Understanding Optic Nerve Issues in High Myopia: A Patient's Dilemma
Optic nerve issues Hello Doctor, I am highly myopic and have previously experienced elevated intraocular pressure, but after a few days, it can drop below 20. For the next two months, my intraocular pressure remained normal (I have visited the clinic around 10 times to measure my...
Dr. He Jianxian Reply:
Hello: I recommend that you first visit a well-established hospital to undergo a comprehensive visual field test (standard type) to assess whether you have glaucoma or if there are other issues causing your visual field loss. This will help determine the next steps in your treatm...[Read More] Understanding Optic Nerve Issues in High Myopia: A Patient's Dilemma
Understanding Optic Nerve Issues: Eye Pressure, Vision Loss, and Next Steps
Optic nerve issues? Hello, Doctor. I previously had an eye pressure spike up to 26, but after using eye drops (not for lowering eye pressure), it has been maintained between 15 and 19. Yesterday, I found a clinic that could perform a visual field test on-site (the doctor said it ...
Dr. He Jianxian Reply:
Hello: Essentially, your question contains too many uncertain assumptions. I recommend that you first seek a well-established hospital capable of conducting a comprehensive examination to confirm the diagnosis before considering subsequent treatment options. This would be a more ...[Read More] Understanding Optic Nerve Issues: Eye Pressure, Vision Loss, and Next Steps
Understanding Glaucoma: Beyond Eye Pressure and Long-Term Management
Concerns about glaucoma? Doctor, I would like to ask about glaucoma. Isn't it caused by chronically high intraocular pressure leading to optic nerve damage? However, I recently saw online that "in recent years, diagnosing glaucoma cannot rely solely on intraocular press...
Dr. He Jianxian Reply:
Hello: Normal-tension glaucoma, also known as low-tension glaucoma, is diagnosed based on the condition of visual field and optic nerve damage. Therefore, if your visual field test is normal, there is generally no need for excessive concern; however, regular follow-up is still ne...[Read More] Understanding Glaucoma: Beyond Eye Pressure and Long-Term Management
Understanding Visual Disturbances: Common Eye Issues Explained
Visual problems Hello, doctor. I would like to ask you a few questions: 1. When I read text, if the two lines above and below are the same, I experience a brief sensation of blurriness for about a second, making it difficult to distinguish whether it is one line or two. This on...
Dr. Wang Zhishun Reply:
Hello, 1. In this situation, it is more common to experience dry eyes or eye fatigue. If symptoms improve with blinking or resting, they likely fall into this category. Additionally, strabismus could also be a possibility. 2. The symptoms of floaters can vary greatly; if ther...[Read More] Understanding Visual Disturbances: Common Eye Issues Explained
Understanding Severe Glare and Light Distortion in Myopia Patients
Increased glare sensitivity in the eyes? Hello Dr. Wang, I have approximately -1100 diopters of myopia in both eyes and experience slight flashes of light. I wear glasses, and recently, when looking at distant lights, I noticed that the light appears to scatter, somewhat like the...
Dr. Wang Zhishun Reply:
Hello: Regarding the situation mentioned, it does not seem to be a simple case of floaters. Issues related to refractive error and the structure of the eyeball could all be potential causes. It is advisable for you to undergo a further examination by an ophthalmologist.[Read More] Understanding Severe Glare and Light Distortion in Myopia Patients
Can Eye Fatigue Increase Intraocular Pressure? Understanding the Connection
Intraocular pressure issues? Due to my work, I have been using the computer at close range for an extended period. Additionally, I have nasal allergies, and whenever I feel fatigued, my eyes become inflamed. In the past week or two, due to the eye inflammation, my doctor prescrib...
Dr. Wang Zhangji Reply:
Glaucoma is not diagnosed solely based on intraocular pressure. Some individuals may have inherently high eye pressure but do not necessarily have glaucoma. The optic nerve head is one of the examinations used in the diagnosis. For a more detailed assessment, additional tests suc...[Read More] Can Eye Fatigue Increase Intraocular Pressure? Understanding the Connection
Understanding Mydriatic Agents: Effects on Eye Health and Vision
Regarding mydriatics? Hello Doctor: I am currently 34 years old. My left and right eyes have myopia of -250 and -275, respectively, with astigmatism of -1.25 and -1.00. Recently, I visited a clinic due to eye fatigue, and the doctor prescribed a short-acting dilating agent, which...
Dr. Feng Jiefan Reply:
1. The symptoms of glaucoma are quite diverse, and it is necessary to have data from intraocular pressure measurements, fundus examinations, and visual field tests to make a diagnosis. If there are any doubts, one should consult a physician for an examination. 2. Mydriatic agen...[Read More] Understanding Mydriatic Agents: Effects on Eye Health and Vision
Managing Eye Sensitivity and Fatigue After Tuberculosis Treatment
Vision problems I was treated for tuberculosis for nine months from September 1997 to June 1998, and I stopped the medication in October 1998. Since then, my eyes do not seem to have improved. I am very sensitive to light and bright colors. Watching television and using the compu...
Dr. Ke Meilan Reply:
Hello: Tuberculosis medications may have effects on some patients. Please see an ophthalmologist promptly, take vitamin B daily, and have a visual field test to monitor visual perception abilities.[Read More] Managing Eye Sensitivity and Fatigue After Tuberculosis Treatment
Unexplained Blurry Vision: Seeking Answers for Left Eye Issues
Blurred vision with an unknown cause? Dear Dr. Wang, I noticed blurred vision in my left eye around the end of last year, feeling as if there was a layer of oil floating on the surface of my eye. I initially thought it was due to wearing contact lenses, which caused eye fatigue,...
Dr. Wang Yuwei Reply:
Hello Marian: I'm not sure how severe the blurriness in your left eye is, but it's important to note that the diagnosis of any condition does not necessarily improve with more tests. A detailed in-person consultation is more effective in identifying the underlying cause...[Read More] Unexplained Blurry Vision: Seeking Answers for Left Eye Issues
Does Anxiety Affect Eye Pressure During Glaucoma Tests?
Nervousness and intraocular pressure? Doctor, I often feel anxious and nervous, especially when I go to the hospital for examinations. I would like to ask if being very anxious and tense during an eye pressure test can raise my blood pressure, and if this could also lead to an in...
Dr. Ke Meilan Reply:
Dear Sir/Madam: Anxiety can indeed lead to an increase in intraocular pressure. However, the diagnosis of glaucoma is not solely based on intraocular pressure; it also involves examination of the optic nerve head and visual field testing. Dr. Mei-Lan Ke, Attending Physician, Depa...[Read More] Does Anxiety Affect Eye Pressure During Glaucoma Tests?
Understanding Glaucoma: Key Questions About Medication and Eye Health
Glaucoma issues? Hello, Doctor. I am not sure if you have received my inquiry, so I am resending it and hope for your reply. Thank you. I am currently using timolol Chauvin 0.50% eye drops (twice a day). I would like to ask the following questions: 1) The last time the doctor me...
Dr. Xie Wenzhen Reply:
Hello, sir: Thank you for your inquiry. I would like to respond to your question and provide the following advice: Regarding the issues you mentioned, they exceed the scope of my response. I recommend consulting a glaucoma specialist. Lastly, I wish you peace and happiness![Read More] Understanding Glaucoma: Key Questions About Medication and Eye Health
Understanding Visual Distortions: Questions on Eye Health and Diagnosis
Distortion of horizontal straight lines in the left eye? Hello Dr. Wang, I would like to follow up on my previous question. I have self-checked using a chart, and while focusing on the central black dot from a distance of 30 cm, I am unsure if it is a psychological effect or not,...
Dr. Wang Zhishun Reply:
Hello: As you mentioned, there is a slight indentation located 6-7 grid spaces to the right of the center point of the chart, which likely rules out the possibility of macular degeneration. Fundus photography is indeed the most important tool for a comprehensive examination of th...[Read More] Understanding Visual Distortions: Questions on Eye Health and Diagnosis
Understanding Distorted Vision: Causes Beyond Macular Issues
There is a distortion of horizontal straight lines in the left eye? Hello, doctor. I am a computer engineer and I need to stare at the computer for long periods. Six months ago, I noticed a faint irregular oval shadow in my left eye, so I went to an ophthalmologist. The doctor sa...
Dr. Wang Zhishun Reply:
Hello: Your description is very detailed, so I will respond directly to the key points. Do you experience any distortion when looking at the Amsler grid? If so, it is almost certain that there is a problem with the macula. If there is no distortion, then other issues should be co...[Read More] Understanding Distorted Vision: Causes Beyond Macular Issues
Understanding OCT Results and Treatment Options for High Eye Pressure
OCT (Optical Coherence Tomography) for glaucoma? Hello, Doctor. I would like to ask the following: My husband is 45 years old and started using Timolol Chauvin 0.50% eye drops (twice daily) on February 21, 2009. However, last month another doctor mentioned that my husband's ...
Dr. Xie Wenzhen Reply:
Hello, sir: Thank you for your inquiry. I would like to respond to your questions and provide the following suggestions: 1. First, after discontinuing the medication, observe changes in visual fields, fundus, and intraocular pressure. If glaucoma is present, the visual field may...[Read More] Understanding OCT Results and Treatment Options for High Eye Pressure
Understanding Timolol Eye Drops: Effects, Timing, and Concerns for Glaucoma Management
Glaucoma eye drop issues? I am currently using Timolol Chauvin 0.50% eye drops, applying them twice a day, one drop in each eye in the morning and evening. (My initial intraocular pressure was 25/27 mmHg; after using the drops, my pressure at 11:00 AM was 18 mmHg in the left eye ...
Dr. Xie Wenzhen Reply:
Hello, sir: Thank you for your inquiry. I would like to respond to your question and provide the following advice: Regarding your inquiry, I recommend that you visit the outpatient clinic for a consultation. Lastly, I wish you peace and happiness.[Read More] Understanding Timolol Eye Drops: Effects, Timing, and Concerns for Glaucoma Management
Understanding Eye Pain: Causes, Concerns, and Treatment Options
Eye strain? Several years ago, I injured my left eye, and I mainly rely on my right eye for vision. Recently, I experienced pain in my right eye and visited a clinic. My intraocular pressure was measured at 23 mmHg, and the optic nerve appeared to be in poor condition. The doctor...
Dr. Ke Meilan Reply:
Hello: There is no direct relationship between soreness and intraocular pressure. It is evident that you currently have elevated intraocular pressure rather than glaucoma. If you are still uncertain and the doctor has not diagnosed glaucoma, you may continue to monitor the situat...[Read More] Understanding Eye Pain: Causes, Concerns, and Treatment Options
Understanding Glaucoma: Key Questions and Treatment Considerations
Regarding glaucoma issues? Thank you again for your guidance on the eye drop issue during my last visit. I would like to seek your advice on the following matters: My husband, aged 44, had his intraocular pressure (IOP) checked on February 2, 2009 (left eye 27 mmHg, right eye 2...
Dr. Xie Wenzhen Reply:
Hello, sir: Thank you for your inquiry. Here are my responses and suggestions: 1. The consideration for surgery should not be based solely on a single measurement of intraocular pressure, visual field, or optic nerve condition. Instead, it should be based on exhausting all avail...[Read More] Understanding Glaucoma: Key Questions and Treatment Considerations
Understanding Eye Pain and Tears: Questions on Glaucoma and Vision Health
Following up on the previous question, I would like to ask the doctor? Regardless of location and time, I experience eye pain and tearing. I have a history of glaucoma and dry eye syndrome. When I was initially diagnosed with glaucoma, my intraocular pressure was not high (though...
Dr. Wang Zhishun Reply:
Hello! In fact, asthma medications can cause elevated intraocular pressure, typically due to steroid inhalers or oral medications. However, this does not necessarily mean that the medication should be discontinued. It should be assessed by both an internist and an ophthalmologist...[Read More] Understanding Eye Pain and Tears: Questions on Glaucoma and Vision Health
Should I Recheck My Vision? Understanding Glaucoma Concerns
Hello, doctor? Hello doctor, two years ago I felt like my visual field had become smaller, so I went to St. Martin to see a doctor who performed a visual field test. Everything was fine, but they suggested there might be some issues with my brain, so I underwent an MRI, which als...
Dr. Ke Meilan Reply:
Hello: Please pay attention to your typos! I believe there is no need to perform a visual field test at this time. If it is necessary, the out-of-pocket cost will be $1000. Wishing you peace and good health.[Read More] Should I Recheck My Vision? Understanding Glaucoma Concerns
Understanding Glaucoma: Key Questions and Treatment Insights
Glaucoma issues? First of all, thank you for the doctor's previous advice regarding the eye drops. I now have some questions and would appreciate your guidance: My husband, aged 44, had his intraocular pressure checked on February 2, 2009 (left eye 27 mmHg, right eye 28 mmH...
Dr. Xie Wenzhen Reply:
Hello, sir: Thank you for your inquiry. Here are my responses and suggestions: 1. Each month, the response to medication can vary. However, based on your husband's condition, continuing to use the eye drops to control intraocular pressure should help maintain or slightly r...[Read More] Understanding Glaucoma: Key Questions and Treatment Insights