Understanding Glaucoma Risks in High Myopia Patients
Glaucoma issues? Hello Doctor: I have high myopia, with my prescription around -8.50 and -9.50 in each eye. A few weeks ago, I had a health check-up where my intraocular pressure was measured at 22 mmHg in the left eye and 14 mmHg in the right eye. I was informed that a pressure ...
Dr. He Jianxian Reply:
It is recommended that you undergo a visual field test, which can help determine if you have glaucoma. However, considering your age, the likelihood of having glaucoma is probably not very high![Read More] Understanding Glaucoma Risks in High Myopia Patients
Understanding Suspected Glaucoma: Key Questions and Recommendations
Suspected glaucoma Hello Doctor: Two days ago, I visited an ophthalmologist due to a stye. During the examination, my intraocular pressure was measured, and the doctor said that my right eye was within the normal range, while my left eye was also normal but slightly elevated. Add...
Dr. Wang Zhishun Reply:
Hello: The area you are referring to is likely the optic nerve head depression. It is more likely to be physiological, but it could also be pathological. Further visual field testing and OCT examination can help differentiate between the two. If there are any issues, treatment ma...[Read More] Understanding Suspected Glaucoma: Key Questions and Recommendations
Managing Anxiety in High Myopia and Glaucoma Concerns
Anxiety related to glaucoma? Hello Doctor, I am highly myopic with a prescription of -8.50 to -9.50 and a corneal thickness of 500 microns. Two years ago, my intraocular pressure (IOP) rose to 26, which caused me a lot of anxiety. I immediately went to a large hospital for visual...
Dr. He Jianxian Reply:
If you have already consulted numerous ophthalmologists and undergone various examinations, there is no need to worry too much. In Taiwan's healthcare system, doctors generally tend to initiate early treatment if they suspect any issues. Early treatment for glaucoma is quite...[Read More] Managing Anxiety in High Myopia and Glaucoma Concerns
Understanding Normal-Tension Glaucoma: Diagnosis, Treatment, and Lifestyle Impact
Diagnosis and management of glaucoma? Hello Doctor: I have over 700 degrees of myopia in my left eye and 600 degrees in my right eye. Recently, I noticed that the left third of my left eye's visual field is quite blurry, so I went for an eye examination. After undergoing OCT...
Dr. Gao Pilin Reply:
Dear Mr. Tsai: 1. Some types of glaucoma can occur with normal or even low intraocular pressure; your examinations should be sufficient. 2. A gonioscopy is necessary. You may inquire with the attending physician. 3. This refers to gonioscopy. Generally, glaucoma evaluations will...[Read More] Understanding Normal-Tension Glaucoma: Diagnosis, Treatment, and Lifestyle Impact
Protecting Remaining Optic Nerve: Strategies for Vision Preservation
Protection of the remaining optic nerve? Q: How can I preserve the remaining optic nerve? Hello, Dr. Gao. I know that some people have already asked questions regarding the optic nerve. Since treatment has been ineffective, I have been encouraged by your detailed and compassionat...
Dr. Gao Pilin Reply:
Dear Mr. Gao, I regret to inform you that there is currently no method to completely halt the degeneration of the optic nerve. However, research indicates that the glaucoma medication, Aifumu (also known as Latanoprost), has protective effects on the optic nerve. If you wish to ...[Read More] Protecting Remaining Optic Nerve: Strategies for Vision Preservation
Understanding Glaucoma: Key Questions and Insights for Patients
Suspected glaucoma issue? Hello, Doctor He. I previously inquired about the possibility of glaucoma. In your response, you mentioned that the optic nerve cup generally does not enlarge unless there is a condition of "persistent damage to the optic nerve or retina." I am...
Dr. He Jianxian Reply:
The term "the optic nerve head does not enlarge" refers to the absence of a continuous increase in size. If there is a persistent enlargement, it indicates that the optic nerve cells are experiencing damage during that period of enlargement. Essentially, controlling int...[Read More] Understanding Glaucoma: Key Questions and Insights for Patients
Understanding Optic Nerve Cupping: Is It a Sign of Glaucoma?
Optic nerve cupping Glaucoma Hello, doctor... I had my military service physical examination today, and during the eye exam, it was noted that my optic nerve cupping is greater than 80% (there is no family history of glaucoma). However, I had been on the computer all day before t...
Dr. He Jianxian Reply:
The size of the optic nerve cup is related to glaucoma, but the relationship is not absolute; however, 80% of the optic nerve cups are indeed enlarged. It is recommended that you visit an ophthalmologist for intraocular pressure and visual field tests to determine if glaucoma is ...[Read More] Understanding Optic Nerve Cupping: Is It a Sign of Glaucoma?
Understanding OCT and Fundus Examination for Glaucoma Diagnosis
Fundoscopy and OCT interpretation and diagnosis of the optic nerve? Hello Doctor, recently I've been feeling anxious about my health (I have been seeing a psychiatrist...), which led me to worry about my eyes. I am highly myopic, with both eyes at -700 degrees. Yesterday, my...
Dr. Wang Zhangji Reply:
OCT is just one of many tests and cannot be used alone to diagnose glaucoma. There is no need to be overly concerned about hypothetical issues; joy is the best medicine.[Read More] Understanding OCT and Fundus Examination for Glaucoma Diagnosis
Understanding Glaucoma Concerns: A Guide for High Myopia Patients
Concern for glaucoma Hello, Doctor. I am a programmer with high myopia. Last year, my intraocular pressure was as high as 26. The doctor prescribed me a fatigue-relief eye drop, and after three days, my pressure dropped to 18-19 during a follow-up. Two months later, I went to Hos...
Dr. He Jianxian Reply:
1. OCT results do not fully represent the presence or absence of glaucoma and must be interpreted in conjunction with other conditions. 2. There are no clinical reports linking excessive eye strain to the development of glaucoma. 3. Essentially, if glaucoma has not been confirmed...[Read More] Understanding Glaucoma Concerns: A Guide for High Myopia Patients
Understanding Visual Fatigue: Causes and Treatments for Persistent Symptoms
What should be done to treat severe visual fatigue (image persistence)? Hello, doctor. I have a problem that has been bothering me for almost a year. I have never experienced this before, but now my visual fatigue lasts a significantly long time. For example, when I look directly...
Dr. Wang Zhishun Reply:
Hello, based on your description, it seems that you are experiencing a prolonged visual afterimage, which is mostly a normal physiological phenomenon. If the eye examination is normal, I wonder if there are any other neurological symptoms? If so, it may be advisable to consult a ...[Read More] Understanding Visual Fatigue: Causes and Treatments for Persistent Symptoms
Understanding Optic Nerve Cupping: Signs, Risks, and Eye Care Tips
Optic nerve and cupping issues? Dear Dr. Gao/Director, Happy Lunar New Year! I am currently abroad and today I went to an ophthalmologist for a routine vision health check. My visual acuity was measured (it hasn't worsened compared to last year), and my intraocular pressur...
Dr. Gao Pilin Reply:
Hello, Big Eyes: 1. Disc cupping refers to the excavation of the optic nerve head. When the optic disc is affected by intraocular pressure, it may initially lead to an increase in the cupping of the optic nerve head. Therefore, an increase in disc cupping can be considered an in...[Read More] Understanding Optic Nerve Cupping: Signs, Risks, and Eye Care Tips
Understanding Blurred Vision and Light Sensitivity in Older Adults
Blurred vision, loss of color perception, photophobia? Hello, doctor. The patient is a 69-year-old male with congenital exotropia who needs to read a large volume of text daily for work. In June 2013, he fell and hit his head in his bathroom. Before the decline in vision, he freq...
Dr. Wang Zhangji Reply:
Photophobia is usually associated with issues related to the cornea and conjunctiva, so it is advisable to consult a cornea specialist for treatment. Color vision is more related to the function of the optic nerve, and the potential causes of poor vision are very diverse. It is r...[Read More] Understanding Blurred Vision and Light Sensitivity in Older Adults
Concerns About Vision Loss: Managing High Myopia and Eye Health
Worried about going blind? I am severely myopic (both eyes close to 1000 degrees). In recent years, I have been paying close attention to my eyes while studying, having regular check-ups every three to six months to monitor my retina at an ophthalmology clinic. Fortunately, the d...
Dr. He Jianxian Reply:
Hello: Basically, you have been undergoing regular check-ups, so there is no need to worry too much. Your work will not cause blindness, and you can feel reassured. Wishing you good health.[Read More] Concerns About Vision Loss: Managing High Myopia and Eye Health
Understanding 55% Optic Nerve Cupping in a Child: Key Concerns and Next Steps
Optic nerve cupping 55%? Hello, doctor. Two days ago, I took my six-year-old daughter to an ophthalmology clinic for a vision check. Her vision is normal, but it was unexpectedly found that she has a 55% optic nerve cupping. Her intraocular pressure is normal, and her visual fiel...
Dr. Wang Yuwei Reply:
Your daughter may indeed have a naturally larger optic nerve head depression, so it is important to monitor her intraocular pressure and visual fields. If there are any abnormalities in the future regarding intraocular pressure or visual fields, it could indicate glaucoma, which ...[Read More] Understanding 55% Optic Nerve Cupping in a Child: Key Concerns and Next Steps
Understanding Unstable Vision: Causes and Solutions for Eye Health Issues
Unstable vision prescription? In early January, I accidentally pressed on my right eyeball while napping, causing the angle of the right eye to change from 170 degrees to 10 degrees. Additionally, there was a small hole in the upper right part of the retina. I underwent laser sur...
Dr. He Jianxian Reply:
Hello: 1. If there is a problem with sinusitis, you should seek treatment from an otolaryngologist. 2. Changing the angle basically only requires adjusting the lens angle, which does not affect clarity or depth perception. 3. Severe astigmatism can cause significant image distort...[Read More] Understanding Unstable Vision: Causes and Solutions for Eye Health Issues
Understanding Blue Light Flashes: A Guide for High Myopia Patients
At night, there are blue areas when viewing the lantern festival? Hello Doctor, I am highly myopic and also experience significant flashes. Last Saturday night while riding my bike, I suddenly noticed that when I looked up at the streetlights, there was a patch of blue light belo...
Dr. He Jianxian Reply:
Hello: I suggest that you consult with another physician for further advice. Wishing you good health.[Read More] Understanding Blue Light Flashes: A Guide for High Myopia Patients
Facing the Fear of Blindness: A Young Professional's Eye Health Journey
Fear of blindness Hello, Doctor. I am highly myopic with astigmatism and work in the technology industry, where I spend long hours using a computer. I have been working for less than a year. In April, I was suspected of having glaucoma, and in June, I underwent visual field tests...
Dr. He Jianxian Reply:
Hello: I think you are worrying too much. I suggest you come to our outpatient clinic for an examination; the explanation will be clearer. Wishing you good health.[Read More] Facing the Fear of Blindness: A Young Professional's Eye Health Journey
Understanding Irregular Peripheral Vision Movement and Optic Nerve Edema
Irregular movement in peripheral vision? It has been happening for about six months and is getting worse. Initially, only my right visual field was affected, with irregular movements up and down, left and right (the entire visual field). Now, both the right side and the lower par...
Dr. Wang Zhishun Reply:
Hello, optic nerve edema is just a symptom, and there are many potential causes. The symptoms may vary depending on the underlying cause. Some of these may lead to symptoms like the ones you described, so it would be advisable to follow up with an ophthalmologist for further eval...[Read More] Understanding Irregular Peripheral Vision Movement and Optic Nerve Edema
Understanding Eye Fatigue: Causes, Remedies, and Safety of Mydriatics
Eye fatigue Doctor, due to my work, I often feel that my eyes are very fatigued when I get home, and my eyelids frequently feel heavy. When I close my eyes, I feel a lot of strain. I currently force myself to go to sleep around 11 PM, but there hasn't been any improvement. I...
Dr. He Jianxian Reply:
Hello: Essentially, what you refer to as mydriatics should be cycloplegic agents, which theoretically can relax the eye muscles. However, you should not use long-acting types to avoid being unable to work. Wishing you good health.[Read More] Understanding Eye Fatigue: Causes, Remedies, and Safety of Mydriatics
Understanding Glaucoma: Managing Fear and Eye Health
Fear of Glaucoma Hello, doctor. Last time I asked you about glaucoma issues, and last week I successfully went to Cathay General Hospital in Taipei for a visual field test. The doctor responded that both eyes are normal. The optical coherence tomography showed that the left eye&#...
Dr. He Jianxian Reply:
Hello: Your test results appear to be quite normal. A follow-up every six months is definitely sufficient, and there is no need for any supplements. Basically, you don't need to worry. Wishing you good health and peace.[Read More] Understanding Glaucoma: Managing Fear and Eye Health