Understanding Suspected Early Glaucoma and Vision Loss: Key Insights
Glaucoma and Visual Field Loss: The Gray Area Between Presence and Absence Hello, Director. Recently, during a routine eye examination (which included intraocular pressure, fundus examination, OCT, and visual field tests), the physician determined that there was some visual field...
Dr. Gao Pilin Reply:
Hello: Since I have not examined you in person, my response is for reference only. Please consult your ophthalmologist for specific treatment recommendations. 1. It appears that your fundus examination results show some changes, including the structure of the optic nerve head. ...[Read More] Understanding Suspected Early Glaucoma and Vision Loss: Key Insights
Understanding Rainbow Halos and Glaucoma: Eye Exam Insights
Fundus examination for glaucoma? Hello, Doctor. I would like to ask: 1. Tonight, while looking at streetlights or other lights, I noticed a rainbow halo around them. I was initially worried it might be glaucoma, but then I realized that adjusting my glasses eliminated the effec...
Dr. Gao Pilin Reply:
Hello: 1. The phenomenon of rainbow halos you described may be due to the improper positioning of your glasses, causing light to scatter when it enters your eyes. If the symptoms disappear after adjusting the position of your glasses, this typically indicates that it is not rel...[Read More] Understanding Rainbow Halos and Glaucoma: Eye Exam Insights
Managing High Eye Pressure: Should You Stop Medication Before Follow-Up?
In cases of elevated intraocular pressure, if the follow-up diagnostic appointment is scheduled too far in the future, should the medication be paused first? Hello Doctor, I spontaneously decided to visit a nearby ophthalmology clinic on Monday evening for an eye examination, as ...
Dr. Gao Pilin Reply:
Hello: 1. Timing for discontinuing medication: If your intraocular pressure has significantly decreased after using eye drops, and you plan to undergo a visual field test, the doctor may recommend stopping the medication, believing that your current examination situation does not...[Read More] Managing High Eye Pressure: Should You Stop Medication Before Follow-Up?
Understanding Early Glaucoma: Concerns and Monitoring Strategies
About glaucoma? Hello, Doctor. I previously had an OCT examination, and although the doctor said there was no immediate danger, I am still concerned about the possibility of glaucoma due to the cupping of the optic nerve head and some degeneration around the optic nerve. I consul...
Dr. Gao Pilin Reply:
Hello: First, the cupping of the optic disc and surrounding degeneration are characteristics of glaucoma, but these features alone are not sufficient for a diagnosis of glaucoma. Other assessments, including intraocular pressure, visual field testing, and corneal thickness, are i...[Read More] Understanding Early Glaucoma: Concerns and Monitoring Strategies
Understanding Vision Issues and Glaucoma: What You Need to Know
Visual field issues and glaucoma? Hello Doctor, I have myopia over 300 degrees, and in the past few months, I have suddenly experienced a significant increase in floaters. I went to a large hospital for a fundus examination and fundus photography, and my intraocular pressure was ...
Dr. Liang Ce Reply:
I recommend that you: 1. Discuss the above situation further with your attending physician. 2. Consider consulting with an ophthalmologist at a major hospital. Wishing you good health. Thank you![Read More] Understanding Vision Issues and Glaucoma: What You Need to Know
Understanding Glaucoma: Is High Myopia a Risk Factor?
Glaucoma issues Hello, doctor. I would like to inquire about the OCT scan of the optic disc today, which appears to be larger than normal. Could this possibly be caused by high myopia (500 degrees)? The doctor mentioned that the optic nerve looks normal and there are no other iss...
Dr. Gao Pilin Reply:
Hello: Based on your description, you underwent an OCT examination today, and it was found that your optic disc is larger than average. The doctor indicated that the optic nerve is normal and there are no other issues, which may be due to traction caused by high myopia. Here are ...[Read More] Understanding Glaucoma: Is High Myopia a Risk Factor?
Do Psychiatric Medications Affect Eye Pressure and Glaucoma Risk?
Do psychiatric medications affect intraocular pressure? Hello, Doctor: I have a condition of elevated intraocular pressure. After examination, the doctor did not indicate that I have glaucoma and did not prescribe any eye drops, but advised me to have regular visual field tests a...
Dr. Gao Pilin Reply:
Hello: Long-term use of the psychiatric medication "Sertraline" (active ingredient: sertraline hydrochloride) typically does not directly lead to increased intraocular pressure or trigger glaucoma. The ocular side effects include mydriasis and visual disturbances. Regar...[Read More] Do Psychiatric Medications Affect Eye Pressure and Glaucoma Risk?
Understanding the Differences Between Ultra-Widefield and Standard Eye Exams
Ultra-widefield fundus photography What is the difference between ultra-widefield fundus photography and standard dilated eye examinations? Can it detect conditions such as glaucoma, retinal diseases, or visual field defects? Traditionally, high myopia has been assessed using dil...
Dr. Gao Pilin Reply:
Hello: There are some differences between ultra-widefield fundus photography and standard dilated eye examinations in assessing eye health. Here are the main distinctions between the two and their capabilities in detecting specific eye diseases: 1. Field of View: - Ultra-wide...[Read More] Understanding the Differences Between Ultra-Widefield and Standard Eye Exams
Is Headache in the Dark Always a Sign of Glaucoma?
Experiencing headaches in low-light conditions does not necessarily mean that you have glaucoma? Hello, doctor. I had a visual field test two weeks ago, and everything was normal. I have significant myopia and also experience floaters. I read online that glaucoma can cause headac...
Dr. Gao Pilin Reply:
Hello: I understand your concerns. First, anxiety can affect physical sensations, particularly the perception of visual or head discomfort. However, if you experience headaches or discomfort, especially in low light, it is important to carefully evaluate and rule out potential op...[Read More] Is Headache in the Dark Always a Sign of Glaucoma?
Understanding Glaucoma: Concerns About Eye Pressure and Follow-Up Care
Suspected glaucoma? Dear Dr. Gao, I am a person who gets easily anxious and have difficulty cooperating with the air-puff tonometer tests. Previously, due to elevated intraocular pressure (around 21-23 mmHg), I was monitored at National Taiwan University Hospital Beihu Branch fo...
Dr. Gao Pilin Reply:
Hello: I understand your concerns about eye health. Glaucoma requires close monitoring and management to prevent potential optic nerve damage. Regarding your questions: 1. Frequency of optic nerve scans: Generally, the frequency of optic nerve scans depends on the diagnosis of gl...[Read More] Understanding Glaucoma: Concerns About Eye Pressure and Follow-Up Care
Understanding Vision Loss: Causes, Treatment Options, and Expert Advice
Causes and Management of Vision Loss I have been unable to see clearly even while wearing my glasses, and I have consulted two ophthalmologists. The first doctor said, "I do not recommend getting new glasses; both eyes have cataracts, and there are no other issues. I suggest...
Dr. Gao Pilin Reply:
Hello: Thank you very much for providing such detailed information. Here are the responses to your questions one by one: 1. Different cataract conditions in the left and right eyes: Yes, based on your description, the cataract in the left eye appears to be more severe than in t...[Read More] Understanding Vision Loss: Causes, Treatment Options, and Expert Advice
Understanding Fixed Black Shadows in Vision: Causes and Concerns
Eye floaters? Thank you for taking the time to respond, Doctor. I would like to ask about an incident that occurred last week during a retinal examination at the hospital. The doctor noted that there were areas of thinning in my retina and performed preventive laser treatment. A ...
Dr. He Jianxian Reply:
Hello Mr. Zion: 1. Floaters come in various forms and are not fixed. 2. A constricted visual field means you cannot see certain things, rather than seeing extra things. 3. If applying red micro ointment before bed makes you uncomfortable, it is advisable to switch to another ...[Read More] Understanding Fixed Black Shadows in Vision: Causes and Concerns
Managing Normal-Pressure Glaucoma: Medication Concerns and Symptoms
Medication Issues After the Unexpected Diagnosis of Normal-Pressure Glaucoma Hello, Director. Last week, I unexpectedly discovered during my internship that I have a thin retinal thickness (nasally) through OCT. After conducting a visual field test, both eyes showed abnormalities...
Dr. Gao Pilin Reply:
Hello: Currently, there are some abnormalities in your visual field, but this is a baseline test. The values of -3dB and -4dB alone cannot specifically define the degree of abnormality. If there are no changes later, it may simply be the way it is, and there is no need to worry t...[Read More] Managing Normal-Pressure Glaucoma: Medication Concerns and Symptoms
Understanding Glaucoma Diagnosis After Normal Visual Field Test
Eye problems Hello, doctor. After completing the visual field test, the results showed no issues, and I only need to be monitored regularly. However, the primary diagnosis still states glaucoma. I would like to ask the doctor if this still indicates glaucoma, as I really do not u...
Dr. Gao Pilin Reply:
Hello: Since you are suspected of having glaucoma and have undergone visual field testing, the diagnosis will be glaucoma, which requires ongoing monitoring. A normal visual field now does not guarantee that it will remain normal in the future. Therefore, it is essential to maint...[Read More] Understanding Glaucoma Diagnosis After Normal Visual Field Test
Does Anxiety Affect Eye Pressure Readings During Exams?
Intraocular pressure measurement? Hello, doctor. I tend to feel particularly anxious and experience an increased heart rate when I visit the ophthalmologist, especially during the intraocular pressure measurement. I would like to know if the anxiety-induced increase in heart rate...
Dr. Liang Ce Reply:
We recommend that you: 1. Discuss the above situation further with your attending physician. 2. Consider seeking a consultation at another ophthalmology clinic. Wishing you good health. Thank you![Read More] Does Anxiety Affect Eye Pressure Readings During Exams?
Understanding High Eye Pressure: Is It Glaucoma? Key Insights for Patients
High intraocular pressure issues? Hello, Doctor. I previously had an eye examination where my intraocular pressure was measured at 22 mmHg. I also have high myopia. Later, the doctor used a slit lamp to examine my eyes and found issues with the optic nerve in my left eye. I was r...
Dr. Gao Pilin Reply:
Hello: The measured intraocular pressure is 22, which may fall within the higher range. Given the presence of high myopia and optic nerve issues, the physician's preliminary diagnosis is "unspecified unilateral ocular hypertension" and "unspecified unilateral ...[Read More] Understanding High Eye Pressure: Is It Glaucoma? Key Insights for Patients
Post-Car Accident Subarachnoid Hemorrhage: Vision Issues and Surgery Options
Subarachnoid hemorrhage due to a car accident resulting in re-examination? I was involved in a car accident on June 17 of this year, which resulted in subarachnoid hemorrhage. It has been five months, but my vision has not improved. After being discharged, I have had monthly foll...
Dr. Gao Pilin Reply:
Hello: To apply for disability assistance, an assessment of vision or visual field is required. Please inquire at the organization where you wish to apply for disability assistance about the eligibility criteria and request the necessary documentation to be filled out by an ophth...[Read More] Post-Car Accident Subarachnoid Hemorrhage: Vision Issues and Surgery Options
Understanding Elevated Eye Pressure: Risks and Next Steps for Young Patients
Intraocular pressure issues? Hello, Doctor Gao: Recently, I visited for eye allergies, and the ophthalmologist assisted in measuring my intraocular pressure. I tend to get nervous, and even when the nurse helps to hold my eyelids open, I instinctively blink during the air puff te...
Dr. Gao Pilin Reply:
Hello: Your intraocular pressure is indeed elevated, and you have high myopia. The abnormal eye pressure may be related to glaucoma, which can affect not only older individuals but sometimes also younger people. However, we need to measure it several more times to see if it remai...[Read More] Understanding Elevated Eye Pressure: Risks and Next Steps for Young Patients
Post-Car Accident Subarachnoid Hemorrhage: Vision Issues and Surgery Risks
Subarachnoid hemorrhage due to a car accident resulting in re-examination? I was involved in a car accident on June 17 of this year, which resulted in subarachnoid hemorrhage. It has been five months, but my vision has not improved. After being discharged, I have been attending f...
Dr. Gao Pilin Reply:
Hello: To apply for disability assistance, an assessment of vision or visual field is required. Please inquire at the organization where you wish to apply for disability assistance about the eligibility criteria and request the necessary documentation to be filled out by an ophth...[Read More] Post-Car Accident Subarachnoid Hemorrhage: Vision Issues and Surgery Risks
Understanding Eye Issues: Floaters and Visual Disturbances Explained
Eye problems Hello Doctor, I am 45 years old and have high myopia (over -600 degrees). I experience floaters (white mist or black dots) and have undergone the following examinations: a. dilated fundus examination of the retina b. OCT c. visual field test d. brain MRI. All results...
Dr. Gao Pilin Reply:
Hello: 1. Experiencing a sense of movement when looking at the ground or other objects may be due to minor vibrations or tremors of the eyeball. This condition is more common in individuals with high myopia and typically does not require significant concern. However, if this sens...[Read More] Understanding Eye Issues: Floaters and Visual Disturbances Explained