Understanding Floaters: Common Questions About Eye Health and Vision
Questions related to floaters? Myopia: left eye -200, right eye -0; astigmatism: both eyes -275. When I look at a white wall with one eye (both eyes are open), after a while, I notice some yellow spots in my field of vision that seem to float around like floaters. I have the foll...
Dr. Gao Pilin Reply:
Hello Mr. Fang: 1. Sometimes, faint floaters may appear light yellow due to the refraction of light. 2. Typically, the decision is made based on the areas that are being pulled. 3. Elevated intraocular pressure can damage the optic nerve.[Read More] Understanding Floaters: Common Questions About Eye Health and Vision
Understanding Optic Nerve Damage: Treatment Timelines and Recovery Insights
Optic nerve damage Hello, my husband suffered a severe impact to his left eye socket on July 10 due to improper work operation. He was taken to the emergency room where he was found to have significant hemorrhage inside the eye, resulting in complete loss of vision in the left ey...
Dr. Gao Pilin Reply:
Hello Mrs. Lai: If you have already recovered about 70%, it is recommended that you visit a hospital with a specialized ophthalmology department for further examination. Initially, due to the presence of bruising, a thorough examination was not possible, but now it may be easier ...[Read More] Understanding Optic Nerve Damage: Treatment Timelines and Recovery Insights
Understanding Eye Floaters and Flashing Lights in High Myopia Patients
The appearance of large areas of floaters that resemble stains or ink splashes in the field of vision? Hello, Doctor Gao. I am a person with high myopia (850, 950). Since mid-June, I have experienced the issues mentioned above. I went for a fundus examination at the clinic on Jun...
Dr. Gao Pilin Reply:
Hello: This may be a case of extensive floaters, which is why you see a large area obscured. This is caused by vitreous degeneration. If the examination shows no issues, you will have to coexist with it peacefully, and over time, it should gradually improve. Currently, the more p...[Read More] Understanding Eye Floaters and Flashing Lights in High Myopia Patients
Understanding the Prescription of Corning Unis for Eye Health Concerns
Confusion regarding the prescription of Corning Optical's lenses during an ophthalmic examination? Hello, Doctor He. I am currently 20 years old and went for my final eye examination before studying abroad. During this examination, a microsonography was performed (I used the...
Dr. He Jianxian Reply:
This medication should only be prescribed if cataracts are present; however, even if cataracts are not present, using it should not pose any issues. Director He Jian-xian, Ophthalmology Department, Nantou Hospital.[Read More] Understanding the Prescription of Corning Unis for Eye Health Concerns
Understanding Eye Pressure: Concerns for High Myopia Patients
Intraocular pressure related? Hello Dr. Gao, I have high myopia (around -800) and regularly undergo eye examinations. In previous years, my intraocular pressure (IOP) was approximately 17-18 mmHg, but last month, during an examination for conjunctivitis, my IOP was found to be ar...
Dr. Gao Pilin Reply:
Hello LIN: If you have elevated intraocular pressure, it is also important to assess the thickness of the cornea. An intraocular pressure of 20-22 mmHg generally does not produce noticeable symptoms. Whether medication is needed should be evaluated based on the condition of the o...[Read More] Understanding Eye Pressure: Concerns for High Myopia Patients
Understanding Eye Exam Results and Medication Concerns Before Studying Abroad
Questions about ophthalmic examination content and medications? Hello Dr. Liang. I am currently 20 years old and will be going abroad for studies in a month. I recently had my last routine eye examination before leaving, but I have some concerns and questions regarding the examin...
Dr. Liang Ce Reply:
It is recommended that you discuss the above situation with your attending physician to determine if further examinations are necessary. Thank you, and wishing you good health![Read More] Understanding Eye Exam Results and Medication Concerns Before Studying Abroad
Understanding Retinal and Optic Nerve Issues: Key Questions Answered
Retinal and optic nerve issues? Hello, Doctor Gao! Two years ago, I underwent retinal repair, and the doctor also performed a fundus examination using other instruments. Since then, I have been regularly monitoring my retinal condition approximately every six months, but I haven&...
Dr. Gao Pilin Reply:
Hello Jessie: 1. The doctor should have mentioned that the peripheral retina is thinner when looking downward, not the macula. 2. There may be a loss of central vision. If this leads to retinal detachment, vision can deteriorate significantly. 3. Avoid eye strain, prevent worseni...[Read More] Understanding Retinal and Optic Nerve Issues: Key Questions Answered
Understanding the Relationship Between High Myopia and Cup-to-Disc Ratio
High myopia cup-to-disc ratio question? Hello, doctor. I have high myopia (R1200, L900) and floaters. Currently, my prescription changes by about 50 degrees after dilation (the doctor said this is normal), and my intraocular pressure measurements have always been normal. During a...
Dr. Gao Pilin Reply:
Hello JJ: 1. The cup-to-disc ratio is an indicator used to assess the optic nerve, and a slightly elevated cup-to-disc ratio caused by high myopia does not necessarily indicate glaucoma. 2. Diagnosis codes are sometimes required for examinations, but the presence of a diagnosis m...[Read More] Understanding the Relationship Between High Myopia and Cup-to-Disc Ratio
Understanding Floaters: When to Seek Eye Care and Safety Tips
Observation of Floaters Hello, I have myopia of -775 diopters in my left eye and -800 diopters in my right eye. About a month ago, I visited an ophthalmologist for a vitreous floaters examination using a funduscope. The doctor mentioned that my retina was fine, but the optic nerv...
Dr. Gao Pilin Reply:
Hello: Actually, a gradual increase is generally not a concern, unless there is a significant surge that requires special attention. Therefore, an increase of 3 to 5 is considered normal. However, if there is a sudden increase of 10 to 20, it would be necessary to get it checked....[Read More] Understanding Floaters: When to Seek Eye Care and Safety Tips
Understanding High Myopia and Steroid-Related Eye Pressure Issues
High myopia and steroid-related issues? Dear Dr. Gao, Several months ago, you visited the clinic for conjunctivitis. Due to your high myopia, the doctor suspected glaucoma, and your intraocular pressure (IOP) was measured at 18 mmHg. Your refractive error was approximately -8.00...
Dr. Gao Pilin Reply:
Hello, Alley: 1. Anxiety may increase, and there may also be machine errors. 2. The morphology of the optic nerve is one indicator, but visual field testing should be the primary reference. 3. No. 4. If it has already decreased, there is no need for concern, but remember to infor...[Read More] Understanding High Myopia and Steroid-Related Eye Pressure Issues
Understanding Optic Nerve Examination: What You Need to Know
Regarding optic nerve examination? Hello, Doctor. I apologize for the interruption. I would like to ask about the optic nerve examination. I just had a fundus examination, and the doctor determined that the condition of my eyes is normal, with no high intraocular pressure, and bo...
Dr. Gao Pilin Reply:
Hello: Glaucoma is a type of optic nerve disorder, but an examination of the optic nerve does not necessarily mean that glaucoma is being assessed. However, if glaucoma is suspected, some neurological examinations may be conducted.[Read More] Understanding Optic Nerve Examination: What You Need to Know
Understanding Glaucoma Concerns in High Myopia Patients: Key Insights
Concern for glaucoma Hello Doctor, I have high myopia with a prescription of -6.25 and -6.75. I would like to ask about my OCT results. The doctor at the clinic mentioned that my retinal nerve fiber layer is thinner, and my intraocular pressure was 20 and 21 on that day. Later, I...
Dr. Gao Pilin Reply:
Hello Ms. Lin: 1. You might need to ask the interpreting physician; I'm not sure. 2. It could be normal. 3. It's possible.[Read More] Understanding Glaucoma Concerns in High Myopia Patients: Key Insights
Understanding Retinopathy of Prematurity: Key Insights and Concerns
Retinal issues Hello, does retinopathy of prematurity primarily affect the peripheral retina, resulting only in peripheral visual field loss? (Because the surgically treated peripheral retina may have defects?) The presence of a 30-degree visual field loss in retinopathy of prema...
Dr. Gao Pilin Reply:
Hello, Xin: Because most of your questions are not within my area of expertise, I am afraid of giving you incorrect answers. It is best to consult your retinal specialist. Thank you for your continued support. Does retinopathy of prematurity (ROP) primarily affect the periphera...[Read More] Understanding Retinopathy of Prematurity: Key Insights and Concerns
Understanding Peripheral Vision Loss: Severity, Causes, and Impacts
Peripheral vision Hello, regarding the peripheral vision, if the horizontal plane is considered as 0 degrees, with an upward vision of 45 degrees and a downward vision of 60 degrees measured from 0, the lateral vision is 180 degrees, and the inner vision is 30 degrees, extending ...
Dr. Gao Pilin Reply:
Hello, Xin: Regarding peripheral vision, if the horizontal plane is considered 0, with an upward vision of 45 degrees and downward vision of 60 degrees measured as 0, lateral vision at 180 degrees, and nasal vision at 30 degrees, with lateral vision extending to 135 degrees, how ...[Read More] Understanding Peripheral Vision Loss: Severity, Causes, and Impacts
Understanding Fundus Examination: Concerns for High Myopia Patients
Fundus examination Hello, doctor. I have high myopia, with one eye at -6.75 and the other at -6.25. Today, during a fundus examination with a digital scan, I had some difficulty with my left eye. They kept asking me to look to the right, but I was already doing so, and the machin...
Dr. Gao Pilin Reply:
Hello Ms. Wang: 1. It may or may not happen. 2. It could be a possibility, or it might just be congenital. However, normal vision indicates that it has not yet reached the level of glaucoma. 3. Each physician has their own way of making judgments, and interpretations may vary.[Read More] Understanding Fundus Examination: Concerns for High Myopia Patients
Understanding High Eye Pressure: Causes, Concerns, and Treatment Options
The issue of elevated intraocular pressure? Hello, Doctor Gao. I have high myopia (approximately -800 diopters) and severe floaters (I can see many floaters in both eyes). Recently, due to frequently seeing small bright spots, I visited an ophthalmology clinic for a fundus examin...
Dr. Gao Pilin Reply:
Hello: 1. Unilateral hypertension is also common. 2. The two may be unrelated; pain in the brow area is often associated with trigeminal neuralgia. 3. If the reading of 31 is also elevated, it is advisable to use medication before further examination. 4. It may be thought that a ...[Read More] Understanding High Eye Pressure: Causes, Concerns, and Treatment Options
Managing Acute Angle-Closure Glaucoma: Treatment and Care Strategies
Acute angle-closure glaucoma management and treatment options include: 1. **Medications**: Immediate treatment often involves medications to lower intraocular pressure. These may include carbonic anhydrase inhibitors (e.g., acetazolamide), topical beta-blockers (e.g., timolol),...
Dr. He Jianxian Reply:
In the case of an acute glaucoma attack, it is generally necessary to urgently lower intraocular pressure. If the pressure can be successfully reduced, subsequent treatment involves laser iridotomy, and emergency surgery becomes an unavoidable option. After the acute phase of tre...[Read More] Managing Acute Angle-Closure Glaucoma: Treatment and Care Strategies
Common Eye Issues: Concerns About Steroid Use and Dry Eye Management
Eye problems 1. Hello, I would like to ask about my previous long-term use of Betamethasone eye ointment on my eyelids for four years. I later learned that it contains steroids and should not be used long-term, so I stopped using it immediately. I had a fundus examination, and my...
Dr. He Jianxian Reply:
If the examination shows no abnormalities in intraocular pressure or the optic nerve, discontinuing treatment typically does not lead to secondary glaucoma. Regarding dry eyes, using eye ointments can often lead to blockage, so it is important to maintain regular cleaning. There ...[Read More] Common Eye Issues: Concerns About Steroid Use and Dry Eye Management
Addressing Diplopia and Eye Deformity After Orbital Fracture Surgery
The inward deviation of the right eye is causing double vision issues? Hello Doctor: My 21-year-old child fell from the fourth floor on January 2, 2022, resulting in facial fractures, particularly in the right orbital floor, leading to enophthalmos in the right eye. After undergo...
Dr. Liang Ce Reply:
It is advisable for you to discuss the above situation further with your attending physician to determine if any additional examinations are necessary. Thank you, and wishing you good health![Read More] Addressing Diplopia and Eye Deformity After Orbital Fracture Surgery
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