Vision, Ophthalmology FAQ

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Understanding High Myopia: Impact on Retina and Visual Perception

High myopia with enlarged blind spots and retinal degeneration issues? Hello, Doctor. I previously inquired about the issues related to high myopia and the expansion of blind spots, and I have a few more questions I would like to ask: 1. During a previous eye examination, you m...


Dr. Gao Pilin Reply:
Hello: 1. Retinal thinning and brightness perception: High myopia can indeed lead to retinal thinning, particularly around the macula. Thinning of the retina may affect the distribution and function of photoreceptor cells, thereby impacting visual quality. The macular region is...

[Read More] Understanding High Myopia: Impact on Retina and Visual Perception


Why Do I See Yellow Outlines on Text When Using My Phone?

The text on the mobile phone has a yellow outline when viewed through glasses? I went to an ophthalmologist for an eye examination and my prescription is -1.50 diopters for my left eye with -1.25 astigmatism, and -2.25 diopters for my right eye with -0.50 astigmatism. I visited a...


Dr. Gao Pilin Reply:
Hello: Based on the situation you described, the issues you are experiencing may be related to the prescription of your glasses, the quality of the lenses, or visual adaptation. Here are some possible causes and recommendations: 1. Glasses Prescription and Design: If the prescr...

[Read More] Why Do I See Yellow Outlines on Text When Using My Phone?


Understanding the Difference Between Vitreous and Retinal Detachment Flashes

Photopsia Hello, doctor. I would like to ask a few questions: What is the difference between the flashes of light caused by vitreous detachment and retinal detachment? Is it related to the frequency of occurrence? If I suddenly experience a flash of light once and it does not rec...


Dr. Gao Pilin Reply:
Hello: Regarding your question, there are some differences between the phenomenon of flashes caused by vitreous detachment and retinal detachment: 1. Vitreous Detachment: As we age, the vitreous humor gradually liquefies and separates from the retina, which is a common occurrence...

[Read More] Understanding the Difference Between Vitreous and Retinal Detachment Flashes


Can High Myopia Cause Enlarged Blind Spots and Visual Shadows?

Does high myopia cause an expansion of blind spots? + Visual shadows in dimly lit areas? Hello Doctor, I have a few questions I would like to ask. 1. I noticed in the past year or two that when I close one eye, I can see a dark area near my blind spot in both eyes. Previously, ...


Dr. Gao Pilin Reply:
Hello: 1. High myopia and the expansion of the blind spot associated with high myopia (1000 and 1200 diopters) can indeed lead to retinal degeneration, which may affect the structures surrounding the optic nerve, resulting in an enlarged blind spot. Although your OCT scan shows...

[Read More] Can High Myopia Cause Enlarged Blind Spots and Visual Shadows?


Understanding Visual Disturbances: Allergies, Dry Eyes, and Recovery

Seeing noise in the sky and on walls? Hello, Doctor. I am an engineer, and I have been experiencing significant eye strain over the past few months. About a month ago, I developed eye inflammation, and after seeing a doctor, I was told it was due to allergies. However, I have bee...


Dr. Gao Pilin Reply:
Hello: 1. The reasons for seeing visual noise (visual snow syndrome) in the situations you mentioned may include: - Eye fatigue: Prolonged use of electronic devices can lead to overexertion of the ciliary muscles, resulting in visual disturbances. - Dry eye syndrome: Dr...

[Read More] Understanding Visual Disturbances: Allergies, Dry Eyes, and Recovery


Managing Cataracts in High Myopia: Options for Balanced Vision

High myopia cataract Hello, I am a person with high myopia (suffering from floaters) and have cataracts in my right eye (currently unable to measure accurate refractive error; previously, vision was the same as my left eye). My left eye has a refractive error of -9.00 diopters (c...


Dr. He Jianxian Reply:
Dear Ms. Tsui, The choice between single vision or multifocal lenses depends entirely on your work and lifestyle. Neither option has an absolute advantage, and both come with relative disadvantages. Given your situation, I recommend not retaining any prescription after the surge...

[Read More] Managing Cataracts in High Myopia: Options for Balanced Vision


Can I Wear Contact Lenses with Early Macular Fold Diagnosis?

Can contact lenses be worn in the early stages of macular folds? Hello, doctor. I am 22 years old and have just been diagnosed with macular folds. During my visit to the hospital, the doctor indicated that it is currently in the early stage, and there is no significant vision los...


Dr. He Jianxian Reply:
Dear Ms. Kennis: 1. Macular folds are a retinal issue and have no correlation with the use of corrective lenses. 2. Macular folds cannot be prevented from worsening through other means; they can only be monitored and followed up. Director He Jian-xian, Ophthalmology Departme...

[Read More] Can I Wear Contact Lenses with Early Macular Fold Diagnosis?


Understanding Binocular Vision Dysfunction: Symptoms and Solutions

Binocular vision dysfunction When looking at objects within 1 meter, there are no issues. However, beyond 1 meter, when both eyes focus on a single point, the images keep jumping back and forth, and the visuals alternate between the left and right eyes. For instance, when watchin...


Dr. He Jianxian Reply:
Hello Mr. Wei: Your condition is somewhat unusual. Typically, when we focus on a certain distance, the dominant eye does not switch randomly. It is quite strange that you keep switching and have double vision. I recommend that you visit a large hospital to see an ophthalmologist ...

[Read More] Understanding Binocular Vision Dysfunction: Symptoms and Solutions


Vision Issues in Seniors: Is Cataract Surgery the Right Choice?

Vision problems in the elderly? Hello, doctor. My elderly relative is over 80 years old and has blurry vision for both distance and near. Due to their age, they have chronic conditions such as heart disease and hypertension. They wear glasses for both near and distance vision, bu...


Dr. He Jianxian Reply:
Dear Mr. Xiao You: If cataracts are affecting your vision and daily life, relying on corrective lenses may not be very effective. If the situation allows, you might consider addressing the cataract issue, as it could lead to more significant improvement. Director He Jianxian, Oph...

[Read More] Vision Issues in Seniors: Is Cataract Surgery the Right Choice?


Understanding the Sparkling Dots in Your Vision: Causes and Concerns

Seeing small bright spots in the sky that resemble stars? Dear Doctor, I started experiencing floaters (transparent specks) this month. At the beginning of the month, I had an eye exam to check my retina, and everything was fine. However, today while looking at the sky, I notice...


Dr. He Jianxian Reply:
Dear Mr. Lyon: I am unable to understand what you mean by "light spots." This phenomenon seems to occur only when looking at the sky, which is somewhat unusual. Clinically, I have not encountered similar cases. I recommend that you undergo another retinal examination....

[Read More] Understanding the Sparkling Dots in Your Vision: Causes and Concerns


Risks of Handheld Fundus Cameras: Eye Examination Concerns

Handheld fundus camera: Side effects of fundus examination? Hello, Dr. Gao. When I went to the optical shop to get my lenses, the optometrist provided a free handheld fundus camera for a retinal examination. They mentioned that they would provide the data for confirmation by an o...


Dr. Gao Pilin Reply:
Hello: A handheld fundus camera does use flashes to capture retinal images during a fundus examination. Generally, this method of examination is considered safe. Although the instructions mention a risk of retinal damage, this typically refers to prolonged, frequent, and high-int...

[Read More] Risks of Handheld Fundus Cameras: Eye Examination Concerns


Understanding Corneal Issues: Are Your Eye Flashes Related to Retinal Detachment?

Flashes and corneal issues? I have had keratoconus for about twelve years and have been regularly visiting the clinic every year. This year, in early April, I noticed a small area in my vision that flashes when I blink. After my follow-up appointment, I asked the doctor about it,...


Dr. Gao Pilin Reply:
Hello: The sensation of flashes and changes in vision may be related to retinal issues and should be taken seriously. Keratoconus itself can lead to blurred or distorted vision, but flashes and changes in color are less common. Common symptoms of retinal detachment include a sudd...

[Read More] Understanding Corneal Issues: Are Your Eye Flashes Related to Retinal Detachment?


Understanding Visual Distortion: Is It Temporary or Permanent?

Visual distortion I would like to ask the doctor: Is the distortion of vision caused by general retinal disorders temporary? For example, is it possible to experience a momentary distortion of objects that quickly returns to normal? Or once distortion occurs, will it persist unti...


Dr. Gao Pilin Reply:
Hello: Distortion of vision caused by retinal disease is generally not temporary but rather a persistent change until appropriate treatment is administered. If you suddenly experience distortion of vision in your daily life and this condition quickly resolves, such symptoms are l...

[Read More] Understanding Visual Distortion: Is It Temporary or Permanent?


Understanding Eye Flashes: When to Seek Help for Retinal Concerns

Flashes of light in the peripheral vision? I have high myopia and underwent dilation two months ago (I have mild floaters and occasional flashes). During the dilation, the doctor mentioned that the condition of my retina was good, but there was some thinning in the peripheral are...


Dr. Gao Pilin Reply:
Hello: Based on your description, the small white arc flashes in the corner of your eye may be caused by traction from the vitreous body within the eye, commonly referred to as photopsia. For a patient with high myopia like yourself, it is indeed important to pay special attentio...

[Read More] Understanding Eye Flashes: When to Seek Help for Retinal Concerns


Understanding Eye Flashes and Floaters in High Myopia Patients

Eye twitching Hello Doctor: I am severely myopic (approximately -1100 diopters in both eyes). In January of this year, I began experiencing floaters (transparent strands, occasionally with small black dots). Later, I occasionally noticed flashes of light, mostly resembling flicke...


Dr. Gao Pilin Reply:
Hello: Based on your description, you have high myopia and floaters, and you have recently experienced occasional flashes of light. These conditions do require special attention, as individuals with high myopia are more prone to retinal issues. 1. Floaters and Flashes: - Flo...

[Read More] Understanding Eye Flashes and Floaters in High Myopia Patients


Understanding Eye Discomfort: Is It Acute Glaucoma?

Eye strain? I apologize, but last night around midnight, I noticed that my eyeball felt as hard as my forehead, with fluctuating pressure and a sensation of headache and nausea. I researched online and found information about acute glaucoma, but my eyes feel fine now. Could this ...


Dr. Gao Pilin Reply:
Hello: Based on your description, the sensation of hardness in your eyes and forehead last night, accompanied by headache and nausea, could indeed be related to acute glaucoma. However, there may be other causes as well. Acute glaucoma typically presents with the following sympto...

[Read More] Understanding Eye Discomfort: Is It Acute Glaucoma?


Understanding Posterior Vitreous Detachment: Symptoms and Concerns

Posterior vitreous detachment Hello Doctor, due to my constitution, I was diagnosed with cataracts last year and I do not have myopia. In May, I underwent vitrectomy combined with intraocular lens implantation due to a rupture of the posterior capsule of the lens in my left eye. ...


Dr. Gao Pilin Reply:
Hello: Based on your description, you underwent vitrectomy and intraocular lens implantation for cataracts last year, and your recovery has been good. However, you have recently experienced some new visual symptoms. Here are some explanations and recommendations regarding your si...

[Read More] Understanding Posterior Vitreous Detachment: Symptoms and Concerns


Seeing Fixed Bright Spots When Blinking: Should You Worry?

Fixed bright spots appearing during blinking? Hello doctor, I recently noticed a bright spot at a fixed position when I blink, but it disappears once my eyes are open. Could this be a sign of retinal disease?


Dr. Gao Pilin Reply:
Hello: You mentioned that recently you see a bright spot at a fixed location when you blink, which disappears when your eyes are open. This phenomenon may have several causes. Here are some possible explanations and recommendations: Possible Causes: 1. Vitreous Changes: Changes ...

[Read More] Seeing Fixed Bright Spots When Blinking: Should You Worry?


Understanding Visual Field Issues: Are They Related to Floaters?

Visual field issues Hello doctor, I recently noticed that when I look at something with one eye, a certain point just outside the center of my vision causes that object to disappear. Both eyes have the same condition, and the object seems to blend into the background. Could this ...


Dr. Gao Pilin Reply:
Hello: Based on your description, the phenomenon of objects disappearing at a certain point in the central vision of one eye, and both eyes experiencing the same condition, may be related to issues with the retina or optic nerve. Floaters typically present as floating black dots ...

[Read More] Understanding Visual Field Issues: Are They Related to Floaters?


Understanding Chronic Conjunctivitis: Links to Floaters and Dry Eye Issues

Chronic conjunctival inflammation and issues related to floaters and dry eye syndrome? Hello Doctor: 1. I started experiencing dry eyes and photophobia around March of this year. After an examination at a major hospital, I was diagnosed with chronic giant papillary conjunctivit...


Dr. Gao Pilin Reply:
Hello: 1. Causes of Chronic Giant Papillary Conjunctivitis: Chronic giant papillary conjunctivitis is often associated with contact lens wear, but it can also be caused by foreign bodies in the eyelid (such as sutures or prosthetic eyes). Even if you do not wear contact lenses ...

[Read More] Understanding Chronic Conjunctivitis: Links to Floaters and Dry Eye Issues


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