. If eye drops can improve the condition, it is important to continue using them. If walking is a concern, consider intravitreal injection of medication. Dr. He Jianxian, Director of Ophthalmology, Nantou Hospital.[Read More] Post-Surgery Macular Edema: Do You Need Treatment or Will It Heal?
Understanding Sudden Blurry Vision: Causes and Concerns
Sudden blurred vision? Hello, Doctor Gao: About a year ago, I started experiencing occasional sudden blurred vision, feeling as if my myopia had suddenly worsened. Since it happened infrequently, I initially thought it was not a big deal. However, in the past few months, the epis...
Dr. Gao Pilin Reply:
Hello, Xiao Die: I am also unable to make an accurate diagnosis based on your description. However, you can try comparing the difference in your prescription when your vision is clear versus when it is blurry. If you can correct the blurriness with lenses, it indicates that your ...[Read More] Understanding Sudden Blurry Vision: Causes and Concerns
Understanding Macular Pucker: Post-Surgery Concerns and Treatments
Macular folds Hello Doctor, I had retinal detachment surgery on my right eye in March of this year and discovered that there is a proliferative membrane fold in the macula. I underwent cataract surgery on the same eye in August, and since then I have been using methylprednisolone...
Dr. Gao Pilin Reply:
Hello Mr. Tsai: 1. It is possible that the pupil's response to the medication is not ideal, which is commonly seen after surgery or following eye inflammation. This should not be related to methylsulfate neostigmine. 2. If the physician has made such a recommendation, it...[Read More] Understanding Macular Pucker: Post-Surgery Concerns and Treatments
Understanding Retinal Issues in High Myopia: Symptoms and Solutions
Retinal issues Hello, doctor. I have high myopia over 1000 degrees in both eyes. During my examination in July, the doctor mentioned that there is a small area of degeneration in my right eye, but it is not serious, and the macula is healthy with no issues. However, recently, I h...
Dr. Gao Pilin Reply:
Hello QZ: If you are experiencing severe pulling or fluctuating sensations, it may be due to vitreous traction on the retina. A dilated fundus examination is necessary to determine if there are any tears. OCT is not suitable for this situation. You should currently avoid eye exer...[Read More] Understanding Retinal Issues in High Myopia: Symptoms and Solutions
Understanding Floaters and Flashes: Eye Health Concerns for Young Adults
Floaters and flashes? Hello Dr. Gao, I discovered floaters in mid-September and after an eye examination, I was informed that my retina showed no abnormalities. However, after a month, I started experiencing flashes of light (not frequently, but suddenly and momentarily). I immed...
Dr. Gao Pilin Reply:
Hello Hao: 1. If there are no complications such as retinal tears or retinal detachment, and only symptoms like vitreous liquefaction and flashes are present, there will not be an accelerated degeneration. 2. Currently, there is no effective treatment available. 3. When experienc...[Read More] Understanding Floaters and Flashes: Eye Health Concerns for Young Adults