Understanding High Eye Pressure: Insights on Diagnosis and Treatment
Ocular hypertension Hello, Dr. Gao. Due to high myopia, with prescriptions of -800 and -700 diopters, my tonometry readings have reached a maximum of 24 mmHg, mostly ranging between 21 and 22 mmHg. When using a handheld tonometer, the readings are around 18 and 17 mmHg. I have co...
Dr. Gao Pilin Reply:
Hello: Based on the detailed information you provided, here are my recommendations and explanations: 1. Should you continue using eye drops? Given your high myopia and elevated intraocular pressure, you belong to a high-risk group for glaucoma, making the preventive use of intra...[Read More] Understanding High Eye Pressure: Insights on Diagnosis and Treatment
Understanding High Eye Pressure: Is It Glaucoma? Key Insights for Patients
High intraocular pressure issues? Hello, Doctor. I previously had an eye examination where my intraocular pressure was measured at 22 mmHg. I also have high myopia. Later, the doctor used a slit lamp to examine my eyes and found issues with the optic nerve in my left eye. I was r...
Dr. Gao Pilin Reply:
Hello: The measured intraocular pressure is 22, which may fall within the higher range. Given the presence of high myopia and optic nerve issues, the physician's preliminary diagnosis is "unspecified unilateral ocular hypertension" and "unspecified unilateral ...[Read More] Understanding High Eye Pressure: Is It Glaucoma? Key Insights for Patients
Understanding High Eye Pressure and Optic Nerve Health: Key Concerns
Optic nerve-related Currently, I would like to briefly describe my situation. I was diagnosed with elevated intraocular pressure and slightly larger optic nerve cupping at the age of 18. I have been undergoing regular visual field tests and fundus examinations for the past five y...
Dr. Gao Pilin Reply:
Hello: (1) Based on your description, your intraocular pressure is currently stable in the range of 21-22 mmHg, and your visual field test results are normal, with no abnormalities in the fundus. This may indicate that your condition is currently stable and may only be classified...[Read More] Understanding High Eye Pressure and Optic Nerve Health: Key Concerns
Understanding OCT, Eye Pressure, and Eye Drop Usage for High Myopia Patients
Regarding OCT examination and the use of eye drops for lowering intraocular pressure? Hello, Doctor. I am a patient with high myopia. Previously, my intraocular pressure measured around 23-24 mmHg in both eyes (without using any eye drops). I have undergone several visual field t...
Dr. Liang Ce Reply:
Recommendations: 1. Discuss the above situation further with your attending physician. 2. Alternatively, seek consultation at another ophthalmology clinic. Thank you. Wishing you good health![Read More] Understanding OCT, Eye Pressure, and Eye Drop Usage for High Myopia Patients
Understanding High Eye Pressure: Treatment, Management, and Concerns
Ocular hypertension Hello, Doctor. I would like to ask some questions regarding ocular hypertension. During my first visit, I experienced frequent flashes of light, and upon measurement, my intraocular pressure was found to be elevated, with readings of 21 and 26 in each eye. I a...
Dr. He Jianxian Reply:
Hello, 1. Elevated intraocular pressure must be monitored several times before a definitive conclusion can be made. It is advisable to perform a visual field test at home after confirming high eye pressure, as this will help determine if glaucoma is present. 2. The current in...[Read More] Understanding High Eye Pressure: Treatment, Management, and Concerns
Managing Intraocular Pressure: Adjusting Glaucoma Medication for Better Control
Issues with Glaucoma Medications Hello, doctor. I was diagnosed with pre-glaucoma of primary open-angle type at the end of last year due to abnormal cup-to-disc ratio (0.5), elevated intraocular pressure (20/23), and visual field test results (MD: -2.57/-2.45 dB). After using Bri...
Dr. Gao Pilin Reply:
Hello: Brimonidine eye drops may cause some side effects, including: 1. Discomfort such as stinging, burning, redness, and dryness in the eyes. 2. Neurological reactions such as headaches and dizziness. 3. Gastrointestinal reactions including changes in taste, dry mouth, nausea, ...[Read More] Managing Intraocular Pressure: Adjusting Glaucoma Medication for Better Control
Understanding Glaucoma Diagnosis: Key Questions and Insights
How is glaucoma diagnosed? I have severe myopia of over 700 degrees and was informed that my intraocular pressure (IOP) is high, ranging between 20 and 22 mmHg, when I got my glasses. Therefore, I started monitoring my condition in December 2016. During my initial visit, in addit...
Dr. Gao Pilin Reply:
Hello: 1. Physicians may not actively schedule ophthalmic examinations because they assess that the patient's current condition does not require frequent checks. 2. Physicians may have conducted updated evaluations based on the patient's condition, leading to a decision...[Read More] Understanding Glaucoma Diagnosis: Key Questions and Insights
Impact of Sleep Medications on Open-Angle Glaucoma Management
Effects of Sleeping Pills Hello, doctor. I would like to ask you about my condition. I have mild open-angle glaucoma, which is considered ocular hypertension. Currently, I am not using any eye drops and am in an observational state without a definitive diagnosis. I take a sleepin...
Dr. Cai Wenyuan Reply:
According to what you said, it should not have an impact. I recommend discussing it with the attending physician.[Read More] Impact of Sleep Medications on Open-Angle Glaucoma Management
Understanding Lightning Symptoms in Eyes: Glaucoma and Retinal Concerns
The occurrence of lightning-like symptoms in the eyes is related to issues concerning glaucoma? Hello, doctor. I would like to ask you a few questions. (1) While riding my bike to work and walking up the stairs to my office, I noticed a phenomenon where there were bright, light...
Dr. He Jianxian Reply:
Hello: 1. Your astigmatism seems to take about ten minutes to resolve, which is not typical of a retinal issue; flashes caused by retinal traction are usually momentary. I'm not quite sure what your symptoms are. 2. Glaucoma has a hereditary tendency, but it is difficult to ...[Read More] Understanding Lightning Symptoms in Eyes: Glaucoma and Retinal Concerns
Glaucoma Diagnosis Dilemma: Trusting Competing Eye Care Opinions
Glaucoma Diagnosis After being diagnosed with glaucoma at a clinic after years of regular check-ups, I went to another clinic for a one-time examination, which stated that I only have ocular hypertension. Which diagnosis should I trust? Currently, both clinics agree that I need t...
Dr. He Jianxian Reply:
If the cornea is thicker, intraocular pressure (IOP) measurements may be less meaningful. The primary assessments should focus on Optical Coherence Tomography (OCT), visual fields, and the condition of the optic nerve head. If these evaluations show no abnormalities, it is recomm...[Read More] Glaucoma Diagnosis Dilemma: Trusting Competing Eye Care Opinions
Understanding Glaucoma and Dry Eye Syndrome: Key Concerns and Treatments
Glaucoma and Dry Eye Syndrome Hello, Doctor: 1. Since childhood, I have been seeing an ophthalmologist and was recently told by the clinic physician that I have congenital ocular hypertension (with intraocular pressure ranging from 19 to 24 in both eyes). I started using Xalata...
Dr. Liang Ce Reply:
I recommend that you 1. discuss the above situation further with your attending physician to determine if any additional examinations are necessary. 2. You may also consider consulting at an ophthalmology outpatient clinic at a medical center or a large hospital. Thank you, and w...[Read More] Understanding Glaucoma and Dry Eye Syndrome: Key Concerns and Treatments
Understanding Bilateral Anterior Glaucoma: What It Means for Your Eyes
Bilateral glaucoma? Hello, doctor. After my OCT scan, my medical record states "bilateral anterior glaucoma." What does this mean?
Dr. Gao Pilin Reply:
Hello: There is a possibility of developing glaucoma, but it is not certain! It is suspected glaucoma or ocular hypertension. Currently, there are no abnormal findings in the visual field, but regular monitoring is necessary. There is no need to worry excessively.[Read More] Understanding Bilateral Anterior Glaucoma: What It Means for Your Eyes
Understanding Rainbow Vision: Causes and Implications for Eye Health
Rainbow vision issues Hello, I have ocular hypertension and have been using Combigan eye drops. I have undergone two visual field tests in the past six months (the last one was in early September), and my doctor informed me that my condition is stable and there is no diagnosis of...
Dr. Gao Pilin Reply:
Hello: Halo vision is just a symptom; sometimes corneal edema and corneal deposits can cause halos. Astigmatism can also create glare, which may not be colorful. The halo appears around the light source, so there should be as many halos as there are light sources. During the day,...[Read More] Understanding Rainbow Vision: Causes and Implications for Eye Health
Understanding Sudden Grayish Ovals in Vision: Possible Causes and Concerns
A sudden appearance of a flat oval-shaped "mosaic/ground glass" grayish-white shadow in the right eye? Hello Doctor: My left eye is hyperopic at +2.25 diopters, and my right eye is myopic at -6.25 diopters. Due to severe astigmatism in my left eye, I have some amblyopia...
Dr. Gao Pilin Reply:
Hello Mr. N: If you notice movement that follows your eye movements but is slightly out of sync and appears shaky, it is likely due to opacities in the vitreous body. These opacities can sometimes be undetectable during examinations and are only perceptible to the individual. Vit...[Read More] Understanding Sudden Grayish Ovals in Vision: Possible Causes and Concerns
Understanding Eye Health: Common Concerns and Symptoms Explained
Vision problems Hello, Doctor. I have three questions I would like to ask you. 1. During a dilated eye exam last June, I noticed a small area in the lower left and directly below my right eye that appeared darker (deep red). However, several months of subsequent dilations and v...
Dr. Gao Pilin Reply:
Hello Wei: 1. Based on the physician's and your descriptions, there should be no issues. Regular follow-ups are sufficient. 2. First, correct both eyes to achieve emmetropia, then check for any color disparity. If there is none, it is likely due to refractive error. Other...[Read More] Understanding Eye Health: Common Concerns and Symptoms Explained
Understanding High Eye Pressure: Risks, Treatments, and Lifestyle Changes
Ocular hypertension Hello, Doctor Gao: I have been experiencing a tightness in my eyes for the past month. Despite significantly reducing my screen time and increasing my sleep, my eye pressure measurements at the hospital have remained elevated (25, 26). Even after accounting fo...
Dr. Gao Pilin Reply:
Hello Jerry: Actually, an intraocular pressure in the twenties typically does not cause discomfort; your discomfort is likely due to eye muscle fatigue. Some individuals naturally have higher intraocular pressure, and changing lifestyle habits or consuming specific nutrients may ...[Read More] Understanding High Eye Pressure: Risks, Treatments, and Lifestyle Changes
Understanding OCT and Visual Field Tests in Age-Related Eye Health
Glaucoma examination 1. When visiting an ophthalmologist, the doctor mentioned that everyone's optic nerve will inevitably degenerate with age, and that the optic nerve at age 20 will be different from that at age 50. I would like to ask, when I undergo an OCT examination, w...
Dr. Gao Pilin Reply:
Hello, Mr. Tao: 1. Normal values are relative to your age and will change. The physician will interpret them for you to avoid misjudgment. 2. Assessments will be based on your age. 3. I apologize, but I have not encountered that before. 4. The plate is less likely to change. 5. ...[Read More] Understanding OCT and Visual Field Tests in Age-Related Eye Health
Understanding Glaucoma: Key Questions and Insights for Patients
Glaucoma issues? 1. If a person has over 200 degrees of myopia and astigmatism, will the visual field testing instrument, which corrects refractive errors, adjust for astigmatism in addition to myopia? Does the existing astigmatism affect the visual field test results? 2. Since ...
Dr. Gao Pilin Reply:
Hello, Ah Hou: 1. I have not used this type of visual field instrument, so I am unsure if it can correct astigmatism. However, mild astigmatism may not require correction. 2. Unless the pupil is very small, it generally does not significantly affect the visual field and can be o...[Read More] Understanding Glaucoma: Key Questions and Insights for Patients
Understanding Elevated Eye Pressure: Risks of Glaucoma and What to Expect
Intraocular pressure issues? Hello Doctor, my corneal thickness is over 600 micrometers, and I have myopia of around -8.00 diopters in both eyes. My usual intraocular pressure is around 21 mmHg. Two months ago, I measured it at the clinic, and it was still around 21-22 mmHg. Howe...
Dr. Gao Pilin Reply:
Hello Mr. Huang: The term "marginal" likely indicates that you have not yet undergone a visual field test, while the eye pressure and the appearance of the optic nerve suggest signs of glaucoma. If the intraocular pressure is elevated and there are changes in the optic ...[Read More] Understanding Elevated Eye Pressure: Risks of Glaucoma and What to Expect
Understanding the Risk of Glaucoma in High Myopia Patients
High myopia glaucoma Hello, I have high myopia with approximately -8.00 diopters in both eyes. In January of this year, I had an examination by a glaucoma specialist at Chang Gung Memorial Hospital. (I had a visual field test two years ago, which showed no defects.) The doctor no...
Dr. He Jianxian Reply:
1. There is a possibility, but it is not very high. 2. Your intraocular pressure is not elevated.[Read More] Understanding the Risk of Glaucoma in High Myopia Patients