Understanding Over-Prescription Issues in High Myopia Patients
Issues with Over-Prescription of Glasses Hello Doctor: I am a patient with high myopia. I wear contact lenses during the day and switch to glasses (for both distance and near vision) after work. Currently, my contact lens prescription is R -10.00 and L -9.50, while my glasses pre...
Dr. Cai Wenyuan Reply:
Hello, it is best to use the measurements taken after dilation as the standard. Wishing you safety and health. Sincerely, Dr. Tsai Wen-Yuan, Director of the Ophthalmology Department, Taoyuan General Hospital, Ministry of Health and Welfare.[Read More] Understanding Over-Prescription Issues in High Myopia Patients
Understanding High Eye Pressure in Children: Causes and Solutions
Eye pain and elevated intraocular pressure? A first-grade student sleeps a sufficient 9 hours during the daily nap, has no after-school care, does not use electronic devices, and does not watch television. Homework takes about 2 hours at home, yet she complains of eye pain every ...
Dr. Cai Wenyuan Reply:
Hello, I apologize, but your question can only be answered through an actual consultation. Wishing you peace and good health. Sincerely, Dr. Tsai Wen-Yuan, Director of the Ophthalmology Department, Taoyuan General Hospital, Ministry of Health and Welfare.[Read More] Understanding High Eye Pressure in Children: Causes and Solutions
Understanding Parallax Issues in Vision: A Guide for Patients
Parallax issue Doctor, I have had vision problems since the first grade of elementary school (right eye myopia -50, left eye hyperopia +50). Initially, it was pseudomyopia, but it later progressed to true myopia. When I first developed myopia, I experienced some dilation, but it ...
Dr. Cai Wenyuan Reply:
Hello, based on your description, the use of glasses and patching one eye for treatment suggests a case of amblyopia. After the age of 18, the likelihood of an increase in prescription is reduced, and there should not be significant changes in binocular disparity. Wishing you pea...[Read More] Understanding Parallax Issues in Vision: A Guide for Patients
Understanding Retinal Detachment: Causes, Risks, and Treatment Options
Retinal detachment 1. In cases of pseudomyopia with a degree of 1000, and after dilation showing over 800 degrees, would surgery be a better option? 2. My eyes easily become fatigued and often have bloodshot appearances; what could be the underlying issue? 3. How many times more ...
Dr. Gao Pilin Reply:
Hello, sir: 1. Whether surgery is good or not varies from person to person. If you feel comfortable wearing glasses, surgery may not be necessary. Even if surgery corrects myopia over 800 degrees, there may still be over 100 degrees of pseudomyopia post-surgery, which will not ...[Read More] Understanding Retinal Detachment: Causes, Risks, and Treatment Options
Understanding Myopia: Causes, Correction Options, and Eye Care Tips
Correction of myopia Hello Dr. Tsai: After the release of the Pokémon game, I have been using my phone in the car. Recently, I’ve noticed that my vision is a bit blurry when looking at things in the distance. Could this be nearsightedness? If it is nearsightedness, I would like t...
Dr. Cai Wenyuan Reply:
Hello: Given your age, it is possible that excessive eye strain is leading to an increase in pseudomyopia rather than true myopia. However, it is advisable to seek medical confirmation. When using electronic devices, try to limit the duration of use, ensure adequate lighting, and...[Read More] Understanding Myopia: Causes, Correction Options, and Eye Care Tips
Understanding Floaters: Common Questions and Concerns About Eye Health
The issue of floaters? Hello, doctor. I discovered that I have floaters two months ago. Last month, I went to a clinic, and last week I went to a hospital for an examination. They said my retina is fine, but I currently have the following issues: 1. A few days ago, during a dil...
Dr. Gao Pilin Reply:
Hello, Bell: 1. The presentation of floaters can vary depending on their size and location. However, I'm not sure what "internal vision" refers to. 2. It should also be floaters. 3. The increase or decrease in floaters is generally considered a normal phenomeno...[Read More] Understanding Floaters: Common Questions and Concerns About Eye Health
Understanding Myopia Prevention in Young Children: Key Insights
Prevention of Myopia in Young Children Hello Dr. Tsai, it is commonly said that the most important way to prevent myopia is to avoid prolonged continuous eye use. My 5.5-year-old child has developmental delays, so many early intervention activities involve visual tasks. Although ...
Dr. Cai Wenyuan Reply:
Children should avoid learning too early. Reading and resting are certainly beneficial, and avoiding prolonged close-up activities is key to preventing myopia. Thank you.[Read More] Understanding Myopia Prevention in Young Children: Key Insights
Understanding Floaters and Retinal Health in High Myopia Patients
Floaters and retinal detachment? Hello Doctor: 1. I am a patient with high myopia, with a pseudomyopia reaching 1100 diopters. After undergoing dilation examination, my prescription decreased to over 800 diopters. Will my risk of developing retinal detachment be significantly h...
Dr. Gao Pilin Reply:
Dear Mr. Wang, 1. High myopia has a certain probability of causing retinal tears or even detachment; however, if regular check-ups are conducted, early treatment can be initiated, reducing the risk significantly. 2. Vision tends to be less clear in dim lighting, and this can be ...[Read More] Understanding Floaters and Retinal Health in High Myopia Patients
Does Incorrect Glasses Prescription Worsen Myopia? Expert Insights
Issues with prescription glasses? Is it true that insufficient prescription glasses or blurry lenses can worsen myopia? Secondly, if I suspect that I have pseudomyopia, is it better to wait a while before getting new glasses?
Dr. Gao Pilin Reply:
Hello: Insufficient prescription can lead to unclear vision, but myopia should not increase. Lens wear can cause more eye fatigue. You can use a cycloplegic agent to dilate the pupils and then check the prescription to rule out pseudomyopia. In Taiwan, the ophthalmology departmen...[Read More] Does Incorrect Glasses Prescription Worsen Myopia? Expert Insights
Understanding Pseudomyopia: Effects on Axial Length and Retina Health
Pseudomyopia issues Hello, Dr. Gao: 1. Does an increase in adult pseudomyopia lead to further elongation of the axial length? 2. If adult pseudomyopia is successfully corrected, can it help in shortening the axial length? 3. Does adult pseudomyopia affect the thickness of the r...
Dr. Gao Pilin Reply:
Hello, Guan-Min: 1. The cause of pseudomyopia is the contraction of the ciliary muscle. Axial elongation is the cause of true myopia. The two are different. 2. Same as 13. It will not happen. 4. It should not happen, but high myopia can lead to retinal degeneration. Taiwan ...[Read More] Understanding Pseudomyopia: Effects on Axial Length and Retina Health
Understanding Pseudomyopia Treatment Options for Adults
Treatment for Adult Pseudomyopia Hello Dr. Gao, I recently went for an eye examination and found that there is a difference of over 125 degrees between the refractive measurements of my left and right eyes before and after dilation. Before dilation: Left eye - 9.00 with astigmati...
Dr. Gao Pilin Reply:
Hello, Xiao Luo: 1. Your myopia is likely caused by the strain on the ciliary muscles from wearing glasses that may be too strong. You can use the prescription obtained after dilation to wear glasses, which will help relax your eyes and prevent further increase in myopia. 2. Thi...[Read More] Understanding Pseudomyopia Treatment Options for Adults
Managing Post-Laser Vision Changes: Tips for Eye Health and Clarity
Myopia three years after laser surgery? Hello Doctor: Three years ago, I had a myopia of 450-500 degrees, and after laser surgery, my vision in both eyes was 1.5. However, for the past two months, I have been experiencing eye fatigue and blurred vision, and during a company healt...
Dr. Wang Zhangji Reply:
Pupil dilators can alleviate pseudomyopia, and it is important to avoid prolonged near work.[Read More] Managing Post-Laser Vision Changes: Tips for Eye Health and Clarity
Understanding Pseudomyopia in Children: A Guide for Parents
Pseudomyopia Hello, doctor! My child is 6 years old and in the first grade. We visited the clinic for a vision check, and the results showed unaided vision of 1.0 in the left eye, 1.0 in the right eye, and 1.2 in both eyes. However, the machine's refraction values indicated ...
Dr. He Jianxian Reply:
It is quite common for children to exhibit several diopters of pseudomyopia during refraction without the use of cycloplegic agents. It is recommended that your child undergoes a refraction test at an ophthalmologist after having received Atropine. If the myopic measurements have...[Read More] Understanding Pseudomyopia in Children: A Guide for Parents
Understanding Vision Issues in Twins: Expert Insights on Eye Health
Could you please provide more details or specify your question regarding vision? Hello Dr. Wang, I have a pair of twins (currently 16 years old, in the second year of high school). Yesterday, I took my older son to an ophthalmologist. His left eye has a vision of 0.3 with 100 deg...
Dr. Wang Zhishun Reply:
Hello, the refractive error of the eyes generally stabilizes around the ages of 18 to 20, while visual development typically completes around 10 to 12 years of age. The older son's condition is still within an acceptable range and does not pose issues of dependency or deteri...[Read More] Understanding Vision Issues in Twins: Expert Insights on Eye Health
Can Adults Develop Axial Myopia from Prolonged Near Work?
Adult myopia I would like to ask about a 30-year-old adult with astigmatism in both eyes measuring 50.75, with no myopia. Is it still possible for prolonged near work to lead to an increase in axial length? I understand that in adults, prolonged near work may cause ciliary muscle...
Dr. Gao Pilin Reply:
Hello, Lin: It is not easy for adults to develop axial myopia again; however, prolonged improper use of the eyes can lead to myopia due to the ciliary muscle's inability to properly adjust the lens, although this is not axial myopia. Extended eye strain does not significantl...[Read More] Can Adults Develop Axial Myopia from Prolonged Near Work?
Understanding Eye Strain: Can Muscle Tension Affect Eye Shape and Vision?
Troubled for a long time? Doctor, I have been troubled by many questions for a long time, and I would appreciate your help in answering them. Thank you. 1. I previously asked other doctors whether the strength of the eye muscles (such as forcefully closing the eyes, tensing the ...
Dr. Gao Pilin Reply:
Hello: 1. The issue of eye strain, since you are an adult, has a limited impact on myopia, although it can cause fatigue. It also has a minimal effect on increasing intraocular pressure, so there is no need to be overly anxious. 2. Unless there is intense physical activity, your ...[Read More] Understanding Eye Strain: Can Muscle Tension Affect Eye Shape and Vision?
Understanding Myopia, Astigmatism, and Strabismus: Your Questions Answered
Myopia, astigmatism, and strabismus? Hello, doctor: "I'm afraid it still cannot decrease by 100 degrees." Does this mean it is completely impossible to decrease, or is it just "very difficult"? I don't want laser treatment... Is it not possible to de...
Dr. Zhuang Yamin Reply:
Hello: Regarding myopia, the part that has potential for improvement is what is known as "pseudomyopia." Even in adulthood, prolonged near work can still lead to the development of pseudomyopia. To determine the extent of pseudomyopia, it is necessary to perform a dilat...[Read More] Understanding Myopia, Astigmatism, and Strabismus: Your Questions Answered
Can Myopia or Amblyopia Improve with Reduced Screen Time?
Is it possible for true myopia or amblyopia to decrease in severity? If I stop using the computer and phone so much and massage around my eyes while looking into the distance, can I reduce my myopia, which is currently around -300, and astigmatism, which is -100, to -100 over tim...
Dr. Zhuang Yamin Reply:
Hello: First, the definition of amblyopia in adults should be that visual acuity remains below normal values even after wearing appropriate corrective lenses, and there are no other optic nerve or retinal diseases. Therefore, if the accuracy of the prescription is uncertain or if...[Read More] Can Myopia or Amblyopia Improve with Reduced Screen Time?
Understanding Light Sensitivity and Night Vision Issues in Myopia
Photophobia and nocturnal diplopia? Hello, Doctor. I have high myopia (L: -9.25, R: -9.0, latest refraction) but I usually wear glasses with a prescription of L: -7.5, R: -7.25 (from four years ago when I was 22). My left eye has 25 degrees of astigmatism and I experience floater...
Dr. He Jianxian Reply:
It is recommended that you visit an ophthalmology specialist for an examination and consultation, as this may help identify the underlying cause more easily.[Read More] Understanding Light Sensitivity and Night Vision Issues in Myopia
Understanding Your Child's Vision: Addressing Nearsightedness and Astigmatism
A child who is about to turn three years old has a visual acuity of 0.7 in both eyes? My child will turn three in four days. A month ago, we visited an ophthalmologist because since birth, the lower eyelashes have been rubbing against the eyeball, causing excessive tearing and di...
Dr. Zhuang Yamin Reply:
Dear Min-Hsin, Hello! The visual development of a three-year-old child is not yet complete, and a visual acuity of 0.7 is not considered abnormal. In simple terms, his current visual development status is normal (no amblyopia). However, due to the presence of significant refract...[Read More] Understanding Your Child's Vision: Addressing Nearsightedness and Astigmatism