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 Eye Redness: Causes and When to Seek Help
Conjunctival injection (redness of the sclera) Hello, doctor. Today I noticed a red streak in the sclera at the outer corner of my right eye, which appears more pronounced and redder. The streak extends towards the cornea, and there are finer blood vessels near the cornea (I migh...
Dr. Gao Pilin Reply:
Hello Anbao: Eye redness is generally harmless to the eyes and is not directly related to anxiety disorders. Sometimes, eye fatigue and lack of sleep can cause eye redness. Taking a break may improve the situation. However, there are also certain eye conditions that can lead to r...[Read More] Understanding Eye Redness: Causes and When to Seek Help
Understanding and Treating Ocular Vascular Proliferation
Ocular neovascularization The sclera has prominent blood vessels that seem to be getting deeper. After researching online, I found that it could be due to eye strain and oxygen deficiency, leading to vascular proliferation, which does not improve with rest. Are there any treatmen...
Dr. Gao Pilin Reply:
Hello Mr. Wu: The prominent blood vessels in your eyes are usually due to inflammation or congestion. In fact, the blood vessels are typically present; they are not necessarily proliferating but have simply become more noticeable. However, there are some pathological causes that ...[Read More] Understanding and Treating Ocular Vascular Proliferation
Understanding Eye Pigmentation Deposits: Treatment Options in Taichung
Scleral pigmentation? Recently, I noticed a yellow spot on the sclera of my left eye. I went to an ophthalmologist, and the doctor said it is a pigment deposition. I am very interested in having surgery to remove it for cosmetic reasons. Which hospitals in Taichung can perform th...
Dr. Gao Pilin Reply:
Hello Nana: Pigmentation can be removed using laser treatments. As for which hospital in Taichung offers this service, I'm not sure, so you may want to inquire on your own. It will not affect your future myopia laser surgery. Dr. Wang in Taipei has clinical experience; pleas...[Read More] Understanding Eye Pigmentation Deposits: Treatment Options in Taichung
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 and Treating Black Spots on the Eye: Causes and Solutions
Pterygium Dear Dr. Gao, Approximately 16 to 17 years ago, I accidentally scratched the sclera of my right eye with my fingernail while removing my contact lens, resulting in a bruise and leaving a black spot (or pigment deposition) about 0.3 to 0.4 centimeters in size on the scl...
Dr. Gao Pilin Reply:
Hello, Ah-Hsiang: 1. When the sclera is injured and bruised, the blood clots usually absorb without leaving any trace. It is possible that your black spot is a nevus of the conjunctiva, which may not necessarily be due to an injury. 2. For a detailed assessment, it is best to...[Read More] Understanding and Treating Black Spots on the Eye: Causes and Solutions
Understanding Retinal Detachment: Recovery, Risks, and Precautions
Retinal detachment Dear Doctor: 1. I underwent scleral buckle and vitrectomy surgery for a left retinal detachment in late August 2019. Currently, I feel that the light sensitivity in my left eye is diminished. How long might it take for this condition to improve? 2. After un...
Dr. He Jianxian Reply:
Hello, 1. This phenomenon varies from person to person, and it is difficult to determine the exact recovery time. 2. Clinically, some patients do develop glaucoma after undergoing retinal detachment surgery, while the occurrence of macular degeneration is less certain. 3. Excessi...[Read More] Understanding Retinal Detachment: Recovery, Risks, and Precautions
Post-Retinal Detachment Surgery: Understanding Vision Changes and Recovery
Post-retinal detachment surgery Doctor, I had a scleral buckle procedure (including retinal cryopexy) on my right eye nearly two months ago, and I have had three follow-up visits since then. Even now, when I open both eyes, my right eye still appears somewhat blurry, and I see do...
Dr. He Jianxian Reply:
Hello, after the scleral buckle surgery, the overall optical structure of the eye may change, which could be the cause of your current condition. It is recommended to observe and adapt for now. If you still feel uncomfortable or have concerns, please return for a follow-up examin...[Read More] Post-Retinal Detachment Surgery: Understanding Vision Changes and Recovery
Understanding Recovery After Retinal Detachment Surgery: What to Expect
Retinal detachment Hello Doctor: I experienced a retinal detachment in my left eye on August 30 of this year and underwent scleral buckle and vitrectomy surgery. Since then, I have noticed that the light perception in my left eye is dimmer, and it feels like there is a thin trans...
Dr. He Jianxian Reply:
Hello, after retinal detachment surgery, it generally takes 3 to 6 months to achieve stable attachment, but individual recovery may vary. If you experience any discomfort, it is advisable to return for a follow-up appointment with a qualified physician for evaluation. Thank you.[Read More] Understanding Recovery After Retinal Detachment Surgery: What to Expect
Dark Spot on the White of the Eye: Causes and When to Seek Help
There is a dark brown spot on the sclera of the left eye, near the inner canthus close to the nose? Hello Doctor: About a month ago, I noticed a dark brown spot on the sclera of my left eye, near the inner corner close to the nose, adjacent to the edge of the cornea. It is quite ...
Dr. Cai Wenyuan Reply:
Hello: The most common issue is pigmentation, which is mostly benign. Wishing you peace and health. Sincerely, Dr. Tsai Wen-Yuan, Director of the Ophthalmology Department, Taoyuan Hospital, Ministry of Health and Welfare.[Read More] Dark Spot on the White of the Eye: Causes and When to Seek Help
Is Yellowing of the Sclera Normal? Understanding Eye Health Concerns
Issues with the sclera? Hello, I noticed that the sclera appears white, but when I pull down the eyelid to examine the sclera underneath, I see that the areas with more blood vessels appear slightly yellow. The part of the sclera covered by the eyelid, when intentionally pulled b...
Dr. Gao Pilin Reply:
Hello Mr. Chiao: The yellowing of the sclera is mostly due to changes in the conjunctival color, which can sometimes be attributed to increased pigmentation or thickening of the fibrous tissue, both of which are normal. Areas with more blood vessels may also appear yellower. A ve...[Read More] Is Yellowing of the Sclera Normal? Understanding Eye Health Concerns
Impact of Vitreous Opacity and Dental Cleaning on Eye Health
Does vitreous opacity affect the eyes after dental cleaning? Dear Director Gao, I apologize for the interruption. My left eye underwent scleral buckle surgery for retinal detachment in 2007, caused by high myopia. I had cataract phacoemulsification surgery on both eyes in June l...
Dr. Gao Pilin Reply:
Hello Benjamin, 1. Is there a chance for my left eye's vision to recover to at least 0.4? After undergoing laser treatment for secondary cataracts, vision should improve. If there is no improvement, we need to consider several factors. The most important factors are high my...[Read More] Impact of Vitreous Opacity and Dental Cleaning on Eye Health
Understanding Blue-Gray Spots on Children's Sclera: What Parents Should Know
Blue-gray spots on the sclera in children? I suddenly noticed that my 4-year and 2-month-old daughter has two irregular blue-gray patches on the white part of her right eye. I'm concerned that they might be concerning moles. Could you please advise if these could be harmful ...
Dr. Gao Pilin Reply:
Hello Peggy: Most of these are benign. The most common reason is the deposition of pigment on the sclera, which occurs when the nerves or blood vessels that supply the surface of the eyeball extend deeper into the eye. The gray-blue spots found in many children's sclera may ...[Read More] Understanding Blue-Gray Spots on Children's Sclera: What Parents Should Know
Understanding Post-Cataract Surgery Vision: Managing Degrees for Students
Issues Related to Post-Cataract Surgery Refraction Hello, Doctor. I am currently 20 years old and have undergone scleral buckle surgery and vitrectomy due to retinal detachment in my right eye, which has resulted in cataracts. I plan to use a monofocal aspheric intraocular lens. ...
Dr. Gao Pilin Reply:
Hello Mr. Chuang: Your left eye is fine, so if your right eye retains -2.50 diopters of myopia, you can see clearly at a distance with your glasses on, but near vision is unclear because you have a single-focus aspheric lens, which needs to be removed for clarity. However, you ca...[Read More] Understanding Post-Cataract Surgery Vision: Managing Degrees for Students
Post-Scleral Buckling Surgery: Understanding Retinal Issues and Concerns
Post-scleral surgery retinal issues? Hello Doctor, I underwent scleral buckle surgery for retinal detachment in early April. Although the tear was quite large, the doctor mentioned that after cryopexy, it had already formed a scar, and laser treatment was also performed for reinf...
Dr. Gao Pilin Reply:
Hello, Miss Lin: 1. If the buckle loosens, will it continue to fall down? Answer: It is possible, but it depends on the actual situation. 2. Are there cases where a loose buckle displaces but still does not require any intervention? Answer: If there is displacement with protr...[Read More] Post-Scleral Buckling Surgery: Understanding Retinal Issues and Concerns
Understanding Eye Blood Vessels: Are They a Cause for Concern?
Is there a relationship with blood streaks? Hello, doctor. I usually wear contact lenses two to three days a week, for about 8 hours each time. I have an eye examination every year, and I undergo optical coherence tomography and visual field tests every two years. My intraocular ...
Dr. Gao Pilin Reply:
Hello, A-Hsing: Based on your description, it seems to be normal vascular tissue on the conjunctiva. There are many microvessels in the conjunctiva, and when the eyes feel uncomfortable, these vessels can become engorged, making the eyes appear red. There is no need to worry abou...[Read More] Understanding Eye Blood Vessels: Are They a Cause for Concern?
Understanding Retinal Detachment: Complications and Treatment Options
Retinal detachment, scleral buckle protrusion, inflammation, bubbles? I discovered a retinal detachment in my left eye at the beginning of April and underwent scleral buckle and cryopexy. One week post-surgery, due to fluid accumulation that had not been absorbed, I received an i...
Dr. He Jianxian Reply:
1. Foreign body implantation requires a period of adaptation, and it should be monitored without immediate removal. 2. It has only been one month since the procedure, and removal of the ring is not recommended; in fact, it is not necessary to remove it. 3. The bubbles will de...[Read More] Understanding Retinal Detachment: Complications and Treatment Options
Post-Retinal Detachment Surgery: Addressing Eye Control Issues
Postoperative Issues After Retinal Detachment Surgery Hello Doctor, I have had congenital amblyopia and a slight strabismus since childhood. During my development, my vision was not well managed, leading to high myopia in both eyes, around 800-900 degrees. In middle school, I pos...
Dr. Liang Ce Reply:
It is recommended that you seek additional opinions from other ophthalmologists, consider multiple suggestions, and then decide on the treatment approach. Wishing you good health.[Read More] Post-Retinal Detachment Surgery: Addressing Eye Control Issues
Can You Dive After Retinal Detachment Surgery? Expert Insights
Post-retinal detachment surgery Hello Doctor, I had a scleral buckle surgery on my right eye due to retinal detachment (without gas tamponade) over a year ago. Both eyes have also undergone retinal laser treatment, and I have been regularly attending follow-up appointments with s...
Dr. He Jianxian Reply:
Theoretically, if the fit is very good, there should be no issues. The above is provided for reference.[Read More] Can You Dive After Retinal Detachment Surgery? Expert Insights