Understanding Eye Health: My Journey from Hyperopia to Possible Myopia
About the Eyes Hello, Doctor. After a 7-year gap, I went for an eye examination and discovered something surprising! When I was younger (at least before my first year of college), I clearly remember being diagnosed with high hyperopia, approximately +500 diopters in each eye, and...
Dr. Gao Pilin Reply:
Hello: [Question 1] Based on your description, you have noticed a decrease in your hyperopia during a recent ophthalmic examination, and your corrected vision has improved. This may indicate that your visual condition is changing, as the refractive power of the eyes can vary at...[Read More] Understanding Eye Health: My Journey from Hyperopia to Possible Myopia
Understanding Optic Nerve Cupping: Risks, Management, and Supplements
Optic nerve cupping Hello, doctor. I would like to ask if a cup-to-disc ratio of 0.5 is considered severe. Could this lead to the development of glaucoma, especially since I have a history of retinal detachment surgery and a family history of floaters and glaucoma? What methods c...
Dr. Liang Ce Reply:
We recommend that you consult an ophthalmology medical facility. Wishing you good health. Thank you![Read More] Understanding Optic Nerve Cupping: Risks, Management, and Supplements
Is Traditional Eye Exercise Safe for High Myopia and Cataracts?
Is the traditional Chinese eye exercise suitable for high myopia? Hello Dr. Gao, I was recently diagnosed with mild cataracts, and I have also undergone laser treatment for peripheral retinal issues. I remember the doctor mentioned it was not urgent and that the retina was thinni...
Dr. Gao Pilin Reply:
Hello: Regarding the traditional eye exercises, I personally believe they may not be very helpful for cataracts. Movements like closing the eyes and rolling the eyes may not be suitable for individuals with high myopia, as they could increase the risk of retinal detachment. Addit...[Read More] Is Traditional Eye Exercise Safe for High Myopia and Cataracts?
Understanding Retinal Risks in High Myopia After Head Trauma
High myopia and retinal issues? Hello Doctor, I have approximately 1000 degrees of myopia. About 10 years ago, I underwent retinal laser treatment. After being hit on the head (not the eyes) by a ball six months ago, I found that my retina had thinned and underwent another laser ...
Dr. He Jianxian Reply:
Dear Mr. Anonymous: Pressing on the eye while sleeping and being struck by a ball are indeed different scenarios. The duration of pressure applied differs; the impact from a ball is sudden and intense, which can more easily lead to issues with the retina. After such an impact, ...[Read More] Understanding Retinal Risks in High Myopia After Head Trauma
Understanding Retinal Detachment Recovery: Nutrition, Timing, and Vision Correction
Vision restoration Hello Doctor: I experienced a retinal detachment unexpectedly, without any external force, and I do not have myopia or hypertension. I underwent surgical treatment earlier this month, and my vision has improved from 0.3 pre-operation to 0.5 two weeks post-opera...
Dr. He Jianxian Reply:
Dear Miss Lin, 1. Regarding dietary supplements, I am not an ophthalmology specialist and cannot provide appropriate advice. 2. In fact, undergoing surgery as soon as possible after the occurrence will lead to a more favorable recovery. The timeline for recovery varies from pers...[Read More] Understanding Retinal Detachment Recovery: Nutrition, Timing, and Vision Correction
Why Frequent Ultra-Widefield Imaging is Crucial After Retinal Surgery
Why is it necessary to perform intensive ultra-wide-angle photography? On December 22, 2023, I underwent a vitrectomy due to a dislocated lens caused by being hit by a badminton shuttlecock. The lens was removed, and the damaged areas of the retina were treated with laser. Howeve...
Dr. He Jianxian Reply:
Hello Ms. Anonymous: When performing wide-angle photography, it is important to check whether the retina is fully attached. Even if this procedure is not done, it may still be necessary to dilate the pupils to examine the fundus, as the underlying purpose is the same. Dr. Ho Chie...[Read More] Why Frequent Ultra-Widefield Imaging is Crucial After Retinal Surgery
Essential Eye Exams for High Myopia: Addressing Retina Risks and Concerns
Eye examination for individuals with high myopia? Hello, Doctor Gao. I am a patient with high myopia (600-700 degrees). I undergo dilated fundus examinations every year, and both of my eyes have been found to have peripheral lattice degeneration, for which I have received laser t...
Dr. Gao Pilin Reply:
Hello: 1. Is having two fundus examinations each year sufficient to assess the condition of the macula? Generally, it is recommended for individuals with high myopia to undergo 1-2 fundus examinations annually. Fundus examination allows for the observation of the retina, macula...[Read More] Essential Eye Exams for High Myopia: Addressing Retina Risks and Concerns
Does Weight Training Increase Risk of Macular Issues in Myopic Patients?
Does strength training cause macular tears? Hello, Doctor Gao. I am a patient with high myopia, with both eyes around -1300 diopters. I have been undergoing fundus examinations every six months at the clinic. In 2018, the doctor noted white spots and thinning of the retina in my ...
Dr. Gao Pilin Reply:
Hello: 1) Retinal white spots and thinning are common complications of high myopia. Retinal white spots are caused by the atrophy or detachment of retinal pigment epithelial cells and usually do not affect vision. However, if retinal thinning is severe, it may lead to retinal tea...[Read More] Does Weight Training Increase Risk of Macular Issues in Myopic Patients?
Understanding Flashing Lights: Symptoms of Vitreous Detachment vs. Retinal Issues
Seeing a point of light from a certain angle in the dark? Hello Dr. Gao, I am a patient with high myopia. I have been experiencing floaters for about four years and have previously undergone retinal laser treatment for lattice degeneration and vitreous tuft in both eyes. In the p...
Dr. Gao Pilin Reply:
Hello: 1. This condition may be caused by vitreous traction rather than retinal detachment. However, considering your medical history and symptoms, it is advisable to seek further evaluation from an ophthalmologist to ensure an accurate diagnosis. 2. The flashes associated with r...[Read More] Understanding Flashing Lights: Symptoms of Vitreous Detachment vs. Retinal Issues
Understanding Retinal Laser Treatment: Risks and Benefits for Aging Eyes
Retinal laser treatment Doctor, my mother is about 63 years old. A few years ago, she had retinal tears in her left eye for two consecutive years, with one occurrence each year. At that time, she underwent laser treatment for stabilization. Recently, during a hospital check-up, t...
Dr. He Jianxian Reply:
Dear Ms. Elaine: Laser treatment can indeed cause changes in the retina at the site of application; however, the likelihood of scarring and traction that you mentioned is very low. As for retinal thinning, there can be varying degrees. If there is a suspicion of potential retin...[Read More] Understanding Retinal Laser Treatment: Risks and Benefits for Aging Eyes
Post-Surgery Vision Blurriness and Eye Indentation Concerns
Postoperative blurred vision and sunken eyes? On November 27, I underwent surgery for a retinal detachment in my left eye, which included scleral buckle, vitrectomy, retinal laser treatment, and intraocular gas tamponade. After resting at home for a month, I returned for a follow...
Dr. He Jianxian Reply:
Hello Miss Chen: Typically, for such a complex surgery, it is necessary to allow more time for recovery, which could take as long as six months. As for the cause of the eye socket depression, I am not very clear on that. Generally, this condition occurs after multiple surgeries o...[Read More] Post-Surgery Vision Blurriness and Eye Indentation Concerns
Understanding Retinal Detachment and Complications: Seeking Second Opinions
Retinal detachment with associated retinal tear? Hello, doctor. I have a retinal detachment in my left eye accompanied by a retinal tear. I have undergone two surgeries; the first surgery was an emergency vitrectomy and scleral buckle procedure performed at the end of December la...
Dr. Gao Pilin Reply:
Hello: Your condition is quite complex, and I understand your concerns regarding your eye situation. In this case, I recommend that you have an in-depth discussion with your current ophthalmologist to understand the causes of your current condition and the possible treatment opti...[Read More] Understanding Retinal Detachment and Complications: Seeking Second Opinions
Understanding Visual Phenomena: Possible Eye Conditions Explained
Seeing small halos when moving the eyes in the dark / perceiving a bright direction when looking in the dark? I would like to inquire about two phenomena and whether they are signs of any disease. 1. In the dark, when I open my eyes and look towards the outer corners, moving my...
Dr. Gao Pilin Reply:
Hello: 1. Seeing small white halos when opening your eyes in the dark and noticing trails when moving your head may indicate vitreous floaters or a retinal issue. After examination, a retinal tear was found, which could be the cause of these phenomena. 2. In darker environmen...[Read More] Understanding Visual Phenomena: Possible Eye Conditions Explained
Essential Eye Care: Regular Checkups and Important Tests for Vision Health
Regular Eye Examinations & Eye Care Knowledge Hello, I have been nearsighted for the past five years, with my prescription ranging from -3.50 to -5.00 diopters, and I also have astigmatism (50, 100) and floaters. In my daily life, I can drive, read, and use electronic devices...
Dr. Gao Pilin Reply:
Hello: Question 1: Regarding your vision condition, it is recommended that you have an eye examination annually, which includes a refraction test and a fundus examination. Additionally, glaucoma and cataract screenings will be conducted during the visit, and you can discuss wit...[Read More] Essential Eye Care: Regular Checkups and Important Tests for Vision Health
Understanding Retinal Detachment Symptoms: What You Need to Know
Symptoms of retinal detachment? I underwent a dilated eye exam at the beginning of January, during which no retinal tears or holes were found. However, the doctor mentioned that the flashes I was seeing were part of the process of traction, and I should monitor for any stronger f...
Dr. Gao Pilin Reply:
Hello: Based on the symptoms you described, the presence of transparent floaters and blurred central vision may be concerning. However, these symptoms do not necessarily indicate retinal detachment. Retinal detachment is typically associated with sudden flashes of light, shadows ...[Read More] Understanding Retinal Detachment Symptoms: What You Need to Know
Understanding Floaters and Flashes: When to Seek Eye Care
Floaters and flashes in the eyes? Hello Doctor, Recently, due to the upcoming major exams, I have been studying every day, which has led to excessive eye strain and a noticeable increase in my floaters. I would like to ask you the following questions: 1. How many floaters are ...
Dr. Gao Pilin Reply:
Hello: 1. The severity of floaters varies from person to person; some may experience them mildly, while others may find them more pronounced. There is no specific standard for how many floaters are considered "many," but if you notice a significant increase in floater...[Read More] Understanding Floaters and Flashes: When to Seek Eye Care
Understanding Serous Retinal Detachment: Symptoms and Recurrence Risks
Central Serous Chorioretinopathy Hello, doctor. Last year, I was diagnosed with macular edema in both eyes and underwent photodynamic therapy. Recently, when I cover my right eye, I notice a faint black circle in my left eye against a white background. My vision seems fairly norm...
Dr. Gao Pilin Reply:
Hello: Based on your description, you were diagnosed with macular edema in both eyes last year and underwent photodynamic therapy. Recently, when covering your right eye against a white background, you noticed a faint black circle in your left eye. This symptom may require furthe...[Read More] Understanding Serous Retinal Detachment: Symptoms and Recurrence Risks
Understanding Floaters and Flashes: When to Seek Eye Care
Floaters and flashes in the eyes? Hello, Doctor. Recently, due to the upcoming major exams, I have been studying every day, which has led to excessive eye strain and a noticeable increase in my floaters. I would like to ask you the following questions: 1. How many floaters are ...
Dr. Gao Pilin Reply:
Hello: 1. The severity of floaters varies from person to person; some may experience them mildly while others may find them more pronounced. There is no specific standard for how many floaters are considered "many," but if you notice a significant increase in floaters...[Read More] Understanding Floaters and Flashes: When to Seek Eye Care
Post-Vitreous Surgery Concerns: Understanding Silicone Oil Complications
Postoperative Issues After Vitrectomy Hello, doctor. I have diabetic proliferative retinopathy and retinal detachment, and I just underwent vitrectomy. Silicone oil has been in both of my eyes for about 10 months and has not yet been removed. I would like to ask: 1) What is the t...
Dr. He Jianxian Reply:
Dear Mr. Tsai: The duration of silicone oil emulsification varies from person to person. Typically, if emulsification is observed, it should be removed promptly to prevent complications. Reports indicate that the rate of re-detachment after removal ranges from 10% to 40%, while...[Read More] Post-Vitreous Surgery Concerns: Understanding Silicone Oil Complications
Understanding Temporary Strabismus After Retinal Detachment Surgery
Excision of the detachment body combined with scleral buckle surgery? After undergoing surgery for retinal detachment, I noticed that my right eye has developed exophoria post-operation. How long might this temporary strabismus last? Is there a possibility that it may not recover...
Dr. He Jianxian Reply:
Hello Miss Sudden Surprise: In theory, there should be no exotropia after the surgery. If it occurs, we can only observe it for now and see if it resolves within 2-3 months. Dr. He Jianxian, Ophthalmology Department, Nantou Hospital.[Read More] Understanding Temporary Strabismus After Retinal Detachment Surgery