Managing Eye Pain and Discomfort: Effective Eye Drops and Tips
Use of eye drops for swollen and painful eyes? Hello Doctor, I am highly myopic (approximately -10.00 diopters) with mild amblyopia in one eye and some photophobia. Currently, I spend about 6 hours a day on the computer and around 3 hours on my smartphone (often until bedtime, an...
Dr. Wang Zhishun Reply:
Hello, Patidar is a medication for mild dry eye syndrome and does not cause pupil dilation. Additionally, you are using digital devices for too long, and it is best to avoid using them before bedtime. I recommend adjusting your eye usage habits first, and if you still experience ...[Read More] Managing Eye Pain and Discomfort: Effective Eye Drops and Tips
Understanding Your Eye Exam: Trusting the Doctor's Assessment
Following the previous question (seeing yellow-green lines in the eyes)? Hello doctor, I underwent a dilated eye exam, and the doctor who examined me said that there were no significant issues with my retina. However, during the procedure, he mentioned to the nurse next to him th...
Dr. Gao Pilin Reply:
Hello Ms. Hsu: Pupil dilation is only for the convenience of examination and does not affect the diagnosis. If there are no issues after the examination, there is no need to worry; you can simply continue to observe. The Ophthalmology Department at Puzi Hospital in Taiwan is open...[Read More] Understanding Your Eye Exam: Trusting the Doctor's Assessment
Understanding Myopia Treatment: Concerns About Tropicamide and Eye Safety
I would like to inquire again about myopia treatment eye drops? I truly appreciate Dr. Wang for the detailed and prompt responses. Thank you so much. My child has had issues with allergies and asthma since a young age, along with congenital astigmatism that we have been monitorin...
Dr. Wang Zhishun Reply:
Hello, theoretically, short-acting tropicamide is safer than atropine; however, based on over 30 years of experience in Taiwan, both medications are actually very safe. National Taiwan University has published many related studies on the effects on the optic nerve and the dilatio...[Read More] Understanding Myopia Treatment: Concerns About Tropicamide and Eye Safety
Understanding Pupil Dilation Tests and Their Impact on Eye Health
Pupil dilation examination I have been experiencing new symptoms of floaters and frequently undergo dilated fundus examinations. I ride my bike myself because the sunlight is very strong. When I get home, I squint to see, and while waiting at traffic lights, I close my eyes and s...
Dr. Gao Pilin Reply:
Hello: A dilated eye exam will not harm your eyes. The redness is due to the eyelids being translucent, allowing the blood to show through, which is a normal phenomenon. In Taiwan, the Department of Ophthalmology at Puzi Hospital is open Monday to Friday from 8:00 AM to 12:00 PM ...[Read More] Understanding Pupil Dilation Tests and Their Impact on Eye Health
Understanding Pupil Dilation After Eye Injury: Causes and Concerns
After ocular trauma, the pupil dilates? Hello Dr. Wang, I was hit in the anterior chamber by a badminton shuttlecock, and I have some questions regarding the fogging of my lens and my glasses. Over the past two days, I noticed that the pupil of my injured eye is slightly larger t...
Dr. Wang Zhishun Reply:
Hello, traumatic mydriasis is irreversible. Whether auxiliary methods are needed to reduce the effects of pupil dilation depends on the specific situation, and this can only be determined by the physician treating you. As for post-traumatic glaucoma, the incidence is very low and...[Read More] Understanding Pupil Dilation After Eye Injury: Causes and Concerns
Understanding the Risks of SSRIs in Patients with Glaucoma
The issue of glaucoma and the mydriatic effects of SSRIs (Selective Serotonin Reuptake Inhibitors)? I would like to ask about glaucoma, specifically angle-closure glaucoma. A few years ago, I was prescribed SSRI antidepressants by a psychiatrist and took them continuously for sev...
Dr. Wang Yuwei Reply:
Indeed, as you mentioned, patients with open-angle glaucoma can take these medications with relatively few concerns, as long as they are regularly monitored by an ophthalmologist. Currently, Optical Coherence Tomography (OCT) can indeed detect early damage to the optic nerve or n...[Read More] Understanding the Risks of SSRIs in Patients with Glaucoma
Understanding Eye Allergies and Vision Issues: Your Questions Answered
Eye problem consultation? Hello, Doctor! I would like to ask two questions: 1. Due to the cold weather, I have developed allergic conjunctivitis in my right eye, and the upper eyelid on that side is slightly drooping. Is this a phenomenon of eyelid entropion? Will this symptom ...
Dr. Gao Pilin Reply:
Hello, 1. The slight drooping of your upper eyelid is a phenomenon known as ptosis. There are many causes of ptosis, including neurological and muscular issues; however, in your case, it is likely due to eyelid inflammation causing swelling, which results in a mechanical droop....[Read More] Understanding Eye Allergies and Vision Issues: Your Questions Answered
Can Glaucoma Patients Safely Wear Sunglasses Outdoors?
Glaucoma Can glaucoma patients wear full-vision (photochromic) glasses or sunglasses outdoors? There have been reports suggesting that glaucoma patients should avoid wearing sunglasses, as they may cause pupil dilation and increase intraocular pressure. However, when outdoors in ...
Dr. Wang Yuwei Reply:
Pupil dilation can lead to increased intraocular pressure, which is limited to angle-closure glaucoma. It is still recommended for the general public to wear sunglasses when outdoors in sunlight.[Read More] Can Glaucoma Patients Safely Wear Sunglasses Outdoors?
Understanding Changes in Vision After Pupil Dilation: A Patient's Inquiry
Hello, doctor. I would like to ask about issues related to dilated eye examinations? Hello Doctor: Yesterday, I went to the Fengyuan Hospital of the Executive Yuan's Department of Health to confirm my myopia prescription. Before dilation, my right eye measured -10.00 diopter...
Dr. Gao Pilin Reply:
Hello: Cycloplegic agents do indeed reduce myopia, and it is rare for someone to experience an increase in myopia after instillation, especially to such a significant degree. I can think of a few possible reasons: 1. Corneal edema, which may be caused by the eye drops, could lead...[Read More] Understanding Changes in Vision After Pupil Dilation: A Patient's Inquiry
Understanding the Side Effects of Atropine Eye Drops for Myopia
Side effects of atropine? Hello, does ATROPINE eye drops for myopia have any side effects?
Dr. Feng Jiefan Reply:
Common effects of atropine include relaxation of the ciliary muscle, making it more difficult for patients to focus, which can lead to inconvenience in near vision. Additionally, it causes pupil dilation, resulting in increased sensitivity to light, so proper sun protection is ad...[Read More] Understanding the Side Effects of Atropine Eye Drops for Myopia
Understanding Bilateral Pupil Dilation After Laser Eye Surgery
Bilateral pupil dilation? Hello, doctor. About a year and a half ago, I underwent laser surgery for myopia. After that, I recovered normally and did not experience any issues. However, in the past two to three months, when I go outside during the day, even regular sunlight makes ...
Dr. Wang Zhangji Reply:
Pupil dilation may be caused by previous infections of the autonomic nervous system, as well as certain central nervous system disorders. You may want to visit the ophthalmology and neurology departments at a medical center for further evaluation.[Read More] Understanding Bilateral Pupil Dilation After Laser Eye Surgery
Unusual Iris Inflammation: Why Is Eye Pressure Decreasing?
Atypical iritis, with intraocular pressure not increasing but decreasing??? Hello Doctor: My older brother visited a local ophthalmology clinic last week due to discomfort in his eyes, but he has not been cured. The doctor suggested it might be iritis and prescribed steroid eye d...
Dr. Gao Pilin Reply:
Iritis can sometimes lead to a decrease in intraocular pressure during the remission phase. The uvea is divided into three parts: the iris, the ciliary body, and the choroid. When inflammation occurs in the anterior part of the uvea, specifically in the iris, it is referred to as...[Read More] Unusual Iris Inflammation: Why Is Eye Pressure Decreasing?
Understanding the Differences Between Mydriatics and Cycloplegics in Ophthalmology
The difference between "mydriatics" and "cycloplegics." Director Wang, I hope you are well. I would like to humbly ask a question regarding your previous statement: "I believe that 'mydriatics' and 'cycloplegics' have different mechani...
Dr. Wang Zhishun Reply:
Hello, I apologize if I wasn't clear last time, which may have caused you some confusion. The size of the pupil is controlled by the sympathetic nervous system (which innervates the dilator muscle) and the parasympathetic nervous system (which innervates the sphincter muscle...[Read More] Understanding the Differences Between Mydriatics and Cycloplegics in Ophthalmology
Understanding Prolonged Effects of Mydriatic Agents: What to Do When Vision Doesn't Clear
Mydriatic agent Hello Director Wang: A year ago, a classmate asked me about the issue of "pupil dilation not resolving," and I did not know the correct answer. I was unsure whom to ask for clarification. I would appreciate your response, as this may also be a revelation...
Dr. Wang Zhishun Reply:
Hello: I believe the "mydriatic agent" you mentioned should be referred to as a "cycloplegic agent," which is commonly used in fundus examinations or myopia prevention treatments. (Please correct me if I'm wrong.) Cycloplegic agents can be classified into...[Read More] Understanding Prolonged Effects of Mydriatic Agents: What to Do When Vision Doesn't Clear
Understanding Eye Fatigue: Symptoms, Causes, and When to Seek Help
Eye fatigue Hello Doctor, I have been experiencing discomfort in my eyes lately with the following symptoms: 1. Redness and itching 2. Difficulty focusing; I have to strain to see things 3. Light sensitivity 4. When watching TV, I feel uncomfortable and can't see clearly if ...
Dr. Hu Yusheng Reply:
Hello: You mentioned that you have experienced a significant number of eye symptoms over the past two weeks and have consulted several ophthalmologists, but the issue remains unresolved. You are also concerned about possible autoimmune or autonomic nervous system problems. Based ...[Read More] Understanding Eye Fatigue: Symptoms, Causes, and When to Seek Help
Understanding Glaucoma: Key Questions and Treatment Considerations
Regarding glaucoma issues? Thank you again for your guidance on the eye drop issue during my last visit. I would like to seek your advice on the following matters: My husband, aged 44, had his intraocular pressure (IOP) checked on February 2, 2009 (left eye 27 mmHg, right eye 2...
Dr. Xie Wenzhen Reply:
Hello, sir: Thank you for your inquiry. Here are my responses and suggestions: 1. The consideration for surgery should not be based solely on a single measurement of intraocular pressure, visual field, or optic nerve condition. Instead, it should be based on exhausting all avail...[Read More] Understanding Glaucoma: Key Questions and Treatment Considerations
Do Children with 1.0 Vision Need Dilating Drops for Eye Health?
With unaided vision of 1.0 in both eyes, is it necessary to use a mydriatic agent to adjust vision? A second-grade student did not pass the vision screening at school (the child said they were not used to the testing method) and was taken to an ophthalmology clinic for a re-exami...
Dr. Hu Yusheng Reply:
Hello! A visual acuity of 1.0 is considered normal, but your refraction results at the clinic indicate a myopia of 100 degrees. If, after cycloplegia (dilation of the ciliary muscle), your myopia measurement returns to zero, it may signify two possibilities: (1) There is pseudomy...[Read More] Do Children with 1.0 Vision Need Dilating Drops for Eye Health?
Effects of Cycloplegic Agents on Children's Myopia Progression
Effects of Mydriatic Agents? Dear Doctor, my child was diagnosed with myopia of 150 degrees on May 21 of this year. After using a cycloplegic agent for one week, the prescription increased to 175 degrees. The clinic physician then increased the concentration of the cycloplegic ag...
Dr. Liu Jingxian Reply:
Hello Sophia: "Pseudomyopia," also known as "accommodative myopia," is a type of myopia caused by the eye's focusing mechanism. Children have a stronger accommodative ability than adults, making them more susceptible to pseudomyopia. If the eyes can be gi...[Read More] Effects of Cycloplegic Agents on Children's Myopia Progression
Understanding Retinal Surgery: Risks, Recovery, and Success Rates
Retinal surgery Is dilation necessary for retinal examination? Is laser surgery suitable for everyone? What is the success rate of laser surgery? How is the recovery process? Are there any potential side effects? I apologize for asking so many questions. Thank you.
Dr. Ke Meilan Reply:
Hello: 1. Pupil dilation examination is required ~> YES 2. Whether to perform laser surgery depends on the extent of the retinal detachment. Generally, there are no sequelae, but follow-up is necessary to determine if the detachment can be managed. Sincerely, Dr. Mei-Lan Ke, O...[Read More] Understanding Retinal Surgery: Risks, Recovery, and Success Rates
Why Does My Prescription Increase After Pupil Dilation?
Why does the prescription increase after dilation? Dear Dr. Wang, I am an ophthalmic assistant from southern Taiwan. Recently, I have noticed that some patients experience an increase in their refractive error after instilling mydriatic drops. For example, a patient with a pre-di...
Dr. Wang Zhangji Reply:
Hello, I occasionally encounter similar situations, but it happens very rarely. I'm not sure if you've noticed, but sometimes the astigmatism measurements before and after dilation can differ. It is possible that the machine has converted the astigmatism measurement int...[Read More] Why Does My Prescription Increase After Pupil Dilation?