Understanding Optic Nerve Cupping: Should You Start Treatment?
Optic nerve cupping Hello Doctor: I am 42 years old. Recently, I was examined at a clinic and found to have a cup-to-disc ratio of 0.8, but my intraocular pressure and visual field tests were normal. The doctor recommended starting treatment with glaucoma eye drops. However, upon...
Dr. He Jianxian Reply:
Based on your description, regular follow-up should be a reasonable choice![Read More] Understanding Optic Nerve Cupping: Should You Start Treatment?
Understanding OCT Results: Is My Eye Condition a Sign of Glaucoma?
There is a portion of the left eye OCT that appears red? I am nearsighted with approximately 400 degrees. Last week, during my visit to the ophthalmologist, it was noted that my optic nerve is somewhat cupped, with the left eye being larger than the right. I underwent a visual fi...
Dr. He Jianxian Reply:
I recommend that you consult directly with your treating physician for more accurate information, as I have not seen your OCT and visual field results.[Read More] Understanding OCT Results: Is My Eye Condition a Sign of Glaucoma?
Understanding Glaucoma: Navigating Conflicting Diagnoses and Treatment Options
Questions about glaucoma? In 2009, during a health check-up, I received a result indicating "enlarged physiological cup." I went to a major hospital (Hospital A) for further examination, where I underwent fundus examination and visual field testing. The doctor said ever...
Dr. He Jianxian Reply:
If your vision has always been normal, there is no need to worry too much. As for continuously taking this type of antihypertensive medication, there are generally no significant side effects to be concerned about. A cupped optic nerve does not necessarily indicate damage; it req...[Read More] Understanding Glaucoma: Navigating Conflicting Diagnoses and Treatment Options
Understanding Vitreous Detachment and Its Impact on High Myopia
Retinal traction from the vitreous? Hello, Doctor. (I have inquired before and have further developments.) I have high myopia, approximately 700 to 800 diopters. I previously consulted you around last Thursday, as I have been experiencing flashes of light in my left eye when I cl...
Dr. Wang Zhishun Reply:
Hello, based on the description, both eyes should currently be able to use eye muscle exercises and anti-inflammatory eye drops. Additionally, regarding the retina, if there are any changes in symptoms, further examination is necessary. If not, follow-up can be scheduled as plann...[Read More] Understanding Vitreous Detachment and Its Impact on High Myopia
Understanding Glaucoma: Symptoms and Visual Disturbances Explained
Glaucoma issues Hello Doctor: When I stay outdoors and focus on an object for a long time, I see a shadow that seems to move toward the center. I'm certain this is not a symptom of floaters, as I already have floaters. Could this be glaucoma? What do arcuate scotomas and fla...
Dr. Gao Pilin Reply:
Hello: The black spots you are seeing are likely due to floaters, and glaucoma does not typically present with this symptom. The arcuate scotomas and flame-shaped scotomas refer to changes observed during visual field testing, not the black spots you are experiencing. For more in...[Read More] Understanding Glaucoma: Symptoms and Visual Disturbances Explained
Understanding Monocular Diplopia: Causes and Concerns in Eye Health
Monocular diplopia Hello Doctor: I am experiencing sudden diplopia in my right eye, along with a decrease in vision. My eyesight was normal after correction, but within a day or two, I remember waking up one night with a sudden headache on the right side, and after that, the next...
Dr. Wang Zhishun Reply:
Hello, the causes of monocular diplopia can include refractive errors, as well as issues ranging from the eyelid to the retina. It is better to have a physician help you identify the cause. Additionally, myasthenia gravis can also present solely in the eyes, so it may be worthwhi...[Read More] Understanding Monocular Diplopia: Causes and Concerns in Eye Health
Choosing the Right Eye Pressure Medication: Alphagan vs. Aisuhua
Inquiry about eye pressure-lowering eye drops? Hello, Doctor Gao. In mid-November last year, I was diagnosed with early-stage glaucoma at an ophthalmology clinic after a series of intraocular pressure and visual field tests. Once the condition was confirmed, the doctor prescribed...
Dr. Gao Pilin Reply:
Hello Steven: Actually, both can be managed well if controlled properly. Some may cause a tingling sensation, but they should be harmless. If you are concerned, you can seek a second opinion from another physician. In Taiwan, the Department of Ophthalmology at Puzi Hospital is op...[Read More] Choosing the Right Eye Pressure Medication: Alphagan vs. Aisuhua
Understanding Rainbow Halo Effects from Bright Lights: Eye Health Insights
Seeing bright light can create a rainbow halo effect? Hello, I have been using electronic devices for extended periods recently, which has caused my eyes to feel strained and painful. My right eye has a prescription of -4.50 and my left eye -1.50. Over the past few months, I have...
Dr. Gao Pilin Reply:
Hello Kevin: The presence of halos is caused by corneal edema, so in addition to glaucoma, wearing contact lenses for an extended period can also lead to this phenomenon. I wonder if you have been wearing them? It is important to continuously monitor your intraocular pressure and...[Read More] Understanding Rainbow Halo Effects from Bright Lights: Eye Health Insights
Understanding Enlarged Optic Nerve Head: Implications and Concerns
Optic disc abnormalities? Hello, Doctor Gao. I have approximately 400 degrees of myopia in both eyes, along with astigmatism, presbyopia, and mild floaters. Over the past few years, my routine eye pressure checks have shown elevated levels between 26 and 28 mmHg. I have used eye ...
Dr. Gao Pilin Reply:
Hello Verve: Based on your description, there is an indication of elevated intraocular pressure, and the optic disc is not swollen but shows an increased proportion of cupping. This is one of the symptoms of glaucoma; however, it should be evaluated in conjunction with intraocula...[Read More] Understanding Enlarged Optic Nerve Head: Implications and Concerns
Understanding High Eye Pressure and Its Connection to Visual Disturbances
Elevated intraocular pressure with halos? Hello, doctor. Last month, I noticed that I have persistent halos around lights, both day and night. I went to the medical school, and the doctor said my intraocular pressure exceeded the critical point but did not specify the exact value...
Dr. Gao Pilin Reply:
Hello, Xiao Neng: A visual field test is necessary to assess whether there is any optic nerve damage. However, it is advisable to lower the intraocular pressure slightly; I recommend starting medication and following your physician's instructions for examination. The ophthal...[Read More] Understanding High Eye Pressure and Its Connection to Visual Disturbances
Is It Glaucoma? Understanding Your Eye Pressure and Nerve Health
Is it glaucoma? Hello Doctor, last year I experienced eye pain and went to a clinic for an examination. My intraocular pressure was 22 and 23. After a visual field test, the doctor diagnosed me with open-angle glaucoma and prescribed medication to lower the eye pressure. After us...
Dr. Wang Zhishun Reply:
Hello, intraocular pressure is not an absolute standard for diagnosing glaucoma; it should be considered alongside visual fields and the optic nerve. Based on what you described, it does not seem to be obvious glaucoma. I recommend that you regularly monitor the optic nerve, and ...[Read More] Is It Glaucoma? Understanding Your Eye Pressure and Nerve Health
Understanding Eye Sensitivity and Shadows: Possible Causes and Care Tips
Seeing bright lights can be blinding, and observing black shadows on a white wall? For the past four months, my eyes have been very sensitive to light, experiencing glare and seeing light sources in a radiating pattern, with rainbow halos around streetlights. When looking at a wh...
Dr. Wang Zhishun Reply:
Hello, based on your description, it seems that eye fatigue is a significant factor. I recommend using your eyes appropriately. You can refer to http://www.hpa.gov.tw/BHPNet/Web/HealthTopic/Topic.aspx?id=200712250086. Please avoid being picky with your diet; at your age, you like...[Read More] Understanding Eye Sensitivity and Shadows: Possible Causes and Care Tips
Understanding Causes of Significant Parallax in Vision Problems
Possible causes of excessive parallax? Hello Dr. Wang, I have been nearsighted since childhood, and my prescription has continued to worsen. After entering the workforce, I have visited an ophthalmologist several times, but they all confirmed it was just myopia. Recently, since I...
Dr. Wang Zhishun Reply:
Hello, based on what you mentioned, it seems that the vision in both eyes is significantly different, rather than a large disparity (which refers to a difference in prescription of more than 200 degrees between the two eyes). If one eye has poorer vision, the examinations you und...[Read More] Understanding Causes of Significant Parallax in Vision Problems
Understanding Eye Issues: Symptoms, Concerns, and Necessary Tests
Emergency: Eye problems? Doctor, I have over 800 degrees of myopia. Two months ago, I developed floaters, and recently I've been experiencing these issues. Two weeks ago, I consulted two ophthalmologists for a fundus examination, and both said my retina is fine. 1. When I ...
Dr. Wang Zhishun Reply:
Hello, the situation you described has many possibilities. It is recommended to go to a major hospital for further examination, such as color vision testing, visual field testing, and ocular coherence tomography (OCT) for the optic nerve and retina, among others.[Read More] Understanding Eye Issues: Symptoms, Concerns, and Necessary Tests
Do I Need an Urgent Eye Exam for Glaucoma or Macular Degeneration?
Do I need to see a doctor immediately to check for glaucoma and macular degeneration? Hello Doctor: I have myopia in both eyes under 200 degrees and astigmatism over 300 degrees. I just underwent retinal laser surgery on October 20th, so I am very attentive to symptoms of other e...
Dr. Wang Zhishun Reply:
Hello, your description is very clear. In summary, the main concerns are macular degeneration and glaucoma. You can search online for "AMSLER GRID" to perform a test; if you have macular degeneration, you will likely notice issues with the grid. Glaucoma generally does ...[Read More] Do I Need an Urgent Eye Exam for Glaucoma or Macular Degeneration?
Understanding Glaucoma Tests: What You Need to Know
Glaucoma examination? Hello, doctor. I would like to ask you about my recent eye examination. The doctor mentioned that my optic disc is larger than average, so they performed visual field tests and measured my intraocular pressure, which was almost 20. Over the past three years,...
Dr. Gao Pilin Reply:
Hello, Petty: Fundus photography is not always necessary. Changes in visual fields are the most objective measure. The rainbow seen in glaucoma occurs at the periphery of light, which is caused by corneal edema and is not necessarily indicative of glaucoma. Regular monitoring of ...[Read More] Understanding Glaucoma Tests: What You Need to Know
Understanding High Eye Pressure: What It Means for Your Vision and Next Steps
Elevated intraocular pressure..? Hello, doctor. Last week, I went to an ophthalmology clinic for an eye examination. My left eye had an intraocular pressure of 23 mmHg and my right eye had 22 mmHg. The doctor advised me to return for a follow-up in a week. Today, during the follo...
Dr. Gao Pilin Reply:
Hello, Zaiyu: In addition to elevated intraocular pressure, glaucoma also involves changes in the optic nerve and visual field. A poor optic nerve condition is indicated by an enlarged optic cup, and while the size of the optic cup is related to glaucoma, the relationship is not ...[Read More] Understanding High Eye Pressure: What It Means for Your Vision and Next Steps
Understanding Visual Field Test Results: What Do the Numbers Mean?
Interpretation of visual field examination? Hello, doctor. Recently, I had a visual field test at the hospital and received two numbers: right eye 2.4/0.8 and left eye 0.8/0.4. The examining physician mentioned that this indicates very mild symptoms. I would like to ask what thes...
Dr. Wang Zhishun Reply:
Hello, I apologize for the confusion, as there are many types of visual field testing machines and data available. I am unable to identify which specific result you provided. There is indeed medical literature suggesting that ginkgo biloba may have effects in slowing the deterior...[Read More] Understanding Visual Field Test Results: What Do the Numbers Mean?
Understanding Eye Symptoms: Flashes, Floaters, and Eye Pain
Visual scintillation and ocular pressure pain? Hello Doctor: About a month ago, I suddenly developed floaters, and their number has gradually increased. When transitioning from bright to dark areas, I experience a sensation of my vision alternating between light and dark, similar...
Dr. Gao Pilin Reply:
Hello, Liao Miaomiao: If the examination shows no issues, regular follow-up visits are sufficient. These symptoms are caused by myopia, which can be corrected with glasses; however, as one ages, some complications may still arise. For eye discomfort and pain, applying a warm comp...[Read More] Understanding Eye Symptoms: Flashes, Floaters, and Eye Pain
Understanding Eye Pain: Is It Due to High Eye Pressure or Incorrect Prescription?
Is eye strain related to high intraocular pressure? Hello Doctor: I am currently experiencing frequent eye pain. I also have pain on both sides of my nose and suffer from migraines. I am unsure if this is caused by an insufficient prescription for my glasses. My current prescript...
Dr. Gao Pilin Reply:
Hello, Xiao-Jia: Most cases of eye soreness are caused by eye fatigue, so improving your eye habits is the most important step. If your intraocular pressure is normal, and the optic nerve examination and visual field tests are normal, there should be no need for glaucoma medicati...[Read More] Understanding Eye Pain: Is It Due to High Eye Pressure or Incorrect Prescription?