Optic nerve, Ophthalmology FAQ - Page 22

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Post-Cataract Surgery Blurry Vision: Causes and Solutions Explained

Blurred vision after cataract surgery? My father underwent cataract surgery in early July this year, and it has been over a month since then. He is still experiencing blurred vision and feels as if there is a layer of white fog obstructing his sight. He also experiences slight di...


Dr. Cai Wenyuan Reply:
Experiencing a slight stinging discomfort when blinking may indicate a corneal inflammation issue. The optic nerve appears to be slightly atrophied, and a specialized examination by an ophthalmologist is recommended. Thank you.

[Read More] Post-Cataract Surgery Blurry Vision: Causes and Solutions Explained


Understanding Light Sensitivity and Eye Fatigue: Common Concerns

Photophobia and fatigue? Hello Doctor: 1. At night, when looking at light sources (such as car headlights or streetlights), I experience glare and see halos around the lights. Sometimes the halos are so pronounced that I can't see clearly. Is this caused by dry eye syndrom...


Dr. Gao Pilin Reply:
Hello Ms. Wang: 1. Dry eyes can indeed occur. 2. Sometimes when the eyes are inflamed, using eye drops may cause a slight stinging sensation. If this persists, you should inform your ophthalmologist. 3. The optic nerve is the second cranial nerve, while eye movement is contro...

[Read More] Understanding Light Sensitivity and Eye Fatigue: Common Concerns


Can Patients with Suspected Glaucoma Safely Undergo Dilated Fundus Examination?

Can a suspected glaucoma patient undergo dilated fundus examination for retinal detachment? Dear Director Gao, I am currently 27 years old and have over 500 degrees of myopia in both eyes. I previously underwent a glaucoma examination, and since both the intraocular pressure and...


Dr. Gao Pilin Reply:
Hello: If it is not angle-closure glaucoma, dilation of the pupils does not necessarily lead to acute glaucoma. After the examination, please check the intraocular pressure; if it is indeed elevated, there are treatment options available. There is no need to worry too much. A det...

[Read More] Can Patients with Suspected Glaucoma Safely Undergo Dilated Fundus Examination?


Understanding Eye Symptoms: Flickering Lights and Visual Disturbances

The fluorescent light flickers under the lamp? I apologize for the numerous questions, but I would appreciate your assessment. Thank you. My current myopia is approximately -4.00 diopters in my right eye with astigmatism of -1.25 diopters, and -3.00 diopters in my left eye with a...


Dr. Gao Pilin Reply:
Hello Ning Ning: The flashing and vomiting you are experiencing could possibly be caused by a migraine. It would be advisable to consult a neurologist. When you press on the upper right corner of your right eye, you should see a black circle in the lower left corner, and pressing...

[Read More] Understanding Eye Symptoms: Flickering Lights and Visual Disturbances


Understanding Suspected Glaucoma: Symptoms, Diagnosis, and Anxiety

Suspected glaucoma Hello Doctor: In May, I went to a clinic because I noticed something black in my vision and, after researching online, I was worried it might be a retinal detachment. The doctor dilated my pupils and said there was no detachment, but he found some degeneration ...


Dr. He Jianxian Reply:
Glaucoma and blindness are not synonymous! Even if you have glaucoma, there are many pharmacological and non-pharmacological treatments available. Additionally, you have not yet been diagnosed with glaucoma, so regular monitoring is sufficient; there's no need to worry too m...

[Read More] Understanding Suspected Glaucoma: Symptoms, Diagnosis, and Anxiety


Experiencing Light Flashes While Jogging at Night: What to Know

During an evening jog, I experienced visual flashes? Hello, Doctor. I have a question regarding my eyes. I have high myopia, with both eyes at -6.50 diopters and astigmatism ranging from -1.25 to -2.00. I work on a computer and spend long hours staring at the screen, and I wear s...


Dr. Gao Pilin Reply:
Hello, Mr. Shi: This phenomenon should still be related to issues with the retina or optic nerve; however, it is not possible to draw a conclusion from the description provided. I recommend that you visit a major hospital's ophthalmology or neuro-ophthalmology department for...

[Read More] Experiencing Light Flashes While Jogging at Night: What to Know


Understanding Changes in Floaters: When to Seek Eye Care

Changes in the pattern of floaters? Hello, Dr. Gao. I started experiencing floaters over a month ago. I have undergone 1-2 dilated retinal examinations, which showed no issues, except for a larger than normal optic nerve head cupping. Currently, both OCT and visual field tests ar...


Dr. Gao Pilin Reply:
Hello Ms. Chen, 1. Floaters generally do not have a fixed shape, and since you were examined just the day before, it should not be related. 2. Floaters are essentially a degeneration of the vitreous body and are not associated with retinal diseases. However, sometimes when the v...

[Read More] Understanding Changes in Floaters: When to Seek Eye Care


Understanding Optic Nerve Cupping: Risks and Implications for Glaucoma

Optic nerve issues Today, I went to check my retina due to floaters. The examination results showed that my retina is normal, but the doctor mentioned that my optic nerve has a cupping of about 0.6. He recommended that I go to the hospital for further examination. Is a cupping of...


Dr. Wang Zhangji Reply:
A neuroretinal rim depression is generally less than 0.3, and poor optic nerve circulation can also lead to glaucoma.

[Read More] Understanding Optic Nerve Cupping: Risks and Implications for Glaucoma


Understanding Optic Nerve Cupping: Should You Start Treatment?

Optic nerve cupping Hello Doctor: I am 42 years old. Recently, I was examined at a clinic and found to have a cup-to-disc ratio of 0.8, but my intraocular pressure and visual field tests were normal. The doctor recommended starting treatment with glaucoma eye drops. However, upon...


Dr. He Jianxian Reply:
Based on your description, regular follow-up should be a reasonable choice!

[Read More] Understanding Optic Nerve Cupping: Should You Start Treatment?


Understanding Color Halos Around Bright Lights: Eye Health Insights

Looking at intense white light can cause a halo effect of colored light? I visited an ophthalmologist on Saturday due to dry eyes for a basic examination, and my intraocular pressure was slightly elevated. However, the doctor examined my optic nerve and said there were no issues....


Dr. He Jianxian Reply:
The condition you described is not what is clinically referred to as a halo effect. True halo effects typically occur in patients with acute glaucoma, and are usually accompanied by symptoms such as headache, eye pain, nausea, and vomiting. It is rare for halo effects to occur in...

[Read More] Understanding Color Halos Around Bright Lights: Eye Health Insights


Understanding Glaucoma and Eye Concerns: Your Questions Answered

Concerns about glaucoma and eye problems? Hello, Doctor. I would like to ask you a few questions: 1. If the optic cup-to-disc ratio is large, does it necessarily indicate optic nerve atrophy? My visual field is normal, intraocular pressure is 21, and fundus photography is norma...


Dr. He Jianxian Reply:
1. A significant indentation can sometimes be physiological and does not necessarily indicate atrophy. 2. Based on your description, it does not appear to be glaucoma. 3. Physiological changes have no impact on us. 4. If the retina is being pulled, it may cause "flashe...

[Read More] Understanding Glaucoma and Eye Concerns: Your Questions Answered


Understanding OCT Results: Is My Eye Condition a Sign of Glaucoma?

There is a portion of the left eye OCT that appears red? I am nearsighted with approximately 400 degrees. Last week, during my visit to the ophthalmologist, it was noted that my optic nerve is somewhat cupped, with the left eye being larger than the right. I underwent a visual fi...


Dr. He Jianxian Reply:
I recommend that you consult directly with your treating physician for more accurate information, as I have not seen your OCT and visual field results.

[Read More] Understanding OCT Results: Is My Eye Condition a Sign of Glaucoma?


Understanding Eye Strain: Causes, Symptoms, and Relief Strategies

Eye strain and headache? I was diagnosed with optic nerve abnormalities at the clinic, and the doctor referred me to a larger hospital for further examination, which confirmed that I do not have glaucoma. However, I have a very serious issue: I wear contact lenses (monthly dispos...


Dr. He Jianxian Reply:
Based on your description, your symptoms are related to eye strain. It is recommended that you take a break at the onset of symptoms to see if any further issues occur.

[Read More] Understanding Eye Strain: Causes, Symptoms, and Relief Strategies


Understanding Sudden Vision Distortions: Seeking Answers and Treatment

Sudden changes in vision. Seeking clarification and medical solutions? Hello Dr. Wang, About a week ago, I suddenly noticed that there were lines appearing in the parallel lines of the TV cabinet and ceiling in my living room. There was a line below that tilted to the right. The...


Dr. Wang Zhishun Reply:
Hello: I suggest you visit the ophthalmology department at a medical center for an examination. Some types of strabismus require special tests for easier detection. (PS. I currently do not have outpatient services at Yang Ming/Chung Shan Medical University.)

[Read More] Understanding Sudden Vision Distortions: Seeking Answers and Treatment


Understanding Glaucoma: Navigating Conflicting Diagnoses and Treatment Options

Questions about glaucoma? In 2009, during a health check-up, I received a result indicating "enlarged physiological cup." I went to a major hospital (Hospital A) for further examination, where I underwent fundus examination and visual field testing. The doctor said ever...


Dr. He Jianxian Reply:
If your vision has always been normal, there is no need to worry too much. As for continuously taking this type of antihypertensive medication, there are generally no significant side effects to be concerned about. A cupped optic nerve does not necessarily indicate damage; it req...

[Read More] Understanding Glaucoma: Navigating Conflicting Diagnoses and Treatment Options


Why Glaucoma Patients Should Avoid Laser Surgery for Myopia

Laser treatment for glaucoma and myopia? Dear Dr. Wang, why can't patients with glaucoma undergo laser surgery for myopia? What is the main reason? I was diagnosed with mild open-angle glaucoma during my preoperative examination, and the doctor said it was still possible to ...


Dr. Wang Zhishun Reply:
Hello, it should be considered a relative contraindication rather than an absolute contraindication, primarily due to the potential fluctuations in intraocular pressure during laser surgery that may affect the optic nerve. Postoperative follow-up is necessary at regular intervals...

[Read More] Why Glaucoma Patients Should Avoid Laser Surgery for Myopia


Understanding Vitreous Detachment and Its Impact on High Myopia

Retinal traction from the vitreous? Hello, Doctor. (I have inquired before and have further developments.) I have high myopia, approximately 700 to 800 diopters. I previously consulted you around last Thursday, as I have been experiencing flashes of light in my left eye when I cl...


Dr. Wang Zhishun Reply:
Hello, based on the description, both eyes should currently be able to use eye muscle exercises and anti-inflammatory eye drops. Additionally, regarding the retina, if there are any changes in symptoms, further examination is necessary. If not, follow-up can be scheduled as plann...

[Read More] Understanding Vitreous Detachment and Its Impact on High Myopia


Understanding Thin Optic Nerve Fibers: Risks and Protection Strategies

Optic nerve fiber thickness I have high myopia with -7.50/-2.50 in the left eye and -9.25/-1.25 in the right eye. After undergoing optical nerve fiber examination, the doctor mentioned that the nerve fiber thickness is very thin and weak, likely due to high myopia causing unhealt...


Dr. Wang Zhishun Reply:
In cases of high myopia, optical coherence tomography (OCT) reveals that the nerve fiber layer thickness is already reduced due to the thinning of the retina. Currently, there are no methods available to increase this thickness.

[Read More] Understanding Thin Optic Nerve Fibers: Risks and Protection Strategies


Unexplained Vision Issues: What Tests Should You Consider?

Unexplained vision loss? I have worn contact lenses for too long. My vision check shows a prescription of -5.50 diopters, and with glasses, I can only see 0.4 to 0.5. After dilation, all checks were normal, including visual field, ocular coherence tomography, and optic nerve asse...


Dr. Gao Pilin Reply:
Hello, Shih-Feng: May I ask what your previous vision was? If contact lenses are worn for too long, the most common issue is corneal edema. If it is amblyopia, it is a developmental issue rather than a pathological condition. I apologize, but I cannot determine what additional te...

[Read More] Unexplained Vision Issues: What Tests Should You Consider?


Post-Surgery Concerns for Retinal Detachment and Cataract Patients

Postoperative issues related to retinal surgery? Hello Doctor, my mother underwent retinal detachment and cataract surgery in the middle of the month, using silicone oil. So far, she has been lying down for about 10 hours a day. I have a few questions: 1. Can she sleep naturall...


Dr. Wang Zhishun Reply:
Hello, 1. The duration of postoperative prone positioning is influenced by many factors. If the physician advises that it is no longer necessary to sleep face down at night, you may adopt your natural sleeping position. 2-3. Seeing wavy lines when looking at straight objects is r...

[Read More] Post-Surgery Concerns for Retinal Detachment and Cataract Patients


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