Understanding Eye Health: Key Insights for High Myopia and Pressure Concerns
I would like to learn about eye health knowledge? Hello, doctor. I have high myopia, with each eye measuring approximately 700 to 750 degrees. My eyes are prone to fatigue, and due to my studies, I have a lot of reading and papers to go through, which often leads me to visit opht...
Dr. Gao Pilin Reply:
Hello: 1. An increase in the cup-to-disc ratio indicates that the optic nerve is being compressed by intraocular pressure, leading to potential damage. Therefore, when the cup-to-disc ratio enlarges in clinical practice, it naturally prompts physicians to conduct further instru...[Read More] Understanding Eye Health: Key Insights for High Myopia and Pressure Concerns
Understanding Glaucoma Diagnosis: Key Questions and Insights
How is glaucoma diagnosed? I have severe myopia of over 700 degrees and was informed that my intraocular pressure (IOP) is high, ranging between 20 and 22 mmHg, when I got my glasses. Therefore, I started monitoring my condition in December 2016. During my initial visit, in addit...
Dr. Gao Pilin Reply:
Hello: 1. Physicians may not actively schedule ophthalmic examinations because they assess that the patient's current condition does not require frequent checks. 2. Physicians may have conducted updated evaluations based on the patient's condition, leading to a decision...[Read More] Understanding Glaucoma Diagnosis: Key Questions and Insights
Understanding Black Spots in Vision: Eye and Brain Health Concerns
An open eye will see a black image covering that eye? During my visual field test, the eye that is open experiences a persistent black shadow obscuring the view of the other eye. Whenever I cover one eye and open the other, I can see this shadow, but it doesn't happen immedi...
Dr. Cai Wenyuan Reply:
The visual field examination is normal, which may be a physiological phenomenon. Regular follow-up is recommended.[Read More] Understanding Black Spots in Vision: Eye and Brain Health Concerns
Can I Apply for Disability Certification for Glaucoma at Your Hospital?
Can I undergo disability assessment at your hospital for glaucoma if I have previously been treated at another hospital? Hello, doctor. I have been receiving treatment for glaucoma in Kaohsiung, but due to a job transfer to Taibao, it seems that my condition has reached a point w...
Dr. Gao Pilin Reply:
Hello: Due to the need for visual field testing for glaucoma assessment, we are currently unable to perform this examination, so a diagnosis cannot be made at this time. You may consider going to Chang Gung Memorial Hospital in Chiayi for evaluation. However, it is best to have y...[Read More] Can I Apply for Disability Certification for Glaucoma at Your Hospital?
Understanding Abnormal Visual Field Reports After Eye Trauma
Abnormal visual field report? Hello Doctor: I was in a car accident on January 6 of this year, where I was lying face down and my lower body was trapped under a motorcycle. About an hour later, while I was signing a statement at the scene, I noticed that my vision was unclear, an...
Dr. Cai Wenyuan Reply:
Observe the symptoms, and if they persist, seek medical evaluation.[Read More] Understanding Abnormal Visual Field Reports After Eye Trauma
Understanding Peripheral Blurriness and Physiological Blind Spots in Vision
Peripheral vision blurriness & physiological blind spot issues? Hello, doctor. In mid-October last year, I noticed a blurriness on the outer side of my left eye (if I draw a circle centered on my point of focus, the area outside this circle is blurry, especially the arc of th...
Dr. Gao Pilin Reply:
Hello: 1. It is possible, but we need to look at the visual field chart for accuracy. 2. Usually, the difference is not significant, and you can compare it using the visual field chart. 3. Typically, the physiological blind spot is not noticeable. 4. The physiological blind spot ...[Read More] Understanding Peripheral Blurriness and Physiological Blind Spots in Vision
Managing Intermediate Open-Angle Glaucoma: Key Concerns and Solutions
Intermediate glaucoma Hello Director He: I was diagnosed with moderate open-angle glaucoma in August last year, with a visual field test showing an MD of -9 in both eyes. Currently, I am using fixed-dose eye drops to control my intraocular pressure. For the past six months, I ha...
Dr. He Jianxian Reply:
1. There is no clear research on the correlation between work-related stress, eye strain, and intraocular pressure; however, moderate exercise and stress relief can indeed lower intraocular pressure. 2. It should not be that high. 3. If intraocular pressure can be ideally control...[Read More] Managing Intermediate Open-Angle Glaucoma: Key Concerns and Solutions
Understanding Retinal Degeneration and Night Blindness: Key Insights
Eye degeneration, retinal degeneration, night blindness? Hello Doctor, I recently visited a large hospital for an eye examination. I underwent dark adaptation tests, visual field tests, and OCT, and I was diagnosed with retinal dystrophy. I've felt that my night vision has b...
Dr. Gao Pilin Reply:
Hello: Is it true that night blindness will inevitably lead to complete blindness in the future? It's not that pessimistic. According to large-scale statistics, it is rare for retinitis pigmentosa to cause total vision loss; approximately 20% of individuals may have monocula...[Read More] Understanding Retinal Degeneration and Night Blindness: Key Insights
Understanding Retinal Degeneration and Night Blindness: Key Insights
Retinal degeneration, night blindness? Hello Doctor, I recently visited a large hospital for an eye exam. I underwent dark adaptation testing, visual field testing, and OCT, and was diagnosed with retinal dystrophy. I've felt that my night vision has been worse than others f...
Dr. Gao Pilin Reply:
Hello: Is it true that night blindness will inevitably lead to blindness in the future? It's not that pessimistic. According to large-scale statistics, it is rare for retinitis pigmentosa to cause complete vision loss; about twenty percent of individuals may have a visual ac...[Read More] Understanding Retinal Degeneration and Night Blindness: Key Insights
Understanding Your Glaucoma Diagnosis: What You Need to Know
Diagnosis of glaucoma? Hello Doctor, I have been using eye drops for glaucoma continuously. Initially, my doctor informed me that I had early symptoms of glaucoma, so I needed to use medication for control. However, during subsequent visits, the doctor told me there were no signi...
Dr. Gao Pilin Reply:
Hello: Your intraocular pressure may be elevated, or there may be some changes in the optic nerve cupping. It is advisable to discuss this situation with a psychiatrist to evaluate whether any changes in medication are necessary.[Read More] Understanding Your Glaucoma Diagnosis: What You Need to Know
Understanding Visual Field Test Results: Blind Spots and Their Implications
Visual field examination issues Hello Doctor: I recently went to the hospital for an examination and found that the cup-to-disc ratio in both eyes is 0.5, intraocular pressure is around 20, and the OCT results are slightly worse than those of age-matched normal individuals, falli...
Dr. Gao Pilin Reply:
Hello: It is possible to have a blind spot, which may appear on the visual field test. If the physician did not mention any issues, it should still be within the normal range.[Read More] Understanding Visual Field Test Results: Blind Spots and Their Implications
Understanding Thin Optic Nerve and Astigmatism Issues in Myopia
Thinning of the optic nerve and astigmatism issues? Hello, Doctor Gao. Due to high myopia, I have been self-paying for eye examinations at an ophthalmology clinic for the past two years, with my prescription being around -7.50/-7.75. After reviewing my OCT report, I found that my...
Dr. Gao Pilin Reply:
Hello: 1. If the visual field is normal, there should be no issues. 2. Astigmatism should be corrected based on the measured degree, with clarity as the principle. 3. Regarding 4. An excessively large pupil can affect night vision; a diameter over 6mm may have an impact, but it s...[Read More] Understanding Thin Optic Nerve and Astigmatism Issues in Myopia
Understanding OCT Results: What Do Red Flags Mean for Your Eye Health?
OCT values in red text? Hello Doctor: Before dilation at the ophthalmology clinic, my intraocular pressure was 20, and after dilation, it was 22. The clinic doctor advised me to go to a larger hospital for an OCT and visual field examination, stating that I have a predisposition ...
Dr. Gao Pilin Reply:
Hello: The red text is for reference only; the physician's interpretation should be prioritized. If the doctor says there is no problem, you can feel reassured. Pain around the eyes and headaches are likely caused by eye strain. When using the computer, you may consider wear...[Read More] Understanding OCT Results: What Do Red Flags Mean for Your Eye Health?
Understanding Visual Field Loss: Causes and Implications for Eye Health
Loss of vision? 1. In the case where the optic nerve is functioning normally, when the left eye is focused on a distant object and slightly to the right, experiencing a loss of peripheral vision on the left side could be attributed to a phenomenon known as "visual field loss...
Dr. Gao Pilin Reply:
Hello Ms. Chen: If you are experiencing this situation, it is recommended that you visit an ophthalmologist for an examination and undergo a visual field test to check for any visual field defects. Generally, this type of phenomenon is not common.[Read More] Understanding Visual Field Loss: Causes and Implications for Eye Health
Understanding Visual Field Issues: Common Questions and Answers
Visual field issues 1. If the optic nerve and visual field were normal during the examination in May, and the OCT showed no changes in the optic nerve two days ago, is it still possible to have visual field defects? 2. If one eye is fixed and looking straight ahead, and the visu...
Dr. Gao Pilin Reply:
Hello, Miss Lin: 1. All tests are normal, which indicates that there are currently no visual field defects. 2. Not necessarily; small defects need to be examined to be identified. 3. Blind spots are not usually noticeable on your own; whether peripheral vision has diminished cann...[Read More] Understanding Visual Field Issues: Common Questions and Answers
Understanding Eye Pressure: Concerns and Management for Glaucoma
Intraocular pressure issues? Hello, I apologize for the lengthy message. On July 12, I went to a general clinic for a retinal examination and found my intraocular pressure (IOP) to be 24 and 25 mmHg (after 5 air puffs). The doctor suspected glaucoma. Two weeks later, on July 18, ...
Dr. Gao Pilin Reply:
Hello: 1. It is beneficial to have follow-ups at the same clinic. This allows the physician to monitor your changes effectively. 2. The difference measured by a properly functioning machine should not be significant. You can go to a clinic you trust. 3. If managed properly, it is...[Read More] Understanding Eye Pressure: Concerns and Management for Glaucoma
Understanding Rainbow Vision: Is It a Sign of Glaucoma?
Color vision, visual field examination? Hello, doctor. I have high myopia and astigmatism, with my right eye at -8.50 diopters and -3.00 astigmatism, and my left eye at -6.50 diopters and -3.00 astigmatism. Recently, I have been experiencing halos and rainbow vision when looking ...
Dr. Gao Pilin Reply:
Hello: It may not be glaucoma; it is likely caused by astigmatism. If the physician assesses that a visual field test is necessary, it is covered by health insurance.[Read More] Understanding Rainbow Vision: Is It a Sign of Glaucoma?
Understanding Flashing Lights in Vision: When to Seek Eye Care
Flashes of light when closing the eyes? Hello, Doctor. About two weeks ago, I woke up around 3 AM while sleeping. Sometimes, when people are lying in bed with their eyes closed, I suddenly saw a flash of light that was quite large, similar to the feeling of turning on a white scr...
Dr. Gao Pilin Reply:
Hello to those who have trouble sleeping: If you experience certain symptoms, you should return for a follow-up consultation. If it's inconvenient at night, you can come during the day as well. This is likely caused by vitreous traction, which should not be a concern. Howeve...[Read More] Understanding Flashing Lights in Vision: When to Seek Eye Care
Understanding Visual Field Loss: dB Calculation for Bilateral Hemianopia
Bitemporal hemianopsia Hello, doctor: I have experienced a stroke that caused a blockage in my brain, resulting in left homonymous hemianopia (loss of vision in the left visual field in both eyes). When assessing my disability level, the calculation was based on decibel (dB) valu...
Dr. Gao Pilin Reply:
Hello, Mimi: This value cannot be converted; it is measured using a visual field test based on your actual condition. This value will vary depending on the severity of the defect.[Read More] Understanding Visual Field Loss: dB Calculation for Bilateral Hemianopia
Understanding Visual Field Defects Despite Normal Eye Scans
Visual field examination There are defects in the visual field test, but the optical coherence tomography (OCT) is normal, and the fundus examination is also normal. However, when looking at things in the dark, the vision feels worse than before, and it takes a long time to see c...
Dr. He Jianxian Reply:
Hello Ms. Wu: If the eyeballs are normal but there are defects in the visual field, it is important to consider whether there are issues with the brain. You should consult a neurologist for an examination. Director He Jianxian, Ophthalmology Department, Nantou Hospital.[Read More] Understanding Visual Field Defects Despite Normal Eye Scans