Managing Eye Pressure and Blood Pressure: Concerns During Pregnancy
About Avodart? Hello, doctor. I would like to ask about my situation. I have an intraocular pressure of 24 and my myopia is between 900 and 1000. I have been using Aifume for three months now, and I have been returning for follow-up visits with OCT and visual field tests. My intr...
Dr. He Jianxian Reply:
If there are concerns about the adverse effects of medication on the fetus, temporarily discontinuing the medication and resuming it once the fetus is larger could be a reasonable option. Regarding intraocular pressure-lowering medications, there is a possibility that they may al...[Read More] Managing Eye Pressure and Blood Pressure: Concerns During Pregnancy
Managing Acute Angle-Closure Glaucoma: Treatment and Care Strategies
Acute angle-closure glaucoma management and treatment options include: 1. **Medications**: Immediate treatment often involves medications to lower intraocular pressure. These may include carbonic anhydrase inhibitors (e.g., acetazolamide), topical beta-blockers (e.g., timolol),...
Dr. He Jianxian Reply:
In the case of an acute glaucoma attack, it is generally necessary to urgently lower intraocular pressure. If the pressure can be successfully reduced, subsequent treatment involves laser iridotomy, and emergency surgery becomes an unavoidable option. After the acute phase of tre...[Read More] Managing Acute Angle-Closure Glaucoma: Treatment and Care Strategies
Glaucoma Diagnosis Dilemma: Trusting Competing Eye Care Opinions
Glaucoma Diagnosis After being diagnosed with glaucoma at a clinic after years of regular check-ups, I went to another clinic for a one-time examination, which stated that I only have ocular hypertension. Which diagnosis should I trust? Currently, both clinics agree that I need t...
Dr. He Jianxian Reply:
If the cornea is thicker, intraocular pressure (IOP) measurements may be less meaningful. The primary assessments should focus on Optical Coherence Tomography (OCT), visual fields, and the condition of the optic nerve head. If these evaluations show no abnormalities, it is recomm...[Read More] Glaucoma Diagnosis Dilemma: Trusting Competing Eye Care Opinions
Understanding Macular Issues: When to Seek Urgent Eye Care
Macular issues Hello Dr. Gao, I would like to ask you a question. Previously, I went to a clinic for an OCT scan due to another eye condition, and the doctor focused on other issues, so they did not pay attention to other parts of the OCT. Recently, I reviewed the OCT data and no...
Dr. Gao Pilin Reply:
Hello c123: It seems that there are some differences, and it may be necessary to return for a follow-up examination. We should take another look to see if there are any changes. As for whether there is any visual field loss, that also requires testing to determine. I recommend sc...[Read More] Understanding Macular Issues: When to Seek Urgent Eye Care
Understanding the Impact of Incorrect Prescription Glasses on Vision Health
Prescription lens degree issues? Hello, I recently visited an ophthalmology clinic and during the examination, my corrected visual acuity with glasses was R: 0.6 and L: 0.7. It was found that my glasses prescription was overcorrected by more than 100 degrees (my actual myopia is ...
Dr. Gao Pilin Reply:
Hello Mr. Gong: 1. It will not cause any harm to the eyes, but it may lead to increased fatigue. 2. If there are no specific issues, a dilated fundus examination once a year should be sufficient.[Read More] Understanding the Impact of Incorrect Prescription Glasses on Vision Health
Understanding Visual Disturbances: Causes and Solutions for Eye Fatigue
Macular degeneration I'm sorry to bother you, doctor. About a week ago, due to staying up late, I noticed that objects appeared to fluctuate in size when I looked at them in the morning. I immediately went to an ophthalmology clinic, and the doctor said that the structure of...
Dr. Gao Pilin Reply:
Hello, Xiao You: Based on your description, it doesn't seem to be macular degeneration. It appears more like fluctuations due to vitreous liquefaction or possibly caused by ciliary muscle spasm from eye fatigue. Make sure to give your eyes plenty of rest, and if the issue pe...[Read More] Understanding Visual Disturbances: Causes and Solutions for Eye Fatigue
Managing Eye Pressure and Blood Pressure During Pregnancy: A Guide
Regarding Aivermectin? Hello, Doctor: I would like to ask about my condition. My intraocular pressure is high at 24 mmHg, and I have myopia ranging from 900 to 1000. I have been using the eye drop medication, Alphagan (Brimonidine), for three months now, and I have been returning...
Dr. Gao Pilin Reply:
Hello, Jun: The side effects of Amlodipine in lowering blood pressure are actually quite rare, and it will not affect intraocular circulation, so please rest assured.[Read More] Managing Eye Pressure and Blood Pressure During Pregnancy: A Guide
Understanding Visual Disturbances: Flickering and Brightness Changes Explained
There is a slight shaking phenomenon around objects when looking at them? Hello Doctor, I am 43 years old with myopia of approximately -6.50/-8.50. 1. Since 2021, I have noticed a slight shaking sensation on the outer side of my eyes when looking at things (there is a feeling of ...
Dr. He Jianxian Reply:
If all examinations have been completed, you should feel reassured. The flickering sensation in your peripheral vision may be caused by vitreous degeneration, but this is merely a hypothesis, and I, as a physician, cannot determine the exact cause. Regarding the changes in bright...[Read More] Understanding Visual Disturbances: Flickering and Brightness Changes Explained
Understanding Glaucoma and Dry Eye Syndrome: Key Concerns and Treatments
Glaucoma and Dry Eye Syndrome Hello, Doctor: 1. Since childhood, I have been seeing an ophthalmologist and was recently told by the clinic physician that I have congenital ocular hypertension (with intraocular pressure ranging from 19 to 24 in both eyes). I started using Xalata...
Dr. Liang Ce Reply:
I recommend that you 1. discuss the above situation further with your attending physician to determine if any additional examinations are necessary. 2. You may also consider consulting at an ophthalmology outpatient clinic at a medical center or a large hospital. Thank you, and w...[Read More] Understanding Glaucoma and Dry Eye Syndrome: Key Concerns and Treatments
Common Eye Issues: Understanding Vision Distortions and Prescription Needs
I have several questions regarding vision? I have a few questions that have persisted for several years: 1. When I focus on a straight line with my right eye alone, it appears slightly distorted, with a subtle wavy sensation. The Amsler grid test seems fine. The images of macular...
Dr. Gao Pilin Reply:
Hello, Ant: 1. A slight waviness may not be indicative of macular degeneration. Sometimes, it could also be related to refractive issues. 2. It is possible that there is a refractive problem, causing the image projected near the blind spot to appear somewhat distorted. 3. This ma...[Read More] Common Eye Issues: Understanding Vision Distortions and Prescription Needs
Understanding Pseudomyopia: Causes, Symptoms, and Eye Health Concerns
Pseudomyopia Hello, I would like to ask if high degrees of pseudomyopia make it easier for myopia to increase? Sometimes the degree before dilation is 600 or 700, but after dilation, it does not exceed 550 (previously 350, then 450, and later over 500). Is an increase of 50 to 75...
Dr. Gao Pilin Reply:
Hello, Xin: It is possible for the prescription to suddenly increase by 50 to 75 diopters within six months during the senior year of high school, and sometimes it can increase by 100 diopters in a year. Rapid changes can occur during periods of growth. If the eyeball degenerates...[Read More] Understanding Pseudomyopia: Causes, Symptoms, and Eye Health Concerns
Understanding Visual Disturbances: Flickering and Brightness Changes Explained
There is a slight shaking phenomenon around objects when looking at them? Hello Doctor, I am 43 years old and have myopia of approximately -6.50/-8.50. 1. Since 2021, I have noticed a slight shaking sensation on the outer side of my eyes when looking at things (there is a feeling...
Dr. He Jianxian Reply:
If all examinations have been completed, you should feel reassured. The flickering sensation in your peripheral vision may be caused by vitreous degeneration, but this is merely a hypothesis, and I am unsure of the actual cause. As for the changes in the brightness of light sourc...[Read More] Understanding Visual Disturbances: Flickering and Brightness Changes Explained
Can Visual Field Loss Occur with Photopsia? Understanding Eye Health
Is it possible for vision loss to occur in the visual field area affected by photophobia? Hello Doctor: Recently, I have noticed a small area in my monocular visual field where I see light spots similar to photopsia when I close my eyes. Given that I am at an age where ocular fun...
Dr. He Jianxian Reply:
To confirm your issue, you only need to schedule a standard visual field test. It is recommended that you arrange this at a hospital. Dr. He Jianxian, Ophthalmology Department, Nantou Hospital.[Read More] Can Visual Field Loss Occur with Photopsia? Understanding Eye Health
Understanding Indirect Ophthalmoscopy for Macular and Nerve Disease Detection
Fundus examination Hello Doctor: I have high myopia and floaters. In a few days, I will be going to a general clinic for a fundus examination, where the doctor will use an indirect ophthalmoscope. Can this method detect macular degeneration and neurological diseases? If not, what...
Dr. Gao Pilin Reply:
Hello: A dilated eye exam can initially screen for the possibility of abnormalities. For a more detailed examination, OCT (Optical Coherence Tomography) and visual field tests can be performed. Please consult your physician to see if further testing is necessary.[Read More] Understanding Indirect Ophthalmoscopy for Macular and Nerve Disease Detection
Do You Need Annual Referrals for Glaucoma Eye Exams?
Glaucoma examination? 1. When seeing a glaucoma specialist at a clinic for a chronic prescription, is it necessary to be referred to a hospital every year for a fundus examination and visual field testing? 2. If the clinic physician does not provide a referral for a fundus exam...
Dr. Liang Ce Reply:
We recommend that you 1. discuss the above situation further with your attending physician to determine if any additional examinations are necessary. 2. You may also consider consulting at an ophthalmology outpatient clinic at a medical center or large hospital. Thank you, and wi...[Read More] Do You Need Annual Referrals for Glaucoma Eye Exams?
Understanding Nystagmus: Causes, Effects, and Management in Vision Health
Nystagmus 1. Can congenital nystagmus worsen over time? If so, what could be the possible reasons? Would it lead to further deterioration of vision? 2. It is said that individuals with congenital nystagmus do not experience oscillopsia when looking at objects, but why do they per...
Dr. Gao Pilin Reply:
Hello, Xin: 1. It should not happen. 2. It should still happen. 3. It is uncertain; it depends on whether there are issues with the retina or optic nerve. 4. Blindness is not related to refractive error; both myopia and hyperopia can lead to it. 5. This is how refractiv...[Read More] Understanding Nystagmus: Causes, Effects, and Management in Vision Health
Understanding Visual Impairment: Key Questions and Insights on Eye Health
Visual impairment Hello, I saw the standards for visual impairment online, and there are two criteria for mild visual field loss: 1. For the central 24-degree program on the automated perimetry, an average defect greater than 25 dB (exclusive) is required. 2. For the central 30-d...
Dr. Gao Pilin Reply:
Hello, S: Currently, the central 30 degrees should be used as a reference for visual field defects, which are not easily noticeable without examination. Retinal degeneration can lead to visual field loss, typically more severe in areas with light, which will appear clearer. When ...[Read More] Understanding Visual Impairment: Key Questions and Insights on Eye Health
Understanding Glaucoma: Concerns for High Myopia Patients
Glaucoma patients Hello doctor, I have high myopia, approximately -2000 diopters. Recently, I experienced flashes in my vision and consulted a doctor, who indicated that it might be a precursor to glaucoma. My intraocular pressure was slightly elevated, around the low 20s. I'...
Dr. Gao Pilin Reply:
Hello, Apple: If a doctor diagnoses glaucoma, there is no need to be overly anxious. As long as intraocular pressure is well controlled, damage to the optic nerve can be minimized. Regular check-ups of visual fields, optic nerve health, and intraocular pressure can help maintain ...[Read More] Understanding Glaucoma: Concerns for High Myopia Patients
How Long to Use Eye Drops for High Eye Pressure Before Chronic Prescription?
How long does it take to obtain a chronic prescription for eye drops for high intraocular pressure? The patient was referred to a large hospital for gonioscopy, fundus examination, and visual field testing due to elevated intraocular pressure. The doctor diagnosed glaucoma and ad...
Dr. He Jianxian Reply:
In fact, the effectiveness of the eye drops can be assessed after a month, which helps determine whether a change in medication or an increase in dosage is necessary. If no adjustments are needed, the criteria for issuing a continuous prescription are typically met. This is for y...[Read More] How Long to Use Eye Drops for High Eye Pressure Before Chronic Prescription?
Understanding Visual Disturbances: Black Flashes and Brightness Issues
Experiencing brief flashes of darkness in the vision, similar to a flickering light, and occasionally noticing fluctuations in brightness (sometimes appearing dim or bright) after looking at a screen for an extended period? Hello Doctor, I am 43 years old and have myopia of -6xx/...
Dr. Gao Pilin Reply:
Hello JC: If all the tests are normal, I cannot determine the cause from that. The most likely relationship is that the vitreous is pulling on the retina. This aspect cannot be detected through examination. The sensation of movement is likely caused by the movement of the vitreou...[Read More] Understanding Visual Disturbances: Black Flashes and Brightness Issues