Understanding Eye Symptoms: Sneezing Effects and Retinal Concerns
Eye Problem Consultation Dear Dr. Gao, I have two questions to ask: 1. Occasionally, after sneezing, I experience a flickering sensation in my vision (seeing stars). However, on two occasions, after sneezing, I experienced a complete whiteout that obscured my vision, which retu...
Dr. Gao Pilin Reply:
Hello, Ah-Hsiang: 1. Pressure on the retinal optic nerve is the main cause of seeing "stars." Many physiological activities, including forceful coughing, sneezing, straining during bowel movements, and holding one's breath, can lead to increased intracranial press...[Read More] Understanding Eye Symptoms: Sneezing Effects and Retinal Concerns
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
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
Can Modern Treatments Improve Vision After Retinal Detachment Surgery?
Post-retinal detachment surgery, concerns regarding vision recovery? Over a decade ago, I underwent surgery for retinal detachment (I have forgotten the specific surgical method, but I know that gas was used for the reattachment). The surgery was likely successful, but my vision ...
Dr. He Jianxian Reply:
After such a long time since the surgery, the condition should be stable. If cataracts were not caused by the surgery, the current treatment techniques may have limited effectiveness in achieving significant improvement. This is for your reference. Dr. He Jianxian, Nantou Hospita...[Read More] Can Modern Treatments Improve Vision After Retinal Detachment Surgery?
Seeing Floating Light Spots in Darkness: Eye Health Concerns Explained
Seeing small points of light in the dark? Hello, doctor. Recently, I have noticed some small floating light spots in the dark, somewhat similar to floaters, which disappear after a few seconds without any flashes. I have myopia of -6.25 diopters in my right eye and -5.25 diopters...
Dr. Gao Pilin Reply:
Hello, Student Zhang: The dilated eye examination showed no issues, and it may simply be a case of floaters, which is not a major concern. You can monitor it yourself and have regular check-ups. Regarding intraocular pressure, if it is slightly elevated, it would be advisable to ...[Read More] Seeing Floating Light Spots in Darkness: Eye Health Concerns Explained
Post-Retinal Detachment Surgery: Understanding Long-Lasting Gas and Recovery
Post-retinal detachment surgery Hello Doctor: I have a retinal detachment in my right eye. I underwent a vitrectomy on March 10 and received long-acting gas infusion. I need to maintain a prone position to allow the retina to reattach. I have the following questions regarding the...
Dr. Gao Pilin Reply:
Hello Mr. Tsai: 1. Under what circumstances can long-acting gas leak? Typically, it should be due to wound exudation. If the position changes and the gas comes into contact with the surgical wound, it may leak out. 2. How long does long-acting gas usually last before it is abso...[Read More] Post-Retinal Detachment Surgery: Understanding Long-Lasting Gas and Recovery
Understanding the Risks of Eye Strain on Lens and Retina Health
Lens and retinal issues? Hello, Doctor Gao: I would like to inquire about the dangers caused by straining the eyes, as well as information regarding eye examinations that assess the health of the lens and retina. When we strain our eyes to see something, it may appear clearer, bu...
Dr. Gao Pilin Reply:
Hello Mr. Zeng: When you exert effort to focus your eyes, things may appear clearer, which does not affect the lens or the retina, but prolonged viewing can lead to eye fatigue. A general ophthalmic examination can adequately assess the lens and retina. If any issues are detected...[Read More] Understanding the Risks of Eye Strain on Lens and Retina Health
Understanding Scleral Buckling Surgery for Retinal Detachment
Scleral Buckling Surgery Thank you, Dr. Gao, for your response. A silicone implant is placed on the outer layer of the sclera, applying a compressive force to the sclera, which reduces the traction between the vitreous body and the retina, while also sealing retinal tears. This h...
Dr. Gao Pilin Reply:
Hello Mr. Yang: 1. The phrase "depending on the condition, laser treatment may also be performed" implies that there are cases where laser treatment is not necessary, correct? Typically, laser treatment or cryotherapy is applied around the retinal tear. Additional inte...[Read More] Understanding Scleral Buckling Surgery for Retinal Detachment
Understanding Scleral Buckling in Retinal Detachment Surgery: Key Insights
Scleral Buckling Surgery Is the "scleral buckle procedure" in retinal detachment surgery merely one of the methods to reposition the detached retina, similar to gas tamponade, which only aims to reattach the detached retina? After the retina is reattached, do patients w...
Dr. Gao Pilin Reply:
Hello Mr. Yang: A silicone implant is placed on the outermost layer of the eyeball, the sclera, applying a compressive force to the sclera to reduce the traction between the vitreous body and the retina, while simultaneously sealing retinal tears. This helps to eliminate subretin...[Read More] Understanding Scleral Buckling in Retinal Detachment Surgery: Key Insights
Understanding Multiple Surgeries for Retinal Detachment: What to Expect
Retinal detachment surgery requires a third operation? Hello Doctor, I was diagnosed with a retinal detachment in my right eye on December 9th of last year. That morning, I underwent laser treatment for a retinal tear, and in the afternoon, I had a vitrectomy with gas tamponade. ...
Dr. Gao Pilin Reply:
Hello, Xiao Cai: If retinal detachment is not addressed immediately, subsequent surgical interventions may not be effective. Therefore, if surgery is deemed feasible, it is best to proceed with the operation right away. Complex retinal detachments may sometimes require multiple s...[Read More] Understanding Multiple Surgeries for Retinal Detachment: What to Expect
Flickering Vision: Understanding Eye Symptoms in High Myopia
A broken light bulb? Flickering eyes? Hello Doctor, I am a patient with high myopia, and I recently completed a fundus examination (optical coherence tomography + fundus examination) a few days ago. I would like to ask: Recently, my eyes have been experiencing a phenomenon simil...
Dr. Gao Pilin Reply:
Hello Andrew: The appearance of such flashes is usually due to the retina being pulled by the vitreous, causing it to discharge. If this is the case, the main concern is the risk of a retinal tear. If examinations have shown no issues, you can wait for a while; once the vitreous ...[Read More] Flickering Vision: Understanding Eye Symptoms in High Myopia
Post-Retinal Detachment Surgery: Managing Silicone Oil Risks
Post-Retinal Detachment Surgery It has been three months since my retinal detachment surgery, and the silicone oil is still in my eye. Due to work-related reasons, I often have to turn my body, lift things, and bend down. Will these activities cause the silicone oil to leak out? ...
Dr. Gao Pilin Reply:
Hello Mr. Hsu: If the postoperative examination shows no issues, there should be no concerns regarding postural problems. The silicone oil will not migrate. You should be able to resume normal activities without any issues. The ophthalmology department at Puzi Hospital in Taiwan ...[Read More] Post-Retinal Detachment Surgery: Managing Silicone Oil Risks
Essential Eye Care Tips for Managing Myopia and Retinal Health
Vision care Hello Doctor: Recently, I heard from a friend that high myopia can lead to retinal detachment, and I suddenly became very sensitive to the floaters I have been accustomed to. I am afraid I might experience the same issue. Over the past three months, I have visited cli...
Dr. Gao Pilin Reply:
Hello Mr. Lee, 1. Is retinal detachment sudden, or can it be observed during regular eye examinations as a precursor? How often should one be checked? Retinal detachment is usually sudden; however, during regular examinations, if areas of the retina appear thinner or if there ar...[Read More] Essential Eye Care Tips for Managing Myopia and Retinal Health
Understanding Floaters After Retinal Detachment Surgery: What to Expect
Post-Retinal Detachment Surgery Doctor, I have one more question. It has been two months since my retinal detachment surgery, and the silicone oil has not been removed yet. Why do I see many small black dots when I look up, but not when I look straight ahead? What could this situ...
Dr. Gao Pilin Reply:
Hello Mr. Hsu: The black spots are likely objects floating above the silicone oil. (What could they be? They might be small bubbles.) When you tilt your head up, the floaters come into your field of vision, making them visible. If you don't tilt your head, the floaters may m...[Read More] Understanding Floaters After Retinal Detachment Surgery: What to Expect
Post-Retinal Detachment Surgery: Concerns About Gas Bubble and Recovery
Post-retinal detachment surgery? Hello Doctor: I underwent gas surgery on December 23, and as of today, January 29, there are still noticeable bubbles (SF6) present. During the Lunar New Year period, I experienced what seemed like floaters in my eye, prompting me to visit the eme...
Dr. Gao Pilin Reply:
Hello Mr. Lai: The bubbles will be absorbed both in the morning and at night, but some people may experience this process more slowly. Please be patient! A small bubble may appear next to the larger bubble, but it will merge after a while and should not cause any issues. I believ...[Read More] Post-Retinal Detachment Surgery: Concerns About Gas Bubble and Recovery
Post-Retinal Detachment Surgery: Understanding Symptoms and Recovery
Post-Retinal Detachment Surgery Dear Doctor: My family member had a retinal detachment in the left eye 14 days ago and underwent scleral buckle, vitrectomy, and intraoperative laser treatment. Currently, when lying face down: 1. When bending down or getting up, there are bright f...
Dr. Gao Pilin Reply:
Hello Sarah, 1. When lying down or getting up, there are flashes of light and colored spots in the left eye, which disappear after a while. 2. When looking out with the left eye, the upper third appears black, while the rest is a hazy white. 3. The sclera of the left eye appears...[Read More] Post-Retinal Detachment Surgery: Understanding Symptoms and Recovery
Understanding Retinal Changes in High Myopia: Symptoms and Prevention
Retinopathy I have high myopia, with one eye at -7.00 and the other at -6.00. Recently, I had a fundus examination, and the doctor mentioned that my retina is thinning, but there are no tears. When I close my eyes at night and reopen them after about five minutes, or if I wake up...
Dr. Gao Pilin Reply:
Hello Rick: This symptom is caused by the vitreous pulling on the retina. Most of these symptoms do not lead to retinal detachment. The thinning of the retina should be assessed based on its severity; if necessary, the examining physician may recommend laser treatment. In Taiwan,...[Read More] Understanding Retinal Changes in High Myopia: Symptoms and Prevention
Post-Retinal Detachment Surgery: Common Concerns and Recovery Tips
Post-retinal detachment surgery? Hello Doctor, I had a retinal detachment and underwent gas injection treatment (SF6) and retinal laser treatment for my left eye on December 23. It has been almost 4 weeks since my discharge, during which I have had 3 follow-up visits and addition...
Dr. Gao Pilin Reply:
Hello Mr. Lai, 1. I have seen responses from doctors on the forum stating that SF6 gas typically absorbs within about two weeks. It has been four weeks for me, and the gas is still quite significant. Is this a normal situation, or could there be an issue with absorption? It can ...[Read More] Post-Retinal Detachment Surgery: Common Concerns and Recovery Tips
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
Post-Retinal Detachment Surgery: Importance of Positioning and Follow-Up
Post-Retinal Detachment Surgery Doctor, I apologize for asking another question. My father had silicone oil surgery in early December, and he is worried because he didn't maintain the proper position. Is it still beneficial for him to continue positioning himself correctly? ...
Dr. Gao Pilin Reply:
Hello Mr. Hsu: It should be almost recovered, and the doctor would only consider removing the oil at this point, so you likely don't need to lie face down anymore. The doctor should be able to assess this during your visit. In Taiwan, the ophthalmology department at Puzi Hos...[Read More] Post-Retinal Detachment Surgery: Importance of Positioning and Follow-Up