Mydriatic agent, Ophthalmology FAQ

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Long-Term Use of Short-Acting Mydriatics: Risks and Concerns for Adults

Long-term use of short-acting mydriatics? Using short-acting mydriatic drops for eye fatigue in adults over a long period raises several concerns. If you have been using short-acting mydriatics for about 7 to 8 years, especially after starting long-acting mydriatics in elementary...


Dr. Liang Ce Reply:
We recommend that you: 1. Discuss the above situation further with your attending physician. 2. Consider seeking a consultation at another medical facility. Thank you! Wishing you good health!

[Read More] Long-Term Use of Short-Acting Mydriatics: Risks and Concerns for Adults


Understanding Blurred Vision While Reading: Is It Dry Eye Syndrome?

Reading book issues? Doctor, I currently see indoor lights as scattered, and reading in low light conditions makes it more difficult to see the text. However, I have no issues seeing illuminated objects such as my phone, computer, television, train schedules, and signs. Could thi...


Dr. Gao Pilin Reply:
Hello: Based on the situation you described, it may be one of the symptoms caused by dry eye syndrome. Dry eye syndrome is a common eye condition characterized by symptoms such as dryness, a stinging sensation, eye fatigue, blurred vision, and sensitivity to light. The scattered ...

[Read More] Understanding Blurred Vision While Reading: Is It Dry Eye Syndrome?


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


How Long Does Blurred Vision Last After Using Tropicamide Eye Drops?

How long does the effect of the 0.125% tropicamide eye drops last? Hello Doctor, last Friday I visited the ophthalmology department at the hospital due to a significant increase in my prescription. The doctor prescribed a dilating agent, and I was given Antu eye drops to use befo...


Dr. Gao Pilin Reply:
Hello: After the administration of mydriatic agents, it typically takes several hours to a few days for the eyes to return to normal. During the recovery period, patients may experience the following symptoms: * Blurred vision, especially when looking at nearby objects * Photopho...

[Read More] How Long Does Blurred Vision Last After Using Tropicamide Eye Drops?


How Long Does the Blurriness Last After Using Tropicamide Eye Drops?

How long does the effect of the 0.125% tropicamide eye drops last? Hello, Doctor. Last Friday, I visited the ophthalmology department because my prescription had worsened significantly. The doctor prescribed a dilating agent, and I was given Antuo eye drops to use before bed. I a...


Dr. Gao Pilin Reply:
Hello: After using a mydriatic agent, the eyes typically take several hours to a few days to return to normal. During the recovery period, patients may experience the following symptoms: * Blurred vision, especially when looking at nearby objects * Photophobia, sensitivity to lig...

[Read More] How Long Does the Blurriness Last After Using Tropicamide Eye Drops?


Can Short-Acting Mydriatics Help Adults Relieve Eye Fatigue?

Can adults use short-acting mydriatics before bedtime to relieve fatigue? Hello, doctor. In recent years, I have been experiencing frequent eye swelling, orbital pain, and allergies, which led me to seek medical attention. After examination, the clinic physician found that my int...


Dr. Gao Pilin Reply:
Hello: Mydriatics are medications that can dilate the pupils and are commonly used for eye examinations or the treatment of eye diseases. The mechanism of action of mydriatics involves paralyzing the ciliary muscle, relaxing the pupil, and temporarily altering the refractive powe...

[Read More] Can Short-Acting Mydriatics Help Adults Relieve Eye Fatigue?


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?


Optimal Use Order of Eye Drops: Cycloplegics, Anti-Inflammatories, and Antibiotics

The order of administration for mydriatic agents, anti-inflammatory eye drops, and erythromycin ointment is as follows: 1. Mydriatic agents (to dilate the pupils) 2. Anti-inflammatory eye drops (to reduce inflammation) 3. Erythromycin ointment (to treat bacterial infections) I...


Dr. Gao Pilin Reply:
Hello: There is no need to discontinue the mydriatic agent. You can first instill the lubricating eye drops, then the mydriatic agent, and finally apply the ointment. The order of the eye drops is not important; just ensure there is a five to ten minute interval between each medi...

[Read More] Optimal Use Order of Eye Drops: Cycloplegics, Anti-Inflammatories, and Antibiotics


Managing Complex Vision Issues: Myopia, Hyperopia, and Astigmatism in Teens

One eye has myopia with astigmatism, while the other eye has hyperopia with astigmatism, resulting in a significant disparity in vision? The patient is 14 years old, with hyperopia of +3.25 diopters and astigmatism of +0.75 diopters in the left eye, and myopia of -0.75 diopters a...


Dr. Gao Pilin Reply:
Hello: 1. The purpose of mydriatic agents is to paralyze the ciliary muscle, temporarily impairing the eye's ability to adjust focus. This helps relax the eye muscles for fitting glasses or examining the fundus, and can effectively suppress the progression of myopia, but it ...

[Read More] Managing Complex Vision Issues: Myopia, Hyperopia, and Astigmatism in Teens


Why Your Teen's Vision is Blurry After Eye Drops: Understanding the Effects

Dilation of the pupils can cause blurred vision at a distance? Hello, Doctor Gao: My son is 16 years old. A few days ago, he went for an eye examination and wore his original glasses. His right eye is -5.25 (0.7) and his left eye is -4.25 -0.75 (0.9). He has been using progressiv...


Dr. Gao Pilin Reply:
Hello: This situation may be caused by temporary side effects from the use of tropicamide eye drops. Tropicamide is a mydriatic agent used to treat a range of eye conditions, including the management of excessive myopia. However, after the application of tropicamide, pupil dilati...

[Read More] Why Your Teen's Vision is Blurry After Eye Drops: Understanding the Effects


Understanding Eye Health: Common Concerns and Expert Answers

Please provide the content you would like me to translate into English? Dear Dr. Gao, Thank you very much for your response to my inquiry in the article "#206836". Your reassurance that a slight touch of the cotton swab on the sclera of my right eye should not cause an...


Dr. Gao Pilin Reply:
Hello: Q1. For the bump caused by meibomian gland obstruction, an initial treatment method can be warm compresses. Warm compresses help to soften the blockage in the meibomian glands, promoting drainage, and may sometimes reduce the bump. However, if there is no improvement aft...

[Read More] Understanding Eye Health: Common Concerns and Expert Answers


Understanding Prolonged Blurriness After Pupil Dilation in Diabetic Patients

Pupil Dilation Issues Hello, doctor. I have undergone vitrectomy in both eyes due to diabetic proliferative retinopathy. Currently, I still have silicone oil in my eyes. I would like to ask: the hospital states that the effect of the dilating drops generally lasts for 4-6 hours, ...


Dr. Gao Pilin Reply:
Hello: For diabetic patients, the slower recovery from mydriasis may be due to the effects of diabetes on the optic nerve and ocular tissues. This could include a slowdown in nerve conduction velocity or vascular issues that affect the normal constriction and dilation response of...

[Read More] Understanding Prolonged Blurriness After Pupil Dilation in Diabetic Patients


Understanding the Differences Between Ultra-Widefield and Standard Eye Exams

Ultra-widefield fundus photography What is the difference between ultra-widefield fundus photography and standard dilated eye examinations? Can it detect conditions such as glaucoma, retinal diseases, or visual field defects? Traditionally, high myopia has been assessed using dil...


Dr. Gao Pilin Reply:
Hello: There are some differences between ultra-widefield fundus photography and standard dilated eye examinations in assessing eye health. Here are the main distinctions between the two and their capabilities in detecting specific eye diseases: 1. Field of View: - Ultra-wide...

[Read More] Understanding the Differences Between Ultra-Widefield and Standard Eye Exams


Understanding Black Circles in Vision During Uveitis Treatment

During the treatment process for uveitis, a black ring may appear in the vision? Hello Doctor, I have been experiencing pain in my left eye, photophobia, and intermittent tearing, so I visited an ophthalmology clinic. The doctor diagnosed my left eye with acute and subacute irido...


Dr. Gao Pilin Reply:
Hello: The appearance of dark circles and visual distortion is not a normal phenomenon during the treatment process. It could be a change in the condition, and it is unlikely that the medication is causing this. It may also be a result of the mydriatic agent tropicamide, as dilat...

[Read More] Understanding Black Circles in Vision During Uveitis Treatment


Post-Cataract Surgery: Understanding Eye Drops and Their Effects

Post-cataract surgery Hello, Director: I underwent cataract phacoemulsification surgery last week. The doctor prescribed antibiotics, steroid eye drops, an eye ointment, and one drop of Mydrane (a mydriatic) before bedtime. After researching online, I found that after lens replac...


Dr. Gao Pilin Reply:
Hello: This is a short-acting mydriatic agent, and using it before bedtime will not affect vision the next day, nor will it cause displacement of the lens. There is a specific reason why the physician prescribed it, and it should not be discontinued arbitrarily. If you have any q...

[Read More] Post-Cataract Surgery: Understanding Eye Drops and Their Effects


Do Adults Need Dilated Eye Exams? Common Vision Concerns Explained

Do adults need to undergo dilation for an eye exam? Hello, doctor. I have quite a few questions, and I appreciate your help. 1. For an adult (28 years old), is it necessary to use a dilating agent during an eye exam? My concern is that even if there is pseudomyopia, we don'...


Dr. Gao Pilin Reply:
Hello: 1. In general, adults do not require the use of mydriatic agents during an eye examination. However, if there are specific needs, the physician will evaluate whether mydriatics are necessary based on your symptoms and condition. 2. It is generally normal for the refractive...

[Read More] Do Adults Need Dilated Eye Exams? Common Vision Concerns Explained


Understanding Post-Dilation Symptoms: Is Dizziness Normal After Eye Exam?

Pupil dilation examination Hello, Doctor. I had a dilated eye exam around 3 PM today. The doctor mentioned that I might have floaters after seeing some dark spots, but after the examination, he said there were no signs of retinal tears and that I should just monitor the situation...


Dr. Gao Pilin Reply:
Hello: Regarding the sudden feeling of dizziness you mentioned, this may be due to your pupils being dilated by the mydriatic agent, which increases the amount of light entering your eyes, leading to eye fatigue and temporary visual adaptation issues. Typically, this sensation of...

[Read More] Understanding Post-Dilation Symptoms: Is Dizziness Normal After Eye Exam?


Essential Eye Drop Guidance for Students with Vision Issues

Ophthalmic consultation? I am a third-year junior high school student preparing for the entrance exam, and my vision was measured below 0.8, which led to a referral for myopia testing. After seeing the ophthalmologist, the doctor mentioned that I would be able to get glasses next...


Dr. Gao Pilin Reply:
Hello: 1. The eye drops will definitely be sufficient, so please use them with confidence. Four times a day is approximately three meals and before bedtime. 2. The daily dosage will also be adequate. 3. ANTOL. 4. Generally, four times is recommended, but five times is also accept...

[Read More] Essential Eye Drop Guidance for Students with Vision Issues


Can Prolonged Use of Dilating Drops Cause Permanent Pupil Dilation?

Will dilating eye drops cause the pupils to enlarge and not return to their normal size? 1. Prolonged use of mydriatic agents can indeed lead to a situation where the pupils remain dilated and do not return to their normal size. This is known as persistent mydriasis. 2. Suddenly...


Dr. Cai Wenyuan Reply:
That's not the case.

[Read More] Can Prolonged Use of Dilating Drops Cause Permanent Pupil Dilation?


Persistent Dilated Pupils After Eye Injury: Causes and Next Steps

After the injury, long-acting mydriatic treatment was administered, but it has been over ten days since the last application, and the pupil has not constricted? Hello, doctor. I sustained an eye injury due to a strong impact, and I was treated in the emergency department with a l...


Dr. Gao Pilin Reply:
Hello: 1. It is possible that the drug metabolism is slower, and it may still have an effect. It is also possible that a strong impact has caused injury to the iris muscles, leading to an inability to constrict. 2. You can observe for a while longer; it may gradually recover, or ...

[Read More] Persistent Dilated Pupils After Eye Injury: Causes and Next Steps


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