Understanding Optic Nerve Cupping and Glaucoma in High Myopia
Optic cup excavation and glaucoma? I'm sorry, doctor. I have high myopia (approximately over -600 diopters in both eyes) and high astigmatism (approximately over -500 diopters in both eyes). Today, I went to a major hospital for an eye examination, and the doctor said that m...
Dr. Liang Ce Reply:
Recommendations: 1. Discuss the above situation further with your attending physician. 2. Alternatively, seek consultation at another ophthalmology medical facility. Thank you. Wishing you good health![Read More] Understanding Optic Nerve Cupping and Glaucoma in High Myopia
Understanding High Eye Pressure and Optic Nerve Health: Key Concerns
Optic nerve-related Currently, I would like to briefly describe my situation. I was diagnosed with elevated intraocular pressure and slightly larger optic nerve cupping at the age of 18. I have been undergoing regular visual field tests and fundus examinations for the past five y...
Dr. Gao Pilin Reply:
Hello: (1) Based on your description, your intraocular pressure is currently stable in the range of 21-22 mmHg, and your visual field test results are normal, with no abnormalities in the fundus. This may indicate that your condition is currently stable and may only be classified...[Read More] Understanding High Eye Pressure and Optic Nerve Health: Key Concerns
Seeing Rainbow Halos: Is It a Sign of Glaucoma?
Rainbow halos around the eyes? Hello, Doctor Gao: I have elevated intraocular pressure (21, 22) and have optic nerve cupping (previous visual field tests were normal), so I have been worried about the possibility of glaucoma. At night, I tend to stare at lights because I read onl...
Dr. Gao Pilin Reply:
Hello: Rainbow halos may be one of the symptoms of certain eye conditions, including glaucoma. However, the symptoms of glaucoma typically include more than just seeing rainbow halos. Glaucoma is often accompanied by elevated intraocular pressure, blurred vision, eye pain, rednes...[Read More] Seeing Rainbow Halos: Is It a Sign of Glaucoma?
Understanding Visual Field Defects in Pituitary and Craniopharyngioma Tumors
Brain tumor - visual field abnormalities Hello Doctor, I began seeking medical attention over a year ago due to blurred vision. Two neurologists have diagnosed me with either a pituitary tumor or a craniopharyngioma. The tumor is slightly pressing on the optic chiasm, causing vis...
Dr. Gao Pilin Reply:
Hello: 1. Ophthalmic optic nerve examination: An ophthalmologist can typically perform a preliminary assessment of the optic nerve. However, for some deeper structures, such as the optic chiasm, an ophthalmic examination may not provide detailed imaging information. Normal findin...[Read More] Understanding Visual Field Defects in Pituitary and Craniopharyngioma Tumors
Understanding Eye Pressure, Visual Field Tests, and Corneal Thickness Measurements
Visual field test, intraocular pressure, corneal thickness? Hello, Doctor. I previously visited the hospital due to red eyes, and during my first visit, my intraocular pressure was measured at 22.23, which was considered normal and possibly due to stress. However, during my follo...
Dr. Gao Pilin Reply:
Hello: Based on your description, there has been some fluctuation in your intraocular pressure (IOP) between the two examinations, with a slight increase noted. It is possible for IOP to vary in the short term, and sometimes emotional stress or tension can lead to elevated pressu...[Read More] Understanding Eye Pressure, Visual Field Tests, and Corneal Thickness Measurements
Understanding Black Shadows in Vision: Eye Symptoms Explained
When looking down and to the right while blinking, there is a shadow in the vision? Hello Doctor: I have myopia of -3.75 and astigmatism of -2.00 in my left eye, and myopia of -5.75 and astigmatism of -1.50 in my right eye. Five years ago, I underwent laser treatment for a retina...
Dr. Gao Pilin Reply:
Hello: Q1. Could this symptom be due to a thinner retina in that area? Or could it be a precursor to retinal disease? This symptom may be caused by various factors, including retinal issues, floaters in the vitreous, or changes in other ocular structures. Although you mentioned t...[Read More] Understanding Black Shadows in Vision: Eye Symptoms Explained
Understanding Floaters and Presbyopia: Common Eye Concerns Explained
Floaters and presbyopia? Hello Doctor, I have approximately 700 degrees of myopia in both eyes. About ten years ago, I developed floaters, and after an examination, it was found that the peripheral retina in my right eye was slightly thin. I underwent laser surgery at that time. ...
Dr. Gao Pilin Reply:
Hello: 1. Presbyopia: The symptoms you described, particularly sensitivity to light and visual fatigue, may be a sign of presbyopia. Presbyopia is a condition that occurs with aging, where the lens of the eye gradually loses its flexibility, making it difficult to focus, especi...[Read More] Understanding Floaters and Presbyopia: Common Eye Concerns Explained
Understanding OCT, Eye Pressure, and Eye Drop Usage for High Myopia Patients
Regarding OCT examination and the use of eye drops for lowering intraocular pressure? Hello, Doctor. I am a patient with high myopia. Previously, my intraocular pressure measured around 23-24 mmHg in both eyes (without using any eye drops). I have undergone several visual field t...
Dr. Liang Ce Reply:
Recommendations: 1. Discuss the above situation further with your attending physician. 2. Alternatively, seek consultation at another ophthalmology clinic. Thank you. Wishing you good health![Read More] Understanding OCT, Eye Pressure, and Eye Drop Usage for High Myopia Patients
Understanding Vitreous Detachment: Symptoms, Treatment, and Eye Care Tips
Vitreous body 1. Is vitreous detachment and opacification primarily a result of the aging process leading to vitreous degeneration? 2. Does vitreous detachment require treatment? Under what circumstances is treatment necessary? How can one maintain eye health? 3. Can a fundus pho...
Dr. Gao Pilin Reply:
Hello: 1. Vitreous detachment and opacities are typically not caused by age, but rather due to the aggregation of proteins or fibrous changes within the vitreous body. While aging may increase the risk of occurrence, it is not the sole cause. 2. In most cases, mild vitreous detac...[Read More] Understanding Vitreous Detachment: Symptoms, Treatment, and Eye Care Tips
Understanding Optic Nerve Cupping: Concerns and Questions Answered
Optic nerve cupping Dear Dr. Gao, I have recently experienced some flashes of light when closing my eyes before sleep (usually brief). Therefore, I visited a clinic the day before yesterday, and the doctor mentioned that it might be due to excessive smartphone use and advised me...
Dr. Gao Pilin Reply:
Hello: 1. Optic nerve cupping does not necessarily lead to optic nerve damage or glaucoma. Optic nerve cupping may represent a structural change in the eye, but it does not inherently mean that you will develop optic nerve damage or glaucoma. 2. Optic nerve cupping is usually not...[Read More] Understanding Optic Nerve Cupping: Concerns and Questions Answered
Managing Glaucoma and Optic Nerve Damage: Essential Care Tips
How should glaucoma and optic nerve atrophy be managed? Hello Dr. Liang, I have been nearsighted since preschool and developed high myopia in elementary school. I have been regularly monitored, but in recent years, doctors have noted elevated intraocular pressure, and I was subs...
Dr. Liang Ce Reply:
Recommendations: 1. Discuss the above situation further with your attending physician. 2. Alternatively, seek consultation at another ophthalmology medical facility. Thank you. Wishing you good health![Read More] Managing Glaucoma and Optic Nerve Damage: Essential Care Tips
Understanding Black Spots in Vision: Are They Floaters or Something More?
Black spots in the eyes? 1. I have high myopia and astigmatism of 1000 degrees in both eyes. I have experienced floaters since high school, and recently I've noticed occasionally seeing a bright black dot that doesn't resemble typical floaters. This dot does not move an...
Dr. Gao Pilin Reply:
Hello: 1. Regarding the bright black spot you described, based on your account, it differs from typical floaters. Normal floaters are usually transparent or gray and float or move within your field of vision. If you notice a bright black spot that does not move, this is differe...[Read More] Understanding Black Spots in Vision: Are They Floaters or Something More?
Understanding Eye Pressure Medications and Managing Ocular Discomfort
Could you please provide more details regarding eye pressure-lowering eye drops and the issue of elevated intraocular pressure? Hello, Doctor. Over the past two to three years, I have been having my eyes checked at a local clinic, where it was found that my intraocular pressure (...
Dr. Gao Pilin Reply:
Hello: 1. Eye pressure-lowering eye drops (such as Timolol eye drops) typically need to be used continuously to effectively reduce intraocular pressure. Once usage is stopped, the eye pressure may return to previous levels. Your physician may recommend the duration of use based o...[Read More] Understanding Eye Pressure Medications and Managing Ocular Discomfort
Understanding Optic Nerve Cupping: Commonality and Risks for Myopia
Optic nerve cupping 1. Is a 50-60% optic nerve cupping considered common? 2. I have a myopia of -5.00 and accidentally hit my eye with my hand yesterday, but it wasn't hard. What is the likelihood of a retinal tear in this situation? I haven't seen any flashes of light ...
Dr. Gao Pilin Reply:
Hello: 1. The degree of optic nerve cupping can vary significantly, with a cupping of 50% to 60% being considered relatively large to some extent. The deep cupping of the optic disc may be caused by elevated intraocular pressure, glaucoma, or other optic nerve diseases. According...[Read More] Understanding Optic Nerve Cupping: Commonality and Risks for Myopia
Understanding Visual Shadows: Are They Normal with Floaters?
Questions about shadows in the vision and glaucoma? I have floaters and discovered a retinal tear which has been treated. During my follow-up appointment in early June, my retina was checked and found to be fine. However, about a week after the appointment, I noticed that in a fi...
Dr. Gao Pilin Reply:
Hello: The appearance of shadowy spots resembling visual afterimages after retinal laser surgery may be related to the surgical process and recovery period. Retinal laser surgery is a treatment method for retinal diseases that can cause some temporary visual changes. After retina...[Read More] Understanding Visual Shadows: Are They Normal with Floaters?
Understanding Unexplained Eye Symptoms: When to Seek Further Help
Eye problems Doctor, I would like to ask: If my eyes feel strange but the OCT, fundus examination, and visual field test show no issues, which specialty do you recommend I consult? Every time I zone out, I see a lot of floaters, and when I lie down, my vision becomes very blurry....
Dr. Gao Pilin Reply:
Hello: This situation is a phenomenon of floaters. When lying down, the vitreous body becomes cloudy and may settle, causing blurriness, which is normal. After changing positions, the cloudiness may shift, leading to clearer vision. Currently, there is no specific treatment for f...[Read More] Understanding Unexplained Eye Symptoms: When to Seek Further Help
Understanding Subconjunctival Hemorrhage: When to Seek Further Medical Attention
Subconjunctival hemorrhage Hello Doctor, five days ago I noticed a blood clot about 3-4 cm in size appearing on the white part of my eye above the cornea. It was only visible when I flipped my eyelid. After seeing a doctor, I was informed that it is a subconjunctival hemorrhage, ...
Dr. Gao Pilin Reply:
Hello: Conjunctival hemorrhage is usually caused by the rupture of conjunctival blood vessels, leading to the leakage of blood and the formation of a clot. In most cases, conjunctival hemorrhage is harmless and typically resolves on its own within a few days. However, if the amou...[Read More] Understanding Subconjunctival Hemorrhage: When to Seek Further Medical Attention
Understanding High Eye Pressure: Treatment, Management, and Concerns
Ocular hypertension Hello, Doctor. I would like to ask some questions regarding ocular hypertension. During my first visit, I experienced frequent flashes of light, and upon measurement, my intraocular pressure was found to be elevated, with readings of 21 and 26 in each eye. I a...
Dr. He Jianxian Reply:
Hello, 1. Elevated intraocular pressure must be monitored several times before a definitive conclusion can be made. It is advisable to perform a visual field test at home after confirming high eye pressure, as this will help determine if glaucoma is present. 2. The current in...[Read More] Understanding High Eye Pressure: Treatment, Management, and Concerns
Managing Intraocular Pressure: Adjusting Glaucoma Medication for Better Control
Issues with Glaucoma Medications Hello, doctor. I was diagnosed with pre-glaucoma of primary open-angle type at the end of last year due to abnormal cup-to-disc ratio (0.5), elevated intraocular pressure (20/23), and visual field test results (MD: -2.57/-2.45 dB). After using Bri...
Dr. Gao Pilin Reply:
Hello: Brimonidine eye drops may cause some side effects, including: 1. Discomfort such as stinging, burning, redness, and dryness in the eyes. 2. Neurological reactions such as headaches and dizziness. 3. Gastrointestinal reactions including changes in taste, dry mouth, nausea, ...[Read More] Managing Intraocular Pressure: Adjusting Glaucoma Medication for Better Control
Preoperative Cataract Assessments: Understanding Costs and Options
Preoperative Examination for Cataract Surgery Hello, Doctor: 1) At the beginning of this month, I took my father to the ophthalmology outpatient clinic at Taipei Veterans General Hospital for visual field testing and optical coherence tomography (OCT). After the examinations, he...
Dr. Gao Pilin Reply:
Hello: 1. The cloud-based data sharing only includes medication information used within the past three months; examination results and other aspects are not shared. Therefore, each medical institution needs to conduct these examinations preoperatively, and results from other lo...[Read More] Preoperative Cataract Assessments: Understanding Costs and Options