Understanding Bilateral Ischemic Optic Neuropathy: Key Insights for Patients
Questions regarding bilateral ischemic optic neuropathy? Hello, doctor. I had an eye examination at the hospital due to high intraocular pressure, suspecting glaucoma. I noticed some information on the diagnosis report, but the doctor only mentioned the data without elaborating a...
Dr. Gao Pilin Reply:
Hello: Regarding the above, there is only slightly elevated intraocular pressure, and there may be some minor changes in the macula, but everything else appears to be normal. Therefore, as the physician mentioned, it should be fine, and there is no need to be anxious. Macular deg...[Read More] Understanding Bilateral Ischemic Optic Neuropathy: Key Insights for Patients
Understanding Macular Degeneration: Symptoms, Risks, and Next Steps
Fundus examination Hello, today I went to the clinic for a fundus examination because I experience a floating and vibrating sensation when looking at certain objects (such as black and white patterns or certain curtain designs). I do not have any issues reading in my normal daily...
Dr. Gao Pilin Reply:
Hello: The black spots you see are likely due to floaters, which are a degeneration of the vitreous body and are unrelated to the macula. If there is macular degeneration, it may gradually progress, but the timeline can be quite long, and there may not be immediate changes. There...[Read More] Understanding Macular Degeneration: Symptoms, Risks, and Next Steps
Glaucoma Medications During Pregnancy: Safety and Alternatives
Medications for glaucoma during pregnancy? During pregnancy, is it safe to use glaucoma medications? If so, which ones can be used? Initially, I was using Alphagan (brimonidine), but I later discovered that it exacerbated my pre-existing dry mouth condition, ultimately leading to...
Dr. Liang Ce Reply:
We recommend that you: 1. Discuss the above situation further with your attending physician to determine if any additional tests are necessary. 2. You may also consider seeking care at a major hospital or medical center. Thank you, and wishing you good health![Read More] Glaucoma Medications During Pregnancy: Safety and Alternatives
Understanding Eye Discomfort: Symptoms, Causes, and Next Steps
Inquiry about eye discomfort? Hello Doctor: Two months ago, after experiencing severe headaches, I began to feel eye fatigue and blurred vision. I have already consulted a neurologist and about six ophthalmologists. The headaches have ceased, and examinations showed no abnormalit...
Dr. Gao Pilin Reply:
Hello Mr. Liao: 1. Since floaters are harmless and there is no active treatment available, the current examination should be sufficient. 2. It is possible that your prescription is too strong, which may cause fatigue and difficulty focusing. You might consider trying multifoca...[Read More] Understanding Eye Discomfort: Symptoms, Causes, and Next Steps
Managing Glaucoma Medications During Pregnancy: Safety and Alternatives
Medications for glaucoma during pregnancy? During pregnancy, is it safe to use glaucoma medications? If so, which ones can be used? Initially, I was using Alphagan (brimonidine), but I later found that it exacerbated my pre-existing dry mouth condition, ultimately leading to seve...
Dr. Liang Ce Reply:
I recommend that you: 1. Discuss the above situation further with your attending physician to determine if any additional tests are necessary. 2. You may also consider visiting a major hospital or medical center for evaluation. Thank you, and wish you good health![Read More] Managing Glaucoma Medications During Pregnancy: Safety and Alternatives
Understanding High Eye Pressure and Acute Glaucoma Symptoms: Key Insights
Elevated intraocular pressure / Acute glaucoma Hello Doctor, I have high myopia with -6.25 in my left eye and -6.75 in my right eye. I have a history of elevated intraocular pressure, fluctuating between 21-26 mmHg, and last week it was 24-25 mmHg. However, I have previously expe...
Dr. Gao Pilin Reply:
Hello, Miss Lin: 1. Please refer to: https://bit.ly/3CqNwLO 2. Acute glaucoma is characterized by a rapid increase in intraocular pressure within a short period. 3. Acute glaucoma is an ophthalmic emergency where the intraocular pressure rises quickly, causing significant damage...[Read More] Understanding High Eye Pressure and Acute Glaucoma Symptoms: Key Insights
Understanding High Eye Pressure: Should You Be Concerned?
Issues with elevated intraocular pressure? Hello, doctor. I have high myopia (approximately -7.00 diopters). When I had my intraocular pressure measured at the clinic, one eye was 24 and 25, while the other was 23. The first doctor advised me to adjust my eye usage habits and ret...
Dr. Gao Pilin Reply:
Hello, concerned individual: It is necessary to determine if medication is needed and how long to measure intraocular pressure, as well as to conduct visual field testing and corneal thickness measurement for a definitive assessment. Regarding conjunctivitis, eye allergies do not...[Read More] Understanding High Eye Pressure: Should You Be Concerned?
Understanding High Myopia, Astigmatism, and Visual Field Defects in Ophthalmology
Visual field concerns? What are the definitions for high myopia, high astigmatism, and high hyperopia in terms of diopter measurements? It seems that different websites provide varying definitions. Is the physiological blind spot located on the nasal side of the retina, meaning t...
Dr. Gao Pilin Reply:
Hello, Xin: Since the degree is a numerical value, it can have various different values. The term "height" refers to a large value, so its definition can vary. There is no need to be overly strict about the terminology, but it can all be referenced. The physiological bl...[Read More] Understanding High Myopia, Astigmatism, and Visual Field Defects in Ophthalmology
Understanding the Discrepancy Between OCT and Visual Field Tests in Glaucoma
OCT and Visual Field Testing I have just been diagnosed with glaucoma. The OCT data indicates early-stage glaucoma, but the visual field test shows significant defects. Is it possible to have a large discrepancy between the OCT data and the visual field test results?
Dr. Gao Pilin Reply:
Hello Jimmy: OCT is a type of structural assessment of the optic nerve, while visual field testing is a functional assessment. There is a certain correlation between the two, but they are not always completely consistent. The condition of the optic nerve is primarily assessed thr...[Read More] Understanding the Discrepancy Between OCT and Visual Field Tests in Glaucoma
Understanding Visual Field Defects: Symptoms, Causes, and Concerns
Visual field defect Following up on my previous question, I asked the doctor about my peripheral vision appearing to flicker like turning a light on and off. The doctor mentioned that this could potentially indicate a visual field defect, possibly related to glaucoma or retinal d...
Dr. Gao Pilin Reply:
Hello, Awang: It is possible that the blackouts are caused by carotid artery issues. Cold temperatures may cause vasoconstriction, worsening the condition. Visual field defects should be assessed using a visual field test, as early defects may sometimes go unnoticed by the indivi...[Read More] Understanding Visual Field Defects: Symptoms, Causes, and Concerns
Understanding Eye Pressure and Glaucoma: Your Questions Answered
Intraocular pressure and glaucoma? Hello, doctor. In the past two weeks, I have been experiencing frequent swelling and pain around my eyes, which has even led to headaches. I have some questions to ask: 1. My myopia is -6.75 and -7.25 diopters. My last intraocular pressure readi...
Dr. Liang Ce Reply:
We recommend that you discuss the above situation further with your attending physician to determine if any additional examinations are necessary. Thank you, and wishing you good health![Read More] Understanding Eye Pressure and Glaucoma: Your Questions Answered
Understanding Visual Field Test Results for Glaucoma Management
Visual field examination results A few days ago, I went for an eye exam and to pick up my eye pressure-lowering medication. The results showed that my eye pressure was 17 in one eye and 18 in the other. The doctor was curious why I needed the medication, and I explained that with...
Dr. Gao Pilin Reply:
Hello: For a 21-year-old with high myopia, if there are points that cannot be seen, they may reappear for confirmation. If none are visible, then there could be an issue. The results should be evaluated based on the average; if only a few points are not visible, it does not neces...[Read More] Understanding Visual Field Test Results for Glaucoma Management
Understanding the Prescription of Corning Unis for Eye Health Concerns
Confusion regarding the prescription of Corning Optical's lenses during an ophthalmic examination? Hello, Doctor He. I am currently 20 years old and went for my final eye examination before studying abroad. During this examination, a microsonography was performed (I used the...
Dr. He Jianxian Reply:
This medication should only be prescribed if cataracts are present; however, even if cataracts are not present, using it should not pose any issues. Director He Jian-xian, Ophthalmology Department, Nantou Hospital.[Read More] Understanding the Prescription of Corning Unis for Eye Health Concerns
Understanding Eye Discomfort: Causes and Concerns for Vision Loss
Eye problems Hello, sometimes my blind eye feels sore or has a sensation of pressure, almost like wanting to tear up, but there are no tears. This feeling can appear suddenly and sometimes occurs in the other eye after using it for close work. It lasts for a while and then allevi...
Dr. Gao Pilin Reply:
Hello, Xin: When the eyeball undergoes degeneration, there may be a physiological sensation of soreness, which could be attributed to degenerative pain. Of course, prolonged near vision use can lead to fatigue, even if there is blindness, as the ciliary muscles responsible for ey...[Read More] Understanding Eye Discomfort: Causes and Concerns for Vision Loss
Understanding Eye Exam Results and Medication Concerns Before Studying Abroad
Questions about ophthalmic examination content and medications? Hello Dr. Liang. I am currently 20 years old and will be going abroad for studies in a month. I recently had my last routine eye examination before leaving, but I have some concerns and questions regarding the examin...
Dr. Liang Ce Reply:
It is recommended that you discuss the above situation with your attending physician to determine if further examinations are necessary. Thank you, and wishing you good health![Read More] Understanding Eye Exam Results and Medication Concerns Before Studying Abroad
Understanding Your Visual Field Test Results: What They Mean for Your Eye Health
Visual field examination Hello, Doctor Gao. My examination report has come out, but there are some parts I don't understand. Could you please clarify whether I am in a high-risk group for defects? Can I run and exercise? OD VFI 98% MD 30-2: -1.01 dB OD P 30-2: 1.68 dB OS...
Dr. Gao Pilin Reply:
Hello, it would be best to consult your attending physician regarding this matter, as it is not possible to make a judgment based on the information provided. I apologize for that. Running as a form of exercise should generally be fine.[Read More] Understanding Your Visual Field Test Results: What They Mean for Your Eye Health
Understanding the Relationship Between High Myopia and Cup-to-Disc Ratio
High myopia cup-to-disc ratio question? Hello, doctor. I have high myopia (R1200, L900) and floaters. Currently, my prescription changes by about 50 degrees after dilation (the doctor said this is normal), and my intraocular pressure measurements have always been normal. During a...
Dr. Gao Pilin Reply:
Hello JJ: 1. The cup-to-disc ratio is an indicator used to assess the optic nerve, and a slightly elevated cup-to-disc ratio caused by high myopia does not necessarily indicate glaucoma. 2. Diagnosis codes are sometimes required for examinations, but the presence of a diagnosis m...[Read More] Understanding the Relationship Between High Myopia and Cup-to-Disc Ratio
Understanding High Myopia and Steroid-Related Eye Pressure Issues
High myopia and steroid-related issues? Dear Dr. Gao, Several months ago, you visited the clinic for conjunctivitis. Due to your high myopia, the doctor suspected glaucoma, and your intraocular pressure (IOP) was measured at 18 mmHg. Your refractive error was approximately -8.00...
Dr. Gao Pilin Reply:
Hello, Alley: 1. Anxiety may increase, and there may also be machine errors. 2. The morphology of the optic nerve is one indicator, but visual field testing should be the primary reference. 3. No. 4. If it has already decreased, there is no need for concern, but remember to infor...[Read More] Understanding High Myopia and Steroid-Related Eye Pressure Issues
Understanding Temporary Blackouts in Vision: Causes and Concerns
Flashes of darkness in the eyes? Hello Doctor, I am 43 years old and have high myopia of -6.50/-8.50. Recently, over the past six months (from January to June 2022), I have been experiencing a sensation where the lights above my head seem to dim briefly, occurring about 3-4 times...
Dr. Gao Pilin Reply:
Hello Jason: It may be caused by a temporary spasm of the optic artery. However, all examinations are normal, and currently, there is not much concern. Don't be anxious; the situation may improve.[Read More] Understanding Temporary Blackouts in Vision: Causes and Concerns
Understanding Inner Visual Blind Spots: Causes and Concerns for High Myopia
Blind spot in the inner vision of the eye? Hello, doctor. I currently have myopia in both eyes with a degree of 1000-1050, which is classified as high myopia. I have been undergoing fundus examinations and fundus photography every three to six months, and recently had an OCT scan...
Dr. Gao Pilin Reply:
Hello, Xiao Xu: Sometimes, one's own perception may not be accurate, and the mouse cursor may not be very noticeable. A visual field test is necessary to determine the correct condition. There's no need to worry for now.[Read More] Understanding Inner Visual Blind Spots: Causes and Concerns for High Myopia