Understanding Macular Pucker: Surgery Risks and Recovery Insights
Macular folds Hello, Doctor: I previously underwent a vitrectomy with gas tamponade due to retinal detachment, followed by cataract surgery with intraocular lens implantation. Now, I need to undergo another vitrectomy due to macular folds. I have a few questions: 1. After this ...
Dr. He Jianxian Reply:
Dear Ms. Wang Bichia: 1. The surgical theory for this procedure should not change the prescription. 2. The intraocular lens does not need to be replaced again. 3. Generally, macular folds are considered for treatment only if there is a significant decline in vision or distort...[Read More] Understanding Macular Pucker: Surgery Risks and Recovery Insights
Understanding Anesthesia Options for Macular Pucker Surgery: Full vs. Local
Macular folds I am scheduled to undergo macular pucker surgery on July 10th, and the hospital has informed me that general anesthesia will be required. I would like to ask the following questions: 1. A friend of mine mentioned that he only had local anesthesia for his macular d...
Dr. Gao Pilin Reply:
Hello: 1. Macular fold surgery typically requires general anesthesia. General anesthesia is a method that renders you completely unconscious and in a pain-free sleep state. During the surgery, you will be in a comatose state and unable to feel pain. General anesthesia provides be...[Read More] Understanding Anesthesia Options for Macular Pucker Surgery: Full vs. Local
Understanding Macular Pucker: When to Treat and What to Expect
Macular fold My mother recently underwent an examination to determine if she needed cataract surgery. During the examination, it was found that both eyes had mild macular folds (my mother is 69 years old). However, her vision is still 0.6, and there is no distortion in her visual...
Dr. He Jianxian Reply:
If there is significant vision loss or visual distortion due to macular folds, surgery is recommended. After surgery, some individuals may experience improvement, while others may only maintain their current condition without significant changes. Therefore, based on your mother&#...[Read More] Understanding Macular Pucker: When to Treat and What to Expect
Understanding Retinal Tears and Membranes: Insights and Management
Retinal tear laser treatment Dear Dr. He, Three months ago, during a routine eye examination for my high myopia, a peripheral retinal tear was unexpectedly discovered in my right eye. The clinic physician performed laser photocoagulation at that time. Recently, during a follow-u...
Dr. He Jianxian Reply:
Macular folds are essentially a natural occurrence, likely caused by the traction between the retina and the vitreous due to vitreous degeneration. Currently, there are no appropriate preventive or therapeutic measures available in clinical practice. As for the blue light you see...[Read More] Understanding Retinal Tears and Membranes: Insights and Management
Post-Surgery Recovery for Macular Pucker: What to Expect
Postoperative recovery after macular pucker surgery? Hello Director He: I underwent macular pucker surgery on my left eye on August 25. I have been sleeping on my stomach for two weeks post-surgery, but as of now (September 13), my vision in the left eye is still very blurry, and...
Dr. He Jianxian Reply:
Based on your description, it is possible that the air injected into the eye has not completely dissipated. Vision may gradually improve only after it has fully disappeared. However, the duration for a more complete recovery can vary significantly from person to person. Dr. Ho Ch...[Read More] Post-Surgery Recovery for Macular Pucker: What to Expect
Understanding Macular Pucker: Questions and Insights on Eye Health
Macular degeneration Hello Dr. He, I am #180537. Thank you for your reply. I had a follow-up appointment at the hospital three months ago, where the doctor performed an OCT and a fundus examination, but did not conduct a fluorescein angiography. I was only informed that there is ...
Dr. He Jianxian Reply:
Generally, the criteria for considering surgery for macular folds include significant vision loss or severe distortion of vision, even to the point of having a gap in the central vision. If these conditions are not present, regular monitoring is recommended, as surgery does not g...[Read More] Understanding Macular Pucker: Questions and Insights on Eye Health
Why Is Pupil Dilation Necessary After Macular Pucker Surgery?
Why is it necessary to use mydriatic agents after macular pucker surgery? Hello, Director Gao: I underwent vitrectomy, macular pucker removal with gas tamponade, and intraocular laser surgery for my left eye due to macular pucker in mid-February. After the surgery, my attending p...
Dr. Gao Pilin Reply:
Hello, Blue Sky: After surgery, the pupils will be kept dilated for examination purposes. This also helps prevent the iris from adhering to the lens due to inflammation. As for the duration of the dilation, it will be determined by the attending physician.[Read More] Why Is Pupil Dilation Necessary After Macular Pucker Surgery?
Understanding Macular Pucker: Monitoring and Treatment Options Explained
Macular degeneration Hello, Doctor. I have myopia in both eyes, with a degree of -1000. Three years ago, I checked the Amsler grid, and the horizontal lines were normal, while the vertical lines were slightly wavy but returned to normal. I also had an OCT of the retina, which was...
Dr. Gao Pilin Reply:
Hello KEN Tsai: 1. The doctor suggests that six months should be acceptable, and currently, there are no methods to reduce the deterioration. 2. It is possible. If it significantly affects vision, surgery may need to be considered.[Read More] Understanding Macular Pucker: Monitoring and Treatment Options Explained
Can Patients with Macular Pucker Safely Drive at Night?
Can a person with macular folds drive? Hello, my father is a patient with macular pucker, and he is currently afraid to drive at night. However, during the day, he insists that he can still drive. What advice do you have, doctor?
Dr. Gao Pilin Reply:
Hello Mr. Lin: To assess how much the macular folds affect your vision, if the impact is minimal and your visual acuity and field are sufficient for driving, you should still be able to drive. It would be advisable to check your vision before making a decision. However, it's...[Read More] Can Patients with Macular Pucker Safely Drive at Night?
Understanding Macular Fold: Surgical Options and Risks Explained
Macular folds Hello Doctor, I had a retinal detachment surgery on my left eye in May 2016, and it was found that there is a macular pucker (no black spots, just distortion, with a vision of 0.1). In December of the same year, I underwent cataract surgery on the same eye, and sinc...
Dr. Gao Pilin Reply:
Hello Mr. Huang: 1. If you are unable to decide, you can visit the retina department at a medical center for a detailed examination. After all, medical centers have more experience with these types of surgeries. 2. There is a possibility of deterioration, but it is likely just po...[Read More] Understanding Macular Fold: Surgical Options and Risks Explained
Understanding Macular Pucker: Treatment Options and Patient Guidance
Macular folds Dear Director, I sincerely apologize for taking up your valuable time. 1. I would like to inquire about macular folds. I have heard that there are medications available abroad that can be administered, but they may have some mild side effects. What would you reco...
Dr. He Jianxian Reply:
Currently, there are no medications available for the treatment of macular folds. Surgery is generally recommended only when the condition has deteriorated to a point that it affects vision or causes distortion in images. This is because the degree of visual improvement from such...[Read More] Understanding Macular Pucker: Treatment Options and Patient Guidance
Post-Surgery Cataract Concerns After Macular Pucker Treatment
Postoperative cataract issues following macular pucker surgery? Hello Doctor, more than six months ago, I underwent surgery for a macular pucker in my right eye. After the surgery, I had to undergo a gas exchange procedure due to bleeding issues. Currently, my cataract has mature...
Dr. Gao Pilin Reply:
Hello, Miss Hou: 1. If your dominant eye is the left eye and your right eye's vision is not very good, it should be acceptable. The doctor may have evaluated this for you, so you can ask for clarification. 2. It could be age-related macular degeneration, and using multifoc...[Read More] Post-Surgery Cataract Concerns After Macular Pucker Treatment
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...[Read More] Understanding Macular Pucker: Causes, Symptoms, and Management Options
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
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 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 Macular Pucker: When Is Surgery Recommended?
Macular folds Hello Doctor: A few years ago, I had a car accident and now I can only use one eye. Recently, I discovered that I have a macular fold issue. I would like to know under what conditions surgery would be recommended for patients. I previously visited a clinic, and the ...
Dr. Cai Wenyuan Reply:
The general practice is as follows.[Read More] Understanding Macular Pucker: When Is Surgery Recommended?
Understanding Macular Pucker: When Is Surgery Recommended?
Macular folds Hello, Doctor: A few years ago, I had a car accident and now I can only use one eye. Recently, I discovered that I have a problem with macular folds. I would like to know under what conditions surgery would be recommended for patients. I previously visited a clinic,...
Dr. Gao Pilin Reply:
Hello Leo: Because this is a very delicate surgery and the degree of recovery after the procedure is unpredictable, it is advisable to wait until the vision is below 0.5 before proceeding with the surgery. This way, we can avoid situations where there is minimal recovery or no im...[Read More] Understanding Macular Pucker: When Is Surgery Recommended?
Understanding Macular Pucker: Surgery, Anesthesia, and Recovery Insights
Macular fold Hello, Doctor. In March of this year, I underwent surgery for retinal detachment. After the surgery, it was confirmed in June that the retina was successfully reattached. However, during a follow-up examination, I was found to have a macular fold. As a result, I had ...
Dr. Gao Pilin Reply:
Hello Mr. Tsai: 1. General anesthesia is typically used, although a few physicians may opt for local anesthesia. 2. There should be coverage for the procedure, and you should be able to return to work faster than after retinal detachment surgery. 3. Surgery for macular pucker...[Read More] Understanding Macular Pucker: Surgery, Anesthesia, and Recovery Insights
Why Gas or Silicone Oil Injection is Essential After Vitrectomy?
Vitrectomy to remove epiretinal membrane from the macula? Hello Dr. Gao, Last year I underwent a vitrectomy to remove a macular pucker (my retina had previously been successfully reattached). Could you please explain why it is necessary to inject gas or silicone oil after a vit...
Dr. Gao Pilin Reply:
Hello John: The injection of gas or silicone oil is used to tamponade the retina and prevent retinal detachment. I cannot provide detailed answers regarding your surgical situation, so it is best to consult your surgeon. In Taiwan, the ophthalmology department at Puzi Hospital is...[Read More] Why Gas or Silicone Oil Injection is Essential After Vitrectomy?