Strabismus, Ophthalmology FAQ

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11 Years Post-Strabismus Surgery: Questions on Treatment Options

11 years post strabismus surgery? At the age of 8, I had strabismus and underwent surgery performed by Dr. Liang Chiao-Ying at Taichung Veterans General Hospital. The surgical method was extraocular muscle recession (not sure if any tissue was excised). My last follow-up appointm...


Dr. Cai Wenyuan Reply:
You can come back for a follow-up examination.

[Read More] 11 Years Post-Strabismus Surgery: Questions on Treatment Options


Will Thyroid-Related Strabismus Recur After Surgery?

Will strabismus recur after surgery for hyperthyroidism? Hello, Doctor. I have strabismus caused by hyperthyroidism, and I am scheduled for surgery soon. I would like to ask a few questions, thank you. 1. The doctor mentioned that the strabismus due to hyperthyroidism is caused...


Dr. Liang Ce Reply:
We recommend that you: 1. Discuss the above situation further with your attending physician. 2. Alternatively, seek a consultation at another ophthalmology clinic. Thank you! Wishing you good health!

[Read More] Will Thyroid-Related Strabismus Recur After Surgery?


Understanding Strabismus Surgery for Hyperthyroidism: Key Questions Answered

Surgical Issues Related to Thyrotoxicosis and Strabismus Hello, Doctor. I have strabismus caused by hyperthyroidism, and I am scheduled for surgery soon. I would like to ask a few questions, thank you. 1. The doctor mentioned that the strabismus from hyperthyroidism is due to t...


Dr. Gao Pilin Reply:
Hello: 1. Changes in Eye Position After Surgery for Thyroid Eye Disease-Induced Strabismus: Strabismus caused by hyperthyroidism is due to the enlargement of the eye muscles. If the muscles return to their normal size after surgery, it may affect eye position. The purpose of th...

[Read More] Understanding Strabismus Surgery for Hyperthyroidism: Key Questions Answered


Understanding Strabismus: Surgery, Treatment, and Insurance Coverage

Strabismus issues? Hello, I would like to inquire about strabismus-related issues! I was diagnosed with esotropia in the second year of junior high school and was referred to National Taiwan University Hospital for further evaluation. After a series of examinations, no underlying...


Dr. Gao Pilin Reply:
Hello: (1) The angle of strabismus and surgical recommendations: Physicians typically decide whether to perform surgery based on the degree, type of strabismus, and the individual circumstances of the patient. Generally, if the strabismus angle exceeds 15 to 20 prism diopters (PD...

[Read More] Understanding Strabismus: Surgery, Treatment, and Insurance Coverage


Understanding Double Vision: Causes, Control, and When to See an Eye Doctor

Diplopia issues I would like to inquire about a sudden decrease in vision that Dr. Gao mentioned previously. Recently, my right eye has started to become blurry again, and the measurement has returned to the original prescription of -4.75. Over the past couple of days, I noticed ...


Dr. Gao Pilin Reply:
Hello: Regarding your sudden vision loss that has since recovered: Your vision loss may have been caused by a temporary condition such as eye strain, an eye infection, or dry eye syndrome. If your vision has returned to normal and you have no other symptoms, then there may not be...

[Read More] Understanding Double Vision: Causes, Control, and When to See an Eye Doctor


Understanding Diplopia: Is Astigmatism the Cause of Your Visual Disturbances?

Diplopia issue (Sequence 208956) I apologize for the inconvenience, but I would like to ask Dr. Gao if astigmatism issues might only arise when looking at specific objects. I have observed that I can only see a faint line next to a very dark straight line; could this be related t...


Dr. Gao Pilin Reply:
Hello: Astigmatism is a common refractive error that occurs when the curvature of the cornea or lens is uneven, causing light to focus improperly on the retina. It typically affects vision, making objects appear blurry or distorted. This phenomenon is particularly noticeable when...

[Read More] Understanding Diplopia: Is Astigmatism the Cause of Your Visual Disturbances?


Understanding Eye Fatigue: Causes, Symptoms, and Treatment Options

Eye fatigue In early May, I had a follow-up appointment for a floaters examination because I felt like there were things flashing when looking at a white wall, and when I closed my eyes, I felt like there were things constantly moving, similar to blobs of light. I would like to a...


Dr. Gao Pilin Reply:
Hello: Based on your description, the symptoms you mentioned mainly include floaters, intermittent strabismus, blurred vision, and eye fatigue. Here are the responses to these issues: Floaters: Floaters refer to the appearance of floating black dots or lines in your vision, whic...

[Read More] Understanding Eye Fatigue: Causes, Symptoms, and Treatment Options


Understanding Eye Issues: From Floaters to Glaucoma Concerns

Eye problems Hello Doctor, I am patient 207864. I have a few questions regarding your previous response, particularly about the issue of rainbow halos. I mentioned my experience with floaters a few years ago, and at that time, my eye pressure was normal. Last year, I had an eye e...


Dr. Gao Pilin Reply:
Hello: Based on the symptoms and experiences you described, here are my recommendations: 1. Rainbow halos and intraocular pressure issues: Rainbow halos may be related to glaucoma, but your previous eye pressure checks were normal. If you have recently noticed rainbow halos acc...

[Read More] Understanding Eye Issues: From Floaters to Glaucoma Concerns


Understanding Post-Cataract Surgery Vision Changes and Solutions

Post-cataract surgery Subject: Questions Regarding Post-Surgery Vision I would like to ask the doctor a few questions based on my previous inquiry on April 18 (#207625): 1. My right eye (which has an artificial intraocular lens implanted) sees images significantly magnified com...


Dr. Gao Pilin Reply:
Hello: 1. Right eye image magnification and its impact on binocular fusion: After the implantation of an artificial lens in the right eye, the difference in refractive power between the artificial lens and the original natural lens can lead to a disparity in vision between the ...

[Read More] Understanding Post-Cataract Surgery Vision Changes and Solutions


Understanding Eye Swelling: Causes and Solutions for Discomfort

Eye swelling Hello doctor, since last night, I've been experiencing dizziness and nausea for some unknown reason. However, when I tested with a line chart, there were no defects or distortions. After sleeping last night, I felt a bit better, but tonight it started again. I&#...


Dr. Gao Pilin Reply:
Hello: The symptoms you described may be related to various factors, including your high myopia, intermittent strabismus, and possibly insufficient sleep. Here are some potential causes and recommendations: 1. Eye Strain: You mentioned that you engage in the same activities dai...

[Read More] Understanding Eye Swelling: Causes and Solutions for Discomfort


Training Ciliary Muscles: Risks and Benefits for High Myopia

Ciliary muscle training and retinal tears? Hello, doctor. A while ago, I went to an optical shop to get glasses, and I mentioned to the optometrist that sometimes things appear double. The optometrist suggested that I could train my ciliary muscles by practicing convergence exerc...


Dr. Gao Pilin Reply:
Hello: Ciliary muscle training is generally considered a safe and effective method for improving vision. It can help relax the ciliary muscle, alleviate eye fatigue, and improve vision issues such as myopia and presbyopia. However, there is some controversy regarding the suitabil...

[Read More] Training Ciliary Muscles: Risks and Benefits for High Myopia


Understanding Oscillopsia: Causes, Symptoms, and When to Seek Help

Regarding vibration-induced visual hallucinations? Dear Dr. Gao, Thank you very much for your responses to my questions over the past few days. I never expected that a simple fundus examination at the clinic could lead to so many issues (being poked in the eye with a cotton swab...


Dr. Gao Pilin Reply:
Hello: Q1. Generally speaking, transient and occasional visual disturbances such as visual vibrations can have multiple causes. These include visual fatigue, eye muscle strain, eye conditions such as strabismus, retinal issues, or central nervous system problems. These factors ...

[Read More] Understanding Oscillopsia: Causes, Symptoms, and When to Seek Help


Understanding Eye Surgery for Bubble Behind the Left Eye: Risks and Recovery

There is a 2-3 mm bubble behind the left eyeball (inside the brain), causing misalignment of the eyes and resulting in strabismus (diplopia)? Hello, doctor. Recently, I had a CT scan of my brain, and the results showed that there is a 2-3 mm bubble behind my left eyeball (inside ...


Dr. Liang Ce Reply:
We recommend that you: 1. Discuss the above situation further with your attending physician. 2. Consider consulting an ophthalmologist at a major hospital. Wishing you good health. Thank you!

[Read More] Understanding Eye Surgery for Bubble Behind the Left Eye: Risks and Recovery


Understanding Post-Surgery Strabismus: Causes and Solutions

Postoperative strabismus? I have a slight degree of strabismus in my left eye and an outward deviation of over sixty degrees in my right eye. Two years ago, I underwent surgery for the right eye strabismus, but now my left eye has started to exhibit intermittent exotropia, while ...


Dr. Liang Ce Reply:
We recommend that you: 1. Discuss the above situation further with your attending physician. 2. Consider consulting with an ophthalmologist at a major hospital. Wishing you good health. Thank you!

[Read More] Understanding Post-Surgery Strabismus: Causes and Solutions


Understanding Eye Drift: Is It Strabismus or Just a Focus Issue?

When looking far with the left eye, it tends to drift to the left? Hello, doctor. Recently, I recorded a video on my phone and noticed that my left eye tends to drift outward slightly when I look at distant objects, while it appears normal when looking at nearby objects. I have a...


Dr. Gao Pilin Reply:
Hello: Based on the symptoms you described, it is possible that you have strabismus. Strabismus refers to the misalignment of the visual axes of the two eyes, resulting in an inability to focus on the same target simultaneously. There are many types of strabismus, including esotr...

[Read More] Understanding Eye Drift: Is It Strabismus or Just a Focus Issue?


Improving Double Vision After Strabismus Surgery: Tips and Techniques

Intermittent exotropia I just had strabismus surgery; I have alternating strabismus with an angle of about 50-55 degrees. After the surgery, the doctor advised us to perform eye exercises, but I am unable to achieve binocular focus. Whenever one eye is aligned, the other tends to...


Dr. Gao Pilin Reply:
Hello: After undergoing strabismus surgery, the recovery of eye movement is an important phase. It is normal to experience some discomfort during this stage, but the situation should gradually improve over time. The difficulty in achieving binocular focus that you are currently d...

[Read More] Improving Double Vision After Strabismus Surgery: Tips and Techniques


Understanding Blurred Vision: Eye Health Concerns and Solutions

Vision problems with blurred vision? Hello, doctor. My left eye has over 800 degrees of myopia, and my right eye is nearly 700 degrees. Recently, I went to an optical store for an eye exam and got new glasses. They mentioned that my right eye has increased glare, the ciliary musc...


Dr. Gao Pilin Reply:
Hello: Based on the situation you described, I recommend that you visit an ophthalmologist as soon as possible for a comprehensive and professional evaluation. Given your experience with corrective lenses and your eye condition, there may be multiple ocular issues that require ca...

[Read More] Understanding Blurred Vision: Eye Health Concerns and Solutions


Understanding Eye Drops: Usage, Effects, and Common Concerns

Usage of Eye Drops 1. I have been experiencing tightness in the muscles of my left eye, which often causes itching in the lower eyelid and makes it relatively difficult to see. I consulted a doctor who prescribed "Pataday eye drops" and "Methacholine sulfate."...


Dr. Gao Pilin Reply:
Hello: 1. Regarding the use of eye drops, in general, the eye drops prescribed by the doctor are intended for use in one eye. Unless otherwise specified, it is recommended that you apply the drops to the left eye only. When instilling the drops, there is no need to pull down th...

[Read More] Understanding Eye Drops: Usage, Effects, and Common Concerns


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


Can Patients with Alternating Exotropia Wear Contact Lenses?

Alternating exotropia I would like to ask Dr. Gao if individuals with alternating exotropia can wear contact lenses. If I am considering surgery for correction, does Dr. Gao have any recommendations for specialists or hospitals in this area, or does Dr. Gao perform this type of s...


Dr. Gao Pilin Reply:
Hello: Alternating exotropia can also be corrected with contact lenses. If you are considering surgery for correction, please consult a physician specialized in strabismus and amblyopia. This specialty is typically available in the ophthalmology departments of major hospitals, so...

[Read More] Can Patients with Alternating Exotropia Wear Contact Lenses?


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