Understanding High Eye Pressure: Insights on Diagnosis and Treatment
Ocular hypertension Hello, Dr. Gao. Due to high myopia, with prescriptions of -800 and -700 diopters, my tonometry readings have reached a maximum of 24 mmHg, mostly ranging between 21 and 22 mmHg. When using a handheld tonometer, the readings are around 18 and 17 mmHg. I have co...
Dr. Gao Pilin Reply:
Hello: Based on the detailed information you provided, here are my recommendations and explanations: 1. Should you continue using eye drops? Given your high myopia and elevated intraocular pressure, you belong to a high-risk group for glaucoma, making the preventive use of intra...[Read More] Understanding High Eye Pressure: Insights on Diagnosis and Treatment
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 Steroid Use in Eye Care: Risks and Considerations
Corticosteroids Hello, Doctor. I previously had recurrent styes, and using a regular eye ointment (without steroids) and eye drops helped them disappear in about 4 to 5 days. However, there was one occasion when a stye was particularly large, and after applying treatment for two ...
Dr. Gao Pilin Reply:
Hello: 1. Long-term use of topical corticosteroids and their effects on the eyes: Using a corticosteroid cream for six weeks can indeed have a certain degree of impact on the eyes. Corticosteroids can reduce inflammation, but prolonged use carries a low risk of increasing the c...[Read More] Understanding Steroid Use in Eye Care: Risks and Considerations
Redness Around the Eyes: Is It Related to Recent COVID-19 Diagnosis?
There is some redness around the eyes? On Monday, I underwent dilation, and the doctor only mentioned that there were no significant issues, just some floaters. He suggested that I should have an eye exam once a year. He did not elaborate on the persistent flashes, which I assume...
Dr. Gao Pilin Reply:
Hello: There are several possible causes for redness around the eyes, one of which may be related to a positive rapid test result. After confirmation, especially in the case of a viral infection, conjunctivitis may occur, leading to redness in the eyes. However, since you did not...[Read More] Redness Around the Eyes: Is It Related to Recent COVID-19 Diagnosis?
Experiencing Brief Blackouts in Vision: Eye or Neurological Issue?
Even though there is no blinking, it visually appears as if the eyes are blinking? Hello, doctor. Since February, I have been experiencing a strange condition. Visually, it feels like I blinked (a very brief moment of darkness lasting a fraction of a second, then immediately retu...
Dr. Gao Pilin Reply:
Hello: Based on the symptoms you described and the results of the various tests conducted, this situation is indeed somewhat complex. Here are several possible considerations: 1. Vitreous Degeneration: This is a common phenomenon, especially as one ages, where the vitreous may u...[Read More] Experiencing Brief Blackouts in Vision: Eye or Neurological Issue?
Accidentally Using Skin Drops in Eyes: Risks and What to Do Next
If Tofu Clean (妥膚淨) gets into the eyes? Hello, I accidentally mixed up the eye drops prescribed by my ophthalmologist with the topical medication prescribed by my dermatologist and instilled the topical medication into my eyes. I have rinsed my eyes with clean water, and currentl...
Dr. Gao Pilin Reply:
Hello: Tofacitinib is an antifungal medication commonly used for skin infections. Occasionally, if it accidentally gets into the eyes, it may cause some discomfort, but since you have immediately rinsed it with clean water, this is a correct and effective emergency measure. Gener...[Read More] Accidentally Using Skin Drops in Eyes: Risks and What to Do Next
Understanding Eye Discomfort: Causes and Solutions for Visual Disturbances
Eye strain? Doctor, excuse me, I have a question. About six months ago, I started experiencing a phenomenon similar to images that appear when a Google search window is refracted. These images change in size with the frequency of my blinking and appear when I look at streetlights...
Dr. Liang Ce Reply:
We recommend you seek medical consultation. Thank you! Wishing you good health![Read More] Understanding Eye Discomfort: Causes and Solutions for Visual Disturbances
Understanding Diplopia and Astigmatism: Causes and Concerns
Diplopic astigmatism I would like to consult Dr. Gao regarding my astigmatism, which was previously measured at 0.50 and did not seem to cause any significant issues. Recently, I have been experiencing double vision. I previously mentioned that there is a faint line next to the b...
Dr. Gao Pilin Reply:
Hello: Regarding your situation, I understand your concerns. Based on your description, your main issues currently are double vision and changes in astigmatism. First, the degree of astigmatism can change over time, especially during periods of eye strain or visual adjustment. An...[Read More] Understanding Diplopia and Astigmatism: Causes and Concerns
Are Persistent Flashes or Waves in Vision Harmless?
Persistent flashes or wave-like patterns? Regarding the persistent flashes or wavy patterns mentioned in question 209224, could this condition potentially be completely harmless? Similar to the situation with floaters, could it simply be a result of degeneration? Since the earlie...
Dr. Gao Pilin Reply:
Hello: Possible benign causes: 1. Vitreous degeneration: Similar to floaters, vitreous degeneration can lead to flashes and wavy patterns. This is usually a natural degenerative process that occurs with aging or high myopia and may not require treatment. 2. Vitreous traction: Occ...[Read More] Are Persistent Flashes or Waves in Vision Harmless?
Understanding Retinal Detachment: Symptoms and Early Warning Signs
Retinal detachment Doctor, I would like to ask a few questions: Is it necessary to see shadows before retinal detachment occurs? What are the warning signs that may indicate retinal detachment? Also, what are the warning signs of glaucoma? Thank you, doctor; I really want to know...
Dr. Gao Pilin Reply:
Hello: Symptoms and Warning Signs of Retinal Detachment Retinal detachment is a serious ophthalmic emergency that requires prompt treatment. When the retina detaches from its underlying tissue, it can lead to vision loss. Here are common warning signs and symptoms: 1. Flashes...[Read More] Understanding Retinal Detachment: Symptoms and Early Warning Signs
Understanding Vision Issues: Is It Prescription or Eye Condition?
Eyeglasses Issues I recently noticed that with my glasses, my right eye sees distant objects more clearly but has difficulty seeing nearby objects, while my left eye is the opposite. Could this be an issue with the prescription, or could there be some underlying eye condition? Th...
Dr. Gao Pilin Reply:
Hello: Based on the situation you described, there could be several reasons for this phenomenon: 1. Prescription mismatch: Your glasses prescription may not fully match your vision needs. If your right eye sees clearly at a distance but not up close, while the left eye is the opp...[Read More] Understanding Vision Issues: Is It Prescription or Eye Condition?
When to Seek Medical Attention for Frequent Eye Flashes
When to seek medical attention for flashes of light in the eyes? Hello Doctor: Thank you very much for your detailed response regarding the issue of experiencing flashes in the eyes. I learned a lot from your explanation. However, I still have a question that I hope you can clari...
Dr. Gao Pilin Reply:
Hello, thank you for your question. It's not unusual, and it's quite important. The phenomenon of flashes of light, especially in the absence of an obvious external light source, may be a warning sign of certain issues within the eye and should be taken seriously. The t...[Read More] When to Seek Medical Attention for Frequent Eye Flashes
Understanding Persistent Flashes After Posterior Vitreous Detachment
Posterior vitreous detachment Can posterior vitreous detachment cause persistent flashes of light? Specifically, can these flashes last for 24 hours, even noticeable with closed eyes? What could persistent flashes indicate? I do not have blurred vision, but I do experience sympto...
Dr. Gao Pilin Reply:
Hello: Posterior vitreous detachment is one of the common ocular changes in individuals with high myopia, especially prevalent among middle-aged and older populations. During this process, the vitreous (a transparent gel-like substance within the eye) separates from the back of t...[Read More] Understanding Persistent Flashes After Posterior Vitreous Detachment
Understanding Flashing Lights in Vision: When to Seek Eye Care
Flashes of light in the eyes that resemble a broken light bulb? Hello Doctor: I do not have myopia. Since February, I have occasionally experienced a sensation of a light bulb flickering at the top of my head, with each occurrence lasting briefly. Sometimes it happens five or six...
Dr. Gao Pilin Reply:
Hello: The situation you described is likely related to photopsia. Photopsia is typically caused by traction or stimulation of the retina, and it is more common in individuals with thinner retinas. Here are detailed answers to the issues you mentioned: 1. Should you seek medica...[Read More] Understanding Flashing Lights in Vision: When to Seek Eye Care
Understanding Eye Issues: Green Lights, Floaters, and Visual Distortions
Eye problems Hello, doctor. I have some questions I would like to ask. Sometimes when I move my eyes (not very quickly), I see a "green" light (a patch). As a student, I spend quite a long time using my eyes, so I feel that my floaters have become more pronounced. Is th...
Dr. Gao Pilin Reply:
Hello: 1. Seeing "green" light when moving your eyes: The situation you described may be related to vitreous traction on the retina, which can trigger photopsia, such as flashes of light or seeing green spots during eye movement. If this phenomenon occurs frequently o...[Read More] Understanding Eye Issues: Green Lights, Floaters, and Visual Distortions
Understanding Gel-like Visual Disturbances During Eye Movement
Gel-like substance during eye movement? Hello Doctor, I recently noticed that when I turn my head quickly or move my eyes, I see a fixed area in my left eye that resembles a plastic film. This occurs for a fraction of a second each time I turn my head, and it feels like quickly p...
Dr. Gao Pilin Reply:
Hello: Based on your description, you are experiencing brief abnormal visual phenomena in your left eye during rapid eye movements, which may be related to the vitreous or retina. Here are some possible causes: 1. Vitreous opacities: The vitreous is a transparent gel-like substan...[Read More] Understanding Gel-like Visual Disturbances During Eye Movement
Understanding Floaters and Flashing Lights: When to Seek Eye Care
Eye highlights Hello Doctor: I started experiencing symptoms of floaters around January of this year. Since then, I have undergone 10 dilated eye examinations because new symptoms keep appearing, which makes me anxious and leads me to visit different clinics (I have had two visit...
Dr. Gao Pilin Reply:
Hello: 1. Examination Results and Laser Treatment: If multiple dilated eye examinations have not revealed any retinal tears or holes, despite having high myopia and thinner peripheral retina, there is a valid reason why your doctor has not recommended laser treatment. Preventiv...[Read More] Understanding Floaters and Flashing Lights: When to Seek Eye Care
Understanding Monocular Diplopia: Causes, Diagnosis, and Treatment Options
Monocular diplopia Hello, Director: I apologize for taking up your time! I have been wearing glasses for my myopia for 40 years, with each eye approximately -500 degrees. In early April of this year, I noticed some blurriness in my left eye, and after an examination, my uncorrect...
Dr. Gao Pilin Reply:
Hello: Possible causes of postoperative vertical diplopia include: 1. Refractive issues: Despite having new glasses prescribed after surgery, there may still be some refractive errors that have not been fully corrected, leading to diplopia. This requires further examination by an...[Read More] Understanding Monocular Diplopia: Causes, Diagnosis, and Treatment Options
Impact of Eye Exams on Vision: Macular Degeneration Concerns
Issues Affecting Eye Examinations Individuals with macular degeneration often undergo dilation and optical scanning examinations before and after surgery. Will this affect their vision or lead to any complications?
Dr. He Jianxian Reply:
Hello Mr. Pan R: In theory, there should not be any sequelae; however, if there are, clinical practice will certainly impose restrictions on how long one must wait before undergoing the procedure again. Director He Jianxian, Ophthalmology Department, Nantou Hospital.[Read More] Impact of Eye Exams on Vision: Macular Degeneration Concerns
Post-Cataract Surgery: Why Is My Right Eye Dimmer Than My Left?
After cataract surgery, the left eye is normal, while the right eye has slightly dimmer vision? Hello, doctor. My left eye is better: it is bright and has no stitches. My right eye had an artificial lens replacement and has one or two stitches. When I look outside, it seems a bit...
Dr. Gao Pilin Reply:
Hello: Regarding your description, the symptoms of blurred vision, color changes, and blood vessels in the sclera of your right eye after surgery may have multiple causes. Here are several possible situations and recommendations: 1. Postoperative Recovery Period: After undergoin...[Read More] Post-Cataract Surgery: Why Is My Right Eye Dimmer Than My Left?