Managing Acute Glaucoma: Treatment, Medication, and Eye Pressure Control
Follow-up for Acute Glaucoma Hello Dr. Tsai, Previously, before my military service, I developed acute glaucoma due to family and work-related factors. After the diagnosis, the doctor immediately administered IV fluids and prescribed eye drops. Following improvement, I returned ...
Dr. Cai Wenyuan Reply:
Hello, is Qingyanlu eye drops to be applied once a day? Are there long-acting types that can be applied once daily? Do practices like eye massage, warm compresses, and acupressure help in controlling intraocular pressure? They do not provide any benefit. Wishing you peace and hea...[Read More] Managing Acute Glaucoma: Treatment, Medication, and Eye Pressure Control
Understanding Severe Eye Injury: Insights on Vision Loss and Treatment Options
Before and after the suturing surgery for the left eye globe laceration, there was no light perception in the left eye? Description: 28 days ago, I suffered a traumatic injury to my left eye and was taken to Kaohsiung Veterans General Hospital for ocular globe suturing surgery. B...
Dr. Cai Wenyuan Reply:
Hello, I apologize for the lengthy response, but my ability to assist you is limited. Based on your description, I do not have any other good suggestions. Kaohsiung Veterans General Hospital is quite large, and it may be sufficient for you to seek medical care locally. Wishing yo...[Read More] Understanding Severe Eye Injury: Insights on Vision Loss and Treatment Options
Understanding Rainbow Halos: The Impact of Poor Tear Quality on Vision
Poor tear quality can lead to a rainbow halo around white light at night? Hello, doctor. Recently, I suddenly noticed that when I look at white lights, there is a halo around the light that resembles a rainbow. The next day, I immediately went to see an ophthalmologist. I informe...
Dr. Cai Wenyuan Reply:
Hello, you may need to consult with the attending physician. Thank you. Wishing you peace and good health. Sincerely, Dr. Cai Wenyuan, Director of the Ophthalmology Department, Taoyuan General Hospital, Ministry of Health and Welfare.[Read More] Understanding Rainbow Halos: The Impact of Poor Tear Quality on Vision
Common Eye Care Questions: Health Insurance Coverage and Treatment Concerns
Some questions and issues regarding health insurance coverage? Hello, Doctor. I would like to ask a few questions: 1. A few days ago, an eyelash fell onto my eyeball. At first, I was a bit anxious and tried to use a cotton swab to remove it. Could this cause any harm to my eye ...
Dr. Cai Wenyuan Reply:
Hello, I was a bit anxious and tried to use a cotton swab to remove it, which could potentially harm my eyes. The hospital has scheduled an OCT and visual field examination soon. I am unsure if this will result in needing to pay out of pocket for the OCT examination later. If the...[Read More] Common Eye Care Questions: Health Insurance Coverage and Treatment Concerns
Understanding High Eye Pressure: Common Concerns and Solutions
Questions about high intraocular pressure? I would like to ask the doctor a few questions: 1. Yesterday, my eyes felt uncomfortable, and I wanted to go to an ophthalmology clinic for a dilated eye exam. However, the doctor mentioned that dilation shouldn't be done too freque...
Dr. Cai Wenyuan Reply:
Hello, I felt some discomfort in my eyes yesterday and wanted to go to an ophthalmology clinic for a dilated eye exam, but it is necessary to have the exam only if needed. Wearing glasses with insufficient prescription can lead to eye fatigue. Wishing you safety and health. Since...[Read More] Understanding High Eye Pressure: Common Concerns and Solutions
Understanding High Eye Pressure: Is It Glaucoma and How to Manage It?
Will high eye pressure improve? How long will it take to know if it returns to normal? I previously sought treatment at the hospital for dry eye syndrome, using dry eye drops and artificial tears for about eight months. During this period, I obtained my medication through a slow ...
Dr. Cai Wenyuan Reply:
Hello: It is difficult to make a diagnosis based solely on description. However, the likelihood of nerve damage from short-term elevated intraocular pressure is low, so there is no need to worry. If the elevated intraocular pressure is caused by corticosteroids, discontinuing the...[Read More] Understanding High Eye Pressure: Is It Glaucoma and How to Manage It?
Understanding Glaucoma: Addressing Common Concerns and Misconceptions
Glaucoma-related issues I have read many articles and have a basic understanding of glaucoma. After experiencing eye fatigue, I visited an ophthalmologist who measured my intraocular pressure (IOP) at 20 mmHg. Today, I went for a fundus examination (at 9:30 AM) where the first IO...
Dr. Cai Wenyuan Reply:
Hello, anxiety can indeed affect the measurement of intraocular pressure. Based on your situation, there is no immediate need to go to a larger teaching hospital for re-examination. Further visual field testing would only be warranted if glaucoma is suspected. OCT is different fr...[Read More] Understanding Glaucoma: Addressing Common Concerns and Misconceptions
Understanding Vision Loss After Head Injury: Tumor or Other Causes?
Visual field defect Recently, I had an accident while riding a bike, resulting in a long laceration on my forehead. Initially, my vision became blurred on the left side of both eyes. I underwent a visual field test, which confirmed there were issues with my vision. A CT scan show...
Dr. Cai Wenyuan Reply:
Hello, based solely on your description, it is quite difficult to answer your question. However, it is uncommon for a cycling accident to result in visual field loss unless there is a severe brain injury. Severe brain injuries should be detectable through a CT scan. Wishing you s...[Read More] Understanding Vision Loss After Head Injury: Tumor or Other Causes?
Understanding High Myopia: Common Concerns and Eye Health Questions
Myopia issues? Hello Doctor, I would like to ask you about my condition. I have high myopia (approximately -1150 diopters), and the optical shop provided me with glasses with -1050 diopters. However, when I wear them, my eyes tend to feel strained, so I only wear them when I ne...
Dr. Gao Pilin Reply:
Hello: 1. No, this way your eyes will feel more comfortable. 2. The refractive error can change depending on the tension of the ciliary muscle in your eyes. If the measurements are unstable, it may be necessary to use a cycloplegic agent before retesting for more accurate results...[Read More] Understanding High Myopia: Common Concerns and Eye Health Questions
How to Prevent Eyelid Swelling: Tips for Managing Eye Pressure
Eyelid edema Hello Dr. Tsai, I was diagnosed with a cup-to-disc ratio of 0.8 in July of this year, and the OCT examination showed the degree of cupping in the yellow to red range. My visual field test was normal, and the doctor advised me to continue monitoring. I also researched...
Dr. Cai Wenyuan Reply:
A cup-to-disc ratio of 0.8 does not necessarily indicate glaucoma, and there is no need to elevate your pillow while sleeping. Let's try this approach first, thank you.[Read More] How to Prevent Eyelid Swelling: Tips for Managing Eye Pressure
Understanding Glaucoma: Eye Pressure, Nerve Health, and Safety Concerns
Glaucoma examination Hello, doctor. Recently, I've been experiencing eye strain and some discomfort in the back of my head. I'm concerned it might be glaucoma, so I went to the hospital for an examination. I have high myopia, approximately -7.00 diopters. My intraocular...
Dr. He Jianxian Reply:
1. In high myopia, the optic nerve itself can undergo changes, making it difficult to determine if there are any pathological alterations. If your doctor suspects you may have glaucoma, they will likely schedule a visual field test for you. 2. The fundus examination typically doe...[Read More] Understanding Glaucoma: Eye Pressure, Nerve Health, and Safety Concerns
Understanding Sudden Eye Pain and Tears: Is It a Sign of High Eye Pressure?
Suspected high intraocular pressure with eye pain and tearing? Hello, Dr. Gao. This evening, while I was having a bowel movement, I suddenly experienced severe stabbing pain in both eyes, accompanied by tearing, making it almost impossible to open my eyes. Upon looking in the mir...
Dr. Gao Pilin Reply:
Hello, concerned individual: 1. Sudden sharp pains are not necessarily due to elevated intraocular pressure; it can occur if the oil secreted around the eyelids enters the eye. In such cases, washing your face and cleaning your eyelids may help alleviate the situation. 2. Some ...[Read More] Understanding Sudden Eye Pain and Tears: Is It a Sign of High Eye Pressure?
Understanding Glaucoma: What to Expect During Vision and Nerve Checks
Issues related to glaucoma? The examination of visual fields and the optic disc cupping specifically involves assessing the visual field and the appearance of the optic nerve head. This is typically performed using a combination of techniques, including perimetry to evaluate the ...
Dr. Cai Wenyuan Reply:
The examination of optic disc cupping can be performed using an ophthalmoscope or fundus photography. Visual field testing can be conducted using a computerized automated perimetry machine. Thank you.[Read More] Understanding Glaucoma: What to Expect During Vision and Nerve Checks
Understanding Glaucoma: Eye Pressure, Treatment, and Prevention Tips
Glaucoma issues? Today, I went for a glaucoma examination, and my eye pressures were 19 and 20. They prescribed me a bottle of brimonidine tartrate eye drops. Does this mean everything is okay? Could you please advise me on how to prevent glaucoma?
Dr. Cai Wenyuan Reply:
Intraocular pressure of 19 and 20 falls within the normal range. To rule out glaucoma, it is best to conduct visual field tests and examine the optic nerve head for cupping. Regular check-ups and avoiding eye strain are fundamental practices for maintaining eye health. Thank you.[Read More] Understanding Glaucoma: Eye Pressure, Treatment, and Prevention Tips
Understanding Floaters and Glaucoma: Key Eye Health Concerns
Floaters and glaucoma issues? Hello, doctor. I discovered that I have floaters around March of this year and went to a large hospital for an examination. I have a few questions I would like to ask you. 1. Does having floaters indicate an increased risk of retinal disease? Durin...
Dr. Cai Wenyuan Reply:
Floaters do not indicate an increased risk of retinal disease, nor do they signify retinal thinning. Corneal abnormalities can also cause halos. A sudden appearance of faint white spots can also be a form of floaters.[Read More] Understanding Floaters and Glaucoma: Key Eye Health Concerns
Understanding Visual Disturbances: What Are Those Floating Spots?
Observing abnormalities in the sky? Hello Doctor, recently when I look at the sky, I see many small light spots flying around, all moving in the same direction. Additionally, there are also ball-shaped dark shadows moving forward. I can see the small light spots whenever there is...
Dr. He Jianxian Reply:
If you have undergone so many tests and everything is normal, there is no need to worry too much! At most, just have a dilated fundus examination, and that should be sufficient![Read More] Understanding Visual Disturbances: What Are Those Floating Spots?
Can Patients with Suspected Glaucoma Safely Undergo Dilated Fundus Examination?
Can a suspected glaucoma patient undergo dilated fundus examination for retinal detachment? Dear Director Gao, I am currently 27 years old and have over 500 degrees of myopia in both eyes. I previously underwent a glaucoma examination, and since both the intraocular pressure and...
Dr. Gao Pilin Reply:
Hello: If it is not angle-closure glaucoma, dilation of the pupils does not necessarily lead to acute glaucoma. After the examination, please check the intraocular pressure; if it is indeed elevated, there are treatment options available. There is no need to worry too much. A det...[Read More] Can Patients with Suspected Glaucoma Safely Undergo Dilated Fundus Examination?
Understanding Suspected Glaucoma: Symptoms, Diagnosis, and Anxiety
Suspected glaucoma Hello Doctor: In May, I went to a clinic because I noticed something black in my vision and, after researching online, I was worried it might be a retinal detachment. The doctor dilated my pupils and said there was no detachment, but he found some degeneration ...
Dr. He Jianxian Reply:
Glaucoma and blindness are not synonymous! Even if you have glaucoma, there are many pharmacological and non-pharmacological treatments available. Additionally, you have not yet been diagnosed with glaucoma, so regular monitoring is sufficient; there's no need to worry too m...[Read More] Understanding Suspected Glaucoma: Symptoms, Diagnosis, and Anxiety
Can Medication-Induced Glaucoma Lead to Long-Term Eye Issues?
Is drug-induced glaucoma considered a form of chronic glaucoma? Hello Doctor, I am working overseas and recently purchased eye drops containing corticosteroids for conjunctivitis. After using them for ten days, I developed glaucoma. I consulted a local doctor and was prescribed g...
Dr. Gao Pilin Reply:
Hello, Pan: When experiencing eye fatigue, it can lead to increased intraocular pressure, causing discomfort. Exercise can sometimes lower intraocular pressure, providing relief. However, the discomfort may also be due to excessive eye strain. Exercise allows the eyes to rest, wh...[Read More] Can Medication-Induced Glaucoma Lead to Long-Term Eye Issues?
Understanding Changes in Floaters: When to Seek Eye Care
Changes in the pattern of floaters? Hello, Dr. Gao. I started experiencing floaters over a month ago. I have undergone 1-2 dilated retinal examinations, which showed no issues, except for a larger than normal optic nerve head cupping. Currently, both OCT and visual field tests ar...
Dr. Gao Pilin Reply:
Hello Ms. Chen, 1. Floaters generally do not have a fixed shape, and since you were examined just the day before, it should not be related. 2. Floaters are essentially a degeneration of the vitreous body and are not associated with retinal diseases. However, sometimes when the v...[Read More] Understanding Changes in Floaters: When to Seek Eye Care