Understanding Vitreous Detachment and Its Impact on Vision Distortion
Vitreous traction distorting the retina? Hello Doctor, I would like to ask you the following questions: Due to vitreous traction causing a retinal macular hole, the recent examination showed that it has expanded downward. The doctor mentioned that it might develop into a full-thi...
Dr. Gao Pilin Reply:
Hello: 1. Does the vitreous traction in the right eye require early surgery? If the vitreous traction in the right eye is severe and symptoms such as shadows or vision abnormalities are present, early vitrectomy may be necessary. This can prevent further retinal damage and avoi...[Read More] Understanding Vitreous Detachment and Its Impact on Vision Distortion
Understanding Macular Holes: Risks, Surgery, and Vision Recovery
Macular hole Hello Doctor, I would like to follow up on the issue mentioned in article #207477: Last September, vitreous degeneration caused traction on the macula, resulting in a hole (which is currently likely a macular lamellar hole). In November, the vitreous spontaneously de...
Dr. Gao Pilin Reply:
Hello: 1. For macular hole, continued enlargement may lead to further loss of retinal tissue. The success of surgery and the degree of visual recovery depend on multiple factors, including the size, location, and morphology of the hole, as well as the postoperative recovery. Ge...[Read More] Understanding Macular Holes: Risks, Surgery, and Vision Recovery
Can Artificial Retinal Implants Help with Macular Hole-Induced Blindness?
Vitreous macula Hello Doctor, following up on the previous question in <a href="https://adoctor.tw/article/207834">#207834</a>, I saw online that artificial electronic eyes can assist patients with retinitis pigmentosa who are blind. If a patient experiences...
Dr. Gao Pilin Reply:
Hello: Currently, artificial retinal implants are primarily targeted at patients with retinitis pigmentosa, as this condition is caused by the damage or apoptosis of photoreceptor cells. The artificial retinal implant can replace the damaged photoreceptor cells, partially restori...[Read More] Can Artificial Retinal Implants Help with Macular Hole-Induced Blindness?
Understanding Macular Holes: Risks of Vision Loss After Surgery
Vitreous macula Hello doctor, following up on the previous question regarding the macular hole: Is it possible to have very low vision or blindness after surgery? Both of my eyes are currently in this condition, and I can only observe. I'm really worried, thank you!
Dr. Gao Pilin Reply:
Hello: Macular holes are a condition that occurs in the macula of the eye, which is the area of the retina responsible for central vision. Macular holes can lead to symptoms such as decreased vision, central scotomas, or distortion. According to studies, approximately 90% of pati...[Read More] Understanding Macular Holes: Risks of Vision Loss After Surgery
Understanding Dark Shadows in One Eye: Possible Causes and Next Steps
The left eye feels darker, with a shadow in a specific area? In recent days, I have noticed an imbalance in the light perception between my two eyes. Upon comparison, I found that my left eye perceives light as darker, and there seems to be an irregular circular shadow in the cen...
Dr. Gao Pilin Reply:
Hello: Based on the symptoms you described, the uneven light perception in your left eye and the irregular circular shape resembling an afterimage from looking at a bright light may indicate an issue related to eye health. Floaters are typically caused by the liquefaction of the ...[Read More] Understanding Dark Shadows in One Eye: Possible Causes and Next Steps
Post-Cataract Surgery Discomfort: Insights on Vision Issues and Solutions
Monocular vision & refractive error & postoperative discomfort after cataract surgery? Hello, Director Gao. Below is a summary of my medical history regarding my "right" eye (the left eye is normal): 1. In 2001 (at age 20), I experienced significant distortion ...
Dr. Gao Pilin Reply:
Hello: 1. Poor visual fusion when using both eyes simultaneously may be related to a previous macular issue in your right eye. Problems with the macula can increase sensitivity to disparity, leading to a decline in visual quality when both eyes work together. This condition may...[Read More] Post-Cataract Surgery Discomfort: Insights on Vision Issues and Solutions
Understanding Vitreous Degeneration and Its Impact on Macular Health
Vitreous Macula Hello Doctor: I have vitreous degeneration, which is pulling on the macula and causing a tear. During my last two follow-up visits, the vitreous continued to exert traction, and the tear has been getting larger. The doctor mentioned that a vision of 0.9 is still g...
Dr. Gao Pilin Reply:
Hello: 1. Risk of Macular Hole The macula is an important area of the retina responsible for central vision. A macular hole refers to a defect in the macula that can lead to severe vision loss, distortion, and other symptoms. In some cases, a macular hole may result in blindn...[Read More] Understanding Vitreous Degeneration and Its Impact on Macular Health
Post-Surgery Concerns After Macular Hole Vitrectomy: What to Expect
Postoperative issues following macular hole surgery? Hello, Doctor: I underwent a vitrectomy for a macular hole one month ago, and I still have a bubble in my eye measuring about 6 cm (with a transparent center and a dark peripheral shadow that moves with my heartbeat). Sometimes...
Dr. Gao Pilin Reply:
Hello: Based on the situation you described, it is normal to still see a bubble about 6 cm in size one month after your macular hole vitrectomy. During the macular hole vitrectomy, the surgeon injects gas into the vitreous cavity to help close the macular hole. The gas will remai...[Read More] Post-Surgery Concerns After Macular Hole Vitrectomy: What to Expect
Expert Recommendations for Macular Hole Treatment in Taipei
Macular hole 1. Could you recommend any specialists in macular hole at hospitals in Taipei? 2. Which doctors at Taipei Veterans General Hospital's ophthalmology department are recommended for macular holes? 3. I currently have a stage II macular hole in my left eye and a...
Dr. Gao Pilin Reply:
Hello: 1. Ophthalmologists specializing in macular holes in the Taipei area: You may consider visiting the ophthalmology departments at Taipei Veterans General Hospital, Taipei Tzu Chi Hospital, or Taipei City Hospital (Zhongxing Branch), where you can consult with retinal spec...[Read More] Expert Recommendations for Macular Hole Treatment in Taipei
Post-Surgery Vision Issues: Understanding Macular Hole Repair Complications
Blurred vision after macular hole surgery? Hello doctor, my mother has a myopia of 500 degrees in both eyes. In 2022, she noticed that the text appeared distorted while reading, and after a consultation, it was discovered that she had a macular hole. After surgery in October 2022...
Dr. He Jianxian Reply:
Dear Ms. YT Chang, Not all individuals experience improved vision after macular hole surgery. Some patients may have their holes successfully repaired, yet do not show significant improvement in vision, so it is not necessarily indicative of another underlying condition. Sinc...[Read More] Post-Surgery Vision Issues: Understanding Macular Hole Repair Complications
Do You Need Surgery for Macular Holes? Exploring Non-Surgical Options
Is surgery always necessary for a macular hole? Hello, doctor. I was recently diagnosed with a macular hole, but I am afraid of surgery. Are there any non-surgical treatment options available? Why can't we treat a macular hole with laser like we do for retinal tears? What is...
Dr. Gao Pilin Reply:
Hello, Chi-Chi: A macular hole may require surgery for recovery. Without surgery, it will depend on whether it heals on its own. Peripheral retinal laser treatment surrounds the hole but does not promote healing. For a macular hole, the goal is to encourage healing, which is why ...[Read More] Do You Need Surgery for Macular Holes? Exploring Non-Surgical Options
Post-Surgery Exercise Guidelines for Macular Hole Repair Recovery
Postoperative exercises after macular hole surgery? It has been six months since my macular hole surgery, and I am still using eye drops. What types of exercise can I do now? I have noticed some muscle weakness due to lack of exercise, but I am concerned that exercising might aff...
Dr. He Jianxian Reply:
In general, there should not be significant contraindications to regular exercise, unless the activity is excessively intense or strenuous. This is for your reference. Dr. Ho Chien-Hsien, Ophthalmology Department, Nantou Hospital.[Read More] Post-Surgery Exercise Guidelines for Macular Hole Repair Recovery
Understanding Macular Hole Surgery Recovery: Common Concerns and Questions
Macular hole Hello Doctor: My mother underwent surgery for a macular hole three weeks ago. Currently, she spends most of her daytime lying face down, except for meals and bathroom breaks, and at night she sleeps either face down or on her side. I have a few questions to ask, than...
Dr. He Jianxian Reply:
1. Gases that have been separated for a period of time may still have the potential to merge back together, so it shouldn't lead to poor healing outcomes. 2. Everything must wait until the gases have completely dissipated before we can be more certain, and only then will the...[Read More] Understanding Macular Hole Surgery Recovery: Common Concerns and Questions
Understanding Macular Holes: When Surgery is Necessary and Recovery Insights
Macular hole Hello, I am 65 years old. A few weeks ago, I noticed a small spot missing when looking at things with my left eye, and there is a larger thin circle around it. In bright light, I can see through the circle, but not through the small spot. The ophthalmologist said it ...
Dr. Gao Pilin Reply:
Hello Peter: 1. You can refer to the following link for complete information, so I won't elaborate here. https://bit.ly/3BqWxAj 2. Strabismus will not increase the difficulty of the surgery, as the eyeball will be stabilized during the procedure.[Read More] Understanding Macular Holes: When Surgery is Necessary and Recovery Insights
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
Understanding Vitrectomy with Silicone Oil for Macular Holes
Macular Hole Repair with Silicone Oil Injection Surgery Hello Doctor, I have a macular hole. In Germany, the first gas injection surgery did not successfully resolve the hole issue, so the doctor said I need to undergo a second silicone oil injection surgery. May I ask: (1) If th...
Dr. He Jianxian Reply:
In the past, we have managed macular holes using the gas tamponade and face-down positioning method. Of course, not every patient will have a successful outcome, but generally, if it is unsuccessful, it does not tend to worsen. As for the use of silicone oil in treating macular h...[Read More] Understanding Vitrectomy with Silicone Oil for Macular Holes
Post-Surgery Follow-Up for Macular Hole Repair: What to Expect
Postoperative follow-up for macular hole surgery? Hello Director He, My mother, who is 63 years old and has high myopia, recently underwent surgery for a macular hole, including a vitrectomy. During her follow-up examination, it was discovered that she has cataracts in both eyes...
Dr. He Jianxian Reply:
If there are no special arrangements, a follow-up consultation in about six months should be sufficient. This is for your reference. Dr. Ho Chien-Hsien, Ophthalmology Department, Nantou Hospital.[Read More] Post-Surgery Follow-Up for Macular Hole Repair: What to Expect
Understanding Retinal Detachment and Macular Hole Recovery: Key Insights
Retinal detachment with macular hole? Hello, Doctor. I would like to inquire about the issue of retinal detachment combined with a macular hole. Initially, I underwent surgery for retinal detachment on July 22. About a week later, I discovered that I had developed a macular hole....
Dr. He Jianxian Reply:
Hello Jason: 1. Typically, autologous blood is taken from the centrifuged plasma rather than whole blood, so there should generally be no absorption issues. 2. Regarding the blurriness in your vision, I cannot explain it; please consult your surgeon directly. Dr. He Jianxian, Oph...[Read More] Understanding Retinal Detachment and Macular Hole Recovery: Key Insights
Post-Operative Concerns After Macular Hole Surgery: What to Expect
Postoperative care after macular hole surgery? Hello Dr. Gao, I would like to ask some questions regarding my macular hole surgery. My surgery involved internal limiting membrane peeling combined with autologous blood to fill the gap of the hole. During my last follow-up, the opt...
Dr. Gao Pilin Reply:
Hello Jeff: 1. The absorption time for autologous blood can vary, so follow-up scans are used for monitoring. 2. Typically, even if a macular hole has healed, there may still be some impact on central vision, and it may not return to its previous state. Of course, the fact that t...[Read More] Post-Operative Concerns After Macular Hole Surgery: What to Expect
Understanding Black Circles in Vision: Causes and Insights
I see black circles when I look to the left and right? I have a history of floaters and a degenerative condition. When I turn my head to the right, I see a black circle in my right eye, and the circle enlarges as I turn further. However, when I try to focus on the black circle, i...
Dr. Gao Pilin Reply:
Hello Mike: This is the phenomenon of floaters. If the dilated eye examination shows no issues, you can rest assured. This symptom may persist for a while, and there is no need to worry. The Ophthalmology Department of Puzi Hospital in Taiwan is open on Monday, Tuesday, Thursday,...[Read More] Understanding Black Circles in Vision: Causes and Insights