Understanding Retinal Atrophy: Impacts and Treatment Options Explained
Retinal atrophy spots Hello, doctor. A month ago, I went to an ophthalmologist for a check-up due to changes in my floaters. During the examination, it was found that my retina has thinner areas due to high myopia, but I was advised to just monitor it. Today, I went to another op...
Dr. Gao Pilin Reply:
Hello, Xiao Xiao: High myopia can cause thinning of the peripheral retina. Since this occurs in the periphery, it does not affect vision; however, it is important to note that sometimes the thinned areas can develop holes, which may lead to retinal detachment. Therefore, laser tr...[Read More] Understanding Retinal Atrophy: Impacts and Treatment Options Explained
Evaluating Blindness from Cataracts: Objective Tests to Prevent Fraud Claims
Assessment methods for blindness caused by cataracts (to rule out the suspicion of feigned blindness)? The patient suffers from bilateral age-related cataracts, with best-corrected visual acuity measured at 0.1 in the right eye and less than 0.01 in the left eye, which meets the ...
Dr. Gao Pilin Reply:
Hello: If you have such concerns, please visit a public medical center for an examination. If cataracts are present, cataract surgery should be performed first. If the physician determines that surgery would be ineffective, then a referral for evaluation can be issued. The ophtha...[Read More] Evaluating Blindness from Cataracts: Objective Tests to Prevent Fraud Claims
Understanding Flashing Lights in Vision: When to Seek Eye Care
Flash problem Dear Doctor, I apologize for disturbing you during your busy schedule. I have approximately 800 degrees of myopia in both eyes, and due to experiencing floaters and suspected glaucoma, I have been undergoing regular check-ups since last year. In November of last ye...
Dr. Gao Pilin Reply:
Hello Natsuki: Typically, flashes in the eyes do not produce any sound. If there are no further occurrences or additional symptoms, you may continue to observe. Angle-closure glaucoma can trigger acute glaucoma, while open-angle glaucoma usually does not convert to angle-closure ...[Read More] Understanding Flashing Lights in Vision: When to Seek Eye Care
Understanding Eyelid Issues: Causes and Solutions for Double Eyelids
Eyelid issues Hello, Doctor. Recently, both of my eyelids have developed multiple layers (I originally had double eyelids). The left eye has a smaller multilayer condition, and I feel normal when blinking; however, the right eye clearly shows multiple layers, and when I blink, it...
Dr. Gao Pilin Reply:
Hello: A chalazion can potentially affect blinking, and if it becomes too large, it may also cause eyelid drooping or astigmatism. Typically, warm compresses and topical medications may reduce its size, but they will not eliminate it completely. For definitive treatment, surgical...[Read More] Understanding Eyelid Issues: Causes and Solutions for Double Eyelids
Understanding High Eye Pressure: Common Concerns and Solutions
Issues Related to Elevated Intraocular Pressure Hello, Dr. Gao. I recently had an eye examination, and the doctor diagnosed the following after dilation: Myopia: Right eye - -9.25 diopters (dominant eye) / Left eye - -8.75 diopters; Astigmatism: Right eye - -1.25 diopters / Left ...
Dr. Gao Pilin Reply:
Hello, Miss who has been feeling a bit anxious: 1. It's important to monitor and check, as most conditions are manageable and can be assessed through examinations. 2. There may be possibilities to consider. 3. Please refer to: https://bit.ly/3fGudTq 4. There may not be any ...[Read More] Understanding High Eye Pressure: Common Concerns and Solutions
Understanding Glaucoma Risks for High Myopia Patients: Key Insights
Suspected glaucoma? I have high myopia of 800-900 diopters and underwent an eye examination. My intraocular pressure readings were around 17, 19, 20, and 21 mmHg, and my corneal thickness was 560 and 570 micrometers. My corrected vision is 1.0, and the visual field test was norma...
Dr. Gao Pilin Reply:
Hello Jun: 1. Please continue to monitor your condition, and if there are any changes in your vision, treatment may be necessary. 2. Chronic glaucoma is a long-term condition that often presents with few symptoms. However, if there is a sudden significant increase in intraocul...[Read More] Understanding Glaucoma Risks for High Myopia Patients: Key Insights
Understanding Floaters After Retinal Laser Treatment: Causes and Solutions
Retinal laser treatment causing floaters? Hello, doctor. I have a thin retina in my left eye and underwent laser reinforcement. After the procedure, I noticed black spots and lines appearing at the site of the reinforcement. Is there a chance that these remnants of the retina cou...
Dr. Gao Pilin Reply:
Hello, Xiaoxiao: The black spots and lines you see may sometimes be related to areas treated with laser, as the laser can damage retinal cells, leading to visual field defects. If it is retinal debris, it may persist for a while. However, it is not a cause for concern, and you wi...[Read More] Understanding Floaters After Retinal Laser Treatment: Causes and Solutions
Post-Retinal Laser Surgery: Understanding Visual Disturbances and Symptoms
Postoperative retinal issues Hello, Doctor: About a year and a half ago, I underwent a dilated retinal examination and discovered a retinal tear in one eye. I subsequently had several sessions of laser photocoagulation. Prior to the retinal examination, I did not notice any abnor...
Dr. Gao Pilin Reply:
Hello: Water waves and floaters are both phenomena related to vitreous degeneration, and retinal tears are usually caused by the pulling effect during vitreous degeneration. Therefore, they are not necessarily related to laser treatment. Laser procedures typically do not cause th...[Read More] Post-Retinal Laser Surgery: Understanding Visual Disturbances and Symptoms
Understanding Retinal Vessel Twisting and Vision Fluctuations in Teens
Retinal vascular tortuosity and vision impairment? I am 17 years old and have undergone laser surgery in both eyes due to retinopathy of prematurity. As a result, I have developed myopia as a complication and have been returning for check-ups every three months. Since February of...
Dr. Gao Pilin Reply:
Hello Claire: It is possible that your retina is unstable due to retinopathy of prematurity, which may cause a tugging sensation similar to that of blood vessels, resulting in unstable vision and images. As for the exact cause, further examination is necessary, as there are many ...[Read More] Understanding Retinal Vessel Twisting and Vision Fluctuations in Teens
Understanding Eye Symptoms: Floaters, Glare, and Vision Concerns
Medical consultation Hello Doctor, I apologize for the interruption. As an engineer, I need to use my eyes for extended periods, and I also have quite severe floaters. Recently, I have experienced the following situations and would like to consult you: 1. When looking at white ...
Dr. Gao Pilin Reply:
Hello Engineer: 1. The appearance of rainbows may also indicate glaucoma; if possible, you should have your visual fields checked. 2. This could be a form of photopsia, which may not be detectable and is often a physiological phenomenon. For reference: https://bit.ly/2VNsdxL Taiw...[Read More] Understanding Eye Symptoms: Floaters, Glare, and Vision Concerns
Understanding Sudden Eye Flashes: When to Seek Medical Attention
Sudden onset of flashes of light in the eyes? Hello Doctor: Due to experiencing floaters, I underwent a dilated eye exam. Although there were no issues, I suddenly noticed a flash in front of my eyes while in a dimly lit room with a small night light, as if someone quickly turned...
Dr. Gao Pilin Reply:
Hello, concerned individual: Retinal detachment can lead to visual field defects and may cause sensations similar to flashes of light, which can persist. If these symptoms do not recur, you may monitor the situation. Retinal detachment or tears do not occur suddenly without reaso...[Read More] Understanding Sudden Eye Flashes: When to Seek Medical Attention
Understanding Night Blindness: Symptoms and Diagnosis Explained
Inquiry about night blindness? Hello, doctor. I would like to inquire whether not being able to see anything in a completely dark room could be a sign of night blindness. Recently, I've noticed that I have difficulty reading signs at night, and I'm unsure if this is rel...
Dr. Gao Pilin Reply:
Hello Wei: If you find it difficult to read the signs outside at night, it may be related to your prescription. Try wearing glasses to see if it improves your clarity; if it does, then there is likely no issue, and it should not be night blindness. After examination, everything a...[Read More] Understanding Night Blindness: Symptoms and Diagnosis Explained
Understanding Eye Pressure and Corneal Thickness: Key Insights for Patients
Intraocular pressure and corneal thickness? Hello Doctor: Since I started experiencing floaters in March 2020, I have been regularly visiting an ophthalmologist for check-ups. In March, my eye pressure readings were 19 and 21 (University Hospital, with some margin of error). In A...
Dr. Gao Pilin Reply:
Hello, Xiao Liao: 1. Generally, in your twenties, the eyes should not be swollen or feel hard to the touch. If you experience such symptoms, the most common cause is fatigue. 2. Due to differences in equipment, please consult a physician to determine whether your intraocular p...[Read More] Understanding Eye Pressure and Corneal Thickness: Key Insights for Patients
Why Are My Eyes More Sensitive to Light After Using Eye Drops?
The halos around streetlights appear larger when viewed with the eyes? Hello Doctor, in recent years, my health check-ups have indicated that I have elevated intraocular pressure (around 21-23). Initially, I didn't pay much attention to it because my cornea is relatively thi...
Dr. He Jianxian Reply:
Basically, the enlargement of the halo is likely unrelated to the eye drops you suspect for glaucoma; it should not be a side effect of the medication. If you have concerns, it is advisable to discuss them with the prescribing physician. Director He Jian-xian, Ophthalmology Depar...[Read More] Why Are My Eyes More Sensitive to Light After Using Eye Drops?
Understanding High Eye Pressure: Risks, Treatments, and Lifestyle Changes
Ocular hypertension Hello, Doctor Gao: I have been experiencing a tightness in my eyes for the past month. Despite significantly reducing my screen time and increasing my sleep, my eye pressure measurements at the hospital have remained elevated (25, 26). Even after accounting fo...
Dr. Gao Pilin Reply:
Hello Jerry: Actually, an intraocular pressure in the twenties typically does not cause discomfort; your discomfort is likely due to eye muscle fatigue. Some individuals naturally have higher intraocular pressure, and changing lifestyle habits or consuming specific nutrients may ...[Read More] Understanding High Eye Pressure: Risks, Treatments, and Lifestyle Changes
Understanding the Impact of Eye Cysts on Glaucoma and Vision Loss
Cyst of the water chamber Fifteen years ago, when I was in high school, I had a bulging, blister-like formation on the surface of my eye. I went to see an ophthalmologist who punctured it, and since then, there has been a membrane on the surface of the eye. Recently, I visited &l...
Dr. Gao Pilin Reply:
Hello, Conjunctival cysts are epidermal cells that have migrated beneath the conjunctiva due to certain traumatic factors. These cells secrete mucus, causing the conjunctiva to bulge like a bubble. This condition may cause discomfort, and while puncturing the cyst can reduce sw...[Read More] Understanding the Impact of Eye Cysts on Glaucoma and Vision Loss
Understanding Flickering Vision in High Myopia: Causes and Concerns
Blinking visual field scintillation Hello, Doctor Gao. I am a person with high myopia (approximately -9.00 diopters). About a year and a half ago, I began experiencing symptoms of floaters. I have been going to the ophthalmologist for retinal examinations every 2 to 3 months, and...
Dr. Gao Pilin Reply:
Hello Kevin: A small flicker in your visual field may be caused by vitreous pulling on the retina. If it remains the same, there is no need to worry; the doctor will examine you during your appointment. Just inform the doctor about your condition, and don't worry about expre...[Read More] Understanding Flickering Vision in High Myopia: Causes and Concerns
Understanding the Worsening of Floaters: Symptoms and Concerns Explained
Worsening of floaters? Dear Dr. Gao, I have congenital myopia. During a check-up in first grade, my left eye was diagnosed with -500 diopters of myopia, while my right eye was normal. However, due to long-term reliance on my right eye, it has now progressed to -1300 diopters, an...
Dr. Gao Pilin Reply:
Hello Sabina: 1. These are all phenomena associated with floaters. 2. This is also a manifestation of vitreous degeneration. 3. This may also be a sign of vitreous degeneration; however, it can also occur before a migraine attack. 4. No, it will not. 5. Vitreous opacities are a r...[Read More] Understanding the Worsening of Floaters: Symptoms and Concerns Explained
Understanding Blurred Vision After Retinal Laser Treatment: Causes and Solutions
Blurred vision after retinal laser treatment? Hello, Doctor Gao. I have a small hole near the retina in one of my eyes. I underwent laser treatment ten days ago, and a week later, the doctor checked and confirmed that the cornea is normal and the retinal repair site is in good co...
Dr. Gao Pilin Reply:
Hello Kelly: Based on your description, after undergoing retinal laser treatment, it is common to experience slight peripheral vision loss, temporary edema, and symptoms such as dimmed vision, narrowed visual fields, or blurriness. These are likely temporary phenomena. Previous l...[Read More] Understanding Blurred Vision After Retinal Laser Treatment: Causes and Solutions
Managing High Eye Pressure and Dry Eye Syndrome: Key Questions Answered
High intraocular pressure + dry eye syndrome Previously, my intraocular pressure was 23-24. The doctor prescribed me Iopidine, bottled artificial tears, bottled eye drops, and tear film ointment, along with self-paid single-dose artificial tears. After a month, during my follow-u...
Dr. He Jianxian Reply:
Hello Miss Mei: 1. The use of intraocular pressure-lowering medications should be based on a high suspicion of glaucoma. If the corneal thickness is normal but intraocular pressure is elevated, and there are defects in visual field testing or abnormalities in OCT examination, pl...[Read More] Managing High Eye Pressure and Dry Eye Syndrome: Key Questions Answered