Do I Need a Dilated Eye Exam After Seeing Flashing Lights?
Fundoscopic examination? Hello doctor, I experienced flashes in my vision, so I went to the ophthalmologist today for an examination. They only used a slit lamp and did not perform a fundus examination. I asked the doctor if dilation was necessary, and they said it wasn't. S...
Dr. Gao Pilin Reply:
Dear ophthalmology patient, if the doctor says it's not necessary, then there should be no issues. However, if you are still concerned, it is also acceptable to have another examination to put your mind at ease.[Read More] Do I Need a Dilated Eye Exam After Seeing Flashing Lights?
Understanding Retinal Issues: Common Questions and Concerns
Retinal-related issues? Thank you for the previous response, Doctor. I would like to ask you some additional questions: 1. When I visited the ophthalmologist, the doctor mentioned that my optic nerve and macula were normal, and my eyes were healthy. Can this be understood as th...
Dr. Gao Pilin Reply:
Hello Mr. Fang: 1. The optic nerve and macula are normal, indicating that the posterior pole of the eye is normal. It is not possible to determine if there is any thinning or holes in the retina. 2. The sensation of flashes caused by retinal traction may not always be prominent. ...[Read More] Understanding Retinal Issues: Common Questions and Concerns
Understanding Post-Cataract Surgery Complications: A Patient's Guide
Complications arising after cataract surgery? Hello Doctor: My mother is 71 years old and has recently undergone cataract surgery on her first eye. She has a history of retinal tear treated with laser and has issues with macular degeneration and wrinkling. Unfortunately, after th...
Dr. He Jianxian Reply:
Hello: The cause of this subjective symptom is actually unclear, so there are no specific solutions to offer. If the examination results are all normal, then it is advisable to continue monitoring and observe. Dr. He Jianxian, Ophthalmology Department, Nantou Hospital.[Read More] Understanding Post-Cataract Surgery Complications: A Patient's Guide
Understanding Eye Flashes and Floaters: Causes and Treatments
Flashes in the eyes, retinal issues? Dear Dr. Gao, I have myopia in both eyes, approximately 400 degrees. A few months ago, while studying, I often strained my eyes, and about three months ago (in May of this year), I started experiencing floaters. I went to an ophthalmologist f...
Dr. Gao Pilin Reply:
Hello, Ah Yan: 1. It is usually unrelated to fatigue and is a normal physiological degeneration. 2. The eye drops are intended to alleviate discomfort in the eyes and are not related to the prevention of retinal detachment. 3. Most cases do not result in sequelae, and symptoms wi...[Read More] Understanding Eye Flashes and Floaters: Causes and Treatments
Understanding Wavy Vision Distortion in High Myopia Patients
Wavy vision distortion? I would like to ask the doctor, I have high myopia, but after examination, there are no issues with the macula, no retinal tears, and no glaucoma. However, I have noticed that in my right eye on the right side and in my left eye on the left side (it seems ...
Dr. Gao Pilin Reply:
Hello, Ah Da: The water ripples are likely caused by the liquefaction of the vitreous body, rather than a distortion of vision. If the examination shows no issues, you can be reassured.[Read More] Understanding Wavy Vision Distortion in High Myopia Patients
Understanding Distorted Vision: Possible Causes Beyond Retinal Holes
Suspected retinal tear? The left eye exhibits distortion at a specific angle (peripheral vision), along with flashes of light during eye movement and residual vision. Both eyes have pre-existing myopia and floaters, while the macula appears normal, and the fundus examination show...
Dr. Gao Pilin Reply:
Hello, the presence of flashes indicates that there is vitreous traction on the retina. As for whether there are any tears, a dilated eye examination is necessary to determine that. If the examination shows no issues, it may simply be due to vitreous degeneration causing traction...[Read More] Understanding Distorted Vision: Possible Causes Beyond Retinal Holes
Understanding Eye Floaters and Flashing Lights in High Myopia Patients
The appearance of large areas of floaters that resemble stains or ink splashes in the field of vision? Hello, Doctor Gao. I am a person with high myopia (850, 950). Since mid-June, I have experienced the issues mentioned above. I went for a fundus examination at the clinic on Jun...
Dr. Gao Pilin Reply:
Hello: This may be a case of extensive floaters, which is why you see a large area obscured. This is caused by vitreous degeneration. If the examination shows no issues, you will have to coexist with it peacefully, and over time, it should gradually improve. Currently, the more p...[Read More] Understanding Eye Floaters and Flashing Lights in High Myopia Patients
Understanding Retinal and Optic Nerve Issues: Key Questions Answered
Retinal and optic nerve issues? Hello, Doctor Gao! Two years ago, I underwent retinal repair, and the doctor also performed a fundus examination using other instruments. Since then, I have been regularly monitoring my retinal condition approximately every six months, but I haven&...
Dr. Gao Pilin Reply:
Hello Jessie: 1. The doctor should have mentioned that the peripheral retina is thinner when looking downward, not the macula. 2. There may be a loss of central vision. If this leads to retinal detachment, vision can deteriorate significantly. 3. Avoid eye strain, prevent worseni...[Read More] Understanding Retinal and Optic Nerve Issues: Key Questions Answered
Understanding Post-Laser Surgery Symptoms: Blurriness and Floaters
Post-retinal laser surgery Three days ago, I underwent laser treatment for a retinal tear. Initially, my vision was relatively clear, but a day later, my eyesight began to blur, and I started seeing a foggy appearance along with black thread-like spots. My vision remains unclear,...
Dr. Gao Pilin Reply:
Hello, Shuji: Due to changes in your condition and during the examination, it is recommended that you undergo further testing.[Read More] Understanding Post-Laser Surgery Symptoms: Blurriness and Floaters
Post-Retinal Detachment Surgery: Key Recovery Questions Answered
Post-retinal detachment surgery I have experienced a retinal detachment in my left eye and underwent a vitrectomy with gas tamponade on May 18th. It has now been four weeks. I would like to ask the following questions: 1. How many hours should I maintain a prone position each d...
Dr. Gao Pilin Reply:
Hello Mr. Chen: 1. Whether you need to lie prone depends on whether there is still gas present. If there is no gas, lying prone would be meaningless. Therefore, it is best to consult with the examining physician. 2. Since surgery will result in a wound, there may be redness a...[Read More] Post-Retinal Detachment Surgery: Key Recovery Questions Answered
Understanding Retinal Laser Treatment: Insights and Concerns for Patients
Retinal laser treatment 1. After going to the ophthalmology clinic for an evaluation of my myopia surgery, I discovered that both of my eyes had holes during the retinal examination. The right eye was more severe, showing signs of retinal detachment. The doctor performed laser tr...
Dr. He Jianxian Reply:
1. A retinal tear, if accompanied by a localized detachment that is very small, can indeed be treated with laser therapy. Surgery is only necessary if the area of detachment continues to expand after the laser treatment. 2. It is best not to rub the eyes, but if rubbing does caus...[Read More] Understanding Retinal Laser Treatment: Insights and Concerns for Patients
Understanding Fundus Examination: Common Questions and Concerns
Fundus examination? 1. I recently had a fundus examination at the ophthalmologist. Before dilation, my visual acuity was 20/625 in the left eye and 20/675 in the right eye with astigmatism of 4.00. After dilation, it changed to 20/675 in the left eye and 20/725 in the right eye. ...
Dr. He Jianxian Reply:
1. The occurrence of increased refractive error after dilation is indeed rare, but it can still be encountered in clinical practice, and we cannot rule out the possibility of instrument error. 2. Refractive assessment can indeed be performed using this method, but the margin of ...[Read More] Understanding Fundus Examination: Common Questions and Concerns
Understanding Retinal Laser Treatment: Key Questions and Insights
Retinal laser treatment Dear Dr. Gao, I recently discovered a retinal tear due to high myopia and underwent laser treatment. I am determined to protect my eyes to avoid the path to blindness in the coming years or even decades. This has led to many questions and decisions regard...
Dr. Gao Pilin Reply:
Hello Andre: 1. There should only be one type. 2. Scarring will persist and typically will not be repeated on the same area. 3. 4. 5. Injecting around the entire circumference is ineffective and does not provide protection to the center; it should be done around the perimeter of ...[Read More] Understanding Retinal Laser Treatment: Key Questions and Insights
Post-Operative Care and Concerns After Trabeculectomy Surgery
Postoperative massage after a small梁 resection? Hello Doctor, I underwent bilateral trabeculectomy in February 2019. Postoperatively, I maintained my eye pressure around 16 with eye massages. During my recent follow-up visit, the doctor informed me that I no longer need to massag...
Dr. Gao Pilin Reply:
A-Han: 1. Massage is intended to ensure the channels are unobstructed; if post-surgery stability has been achieved, massage may not be necessary. 2. For the reasons mentioned above, if there are concerns, massage is also acceptable. 3. Acupuncture may help open the channels, redu...[Read More] Post-Operative Care and Concerns After Trabeculectomy Surgery
Understanding Retinopathy of Prematurity: Key Insights and Concerns
Retinal issues Hello, does retinopathy of prematurity primarily affect the peripheral retina, resulting only in peripheral visual field loss? (Because the surgically treated peripheral retina may have defects?) The presence of a 30-degree visual field loss in retinopathy of prema...
Dr. Gao Pilin Reply:
Hello, Xin: Because most of your questions are not within my area of expertise, I am afraid of giving you incorrect answers. It is best to consult your retinal specialist. Thank you for your continued support. Does retinopathy of prematurity (ROP) primarily affect the periphera...[Read More] Understanding Retinopathy of Prematurity: Key Insights and Concerns
Understanding Vitreous Degeneration and Macular Fold: Eye Health Insights
Vitreous degeneration and macular folds? Hello, doctor. Yesterday, I went to the hospital for an examination of my eyes. My left eye had previously undergone retinal detachment surgery with vitrectomy and silicone oil filling, and the oil was removed four months ago. During the e...
Dr. Gao Pilin Reply:
Hello: 1. If vision is not significantly affected, observation is sufficient; however, if vision begins to deteriorate and images start to distort, surgical intervention should be considered. 2. Vitrectomy will aim to remove the vitreous body as completely as possible, and any re...[Read More] Understanding Vitreous Degeneration and Macular Fold: Eye Health Insights
Understanding Vision Changes After Retinal Detachment Surgery
Visual field and vision after retinal detachment surgery? Hello Doctor, I am currently four months post-silicone oil injection surgery for retinal detachment in my left eye (both eyes are approximately -4.00 diopters). After the oil was injected, I noticed a faint white light i...
Dr. Gao Pilin Reply:
Hello: 1. It may be caused by residual oil. It could also be due to retinal damage. 2. Currently, the macula is fine, but it cannot be determined if there was any injury at the time that could lead to sequelae. 3. It is considered severe. 4. Whether the macula is affected may dep...[Read More] Understanding Vision Changes After Retinal Detachment Surgery
Understanding Symptoms of Floaters and Flashing Lights in the Eye
Vitreous floaters and flashes? A month ago, I noticed a prominent deep black line in my right eye along with hundreds of tiny black dots surrounding it. Additionally, when I turned my head from left to right in the dark, I saw an arc-shaped flash of light at the outer edge of my ...
Dr. He Jianxian Reply:
The sudden appearance of a large number of floaters should indeed raise concern. However, since you have undergone dilated fundus examinations twice without any issues being detected, it is likely that everything is fine. As for the flashes of light you see when turning your head...[Read More] Understanding Symptoms of Floaters and Flashing Lights in the Eye
Understanding Eye Flashes: Causes and Concerns for Retinal Health
Flashes of light in the eyes? I have floaters and retinal degeneration. A few days ago, while trying to swat a mosquito, I noticed flashes in the corner of my eye when moving my eyeball. However, during the day and at night, when my eyes are closed or when I look at things, there...
Dr. He Jianxian Reply:
This phenomenon, commonly referred to as "photopsia," represents the tension created between the vitreous body and the retina during rapid eye movements. If these flashes occur too frequently, it is essential to undergo a dilated eye examination to prevent any potential...[Read More] Understanding Eye Flashes: Causes and Concerns for Retinal Health
Why Is My Eye Blood Vessel Still Visible After Allergic Conjunctivitis?
Persistent red eye? Hello Doctor, last month I underwent laser treatment for a retinal tear, and I also experienced an outbreak of allergic conjunctivitis. In my right eye, there is a prominent blood vessel that extends from the edge of the eye to near the cornea, and it appears ...
Dr. Gao Pilin Reply:
Hello Ms. Wang: Blood vessels do not form suddenly and become this prominent. They likely existed before but have become more noticeable due to factors such as inflammation. Once the inflammation resolves, they may shrink and become less prominent, but they should still remain.[Read More] Why Is My Eye Blood Vessel Still Visible After Allergic Conjunctivitis?