Vision Issues in Seniors: Is Cataract Surgery the Right Choice?
Vision problems in the elderly? Hello, doctor. My elderly relative is over 80 years old and has blurry vision for both distance and near. Due to their age, they have chronic conditions such as heart disease and hypertension. They wear glasses for both near and distance vision, bu...
Dr. He Jianxian Reply:
Dear Mr. Xiao You: If cataracts are affecting your vision and daily life, relying on corrective lenses may not be very effective. If the situation allows, you might consider addressing the cataract issue, as it could lead to more significant improvement. Director He Jianxian, Oph...[Read More] Vision Issues in Seniors: Is Cataract Surgery the Right Choice?
Managing Eye Fatigue and Presbyopia: Solutions for Microscope Users
Eye fatigue and presbyopia? Hello, doctor! I have hyperopia with +1.65 in my left eye and +0.75 in my right eye, along with presbyopia. My ophthalmologist recommended +2.00 reading glasses. Currently, my job requires me to look through a microscope, but I still find it difficult ...
Dr. Gao Pilin Reply:
Hello: Based on your description, you are experiencing hyperopia and presbyopia, and despite using reading glasses, you still feel unclear vision and heaviness in your eyelids, which affects your daily work. This situation requires careful analysis and adjustment. Here are some s...[Read More] Managing Eye Fatigue and Presbyopia: Solutions for Microscope Users
Understanding Vision Issues: Is It Prescription or Eye Condition?
Eyeglasses Issues I recently noticed that with my glasses, my right eye sees distant objects more clearly but has difficulty seeing nearby objects, while my left eye is the opposite. Could this be an issue with the prescription, or could there be some underlying eye condition? Th...
Dr. Gao Pilin Reply:
Hello: Based on the situation you described, there could be several reasons for this phenomenon: 1. Prescription mismatch: Your glasses prescription may not fully match your vision needs. If your right eye sees clearly at a distance but not up close, while the left eye is the opp...[Read More] Understanding Vision Issues: Is It Prescription or Eye Condition?
Understanding Blurry Vision with Soft Contact Lenses: A Guide for High Myopia
One eye is blurry with soft contact lenses? Hello Doctor: I have high myopia (the most recent measurement was two weeks ago: left eye approximately -1200 diopters with astigmatism of -175; right eye approximately -1075 diopters with astigmatism of -175). However, each time I have...
Dr. Gao Pilin Reply:
Hello: Based on the situation you described, there are several possible reasons that could explain your vision fluctuations: 1. Inconsistent prescription between glasses and contact lenses: You mentioned that the prescriptions for your glasses and contact lenses differ, which ma...[Read More] Understanding Blurry Vision with Soft Contact Lenses: A Guide for High Myopia
Persistent Left Eyelid Twitching: Causes, Concerns, and Next Steps
The left eyelid has been twitching intermittently for nearly a year? Hello, my left eyelid has been twitching constantly for nearly a year. It feels like there is something inside my eyeball that is expanding and contracting rhythmically, which is very uncomfortable. I have not b...
Dr. He Jianxian Reply:
Hello Mr. Lin: The subjective twitching of the eyelid is generally not considered to require treatment in ophthalmology, unless it is accompanied by severe spasms that make it difficult to open the eyes or simultaneous facial twitching. If these two phenomena are present, it is n...[Read More] Persistent Left Eyelid Twitching: Causes, Concerns, and Next Steps
Training Ciliary Muscles: Risks and Benefits for High Myopia
Ciliary muscle training and retinal tears? Hello, doctor. A while ago, I went to an optical shop to get glasses, and I mentioned to the optometrist that sometimes things appear double. The optometrist suggested that I could train my ciliary muscles by practicing convergence exerc...
Dr. Gao Pilin Reply:
Hello: Ciliary muscle training is generally considered a safe and effective method for improving vision. It can help relax the ciliary muscle, alleviate eye fatigue, and improve vision issues such as myopia and presbyopia. However, there is some controversy regarding the suitabil...[Read More] Training Ciliary Muscles: Risks and Benefits for High Myopia
Understanding Double Vision: Causes and Solutions for Eye Issues
Continuation of Inquiry #206758: Question Regarding Diplopia Dear Dr. Gao, Thank you very much for your professional response and advice regarding the "Double Vision Inquiry #206758." I will find time to have my eyes checked at an ophthalmology clinic. I would like to ...
Dr. Gao Pilin Reply:
Hello: Q1. Your understanding is generally correct. If the corneal shape is confirmed to be normal and there is a phenomenon of double vision with text, it may be caused by myopia or astigmatism. Myopia causes distant objects to appear blurry, while astigmatism may prevent ligh...[Read More] Understanding Double Vision: Causes and Solutions for Eye Issues
Understanding Presbyopia and Prescription Glasses: Your Eye Care Questions Answered
Presbyopia/Prescription Glasses Issues Hello, Doctor: I have been wearing stress-relief lenses for over two years. For distance vision: Right eye: myopia -800, astigmatism -400. Left eye: myopia -725, astigmatism -350. The lower section is said to be presbyopia, so the prescripti...
Dr. Gao Pilin Reply:
Hello: 1. Regarding the clarity issue with myopia, even with stress-relief lenses, one may still experience blurriness due to presbyopia and accommodation problems. For prolonged computer use, it is recommended to use computer-specific glasses or multifocal lenses to enhance clar...[Read More] Understanding Presbyopia and Prescription Glasses: Your Eye Care Questions Answered
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 Prescription Changes and Eye Health Concerns
Regarding prescription and eyewear issues? Hello, Director Gao! I apologize for the interruption. I recently experienced some issues with my eyes and would like to seek your advice. I have high myopia in my right eye (over -900 degrees) and moderate myopia in my left eye (over -6...
Dr. Gao Pilin Reply:
Hello: 1. Muscle aging can lead to slower focusing, and increasing the prescription of your lenses may help improve focusing speed. New glasses can provide clearer vision, reduce muscle fatigue, and thereby enhance focusing performance. As you are approaching 40 years old, you ma...[Read More] Understanding Prescription Changes and Eye Health Concerns
Understanding Presbyopia: Can It Reach High Degrees Like Myopia?
Presbyopia issues Can the degree of presbyopia reach as high as 700-800 diopters like myopia? Is there a maximum limit for presbyopia? Additionally, if I have myopia of 350 diopters and presbyopia of 300 diopters, would this potentially cancel out my myopia, allowing me to see cl...
Dr. Gao Pilin Reply:
Hello: Presbyopia typically does not reach levels as high as myopia, which can be as severe as 700-800 diopters. Presbyopia refers to the gradual loss of elasticity in the lens of the eye as one ages, affecting the ability to focus on near objects. Regarding the upper limit of pr...[Read More] Understanding Presbyopia: Can It Reach High Degrees Like Myopia?
Can Using One Eye for Reading Help with Strabismus Issues?
Strabismus. Reading or using the computer with only one eye? Hello, doctor. Four years ago, I started experiencing double vision when looking at close objects, such as reading or using my phone, especially when reading text. However, I can exert some effort to fuse the images bac...
Dr. Gao Pilin Reply:
Hello: The symptoms of diplopia you described may be related to your latent exotropia. Generally, wearing prisms for strabismus correction is a common approach. However, you mentioned feeling uncomfortable when wearing the prisms, which may indicate poor adaptation to this correc...[Read More] Can Using One Eye for Reading Help with Strabismus Issues?
Choosing the Right Lens Power for Cataract Surgery with One Eye Left
I would like to inquire about the choice of lens power for cataract surgery in a patient with only one functioning eye? Dear Director Gao, A few years ago, I underwent surgery for a retinal detachment in my right eye, during which an artificial intraocular lens was implanted. Th...
Dr. Gao Pilin Reply:
Hello: You have two options to choose from based on your needs: 1. According to your ophthalmologist's recommendation, after surgery on your left eye, you will have no prescription, allowing you to see far without glasses, while you can wear reading glasses for near vision. ...[Read More] Choosing the Right Lens Power for Cataract Surgery with One Eye Left
Understanding Eye Issues: Edema, Myopia, and Presbyopia Explained
Edema, myopia, presbyopia? Hello, Doctor. 1. It is said that one possible cause of retinal edema includes microvascular hemorrhage (a consequence of ocular stroke) and unknown tumors. Currently, I have edema in my right eye, and I previously experienced bleeding in the same eye...
Dr. He Jianxian Reply:
Dear Miss Marilian, 1. The term "卧蠶" (wò cán) refers to a specific type of swelling and is not related to tumors. 2. If the edema persists and significantly affects vision, consideration should be given to whether to proceed with intravitreal injections. 1. As one ag...[Read More] Understanding Eye Issues: Edema, Myopia, and Presbyopia Explained
Understanding Blurry Vision: Possible Causes and Solutions for Eye Fatigue
The eyes appear as if they have been dilated with a mydriatic agent? Hello, Doctor. I have hyperopia, with my left eye at +50 diopters and my right eye at +100 diopters. After using a dilating agent, the measurements were +125 diopters for the left eye and +150 diopters for the r...
Dr. Gao Pilin Reply:
Hello: Although presbyopia is less common in younger individuals, it can still occur at times. Presbyopia is a colloquial term, as it typically affects older adults. It is essentially a condition characterized by insufficient near accommodation of the eyes. Since you are farsight...[Read More] Understanding Blurry Vision: Possible Causes and Solutions for Eye Fatigue
Post-Cataract Surgery: Struggling with Intermediate Vision Issues
Postoperative cataract patients may experience difficulty seeing at intermediate distances? Hello, Doctor Gao. I have come to consult you again. I had cataract surgery on my right eye on November 8, using an aspheric monofocal intraocular lens. I took three days off, and just now...
Dr. Gao Pilin Reply:
Hello: 1. You can first purchase a pair of disposable contact lenses to wear on your left eye. The prescription should be approximately between -3.00 to -4.00 diopters; you can try to see which prescription is more suitable for computer use. 2. You may want to get a pair of glass...[Read More] Post-Cataract Surgery: Struggling with Intermediate Vision Issues
Understanding Focus Issues: Insights on Eye Health and Treatment Options
Eye focusing issues? Hello, doctor. I have high myopia and floaters. In mid-September, I visited two ophthalmology clinics due to focusing issues. The first clinic mentioned that I have a slight exophoria and prescribed me a pair of glasses with a prism. The second clinic suggest...
Dr. Gao Pilin Reply:
Hello: 1. Focusing Issues: The focusing problems you described may be caused by high myopia, which might require adjustments to your eyeglass or contact lens prescription. Due to the different prescriptions, you may find it difficult to focus, especially at close distances. 2....[Read More] Understanding Focus Issues: Insights on Eye Health and Treatment Options
Understanding Binocular Disparity: Key Considerations for Eye Surgery
Binocular disparity issue? Thank you for the previous response, Doctor. I have more questions to ask. My right eye is scheduled for surgery on November 8, and my left eye has -500 diopters of myopia and mild cataracts (but does not require surgery). Both eyes have +250 diopters o...
Dr. Gao Pilin Reply:
Hello: 1. Should the degree of the right eye be preserved during surgery to avoid excessive binocular disparity, and what is the recommended degree? When considering whether to preserve the degree, you should follow the advice of your ophthalmologist. Typically, after surgery w...[Read More] Understanding Binocular Disparity: Key Considerations for Eye Surgery
Comparing Non-Dilated Eye Exams to Traditional Dilated Checks
Options for Regular Eye Examinations Hello, doctor. I have a myopia of -6.75 diopters, presbyopia, and mild astigmatism. Every year, I undergo dilated fundus examinations, as well as vision and intraocular pressure checks at an ophthalmology clinic. Today, I came across a type of...
Dr. Gao Pilin Reply:
Hello: Non-dilated fundus photography: This method typically uses specialized imaging equipment that can capture fundus images without the use of dilating agents. This may be more convenient for patients who need to quickly return to their daily work or activities. However, non-d...[Read More] Comparing Non-Dilated Eye Exams to Traditional Dilated Checks
Understanding Your Eyeglass Prescription: When to Update and How
Issues with prescription glasses? Hello, Doctor Gao. I am 43 years old. I recently had a health check-up, and before dilation, my left eye had a prescription of -5.25 diopters for myopia and +2.00 for astigmatism, while my right eye had -4.50 diopters for myopia and +2.25 for ast...
Dr. Gao Pilin Reply:
Hello: 1. Do you need to get a new pair of glasses? Yes, based on the ophthalmologist's recommendation, you need to get a new pair of glasses. Since your prescription has changed, your current glasses may not provide adequate correction, leading to eye strain and headaches. ...[Read More] Understanding Your Eyeglass Prescription: When to Update and How