Vision Issues in Seniors: Is Cataract Surgery the Right Choice?
Vision problems in the elderly? Hello, doctor. My elderly relative is over 80 years old and has blurry vision for both distance and near. Due to their age, they have chronic conditions such as heart disease and hypertension. They wear glasses for both near and distance vision, bu...
Dr. He Jianxian Reply:
Dear Mr. Xiao You: If cataracts are affecting your vision and daily life, relying on corrective lenses may not be very effective. If the situation allows, you might consider addressing the cataract issue, as it could lead to more significant improvement. Director He Jianxian, Oph...[Read More] Vision Issues in Seniors: Is Cataract Surgery the Right Choice?
Understanding Visual Field Issues: Are They Related to Floaters?
Visual field issues Hello doctor, I recently noticed that when I look at something with one eye, a certain point just outside the center of my vision causes that object to disappear. Both eyes have the same condition, and the object seems to blend into the background. Could this ...
Dr. Gao Pilin Reply:
Hello: Based on your description, the phenomenon of objects disappearing at a certain point in the central vision of one eye, and both eyes experiencing the same condition, may be related to issues with the retina or optic nerve. Floaters typically present as floating black dots ...[Read More] Understanding Visual Field Issues: Are They Related to Floaters?
Understanding Visual Distortion: Causes and Concerns in Eye Health
Visual distortion issues Hello Doctor, at the beginning of March, when I looked at the Amsler grid with my left eye while gazing to the right, I noticed that the squares on the left side appeared distorted. Later, I found that this distortion also occurred when looking at cabinet...
Dr. Gao Pilin Reply:
Hello: Possible causes of visual distortion include: 1. Macular degeneration: The Amsler grid test is primarily used to detect macular degeneration. After retinal tear repair surgery, some patients may experience changes in the macula, which could be one of the reasons for visual...[Read More] Understanding Visual Distortion: Causes and Concerns in Eye Health
Managing Macular Degeneration with Intravitreal Injections: A Patient's Journey
Intravitreal pharmacotherapy for macular degeneration with neovascularization? Hello, Doctor. My mother, who is 72 years old, was diagnosed with macular degeneration with neovascularization in her right eye this January. She is undergoing intravitreal injections, and after approv...
Dr. He Jianxian Reply:
Dear Ms. Li: 1. Scabbing is an irreversible condition, and there is currently no appropriate treatment available. 2. Based on your description, the condition can only be stabilized and cannot be restored to the state prior to the illness. Director He Jianxian, Ophthalmology,...[Read More] Managing Macular Degeneration with Intravitreal Injections: A Patient's Journey
Understanding Macular Degeneration with Vascular Changes: Key Insights and Management
Macular degeneration with vascular involvement? Hello, doctor. I recently had an eye examination, and the doctor mentioned that I have several blood vessels in my macula. Currently, there is no fluid accumulation, and the thickness is acceptable with some scarring, which may be r...
Dr. He Jianxian Reply:
Dear Mr. Chuang, 1. It is not only wet macular degeneration that can cause fluid accumulation; other conditions may also lead to this issue. 2. The clinical physician recommends that you only need to undergo monitoring, and there are no treatment suggestions at this time. If you...[Read More] Understanding Macular Degeneration with Vascular Changes: Key Insights and Management
Understanding Eye Fatigue and Macular Degeneration: Key Insights
Eye fatigue? Macular degeneration? Hello, doctor. I have high myopia (around 1000 degrees). Last month, I had a comprehensive eye examination at an ophthalmology clinic, which included dilation and OCT. Aside from experiencing symptoms of floaters, everything else was normal. Rec...
Dr. Gao Pilin Reply:
Hello: Based on your situation, there are several points to consider: 1. Eye Strain: Prolonged exposure to electronic screens can easily lead to eye strain, especially in individuals with high myopia. This strain may cause visual distortions, such as slight tilting of images or...[Read More] Understanding Eye Fatigue and Macular Degeneration: Key Insights
Understanding Macular Vascular Changes: Risks and Management Strategies
There are blood vessels in the macula? Hello, doctor. I recently had an examination, and the physician mentioned that I have several blood vessels in my macula. Currently, there is no fluid accumulation, and the thickness is acceptable with some scarring. It was suggested that th...
Dr. Liang Ce Reply:
We recommend that you: 1. Discuss the above situation further with your attending physician. 2. Seek consultation at another medical facility. Thank you, and wish you good health![Read More] Understanding Macular Vascular Changes: Risks and Management Strategies
Impact of Eye Exams on Vision: Macular Degeneration Concerns
Issues Affecting Eye Examinations Individuals with macular degeneration often undergo dilation and optical scanning examinations before and after surgery. Will this affect their vision or lead to any complications?
Dr. He Jianxian Reply:
Hello Mr. Pan R: In theory, there should not be any sequelae; however, if there are, clinical practice will certainly impose restrictions on how long one must wait before undergoing the procedure again. Director He Jianxian, Ophthalmology Department, Nantou Hospital.[Read More] Impact of Eye Exams on Vision: Macular Degeneration Concerns
Understanding Double Vision: Causes, Control, and When to See an Eye Doctor
Diplopia issues I would like to inquire about a sudden decrease in vision that Dr. Gao mentioned previously. Recently, my right eye has started to become blurry again, and the measurement has returned to the original prescription of -4.75. Over the past couple of days, I noticed ...
Dr. Gao Pilin Reply:
Hello: Regarding your sudden vision loss that has since recovered: Your vision loss may have been caused by a temporary condition such as eye strain, an eye infection, or dry eye syndrome. If your vision has returned to normal and you have no other symptoms, then there may not be...[Read More] Understanding Double Vision: Causes, Control, and When to See an Eye Doctor
Why Do I See a Black Circle in Bright Lights? Eye Health Explained
A black circular object appears at the center of the light source? Recently, I have noticed that when I look at light sources (such as light bulbs, headlights of cars at night, and streetlights) with my left eye, a small black circular object occasionally appears at the center of...
Dr. Gao Pilin Reply:
Hello: Based on your description, the appearance of a black circular object in your left eye when looking at a light source may be caused by various factors, and further examination is needed to determine the specific cause. Here are several possible reasons: 1. Vitreous opacit...[Read More] Why Do I See a Black Circle in Bright Lights? Eye Health Explained
Assessing Cataract Surgery Feasibility for Diabetic Patients
Feasibility of Cataract Surgery Hello, Dr. Gao: Recently, an elder in my family visited a nearby clinic and was informed that the maturity of their cataract is about 70%. They also underwent a fundus examination, which revealed poor retinal health. After administering a mydriatic...
Dr. Gao Pilin Reply:
Hello: Generally speaking, the success rate of cataract surgery is very high, and postoperative vision can significantly improve. However, in certain cases, postoperative vision may not be ideal. This may be due to several reasons (unrelated to the surgical technique used): the p...[Read More] Assessing Cataract Surgery Feasibility for Diabetic Patients
Post-Cataract Surgery: Understanding Visual Distortion in One Eye
Post-cataract surgery After cataract surgery, the left eye sees images that are slightly elongated and the edges are slightly curved, while the right eye sees a normal circular shape. The left eye perceives a slightly elongated circle, and vertical straight lines appear slightly ...
Dr. Gao Pilin Reply:
Hello: It is normal to experience some optical abnormalities or changes in visual perception after cataract surgery. This may be related to factors such as the characteristics of the intraocular lens used during the procedure, the curvature of the cornea post-surgery, and the sha...[Read More] Post-Cataract Surgery: Understanding Visual Distortion in One Eye
Glaucoma or Night Blindness: Understanding Your Eye Condition
Is it glaucoma or night blindness? Hello doctor, I was diagnosed with macular degeneration during my health check-up in January this year. Subsequent follow-up examinations revealed that I have low-tension glaucoma (my eye pressure was approximately 10-15 before using eye drops)....
Dr. He Jianxian Reply:
Dear Confused Individual: Due to the complexity of your condition, it is difficult to provide a recommendation. I suggest you go directly to a medical center for an examination, as you may receive a more accurate diagnosis. Dr. He Jianxian, Department of Ophthalmology, Nantou Hos...[Read More] Glaucoma or Night Blindness: Understanding Your Eye Condition
Is Long-Term Use of Mydriatics Safe for Open-Angle Glaucoma Patients?
Is it suitable for patients with open-angle glaucoma to use mydriatics long-term to relieve eye fatigue? Hello, I am a 54-year-old patient with open-angle glaucoma, cataracts, and myopia. 1. What are the indications for using mydriatic agents in ophthalmology? From the informat...
Dr. He Jianxian Reply:
Dear Ms. Li, 1. Mydriatic agents are not intended for routine use to alleviate eye fatigue, and this applies to both glaucoma and non-glaucoma patients. 2. Clinically, the routine use of mydriatic agents as a choice for relieving eye fatigue is not recommended; please discuss th...[Read More] Is Long-Term Use of Mydriatics Safe for Open-Angle Glaucoma Patients?
Understanding Astigmatism: Effects of Under-Corrected Glasses on Eye Health
Please provide the content you would like me to translate? Dear Dr. Gao, Thank you very much for your professional response and advice in article #206774. I have clearly understood my questions Q1 to Q4, and I truly appreciate your thoughtful replies and guidance. Regarding Q5...
Dr. Gao Pilin Reply:
Hello: I am glad to assist you again. Q1. If astigmatism is undercorrected by 25 degrees, is it possible to experience discomfort and visual fatigue over time? The answer is yes. Astigmatism refers to an uneven curvature of the cornea or lens, causing light to focus improperly ...[Read More] Understanding Astigmatism: Effects of Under-Corrected Glasses on Eye Health
Understanding Eye Care: Addressing Concerns After Pupil Dilation
Inquiry for clarification? Dear Dr. Gao, Thank you very much for your previous response to my questions; I have understood everything clearly. I apologize for bothering you again, but I have a sudden issue with my eye that has caused me some concern, so I am reaching out once mo...
Dr. Gao Pilin Reply:
Hello: Based on the situation you described, I would like to provide the following recommendations: Q1. It is unlikely to cause any harm. Q2. If the lower white part of the right eye (sclera) is poked or scratched, the following symptoms may occur: - Sharp pain or burning se...[Read More] Understanding Eye Care: Addressing Concerns After Pupil Dilation
Essential Eye Exams for High Myopia: Addressing Retina Risks and Concerns
Eye examination for individuals with high myopia? Hello, Doctor Gao. I am a patient with high myopia (600-700 degrees). I undergo dilated fundus examinations every year, and both of my eyes have been found to have peripheral lattice degeneration, for which I have received laser t...
Dr. Gao Pilin Reply:
Hello: 1. Is having two fundus examinations each year sufficient to assess the condition of the macula? Generally, it is recommended for individuals with high myopia to undergo 1-2 fundus examinations annually. Fundus examination allows for the observation of the retina, macula...[Read More] Essential Eye Exams for High Myopia: Addressing Retina Risks and Concerns
Understanding Amsler Grid: Assessing Macular Health and Vision Changes
Amsler grid? Hello Doctor, last year I felt that my floaters had worsened, so I went to a clinic for a fundus examination and also underwent an Amsler grid test. At that time, there were no significant issues with my retina, and the doctor did not specifically mention any macular...
Dr. Cai Wenyuan Reply:
Observe the symptoms, and if they persist, seek medical evaluation.[Read More] Understanding Amsler Grid: Assessing Macular Health and Vision Changes
Understanding Macular Degeneration: Symptoms and Causes Explained
Macular degeneration Hello Doctor, I just turned twenty this year. I have myopia in both eyes, with prescriptions of -4.25 and -4.75 diopters. Just tonight, I noticed while looking at the Amsler grid that the lines appeared straight at first, but after about five seconds, some of...
Dr. Gao Pilin Reply:
Hello: Based on your description, the sudden visual changes in your eyes under specific circumstances may have multiple causes. Firstly, the situation you described could be due to eye fatigue or ocular strain, especially when focusing on near objects. Prolonged use of electronic...[Read More] Understanding Macular Degeneration: Symptoms and Causes Explained
Do You Need Additional Eye Exams Before Cataract Surgery?
Do I need to undergo examinations for the macula, glaucoma, or other conditions before cataract surgery? Hello Dr. Gao. My left eye is 1700, and my right eye is 2400. Both eyes have presbyopia, astigmatism, and macular degeneration, with the right eye being more severe and requir...
Dr. Gao Pilin Reply:
Hello: Before cataract surgery, the physician will conduct a series of examinations to assess the macula, optic nerve, and other factors. Regarding the choice of intraocular lens (IOL), considering your macular degeneration and work requirements, it is recommended that you select...[Read More] Do You Need Additional Eye Exams Before Cataract Surgery?