Others, Ophthalmology FAQ - Page 7

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Understanding the Worsening of Floaters: Symptoms and Concerns Explained

Worsening of floaters? Dear Dr. Gao, I have congenital myopia. During a check-up in first grade, my left eye was diagnosed with -500 diopters of myopia, while my right eye was normal. However, due to long-term reliance on my right eye, it has now progressed to -1300 diopters, an...


Dr. Gao Pilin Reply:
Hello Sabina: 1. These are all phenomena associated with floaters. 2. This is also a manifestation of vitreous degeneration. 3. This may also be a sign of vitreous degeneration; however, it can also occur before a migraine attack. 4. No, it will not. 5. Vitreous opacities are a r...

[Read More] Understanding the Worsening of Floaters: Symptoms and Concerns Explained


Understanding Vision Changes: Questions About Floaters and Eye Health

Questions about changes in vision? Hello, Doctor Gao! I have high myopia, with each eye measuring -7.00 diopters. Aside from experiencing floaters, I do not have any significant health issues. Six months ago, I visited two clinics for a fundus examination, and both doctors indica...


Dr. Gao Pilin Reply:
Hello, Qunqin: 1.2 may be visual illusions, which are not a concern. They are mostly physiological phenomena. You can refer to https://bit.ly/2VNsdxL. Snorkeling or diving should not pose any issues for you at this time, as there are no retinal problems, so there is no need for...

[Read More] Understanding Vision Changes: Questions About Floaters and Eye Health


Understanding High Myopia: Risks, Treatments, and Eye Care Tips

Vision problems Hello Dr. He: 1. I have high myopia, and I really don’t want to wear glasses for the rest of my life. I haven't taken good care of my eyes since childhood. 2. Why do I frequently have high intraocular pressure? 3. My myopia is -10.00 diopters, and I've ...


Dr. He Jianxian Reply:
Dear Ms. Chen, Most individuals do not experience significant increases in myopia after reaching adulthood; however, there are some exceptions, and you may be among this group. This could explain the continuous increase in your myopic refractive error. Once the axial length of t...

[Read More] Understanding High Myopia: Risks, Treatments, and Eye Care Tips


Understanding Myopia: Causes, Progression, and Management in Adults

Myopia, axial length Hello, Dr. Gao: 1. The eye's development is completed in adulthood, so the refractive error should not increase, right? Why do ophthalmologists say that the degree can still increase in adults? 2. Why is it that some people who have overused their eyes...


Dr. Gao Pilin Reply:
Hello Jiajing: 1. Clinically, there are a small number of adults who, even after reaching the age of 18, continue to experience an increase of more than 100 diopters each year, with some individuals accumulating myopia levels exceeding 2000 diopters, which is referred to as "...

[Read More] Understanding Myopia: Causes, Progression, and Management in Adults


Understanding High Myopia: Risks, Treatments, and Lifestyle Adjustments

High myopia I have high myopia, and I really don't want to wear glasses for the rest of my life. I haven't properly protected my eyes since childhood, which is why I often experience high intraocular pressure. My myopia is -10.00 diopters, and I've been told that h...


Dr. Gao Pilin Reply:
Hello Jiajing: I apologize, but it is currently not possible to restore the eyeball to a state of emmetropia before myopia developed. In cases of high myopia, the condition of the retina must be assessed. If there is no retinal damage, one can generally live a life similar to tha...

[Read More] Understanding High Myopia: Risks, Treatments, and Lifestyle Adjustments


Understanding Floaters: Why Do Some Experience More Than Others?

Floaters in the eye / Vitreous floaters / Vitreous liquefaction Thank you, doctor, for your prompt response! I am Kelvin, who raised the issue <a href="https://adoctor.tw/article/162386">#162386</a>. I would like to ask again. I inquired with a friend who ha...


Dr. Gao Pilin Reply:
Hello Kelvin: The degree and progression of floaters vary for each individual. Having more floaters does not necessarily mean it is more dangerous; it simply indicates a different level of degeneration. As long as you observe carefully and seek medical attention promptly if you n...

[Read More] Understanding Floaters: Why Do Some Experience More Than Others?


Understanding Fundus Exams: Alternatives to Pupil Dilation and Their Benefits

Fundoscopic examination I underwent laser surgery for my myopia in 1996 and have a history of floaters. Recently, I want to have a fundus examination, but I heard that dilating drops are usually required. However, there are now fundus cameras, ultra-widefield fundus imaging devic...


Dr. Gao Pilin Reply:
Hello Candy: The dilated fundus examination is a very quick procedure that typically involves minimal discomfort, allows for clearer vision, and has a high accuracy rate for examining the peripheral retina. If the physician recommends it, you should undergo the dilated examinatio...

[Read More] Understanding Fundus Exams: Alternatives to Pupil Dilation and Their Benefits


Sudden Increase in Floaters: What You Need to Know

An increase in the number of floaters? Hello, doctor. I have myopia close to 700 degrees, and I have had a few floaters for many years. Yesterday, before noon, everything was fine, but in the afternoon, the number of floaters suddenly increased dramatically. They are quite exagge...


Dr. Gao Pilin Reply:
Hello, Mimi: A sudden increase in floaters may be due to fluid from the vitreous body entering the vitreous cavity. This phenomenon may persist for a while; however, if there are no issues after dilation, you can be reassured. The small black spots are likely also related to floa...

[Read More] Sudden Increase in Floaters: What You Need to Know


Understanding Floaters: Early Diagnosis and Eye Health Management

Floaters issue? Hello Dr. Gao: I would like to ask you some questions. If floaters are diagnosed early (before the age of 20), does this early vitreous degeneration increase the likelihood of developing macular degeneration, vitreoretinal traction, or retinal disorders (traction)...


Dr. Gao Pilin Reply:
Hello Hao: Recently, with the increased use of electronic devices and excessive eye strain among young people, there has been an earlier onset of degeneration, and the age of onset for floaters has also been decreasing. Floaters are simply a sign of vitreous degeneration; if they...

[Read More] Understanding Floaters: Early Diagnosis and Eye Health Management


Understanding Astigmatism and Double Vision in Children: Key Insights

Diplopia / Astigmatism Thank you, doctor, for your prompt response last night regarding my child's astigmatism/diplopia issue! I would like to ask the doctor why some people with astigmatism experience diplopia while others with higher levels of astigmatism do not have this ...


Dr. Gao Pilin Reply:
Hello Kelvin: Astigmatism cannot exist without double vision; however, due to myopia, the vision is already unclear, making it difficult to distinguish double vision. If his myopia is corrected but the astigmatism is not, he will see overlapping images. In Taiwan, the Department ...

[Read More] Understanding Astigmatism and Double Vision in Children: Key Insights


Understanding Lattice Degeneration and High Myopia: Key Insights for Eye Health

High myopia retinal issues? Dear Doctor, Recently, I have been experiencing floaters and arc-shaped flashes in the corner of my eye. After undergoing dilation for an eye examination, it was discovered that there is a slight lattice degeneration in the lower left corner of my lef...


Dr. Gao Pilin Reply:
Hello Ms. Lin, 1. Retinal thinning can lead to an increased risk of holes. One reason for this is lattice degeneration of the retina. 2. Strabismus is not necessarily related to myopia. However, high myopia can be hereditary. 3. Some individuals remain healthy throughout their l...

[Read More] Understanding Lattice Degeneration and High Myopia: Key Insights for Eye Health


Understanding Vision Discrepancies: Why One Eye May See Better Than the Other

Eye problems Hello Doctor, I recently noticed that my vision in my right eye is blurrier than in my left eye. However, I actually measured my vision last week, and my left eye is 20/500 while my right eye is 20/450. I recall you mentioning to others that the visual abilities of b...


Dr. Gao Pilin Reply:
Hello, Mr. Fisher: A lower prescription does not necessarily mean better vision. The prescription and visual acuity are not always correlated. It is possible for someone with a prescription of -5.00 diopters to have better vision than someone with -4.50 diopters. In Taiwan, the D...

[Read More] Understanding Vision Discrepancies: Why One Eye May See Better Than the Other


Understanding Retinal Concerns and Laser Surgery Risks for Myopia

Retinal and myopia laser-related issues? Hello, Doctor. Thank you for your previous answers to my questions. I would like to add a few more inquiries, and I appreciate your help. 1. Does the retina become thinner with age? I found conflicting information online; some say it stab...


Dr. Gao Pilin Reply:
Hello, Ah Wei: 1. Typically, after reaching adulthood or when myopia stabilizes, the peripheral retina will not thin further. This thinning occurs due to the enlargement of the eyeball. 2. Undergoing laser surgery for myopia does not cause damage to the retina or the lens, nor d...

[Read More] Understanding Retinal Concerns and Laser Surgery Risks for Myopia


Understanding Floaters and Dry Eye Syndrome: What You Need to Know

Floaters and dry eye syndrome issues? Since last year, I have been experiencing floaters, and after March 3rd and 4th, they have increased, so I went to see an ophthalmologist. I underwent a fundus examination and had photos taken. The doctor told me that he did not see any float...


Dr. Gao Pilin Reply:
Hello Ms. Yu: The examination for floaters is not intended to visualize the floaters in your eyes, but rather to check for any retinal abnormalities. Typically, floaters cannot be seen during the examination. Floaters can persist for a long time and there is no specific treatment...

[Read More] Understanding Floaters and Dry Eye Syndrome: What You Need to Know


Understanding Eye Pain and Discomfort: Causes and Solutions

Swollen and painful eyes? Hello Doctor: Sometimes I experience pain in the left or right eye, specifically beneath the brow bone, a few times, along with a persistent feeling of pressure in the brow area. I also feel some downward pressure on my forehead and have an involuntary u...


Dr. Gao Pilin Reply:
Hello Yang: This situation is most commonly caused by eye fatigue. It is unlikely to be due to high intraocular pressure. Typically, it results from excessive use of the eyes. If not necessary, reducing the use of digital devices may improve the condition. You can also use the 20...

[Read More] Understanding Eye Pain and Discomfort: Causes and Solutions


Understanding Corneal Scarring and Haze After Laser Eye Surgery

Corneal scarring and corneal haze? Hello Doctor: I have undergone laser surgery for my myopia, and recently my left eye has been a bit blurry. I went to the hospital for an examination, and one doctor said it was corneal haze, while another doctor mentioned there is a scar near t...


Dr. Gao Pilin Reply:
Hello, Xiao Lin: After laser treatment, the degree of corneal scarring (crusting) varies among individuals due to factors such as prescription, constitution, and the extent of inflammation. Some may experience mild scarring, while others may have more pronounced scarring. It may ...

[Read More] Understanding Corneal Scarring and Haze After Laser Eye Surgery


Understanding Eye Exams: Retina Checks, Glasses, and Cataract Concerns

Fundus examination and prescription issues? Hello, Doctor. Thank you for taking the time to answer my questions. I have a few inquiries regarding my recent retinal examination... 1. When using an ophthalmoscope to examine the eyes, does the ophthalmoscope always need to make co...


Dr. Gao Pilin Reply:
Hello, Aimee: 1. There are different methods for fundus examination, some that do not contact the eyeball and others that do. The range of examination varies; for peripheral examination, a method that contacts the eyeball is used. 2. Presbyopia is a term that does not necessari...

[Read More] Understanding Eye Exams: Retina Checks, Glasses, and Cataract Concerns


Understanding Visual Disturbances: Symptoms and Solutions for Eye Issues

Diplopia and issues with colored lights? Hello, Doctor. I have several issues with my eyes that I would like to consult you about: 1. At night, when I look at bright lights, such as lamps or LED displays, I notice a layer that seems to float above them. For instance, with an LED...


Dr. Gao Pilin Reply:
Hello, Student Yang: 1. This is caused by astigmatism. During the day, the pupils are smaller, so it is less noticeable. 2. This is the prism effect, and there is no need to worry. Regardless of whether you have experienced this phenomenon before, it is a normal prism effect bas...

[Read More] Understanding Visual Disturbances: Symptoms and Solutions for Eye Issues


Understanding Elevated Eye Pressure: Questions and Insights for Patients

Consultation for intraocular pressure issues? Dear Dr. Gao, Hello, I am Ah Xiang, who previously asked you some questions. I sincerely appreciate your responses to my inquiries. Following your advice, I visited an ophthalmology clinic yesterday for a dilated fundus examination. ...


Dr. Gao Pilin Reply:
Hello, Ah-Xiang: 1. What part of the eye is primarily examined to determine if a person can use mydriatic agents? The size of the anterior chamber angle is assessed; if the angle is open, the use of mydriatic agents is less likely to cause an increase in intraocular pressure. 2...

[Read More] Understanding Elevated Eye Pressure: Questions and Insights for Patients


Understanding Sudden Visual Disturbances: What You Need to Know

Sudden onset of blind spots? Hello, Doctor. Recently, I have noticed that sometimes I see small dots or lines resembling blind spots (similar to black specks or static on a television screen), which I sometimes cannot perceive with my vision. These spots can move at times, but th...


Dr. Gao Pilin Reply:
Hello, Yuanlong: Both floaters and retinal detachment are phenomena associated with vitreous degeneration. Your condition is likely a type of floaters, and there is no need to worry excessively. However, it is still recommended that you undergo a dilated eye examination. If every...

[Read More] Understanding Sudden Visual Disturbances: What You Need to Know


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