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
Managing Acute Angle-Closure Glaucoma: Treatment and Care Strategies
Acute angle-closure glaucoma management and treatment options include: 1. **Medications**: Immediate treatment often involves medications to lower intraocular pressure. These may include carbonic anhydrase inhibitors (e.g., acetazolamide), topical beta-blockers (e.g., timolol),...
Dr. He Jianxian Reply:
In the case of an acute glaucoma attack, it is generally necessary to urgently lower intraocular pressure. If the pressure can be successfully reduced, subsequent treatment involves laser iridotomy, and emergency surgery becomes an unavoidable option. After the acute phase of tre...[Read More] Managing Acute Angle-Closure Glaucoma: Treatment and Care Strategies
Common Eye Issues: Concerns About Steroid Use and Dry Eye Management
Eye problems 1. Hello, I would like to ask about my previous long-term use of Betamethasone eye ointment on my eyelids for four years. I later learned that it contains steroids and should not be used long-term, so I stopped using it immediately. I had a fundus examination, and my...
Dr. He Jianxian Reply:
If the examination shows no abnormalities in intraocular pressure or the optic nerve, discontinuing treatment typically does not lead to secondary glaucoma. Regarding dry eyes, using eye ointments can often lead to blockage, so it is important to maintain regular cleaning. There ...[Read More] Common Eye Issues: Concerns About Steroid Use and Dry Eye Management
Addressing Diplopia and Eye Deformity After Orbital Fracture Surgery
The inward deviation of the right eye is causing double vision issues? Hello Doctor: My 21-year-old child fell from the fourth floor on January 2, 2022, resulting in facial fractures, particularly in the right orbital floor, leading to enophthalmos in the right eye. After undergo...
Dr. Liang Ce Reply:
It is advisable for you to discuss the above situation further with your attending physician to determine if any additional examinations are necessary. Thank you, and wishing you good health![Read More] Addressing Diplopia and Eye Deformity After Orbital Fracture Surgery
Understanding Vision Issues: Questions About Prescription Glasses and Eye Health
Inquiry Consultation Dear Dr. Gao, Last year (2021), I had my glasses lenses delaminate, so I went to an optical shop for a replacement. Initially, the staff performed a refraction test. Here are the results: my left eye is approximately -3.00 diopters with astigmatism of either...
Dr. Gao Pilin Reply:
Hello, Ah-Hsiang: 1. It is possible that the prescription is not fully accurate. Near vision is naturally clear. However, sometimes even with a proper prescription, the clarity between the two eyes may still differ. 2. There will be no adverse effects. 3. It should be unrelat...[Read More] Understanding Vision Issues: Questions About Prescription Glasses and Eye Health
Understanding Macular Hemorrhage: Treatment and Dietary Considerations
Macular hemorrhage Hello, I have experienced macular hemorrhage and edema in my left eye due to high myopia, and I am currently undergoing regular intravitreal injections of anti-vascular endothelial growth factor (anti-VEGF). I have a couple of questions: 1. Do anti-VEGF injec...
Dr. Gao Pilin Reply:
Hello, Youzi: If there are concerns about inhibiting coagulation function, it is advisable to refrain from consumption temporarily and resume once the situation improves. However, if there are no underlying coagulation abnormalities, such side effects should not occur.[Read More] Understanding Macular Hemorrhage: Treatment and Dietary Considerations
Understanding Double Vision When Watching TV: Eye Care Insights
There is double vision when reading text on the television while wearing glasses? Hello, Doctor: I recently replaced my third pair of glasses due to a broken frame (about a month ago). My second pair of glasses worked fine, except for one issue: when watching TV, the text appeare...
Dr. Gao Pilin Reply:
Hello Stancy: 1. It is possible that there is an issue with a certain part of your glasses. 2. You can also check and bring your glasses along to see if the problem lies with them. 3. If you are experiencing the symptoms you described, it would be better not to wear them; even if...[Read More] Understanding Double Vision When Watching TV: Eye Care Insights
Understanding Early Macular Degeneration: Risks and Vision Impact
Early-stage macular degeneration I have high myopia with a prescription of -12.75 in the left eye and -12.00 in the right eye. The doctor mentioned that I have early-stage dry macular degeneration and I am currently waiting for confirmation at the Veterans General Hospital. I wou...
Dr. He Jianxian Reply:
Hello, the term macular degeneration is somewhat vague; some cases can be quite severe while others may only involve mild degeneration. It would be wiser to wait for the results and then consult your physician about the subsequent developments. Dr. Ho Chien-Hsien, Ophthalmology D...[Read More] Understanding Early Macular Degeneration: Risks and Vision Impact
Understanding Macular Pucker: Questions and Insights on Eye Health
Macular degeneration Hello Dr. He, I am #180537. Thank you for your reply. I had a follow-up appointment at the hospital three months ago, where the doctor performed an OCT and a fundus examination, but did not conduct a fluorescein angiography. I was only informed that there is ...
Dr. He Jianxian Reply:
Generally, the criteria for considering surgery for macular folds include significant vision loss or severe distortion of vision, even to the point of having a gap in the central vision. If these conditions are not present, regular monitoring is recommended, as surgery does not g...[Read More] Understanding Macular Pucker: Questions and Insights on Eye Health
Understanding Visual Distortions: Is Eye Fatigue the Culprit?
Macular degeneration Hello, Doctor. Last week, I experienced a distortion in my vision where objects appeared to be enlarging and shrinking due to staying up late the night before. I also noticed that the shadows of the beams and columns on the ceiling seemed to soften, pulsating...
Dr. He Jianxian Reply:
Regarding your specific condition, there have not been any similar cases encountered in clinical practice, so I am unable to provide any insights. Dr. Ho Chien-Hsien, Ophthalmology Department, Nantou Hospital.[Read More] Understanding Visual Distortions: Is Eye Fatigue the Culprit?
Understanding Amblyopia Treatment: Eye Patching Guidelines for Kids
Amblyopia patching? Hello, doctor. Last time you mentioned covering the eye for six hours, and you said it's best to do it all at once. 1. If due to the kindergarten schedule, I start covering the eye in the morning, take a nap for two to three hours at noon, and then cont...
Dr. Gao Pilin Reply:
Hello Mr. Zhang: 1. It should not be a big deal. 2. It doesn't need to be that precise; a little variation is fine. 3. It's okay. 4. If there are no visible gaps, then it's acceptable. 5. Both methods are fine; please follow your doctor's approach. 6. As long ...[Read More] Understanding Amblyopia Treatment: Eye Patching Guidelines for Kids
Understanding Visual Disturbances: What Causes Rain-Like Sensations?
Seeing a sensation like rain? Lying in bed and looking at the ceiling can create a sensation similar to television static, without any actual colors, akin to the feeling of misty rain when it’s not actually raining. It seems to move around erratically rather than just falling str...
Dr. Gao Pilin Reply:
Hello, it may be snow blindness, which is a type of neurological issue. If the ophthalmological examination shows no problems, you might consider consulting a neurologist.[Read More] Understanding Visual Disturbances: What Causes Rain-Like Sensations?
Understanding Acanthamoeba Keratitis: Symptoms and Treatment Insights
Acanthamoeba keratitis Doctor, I apologize for bothering you. I would like to ask about being diagnosed with herpes keratitis. My vision has been blurry, and after using the prescribed medication for four days, it has been gradually improving. I have read a lot about amoebic kera...
Dr. Gao Pilin Reply:
Hello, anxious person: Acanthamoeba keratitis requires special medication to heal, so it should not be the case.[Read More] Understanding Acanthamoeba Keratitis: Symptoms and Treatment Insights
Understanding Macular Issues: When to Seek Urgent Eye Care
Macular issues Hello Dr. Gao, I would like to ask you a question. Previously, I went to a clinic for an OCT scan due to another eye condition, and the doctor focused on other issues, so they did not pay attention to other parts of the OCT. Recently, I reviewed the OCT data and no...
Dr. Gao Pilin Reply:
Hello c123: It seems that there are some differences, and it may be necessary to return for a follow-up examination. We should take another look to see if there are any changes. As for whether there is any visual field loss, that also requires testing to determine. I recommend sc...[Read More] Understanding Macular Issues: When to Seek Urgent Eye Care
Understanding LASIK Surgery: Why Is My Vision Still Blurry After 3 Months?
Myopia laser treatment Hello, doctor. I underwent LASIK surgery for my myopia on January 21st, and it has been three months since the procedure. My vision is still not very clear, especially in bright sunlight, where it appears even more blurred. What could be the reason for this...
Dr. Gao Pilin Reply:
Hello, Bear: Based on what you mentioned, it seems clear that the dryness might be the cause when yawning occurs. Yawning can lead to tearing, which clarifies the situation. Beyond that, it's difficult to speculate further. It's best to consult with the surgeon for more...[Read More] Understanding LASIK Surgery: Why Is My Vision Still Blurry After 3 Months?
Understanding Amblyopia Patching: Key Questions and Considerations
Amblyopia patching? Hello, Doctor. 1. Can the time for patching the amblyopic eye be split? For example, if the prescription is for six hours of patching, can it be done as four hours in the morning and two hours in the evening, or is it better to complete the full six hours at...
Dr. Gao Pilin Reply:
Hello Mr. Zhang: 1. It is best to cover the eyes for a continuous six hours. 2. According to his usual lifestyle, it is advisable for him to read more books and use his phone or tablet as well. 3. Vision should be checked to know the status. 4. I haven't tried it, but it can...[Read More] Understanding Amblyopia Patching: Key Questions and Considerations
Understanding Pulsating Eye Pain: Causes and Solutions
Ocular pain? Hello, doctor. I have myopia and an outward strabismus in my right eye. After looking at a screen for an extended period, I woke up in the middle of the night with pain in the upper inner part of my left eye, which felt like it was pulsating with my heartbeat. The pa...
Dr. Gao Pilin Reply:
Hello Lin: If you have strabismus, you may experience fatigue more easily, and excessive eye use can lead to soreness in your eyes. Please reduce eye strain first; you can use warm compresses to promote blood circulation and relieve fatigue. Monitor your condition to see if it im...[Read More] Understanding Pulsating Eye Pain: Causes and Solutions
Understanding Pulsating Eye Pain: Causes and Solutions
Ocular paroxysmal pain Hello, doctor. I have myopia and exotropia in my right eye. After looking at the screen for a while, I woke up in the middle of the night with pain in the upper inner part of my left eye, which felt like it was pulsing with my heartbeat. The pain lessened a...
Dr. Gao Pilin Reply:
Hello Lin: If you have strabismus, you may experience fatigue more easily, and excessive use of your eyes can lead to soreness. Please try to reduce eye strain; you can use warm compresses to promote blood circulation and alleviate fatigue. Monitor your condition to see if it imp...[Read More] Understanding Pulsating Eye Pain: Causes and Solutions
Understanding Single-Eye Visual Disturbances: Causes and Solutions
Monocular visual field oscillation Hello Doctor: I have myopia of about 500 degrees in both eyes along with mild astigmatism. To prevent my prescription from worsening, I pay attention to the time, brightness, and blue light filtering when using computers and smartphones, and I t...
Dr. Cai Wenyuan Reply:
It is recommended to seek medical examination.[Read More] Understanding Single-Eye Visual Disturbances: Causes and Solutions
Understanding the Possible Causes of Decreasing Myopia Over Time
Reduction in myopia degree Hello, five years ago, I had a prescription of over 700 diopters at an optical shop. Three years ago, my prescription was measured at over 600 diopters, and recently, an eye doctor measured it at over 500 diopters. I would like to ask the doctor about t...
Dr. Gao Pilin Reply:
Hello Mr. Gong: The most common reason is a change in the refractive power of the lens. It should not be related to ocular atrophy or the optic nerve of the retina. I recommend that you see an ophthalmologist for an examination.[Read More] Understanding the Possible Causes of Decreasing Myopia Over Time