Should Surgery Be Considered for Retinal Detachment in Children?
Is surgical treatment necessary for retinal detachment? Hello, Doctor He! My child is currently in the ninth grade and has been receiving regular check-ups for amblyopia at Taichung Veterans General Hospital since the third grade (every 3 to 6 months). Due to academic pressures a...
Dr. He Jianxian Reply:
Hello: Generally, the issue of retinal detachment can be confirmed through a dilated fundus examination. I'm not sure why Chang Gung Memorial Hospital requires fundus photography to confirm this issue. Retinal detachment typically requires surgery, but without knowing your c...[Read More] Should Surgery Be Considered for Retinal Detachment in Children?
Is Constant Lateral Movement of Objects a Sign of Macular Degeneration?
Objects appear to shake or sway continuously when viewed? Is the constant shaking of objects when looking at them a sign of macular degeneration?
Dr. He Jianxian Reply:
Hello: It is recommended to visit the outpatient clinic for a check-up, so that the physician can provide a clearer diagnosis. Wishing you good health.[Read More] Is Constant Lateral Movement of Objects a Sign of Macular Degeneration?
Do Clear UV Protection Glasses Prevent Eye Damage?
UV protection sunglasses Wearing clear sunglasses that provide UV protection can help prevent certain eye conditions that may arise from UV exposure. These conditions include cataracts, macular degeneration, and photokeratitis. It's important to ensure that the sunglasses sp...
Dr. Wang Zhangji Reply:
Being able to filter ultraviolet (UV) rays certainly helps prevent UV-related damage, but it's important to note that UV rays are not the only threat to eye health. It is advisable to wear sunglasses outdoors for better protection.[Read More] Do Clear UV Protection Glasses Prevent Eye Damage?
Understanding Optic Nerve Cupping: Signs, Risks, and Eye Care Tips
Optic nerve and cupping issues? Dear Dr. Gao/Director, Happy Lunar New Year! I am currently abroad and today I went to an ophthalmologist for a routine vision health check. My visual acuity was measured (it hasn't worsened compared to last year), and my intraocular pressur...
Dr. Gao Pilin Reply:
Hello, Big Eyes: 1. Disc cupping refers to the excavation of the optic nerve head. When the optic disc is affected by intraocular pressure, it may initially lead to an increase in the cupping of the optic nerve head. Therefore, an increase in disc cupping can be considered an in...[Read More] Understanding Optic Nerve Cupping: Signs, Risks, and Eye Care Tips
Understanding Eye Allergies and Vision Issues: Your Questions Answered
Eye problem consultation? Hello, Doctor! I would like to ask two questions: 1. Due to the cold weather, I have developed allergic conjunctivitis in my right eye, and the upper eyelid on that side is slightly drooping. Is this a phenomenon of eyelid entropion? Will this symptom ...
Dr. Gao Pilin Reply:
Hello, 1. The slight drooping of your upper eyelid is a phenomenon known as ptosis. There are many causes of ptosis, including neurological and muscular issues; however, in your case, it is likely due to eyelid inflammation causing swelling, which results in a mechanical droop....[Read More] Understanding Eye Allergies and Vision Issues: Your Questions Answered
Managing Macular Holes and Cataracts: Surgical Considerations and Post-Op Care
Macular hole Dear Doctor: In the case of surgery for a macular hole, if there is also mild cataract present, should both conditions be addressed simultaneously? Are there any postoperative precautions to consider to prevent the recurrence of the hole or other complications in the...
Dr. He Jianxian Reply:
Hello: Generally, the two surgeries do not need to be performed together. After surgery for a macular hole, patients may experience more discomfort, as they need to maintain a face-down position for about 3 to 4 weeks. As for potential complications, there may be issues such as e...[Read More] Managing Macular Holes and Cataracts: Surgical Considerations and Post-Op Care
Understanding Faded Vision: Causes and Solutions for Eye Health
Fading of color? Hello Doctor: The black text I see is turning gray in the central part of my vision. Can you explain what this is? Thank you.
Dr. He Jianxian Reply:
Hello: It would be best for you to go to the hospital for an examination to check if there is an issue with the macula. Wishing you good health.[Read More] Understanding Faded Vision: Causes and Solutions for Eye Health
Understanding Visual Distortion After Retinal Detachment Surgery Without Macular Involvement
Even if the retinal detachment has not affected the macula, why is there still a distortion in vision? Hello, Doctor: I previously underwent scleral buckle surgery due to a retinal detachment in the upper right quadrant of my right eye. It has been nearly a month since the surger...
Dr. Wang Zhangji Reply:
It is recommended that you visit the outpatient clinic for a detailed examination to understand the current condition of the macula.[Read More] Understanding Visual Distortion After Retinal Detachment Surgery Without Macular Involvement
Understanding Blue Light Phenomena in Nighttime Vision: When to Seek Further Eye Care
Seeing blue patches at night during a lantern festival? Hello Doctor, I previously consulted you about seeing a blue light under streetlights when viewed from an upward angle. I later noticed that this phenomenon occurs at various angles, and the blue light does not remain fixed ...
Dr. He Jianxian Reply:
Hello: Basically, since you have already consulted so many doctors, there is no need to worry. Wishing you good health.[Read More] Understanding Blue Light Phenomena in Nighttime Vision: When to Seek Further Eye Care
Understanding Blue Light Flashes: A Guide for High Myopia Patients
At night, there are blue areas when viewing the lantern festival? Hello Doctor, I am highly myopic and also experience significant flashes. Last Saturday night while riding my bike, I suddenly noticed that when I looked up at the streetlights, there was a patch of blue light belo...
Dr. He Jianxian Reply:
Hello: I suggest that you consult with another physician for further advice. Wishing you good health.[Read More] Understanding Blue Light Flashes: A Guide for High Myopia Patients
Understanding Irregular Peripheral Vision Movement and Optic Nerve Edema
Irregular movement in peripheral vision? It has been happening for about six months and is getting worse. Initially, only my right visual field was affected, with irregular movements up and down, left and right (the entire visual field). Now, both the right side and the lower par...
Dr. Wang Zhishun Reply:
Hello, optic nerve edema is just a symptom, and there are many potential causes. The symptoms may vary depending on the underlying cause. Some of these may lead to symptoms like the ones you described, so it would be advisable to follow up with an ophthalmologist for further eval...[Read More] Understanding Irregular Peripheral Vision Movement and Optic Nerve Edema
Understanding Amblyopia and Retinal Detachment Symptoms in High Myopia
Symptoms of amblyopia and retinopathy? Hello Doctor: I am currently studying abroad and facing language barriers, making it difficult to consult local physicians. I cannot return to Taiwan during the semester. I have high myopia in one eye with a prescription of -1500, and I rely...
Dr. Wang Zhishun Reply:
Hello, although there are some potential warning signs of retinal detachment (such as an increase in floaters and seeing flashes of light), most patients encountered in clinical practice do not have any warning signs. Many patients are asymptomatic, and the condition is often dis...[Read More] Understanding Amblyopia and Retinal Detachment Symptoms in High Myopia
Preventing Retinal Fluid Accumulation: Tips for Eye Health Recovery
Thank you, doctor, for the update on the status of the retinal detachment? Dr. Wang: Thank you so much! I'm not very familiar with the system, so I couldn't leave a review, and I had to express my gratitude this way! My mother was able to go on her cruise trip! Fortunat...
Dr. Wang Zhangji Reply:
You're welcome. Try to avoid excessive force or sudden acceleration and deceleration during activities. If you have vascular conditions such as diabetes or hypertension, it's important to manage them well. Remember to have regular retinal examinations, and sun protectio...[Read More] Preventing Retinal Fluid Accumulation: Tips for Eye Health Recovery
Does Watching LED TV in Low Light Harm Your Eyes?
Is it necessary to pay attention to the adequacy of the viewing light source when watching an LED TV? Hello Director He: Recently, news reports have indicated that prolonged use of mobile phones in the dark can lead to macular degeneration or eye burns. I would like to ask you if...
Dr. He Jianxian Reply:
Hello: Generally, watching television with sufficient background lighting is less likely to cause eye fatigue. As for whether watching television in insufficient lighting can harm the macula, there is currently no significant literature reporting such effects, so it should not po...[Read More] Does Watching LED TV in Low Light Harm Your Eyes?
Increasing Glare Issues After Laser Treatment for Retinal Tear
The glare is becoming increasingly severe? Hello, doctor. I have high myopia of about 1100 degrees and astigmatism of 502. Two weeks ago, I went to the hospital for an examination and was diagnosed with a retinal tear. I underwent laser treatment, and now, two weeks later, I am n...
Dr. Wang Zhishun Reply:
Hello, 1. You can first look for the Amsler Grid test online; if there are issues with the macula, this chart can generally detect abnormalities. 2. Eye pain and excessive tearing do not seem to be directly related to macular issues, but further examination is necessary. Thank...[Read More] Increasing Glare Issues After Laser Treatment for Retinal Tear
Post-Retinal Detachment Surgery Care: Key Considerations and Concerns
Postoperative Care After Retinal Detachment Surgery Hello, my mother was diagnosed with a retinal detachment last week and underwent emergency surgery. Since we are not in Taiwan, she did not need to be hospitalized like in Taiwan. Instead, she had gas treatment on the same day o...
Dr. Wang Zhangji Reply:
Postoperative positioning is related to the detachment site, and it is important to follow the physician's instructions. In the weeks following surgery, the wound is still unstable, and vision may temporarily be blurred, primarily due to vitreous opacities. The duration of t...[Read More] Post-Retinal Detachment Surgery Care: Key Considerations and Concerns
Seeing Blood Vessels with Closed Eyes: Is It Retinal or Eyelid?
When closing your eyes and looking at a bright light, you may see blood vessels? Hello Doctor: Medical history: I have high myopia of 1000 degrees and have experienced hemorrhage in the macula, which has almost completely absorbed. When I close my eyes and look towards a strong l...
Dr. Wang Zhangji Reply:
That should be the blood vessels of the retina, which are generally visible to most people and do not require concern.[Read More] Seeing Blood Vessels with Closed Eyes: Is It Retinal or Eyelid?
Diabetes and Cataract Surgery: Key Preoperative Considerations
Cataract surgery in patients with diabetes? Diabetic patients need to control their blood glucose levels to an HbA1c of less than 7% and maintain blood pressure below 140/90 mmHg before undergoing cataract surgery. Preoperative assessments should include a comprehensive eye exami...
Dr. He Jianxian Reply:
Hello: There are no absolute regulations regarding the blood sugar level that diabetic patients must meet before undergoing cataract surgery. However, better blood sugar control leads to less postoperative inflammation and faster recovery. Preoperative assessments typically inclu...[Read More] Diabetes and Cataract Surgery: Key Preoperative Considerations
Post-Scleral Buckling Surgery: Can I Wear Contact Lenses?
Scleral buckle surgery Hello Doctor, I have undergone scleral buckle surgery for retinal detachment in my left eye 40 days ago. At the time of diagnosis, the macula was not affected, so my current corrected vision is 1.0. However, I still notice that the white part of my left eye...
Dr. He Jianxian Reply:
Hello: Since it has been 40 days, the surface wound has mostly healed, and wearing contact lenses should not be an issue, although wearing them for extended periods may not be ideal. Additionally, the impact of working as a flight attendant on this condition should be manageable,...[Read More] Post-Scleral Buckling Surgery: Can I Wear Contact Lenses?
Post-Retinal Detachment Surgery: Understanding Vision Recovery and Symptoms
Postoperative Visual Recovery After Retinal Detachment Surgery Hello Dr. Wang: I would like to ask you some questions. I have high myopia and underwent scleral buckle surgery for retinal detachment three weeks ago, with gas tamponade. I am experiencing the following conditions: 1...
Dr. Wang Zhangji Reply:
Based on very limited information, we can only provide some speculations. Macular edema or the gas itself could potentially cause the sensation of a white haze in the vision. Flashes are generally produced by traction or stimulation of the retina (avoid straining your eyes when t...[Read More] Post-Retinal Detachment Surgery: Understanding Vision Recovery and Symptoms