Understanding Retinal Detachment: Challenges and Treatment Options
Retinal detachment issues? Last July, I went to the hospital for an examination and was diagnosed with retinal detachment. The next day, I underwent surgery to inject gas. After regular follow-ups, over a month later, I discovered another detachment. I was transferred to another ...
Dr. Gao Pilin Reply:
Hello Yan: 1. Is proliferative vitreoretinopathy (PVR) difficult to treat? What is the likelihood of it not being resolved? The chance of resolution depends on the severity of the folds; it is usually a complex surgery, and if the retina can be reattached, it is considered succe...[Read More] Understanding Retinal Detachment: Challenges and Treatment Options
Understanding Corneal Degeneration: Causes, Symptoms, and Progression
Corneal degeneration Hello Doctor: Recently, my physician diagnosed me with corneal degeneration, but did not provide much explanation, and I am unsure what this condition entails. Currently, I do not feel any discomfort in my eyes, and the doctor only performed a routine examina...
Dr. Gao Pilin Reply:
Hello Ken: Corneal degeneration is a form of corneal dystrophy. There are many symptoms and manifestations, and your specific situation should be discussed with the examining physician for a proper understanding. The cornea is the transparent outermost layer of the eye. Light mus...[Read More] Understanding Corneal Degeneration: Causes, Symptoms, and Progression
Will Eyelid Position Change After Surgery? Insights and Recommendations
Will the eyelid position decrease again after surgery? Hello, doctor. I originally had a three-layer eyelid on my left eye. The doctor initially said it was due to adhesion, but during the surgery, he mentioned it was likely due to ptosis, so he cut 0.5 cm. For the right eye, he ...
Dr. Gao Pilin Reply:
Hello Ms. Wu: Sometimes the eyelid that was lifted during surgery may slightly droop, so it can be observed further. However, this is still related to the recovery of the postoperative tissues. You may want to discuss this with your attending physician, as each doctor has their o...[Read More] Will Eyelid Position Change After Surgery? Insights and Recommendations
Understanding Red Vessels on the White of the Eye: Causes and Treatments
Blood vessels on the sclera? Hello, Doctor Gao. I have red microvessels extending from the bottom and sides of the sclera in both of my eyes. They don't look like typical conjunctival blood vessels and do not dissipate. I would like to ask the following questions: 1. Is thi...
Dr. Gao Pilin Reply:
Hello Rex, 1. Is this phenomenon related to vascular proliferation in the eye? What is the main cause? I do not wear contact lenses, but I work in a job that requires prolonged use of my eyes. I would like to understand the reasons to avoid worsening the condition. The conjuncti...[Read More] Understanding Red Vessels on the White of the Eye: Causes and Treatments
Understanding Pupil Dilation: Common Concerns and Eye Health
Pupil Dilation Issues Hello, doctor. Recently, I visited a nearby clinic due to experiencing flashes of white light in my eyes. During the examination, a dilated fundus examination was performed, and images resembling branches or vascular patterns appeared while examining the ret...
Dr. Gao Pilin Reply:
Hello Zoe: This phenomenon is normal; it is due to the optical reflection in your retina during the examination. You wouldn't experience this without the examination, so you wouldn't see it. After the administration of a dilating agent, the ciliary muscle temporarily lo...[Read More] Understanding Pupil Dilation: Common Concerns and Eye Health
Understanding Night Vision Problems: Why Is My Left Eye Blurry Indoors?
Diminished monocular vision in dimly lit areas or indoors? Hello, Doctor: About three months ago, I suddenly noticed that my left eye's vision decreases whenever I am indoors or at night (with streetlights). The dimmer the light, the less I can see, while my right eye remain...
Dr. Gao Pilin Reply:
Hello, Little Orange: If the aforementioned tests do not reveal the cause, it may be necessary to conduct a functional test of the retina. It could possibly be retinitis pigmentosa. I recommend that you visit the retina department at a medical center for a thorough examination. A...[Read More] Understanding Night Vision Problems: Why Is My Left Eye Blurry Indoors?
Why Do Bright Lights Make My Vision Clearer Yet Uncomfortable?
Seeing things become brighter? When watching television under white light, if your eyes suddenly perceive an increase in brightness, even to the point of discomfort, and objects appear much clearer, this could be due to a phenomenon known as "contrast enhancement." This...
Dr. Cai Wenyuan Reply:
I'm sorry, it's difficult to explain.[Read More] Why Do Bright Lights Make My Vision Clearer Yet Uncomfortable?
Understanding Pupil Dilation and Vision Discrepancies in Children
Could you please clarify the issue regarding the use of dilating drops in children and the problem of binocular disparity? Hello, Doctor! My child is currently in the fifth grade. He started using atropine eye drops since first grade, beginning with a low-concentration long-actin...
Dr. Gao Pilin Reply:
Hello: The difference in prescription between the two eyes has already occurred and cannot be corrected. However, it is possible that the prescription of the less myopic eye may increase more significantly, which would reduce the disparity between the two eyes, but it is not poss...[Read More] Understanding Pupil Dilation and Vision Discrepancies in Children
Understanding Eye Strain and Floaters: Causes and Solutions
Eye discomfort with the presence of floaters? Hello, doctor. I have high myopia and floaters. Recently, I have been feeling fatigued and strained when looking at screens. At night or in dim environments, I experience significant photophobia, and I see many tiny black dots swirlin...
Dr. Gao Pilin Reply:
Hello Mr. Hsu: Based on your description, I cannot deduce the cause of this phenomenon either. Staring at screens can lead to fatigue more easily, and in low light conditions, the pupils dilate, which may result in light sensitivity. Regarding the small black spots, the most like...[Read More] Understanding Eye Strain and Floaters: Causes and Solutions
Understanding Retinal Detachment Risks for High Myopia Patients
Retinal issues I would like to ask the doctor: 1. For someone who works long hours on a computer and has a refractive error of over 1000 diopters in both eyes without dilation, does the risk of retinal detachment increase with age? 2. Sometimes I feel that my vision is not as cle...
Dr. Gao Pilin Reply:
Hello HANK: 1. If the retina is healthy, it will not occur. 2. Prolonged near vision followed by sudden distance vision can sometimes lead to blurred vision due to the ciliary muscle's inability to adjust. 3. The incidence of retinal detachment in the general population is o...[Read More] Understanding Retinal Detachment Risks for High Myopia Patients
Can Patients with Glaucoma Use Progressive Lenses Safely?
Can patients with glaucoma use progressive addition lenses? Hello Doctor: I would like to ask if patients diagnosed with glaucoma can choose progressive lenses. Will photochromic lenses cause increased intraocular pressure? Thank you!
Dr. Gao Pilin Reply:
Hello Ms. Su: You can choose progressive lenses for glaucoma. I understand your concern about larger pupils potentially causing an increase in intraocular pressure due to angle-closure glaucoma. When progressive lenses transition to tinted, it occurs in brighter light conditions,...[Read More] Can Patients with Glaucoma Use Progressive Lenses Safely?
Do Photochromic Lenses Help Reduce Eye Fatigue and Discharge?
Eye and lens issues? Hello, Doctor: I would like to ask about prescription glasses with lenses that darken in sunlight (I believe they are called photochromic lenses). Do they effectively help combat eye fatigue and protect the eyes? Additionally, I have a concern: my eyes often ...
Dr. Gao Pilin Reply:
Hello, These lenses are known as progressive lenses, which can block excessive light and help prevent your pupils from constantly adjusting in size. This can combat eye fatigue and protect your eyes. If you frequently experience dryness and have white discharge from the corners...[Read More] Do Photochromic Lenses Help Reduce Eye Fatigue and Discharge?
Can Getting Hit in the Eye by a Basketball Cause Uneven Eyes?
The eye was hit by a basketball? Is there a possibility of developing uneven eyes if the eye is hit by a basketball? The ball was not caught properly and accidentally struck the eye (there were no immediate symptoms at the time).
Dr. Gao Pilin Reply:
Hello Jeff: We need to assess the force of the impact and check for any potential nerve damage. Generally, if there are no immediate symptoms from the impact, the likelihood of developing anisocoria (unequal pupil size) is low. However, it is still important to monitor the situat...[Read More] Can Getting Hit in the Eye by a Basketball Cause Uneven Eyes?
Understanding Halo Effects and Light Distortion in Night Vision
Light source dispersion? Hello, doctor. When I walk at night, I notice that car headlights appear to have a halo and the light spreads out, which is very glaring. I also see similar effects with traffic lights and street lamps. Could this be astigmatism? In the past, when I had m...
Dr. Gao Pilin Reply:
Hello Lily: It's not just astigmatism; nearsightedness can also cause similar issues at night. Since you have high myopia, your glasses may not be prescribed with sufficient strength. If you are driving at night, it might be beneficial to get a pair of glasses with the corre...[Read More] Understanding Halo Effects and Light Distortion in Night Vision
Understanding Glaucoma Symptoms: When to Seek Medical Attention
About glaucoma? Today I visited the doctor. Currently, the intraocular pressure in both eyes is at 20 mmHg, and I have myopia of -7.75 diopters in both eyes, but I can still see clearly. Recently, I've been experiencing occasional stiffness in my neck, slight pressure in my ...
Dr. He Jianxian Reply:
The symptoms of glaucoma you mentioned likely refer to acute glaucoma, which is almost impossible to occur in eyes with a refractive error of -775 diopters. If the doctor has examined and found no issues, there is no need to worry.[Read More] Understanding Glaucoma Symptoms: When to Seek Medical Attention
Overuse of Antibiotic Eye Drops: Risks and Recovery Insights
Overuse of antibiotic eye drops? Due to severe itching in my eyes, I used "Shilong" antibiotic drops. However, my eyes did not improve, so I pressed the bottle forcefully, administering about 20 drops into my eyes. As a result, while the itching subsided, I experienced ...
Dr. Gao Pilin Reply:
Hello Mr. Lee: 1. Does the use of large amounts of antibiotics and preservatives in eye drops cause thinning of the cornea or sclera? It is unlikely. Additionally, if you are instilling 20 drops at once, most of it will flow out, so there shouldn't be an issue of overdose. ...[Read More] Overuse of Antibiotic Eye Drops: Risks and Recovery Insights
Understanding Post-Conjunctivitis Eye Changes: From Corneal Inflammation to Asymmetry
Conjunctivitis leading to anisocoria? I developed conjunctivitis in mid-November last year, which progressed to keratitis two weeks later. After a month of treatment, I recovered, but I noticed a problem with uneven eyelids that has persisted until now. My pupil appears cloudy in...
Dr. Cai Wenyuan Reply:
Hello, I apologize, but a physical examination may be necessary to determine the issue. 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 Post-Conjunctivitis Eye Changes: From Corneal Inflammation to Asymmetry
Does Long-Term Use of Glaucoma Medications Cause Cataracts?
Does long-term use of glaucoma medications lead to cataracts? Hello Doctor: First, let me explain my situation. I have been diagnosed with retinitis pigmentosa (night blindness and constricted visual fields), congenital nystagmus, and amblyopia since childhood, with both eyes hav...
Dr. He Jianxian Reply:
1. The glaucoma medication you are currently using should not have a risk of causing cataracts. 2. There is currently no effective treatment for pigmentary retinal degeneration, and this condition is indeed often associated with the occurrence of cataracts. As for glaucoma, there...[Read More] Does Long-Term Use of Glaucoma Medications Cause Cataracts?
Understanding Eye Issues: Cataracts, Dryness, and Floaters Explained
Various Eye Problems Last weekend, I underwent a retinal examination. After completing the basic vision test (after dilation, my right eye was -8.75 diopters and my left eye was -8.25 diopters), the doctor first checked if I could receive dilating drops. At that moment, the docto...
Dr. Cai Wenyuan Reply:
Hello, 1. It may mean observation. 2. Short-term use has minimal impact. 3. It is acceptable. 4. Most symptoms are intermittent. Wishing you peace and health, Dr. Tsai Wen-Yuan, Director of Ophthalmology, Taoyuan Hospital, Ministry of Health and Welfare.[Read More] Understanding Eye Issues: Cataracts, Dryness, and Floaters Explained
Understanding Pupil Size Differences and Vision Issues: Expert Advice
Hello, doctor? Hello, Doctor. I have a question I would like to ask and I would appreciate your advice. I noticed that there is a difference in the size of my pupils (the right eye is larger than the left), and I feel a bit of a dilated sensation even though I haven't used a...
Dr. Cai Wenyuan Reply:
Hello, there is a difference in the size of your pupils? Some of these variations are physiological phenomena. Should you discuss these conditions with a doctor? Yes. Wishing you peace and health, Director of the Department of Ophthalmology, Taoyuan General Hospital, Ministry of ...[Read More] Understanding Pupil Size Differences and Vision Issues: Expert Advice