Do You Need Additional Eye Exams Before Cataract Surgery?
Do I need to undergo examinations for the macula, glaucoma, or other conditions before cataract surgery? Hello Dr. Gao. My left eye is 1700, and my right eye is 2400. Both eyes have presbyopia, astigmatism, and macular degeneration, with the right eye being more severe and requir...
Dr. Gao Pilin Reply:
Hello: Before cataract surgery, the physician will conduct a series of examinations to assess the macula, optic nerve, and other factors. Regarding the choice of intraocular lens (IOL), considering your macular degeneration and work requirements, it is recommended that you select...[Read More] Do You Need Additional Eye Exams Before Cataract Surgery?
Understanding Vitreous Degeneration and Its Impact on Eye Health
Vitreous degeneration Continuing from question 204644, I apologize for bothering you again, Doctor. I would like to ask if, under the premise that there are no issues found during the dilated eye examination, is there still a possibility of 1. glaucoma, 2. visual field defects, o...
Dr. Gao Pilin Reply:
Hello: Based on your recent dilated eye examination being normal, it is generally possible to rule out certain conditions such as retinal and optic nerve atrophy. However, glaucoma and visual field defects may not be detected through a dilated exam, and additional tests are neede...[Read More] Understanding Vitreous Degeneration and Its Impact on Eye Health
Understanding Suspected Early Glaucoma and Vision Loss: Key Insights
Glaucoma and Visual Field Loss: The Gray Area Between Presence and Absence Hello, Director. Recently, during a routine eye examination (which included intraocular pressure, fundus examination, OCT, and visual field tests), the physician determined that there was some visual field...
Dr. Gao Pilin Reply:
Hello: Since I have not examined you in person, my response is for reference only. Please consult your ophthalmologist for specific treatment recommendations. 1. It appears that your fundus examination results show some changes, including the structure of the optic nerve head. ...[Read More] Understanding Suspected Early Glaucoma and Vision Loss: Key Insights
Understanding Rainbow Halos and Glaucoma: Eye Exam Insights
Fundus examination for glaucoma? Hello, Doctor. I would like to ask: 1. Tonight, while looking at streetlights or other lights, I noticed a rainbow halo around them. I was initially worried it might be glaucoma, but then I realized that adjusting my glasses eliminated the effec...
Dr. Gao Pilin Reply:
Hello: 1. The phenomenon of rainbow halos you described may be due to the improper positioning of your glasses, causing light to scatter when it enters your eyes. If the symptoms disappear after adjusting the position of your glasses, this typically indicates that it is not rel...[Read More] Understanding Rainbow Halos and Glaucoma: Eye Exam Insights
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 Early Glaucoma: Concerns and Monitoring Strategies
About glaucoma? Hello, Doctor. I previously had an OCT examination, and although the doctor said there was no immediate danger, I am still concerned about the possibility of glaucoma due to the cupping of the optic nerve head and some degeneration around the optic nerve. I consul...
Dr. Gao Pilin Reply:
Hello: First, the cupping of the optic disc and surrounding degeneration are characteristics of glaucoma, but these features alone are not sufficient for a diagnosis of glaucoma. Other assessments, including intraocular pressure, visual field testing, and corneal thickness, are i...[Read More] Understanding Early Glaucoma: Concerns and Monitoring Strategies
Understanding Dark Spots in Vision After Dilation Exam: What to Know
Pupil dilation examination A couple of days ago, I underwent a dilated eye exam and explained to the doctor that I have been experiencing increased flashes of light and noticed a dark spot in the inner part of my right eye. After the examination, the doctor informed me that there...
Dr. Gao Pilin Reply:
Hello: Based on your description, the doctor has examined you and informed you that there are no holes or tears in the macula of your retina, and indicated that the dark spots may be related to high myopia. I cannot determine what the dark spots are, but since the doctor found no...[Read More] Understanding Dark Spots in Vision After Dilation Exam: What to Know
Understanding Glaucoma: Is High Myopia a Risk Factor?
Glaucoma issues Hello, doctor. I would like to inquire about the OCT scan of the optic disc today, which appears to be larger than normal. Could this possibly be caused by high myopia (500 degrees)? The doctor mentioned that the optic nerve looks normal and there are no other iss...
Dr. Gao Pilin Reply:
Hello: Based on your description, you underwent an OCT examination today, and it was found that your optic disc is larger than average. The doctor indicated that the optic nerve is normal and there are no other issues, which may be due to traction caused by high myopia. Here are ...[Read More] Understanding Glaucoma: Is High Myopia a Risk Factor?
Seeing Colorful Halos at Night: Understanding Eye Symptoms and Causes
I have been seeing colorful halos recently? Hello, Dr. Gao: I have myopia of 400-500 degrees, high astigmatism, dry eye syndrome, floaters, and eye fatigue. Recently, when looking at lights at night, I keep seeing colorful halos. After visiting a clinic, the doctor said that my r...
Dr. Gao Pilin Reply:
Hello: Based on the situation you described, you mentioned seeing colored halos at night that persist even after cleaning your glasses, and that there has been a history of optic nerve damage. This condition may be related to multiple factors. Firstly, the protrusion of your eyes...[Read More] Seeing Colorful Halos at Night: Understanding Eye Symptoms and Causes
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
Sudden Amblyopia in Adulthood: Causes and Treatment Options
Amblyopia that suddenly appears in adulthood? Hello, Doctor. I have myopia of -600 degrees with astigmatism of -250 degrees in my left eye, and -700 degrees with astigmatism of -350 degrees in my right eye, with my left eye being the dominant eye. The last time I had my glasses p...
Dr. Gao Pilin Reply:
Hello: 1. Causes of Amblyopia: Amblyopia is a visual impairment typically identified and treated during childhood. However, new vision deterioration in adulthood may stem from issues related to the optic nerve, eyeball, retina, or other parts of the visual system, requiring fur...[Read More] Sudden Amblyopia in Adulthood: Causes and Treatment Options
Does Wearing Scleral Lenses Increase Eye Pressure in Patients with Corneal Injuries?
Does wearing a scleral lens increase intraocular pressure? Hello Doctor, due to an injury to my cornea when I was five years old, I underwent corneal suturing and the placement of an artificial lens. In May 2023, I had my intraocular pressure checked in both eyes, and the doctor ...
Dr. Gao Pilin Reply:
Hello: Regarding your question, based on your medical history, here are a few suggestions: 1. Corneal injury may affect intraocular pressure measurement: Yes, sometimes irregularities in the cornea (such as scars or protrusions, like keratoconus) can influence the measurement o...[Read More] Does Wearing Scleral Lenses Increase Eye Pressure in Patients with Corneal Injuries?
Understanding Glaucoma: Concerns About Eye Pressure and Follow-Up Care
Suspected glaucoma? Dear Dr. Gao, I am a person who gets easily anxious and have difficulty cooperating with the air-puff tonometer tests. Previously, due to elevated intraocular pressure (around 21-23 mmHg), I was monitored at National Taiwan University Hospital Beihu Branch fo...
Dr. Gao Pilin Reply:
Hello: I understand your concerns about eye health. Glaucoma requires close monitoring and management to prevent potential optic nerve damage. Regarding your questions: 1. Frequency of optic nerve scans: Generally, the frequency of optic nerve scans depends on the diagnosis of gl...[Read More] Understanding Glaucoma: Concerns About Eye Pressure and Follow-Up Care
Understanding Vision Loss: Causes, Treatment Options, and Expert Advice
Causes and Management of Vision Loss I have been unable to see clearly even while wearing my glasses, and I have consulted two ophthalmologists. The first doctor said, "I do not recommend getting new glasses; both eyes have cataracts, and there are no other issues. I suggest...
Dr. Gao Pilin Reply:
Hello: Thank you very much for providing such detailed information. Here are the responses to your questions one by one: 1. Different cataract conditions in the left and right eyes: Yes, based on your description, the cataract in the left eye appears to be more severe than in t...[Read More] Understanding Vision Loss: Causes, Treatment Options, and Expert Advice
Understanding Blurry Vision: Causes and When to Seek Help
Blurred vision A few years ago, my father experienced episodes of sudden blurred vision that would resolve quickly. He visited an ophthalmologist, but the examination did not reveal any significant issues, and he was prescribed some eye drops. However, in the past 2-3 months, his...
Dr. Gao Pilin Reply:
Hello: Based on the situation you described, your father is experiencing sudden blurred vision that does not improve with glasses, and no significant issues were found during the ophthalmic examination. Such symptoms can arise from various factors, some related to the eyes themse...[Read More] Understanding Blurry Vision: Causes and When to Seek Help
Post-Retinal Detachment Surgery: Understanding Eye Symptoms and Concerns
Inquiry about the condition of the eye after retinal detachment surgery? Hello Doctor, 1. Why is it that after retinal detachment surgery, when I close my eyes to sleep at night and hear sounds (such as a neighbor closing a door, raindrops, or the sound of a motorcycle revving)...
Dr. Gao Pilin Reply:
Hello: 1. Increased sensitivity to sound and rapid photic response along with elevated heart rate when closing the eyes at night: After retinal detachment surgery, some individuals may experience heightened sensitivity to light and sound during the recovery period. This could b...[Read More] Post-Retinal Detachment Surgery: Understanding Eye Symptoms and Concerns
Understanding Eye Flashes: Causes and Concerns Explained
Flashes of light in the eyes? Hello, doctor. I would like to inquire about the issue of visual flickering. I researched online and found that the flickering resembles the patterns associated with migraine aura, but I do not have a history of migraines. This occurs occasionally, a...
Dr. Gao Pilin Reply:
Hello: Based on your description, the flickering in your eyes resembles the patterns associated with migraine aura, but since you do not have a history of migraines, there could be several other reasons: 1. **Floaters**: Floaters are a common ophthalmic condition caused by opac...[Read More] Understanding Eye Flashes: Causes and Concerns Explained
Can I Skydive with My Eye Conditions? A Guide for Safety
Can I still go skydiving under these circumstances? Hello Doctor: Currently, my myopia is around 600 to nearly 700. Last year, I developed physiological floaters, but my retinal examination showed that both the retina and macula are completely normal. Previously, my intraocular p...
Dr. He Jianxian Reply:
Hello Mr. Azou: I haven't heard that glaucoma or high myopia prohibits skydiving; however, individuals with recent onset myopia may face slightly higher risks when skydiving. This is related to the more pronounced degeneration of the vitreous body and retina in those with hi...[Read More] Can I Skydive with My Eye Conditions? A Guide for Safety
Understanding Fixed Black Shadows in Vision: Causes and Concerns
Eye floaters? Thank you for taking the time to respond, Doctor. I would like to ask about an incident that occurred last week during a retinal examination at the hospital. The doctor noted that there were areas of thinning in my retina and performed preventive laser treatment. A ...
Dr. He Jianxian Reply:
Hello Mr. Zion: 1. Floaters come in various forms and are not fixed. 2. A constricted visual field means you cannot see certain things, rather than seeing extra things. 3. If applying red micro ointment before bed makes you uncomfortable, it is advisable to switch to another ...[Read More] Understanding Fixed Black Shadows in Vision: Causes and Concerns
Exploring Eye Symptoms: When Blue Lines and Noise Indicate Brain Issues
Other outpatient clinics related to ophthalmology? Hello Doctor, I see blue lines and visual noise in my field of vision. I found some information related to visual snow syndrome, but it's not just in one eye; sometimes I also see blue dots flashing. This symptom has persist...
Dr. Liang Ce Reply:
It is recommended to seek medical consultation at a medical center. Wishing you good health, thank you~[Read More] Exploring Eye Symptoms: When Blue Lines and Noise Indicate Brain Issues