Understanding Enlarged Optic Nerve Head: Risks and Management
Optic disc cupping is enlarged? Hello Doctor, Last week I visited an ophthalmologist due to conjunctivitis and also asked the doctor to check my optic nerve. The neurologist mentioned that my optic nerve head is larger than normal, approximately 0.6 to 0.7. Consequently, I was ...
Dr. He Jianxian Reply:
Hello, Miss Mo: 1. Congenital optic nerve pits are indeed present, but they are not common, and there is no evidence to suggest that they are more likely to lead to glaucoma. 2. This question cannot be answered definitively. 3. Since glaucoma is mostly asymptomatic, regular moni...[Read More] Understanding Enlarged Optic Nerve Head: Risks and Management
Understanding Yellow Flashes and Visual Disturbances in Eye Health
Waking up suddenly to see yellow flashes of light? Hello Doctor: I have floaters and have previously undergone laser surgery for retinal holes. I am nearsighted with a prescription of about -200 and astigmatism around -300. Recently, I have been experiencing a lot of issues. When...
Dr. He Jianxian Reply:
Dear Ms. Anonymous, 1. I cannot explain why your afterimage condition has worsened. 2. I cannot explain why you suddenly woke up to see a bright yellow light that then returned to normal; it may be due to pressure on the eyes, but clinically, it cannot be determined. 3. If you h...[Read More] Understanding Yellow Flashes and Visual Disturbances in Eye Health
Understanding Eye Flashes and Nerve Cupping in High Myopia
Flashes of light; optic nerve cupping? Hello Doctor: A few months ago, I discovered floaters in my vision, and after undergoing dilation, no issues were found at that time. Over the past few months, I have intermittently experienced flashes of light (similar to a light bulb flick...
Dr. Gao Pilin Reply:
Hello: Floaters refer to the appearance of black dots, dust, or small insects in your line of sight, usually caused by floating debris in the vitreous body. If the symptoms of flashes change significantly and persist, it is advisable to seek medical evaluation promptly. If they a...[Read More] Understanding Eye Flashes and Nerve Cupping in High Myopia
Understanding Monocular Diplopia: Causes and Concerns for Eye Health
Monocular diplopia Hello, Dr. Gao. Thank you for your previous response! After researching some information and consulting with my doctor, I still have a few questions I would like to ask: 1. For individuals with congenital amblyopia (approximately +500 diopters in both eyes), i...
Dr. Gao Pilin Reply:
Hello: 1. Individuals with congenital amblyopia may not necessarily have inferior optic nerves compared to those without the condition. Thinning of the optic nerve may be associated with glaucoma, especially if there are signs of nerve fiber thinning, but the condition of the opt...[Read More] Understanding Monocular Diplopia: Causes and Concerns for Eye Health
Understanding Cataract Checks: What Eye Exams Reveal About Your Vision
Cataract Examination (Sequence 207641) Thank you, Dr. Gao, for your previous response. I would like to ask about my recent visits to the ophthalmologist over the past three months regarding the issue of an enlarged optic disc. During this time, I have consulted several eye doctor...
Dr. Gao Pilin Reply:
Hello: Based on the information you provided, ophthalmologists typically conduct comprehensive eye examinations, including assessments of the retina and optic nerve, using various devices and techniques such as fundus photography and optical coherence tomography. These examinatio...[Read More] Understanding Cataract Checks: What Eye Exams Reveal About Your Vision
Understanding Cataract Checks: What to Expect During Eye Exams
Cataract examination I would like to ask if a general eye examination typically detects cataracts. If the doctor did not specifically mention it, does that mean there are none? Previously, I experienced blurred vision and went for an OCT examination, where the doctor did not indi...
Dr. Gao Pilin Reply:
Hello: A general ophthalmic examination typically includes an assessment of the lens to check for cataracts or other lens-related issues. However, if the ophthalmologist did not specifically mention any abnormalities with the lens during the examination, it may indicate that your...[Read More] Understanding Cataract Checks: What to Expect During Eye Exams
Understanding Low Optic Nerve Fiber Thickness and Its Implications for Glaucoma
Optic nerve fibers Hello, doctor. Last week, I went to an optical shop for an OCT examination, and it showed that my optic nerve fibers are low, with measurements of 72 and 69 for each eye. My intraocular pressure was normal except for the low optic nerve fiber count. They sugges...
Dr. Liang Ce Reply:
We recommend that you: 1. Discuss the above situation further with your attending physician. 2. Consider consulting another ophthalmology clinic for a second opinion. Wishing you good health. Thank you![Read More] Understanding Low Optic Nerve Fiber Thickness and Its Implications for Glaucoma
Understanding Visual Disturbances: Glaucoma, Floaters, and Eye Strain
The sensation of light when blinking? Hello, Doctor! I have early-stage glaucoma, floaters, and myopia with a prescription of -5 to -6 diopters along with astigmatism (I have regular check-ups, and my visual field, OCT, and retinal examinations in December all showed normal resul...
Dr. Gao Pilin Reply:
Hello: 1. The phenomenon of seeing white circles resembling eyes after blinking in the dark may be a visual afterimage. A visual afterimage refers to the persistence of a visual impression after the stimulus has been removed. In low light conditions, blinking causes the pupils ...[Read More] Understanding Visual Disturbances: Glaucoma, Floaters, and Eye Strain
Understanding Eye Pressure and Dry Eye Syndrome: Key Concerns and Solutions
Intraocular pressure and dry eye syndrome issues? Hello Doctor, I would like to ask: 1. When I visit the clinic, my intraocular pressure is often measured at 19-20 mmHg. I am concerned that this borderline level indicates that my eye pressure might be high at certain times of the...
Dr. He Jianxian Reply:
Hello Mr. Chang: 1. Your intraocular pressure appears to be normal. If you are concerned, please have the ophthalmologist check your optic nerve cupping during your next visit. If the cup-to-disc ratio is normal, then it is considered normal. 2. Insufficient tear production is ac...[Read More] Understanding Eye Pressure and Dry Eye Syndrome: Key Concerns and Solutions
Understanding Pediatric Glaucoma: A Parent's Guide to Diagnosis and Treatment
Pediatric glaucoma My daughter is 5 years old and does not have myopia. During a routine check-up at the end of June last year, the doctor noticed a difference in the optic nerves of her left and right eyes, with a significant cupping of the left optic nerve head. She was referre...
Dr. Liang Ce Reply:
We recommend that you: 1. Discuss the above situation further with your attending physician. 2. Alternatively, consult at a medical center for advice. Wishing you good health. Thank you![Read More] Understanding Pediatric Glaucoma: A Parent's Guide to Diagnosis and Treatment
Understanding Eye Health: My Journey from Hyperopia to Possible Myopia
About the Eyes Hello, Doctor. After a 7-year gap, I went for an eye examination and discovered something surprising! When I was younger (at least before my first year of college), I clearly remember being diagnosed with high hyperopia, approximately +500 diopters in each eye, and...
Dr. Gao Pilin Reply:
Hello: [Question 1] Based on your description, you have noticed a decrease in your hyperopia during a recent ophthalmic examination, and your corrected vision has improved. This may indicate that your visual condition is changing, as the refractive power of the eyes can vary at...[Read More] Understanding Eye Health: My Journey from Hyperopia to Possible Myopia
Understanding Optic Nerve Cupping: Risks, Management, and Supplements
Optic nerve cupping Hello, doctor. I would like to ask if a cup-to-disc ratio of 0.5 is considered severe. Could this lead to the development of glaucoma, especially since I have a history of retinal detachment surgery and a family history of floaters and glaucoma? What methods c...
Dr. Liang Ce Reply:
We recommend that you consult an ophthalmology medical facility. Wishing you good health. Thank you![Read More] Understanding Optic Nerve Cupping: Risks, Management, and Supplements
Understanding High Eye Pressure: Is It Glaucoma and Should You Consider Surgery?
Regarding elevated intraocular pressure? Hello Dr. Gao, I am the one who asked about seeing rainbows and white fog in my eyes last month <a href="https://adoctor.tw/article/205485">#205485</a>. Initially, my intraocular pressure was within the normal range, ...
Dr. Gao Pilin Reply:
Hello: Based on your description, your intraocular pressure has been consistently elevated, and there has been no significant improvement with medication. This may be a symptom of glaucoma. Glaucoma is an eye condition typically associated with increased intraocular pressure, whi...[Read More] Understanding High Eye Pressure: Is It Glaucoma and Should You Consider Surgery?
Understanding Thinning of the Optic Nerve Fibers and Glaucoma Risks
Optic nerve fiber thinning Hello, Doctor~~ Over the past six years, my intraocular pressure has increased from an initial 18-19 to 26-27 this year, and I was subsequently diagnosed with suspected glaucoma! The doctor noted that my optic nerve fibers have thinned, and after perfor...
Dr. Gao Pilin Reply:
Hello: Based on your description, your intraocular pressure has increased from 18 and 19 to 26 and 27 over the past six years, with thinning of the optic nerve fibers. The OCT examination shows abnormalities in the inferior quadrant of the left eye, but the visual field test is n...[Read More] Understanding Thinning of the Optic Nerve Fibers and Glaucoma Risks
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
Understanding Visual Snow: Symptoms and Insights for Eye Health
Ocular noise Hello Doctor, I have a problem with floaters. When I look at the sky, I see flashes that seem to drift down. I went to see an ophthalmologist, and they said it was a symptom of floaters. Recently, after taking a nap during lunch, I woke up and noticed that my left ey...
Dr. Gao Pilin Reply:
Hello: Based on your description, you may be experiencing some visual issues. Floaters typically present as small dots or lines that appear to float in your field of vision, resembling tiny clouds or mosquitoes. The phenomenon you described after your afternoon nap, which looked ...[Read More] Understanding Visual Snow: Symptoms and Insights for Eye Health
Managing High Eye Pressure and Dry Eyes: When to Seek Further Evaluation
Elevated intraocular pressure and dry eyes? Hello Doctor, about six years ago I was diagnosed with slightly elevated intraocular pressure, which was around 21. At that time, the doctor examined my optic nerve and found no issues. Three years ago, my pressure was still slightly el...
Dr. Gao Pilin Reply:
Hello: Based on your description, your intraocular pressure is slightly elevated, but the examination of your optic nerve shows normal results, and there has been no significant damage over the past few years. For cases of mildly elevated intraocular pressure without other obviou...[Read More] Managing High Eye Pressure and Dry Eyes: When to Seek Further Evaluation
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 Eye Flashes and Floaters: When to Seek Help
Flashes of light when closing the eyes? Hello Doctor: I have high myopia (approximately -1000 in both eyes) and recently discovered symptoms of floaters and flashes of light. I have visited the ophthalmologist multiple times for dilated eye examinations, and just yesterday I comp...
Dr. Gao Pilin Reply:
Hello: Based on the current examination results, the physician did not find any obvious issues and has recommended regular follow-up. However, you mentioned experiencing sleep paralysis and visual disturbances, which may cause some discomfort. I suggest you closely monitor the fr...[Read More] Understanding Eye Flashes and Floaters: When to Seek Help
Understanding Macular Health: Insights on OCT and Eye Pressure Management
Macular issues Hello Doctor, due to high intraocular pressure, my doctor scheduled my first OCT examination in mid-January. The results showed that the optic nerve portions of both eyes are thinner than average (indicated in yellow). However, the doctor mentioned that two reports...
Dr. Gao Pilin Reply:
Hello: Based on your description, you underwent an OCT examination, and the report indicates that the optic nerve in both eyes is thinner than average. However, two reports need to be compared to confirm whether this is indicative of pre-glaucoma. Additionally, the values for the...[Read More] Understanding Macular Health: Insights on OCT and Eye Pressure Management