Understanding Open-Angle Glaucoma: Concerns and Treatment Options
Questions about glaucoma? Hello Doctor, I have approximately -4.00 diopters of myopia in my left eye and -5.00 diopters in my right eye, with no family history of glaucoma. However, I have been diagnosed with open-angle glaucoma. Since my diagnosis, my doctor prescribed 0.5% lata...
Dr. He Jianxian Reply:
1. If the effect of the eye drops for lowering intraocular pressure is not satisfactory, you can switch medications or consider combination therapy. 2. Since I have not seen your OCT results, I cannot comment definitively, but based on your description of the OCT condition, it ...[Read More] Understanding Open-Angle Glaucoma: Concerns and Treatment Options
Understanding High Eye Pressure: Insights on Glaucoma Concerns and Testing
Concerns about glaucoma? Hello Doctor: I previously discovered elevated intraocular pressure at an ophthalmology clinic, around 23-24 mmHg. I then went to a large hospital for an examination, where OCT and corneal thickness measurements were taken. The corneal thickness for both ...
Dr. Liang Ce Reply:
Q1. Why is the OCT result normal, but the visual field test shows an enlarged physiological blind spot? (The physician at the large hospital said that the nerve must be damaged first before it affects the visual field.) A1. That is possible, so further comparison is needed. Q2....[Read More] Understanding High Eye Pressure: Insights on Glaucoma Concerns and Testing
Understanding Unexplained Dark Shadows in Vision During Eye Movement
When looking at oblique angles, there is an appearance of unexplained dimness? Background: 1. I do not have myopia and do not wear glasses. Previously, I had a period where I used my phone in the dark, and afterward, I experienced ciliary muscle spasms. After being prescribed a m...
Dr. Cai Wenyuan Reply:
Hello, it may be an issue with the vitreous. Wishing you peace and good health. Sincerely, Dr. Tsai Wen-Yuan, Director of the Ophthalmology Department, Taoyuan General Hospital, Ministry of Health and Welfare.[Read More] Understanding Unexplained Dark Shadows in Vision During Eye Movement
Understanding Glaucoma: Navigating Eye Pressure Concerns and Treatments
The issue of glaucoma is very troubling? Hello, Director: My eyes have been a bit dry and red lately, so I went to the ophthalmology department at the municipal hospital for a consultation. That day, my intraocular pressure was measured at 21 and 22, which is slightly elevated. T...
Dr. He Jianxian Reply:
The use of stress-relief medication can cause vasodilation, which may result in red eyes; this is a normal phenomenon. Elevated intraocular pressure does not necessarily indicate glaucoma; additional information is required for a proper assessment, such as visual field testing. I...[Read More] Understanding Glaucoma: Navigating Eye Pressure Concerns and Treatments
Understanding Eye Itching: Causes and Solutions After Eyelash Cleaning
Cleaning eyelashes and itchy eyes? Hello Doctor: Four years ago, I underwent strabismus surgery, and my attending physician mentioned that my intraocular pressure has been consistently high (measuring around 20 or slightly above each time). However, the visual field tests showed ...
Dr. He Jianxian Reply:
This aggressive cleaning method is typically necessary for individuals experiencing excessive oil secretion accompanied by bacterial growth, leading to discomfort in the eyes. Regular facial cleansers are generally not suitable; instead, a neutral, non-irritating cleanser should ...[Read More] Understanding Eye Itching: Causes and Solutions After Eyelash Cleaning
Understanding Optic Nerve Damage and Glaucoma Diagnosis
Optic nerve damage glaucoma assessment? Hello, doctor. Some time ago, I experienced blurred vision and difficulty focusing. I have congenital retinal foveal hypoplasia and was diagnosed with amblyopia as a child. I have had high myopia and astigmatism since kindergarten. During m...
Dr. Gao Pilin Reply:
Hello Mr. You: If you experience these symptoms after taking medication, you should report them to your physician to determine if they are side effects of the medication, and adjustments may be necessary. If there is a growth in the brain, it could potentially compress the optic ...[Read More] Understanding Optic Nerve Damage and Glaucoma Diagnosis
Understanding Glaucoma: Concerns with Sancoba and Mikelan Eye Drops
Glaucoma and the issues related to Sancoba and Mikelan eye drops? Hello Doctor: I apologize for interrupting your busy schedule, and I appreciate your valuable time! I am a glaucoma patient and would like to ask the following questions: 1. The package insert for Sancoba eye dro...
Dr. He Jianxian Reply:
1. There should be no special effects. 2. There should be no difference between morning and evening measurements. 3. Your discomfort is likely unrelated to intraocular pressure and is probably due to eye fatigue. 4. Some notches are congenital, while others are caused by gl...[Read More] Understanding Glaucoma: Concerns with Sancoba and Mikelan Eye Drops
Post-Laser Retinal Repair: Understanding Discomfort and Complications
Discomfort after retinal laser treatment? Dear Director Gao, Half a month ago, I visited the clinic due to floaters in my vision. The doctor informed me that there was a tear in the retina located just below my left eye, and performed laser treatment on the same day. Since then,...
Dr. Gao Pilin Reply:
Hello Ms. Su, 1. The retinal laser treatment directs the beam straight to the retina, so it should not affect the area you mentioned. 2. Retinal laser treatment uses heat to cauterize the retina, creating scar tissue that helps the retina adhere strongly. However, a side effect ...[Read More] Post-Laser Retinal Repair: Understanding Discomfort and Complications
Is My Dizziness Caused by High Eye Pressure? Understanding the Symptoms
Is this dizziness caused by high intraocular pressure? Thank you? Hello, Doctor: I am 36 years old this year. I have searched online for many cases of high intraocular pressure, but I haven't found any that match my situation. I am worried that it might be caused by another ...
Dr. Gao Pilin Reply:
Hello Mr. Su: Generally, elevated intraocular pressure does not cause symptoms such as dizziness when turning the head; it typically presents with symptoms like eye discomfort, headache, and nausea. If the cause cannot be identified through an inner ear examination, it may be adv...[Read More] Is My Dizziness Caused by High Eye Pressure? Understanding the Symptoms
Understanding Retinal Issues: High Myopia and Related Concerns
Retinal issues? Hello, Dr. Gao. I would like to ask you a few questions: 1. I have high myopia, approximately -1800 diopters, and currently have macular degeneration. However, my doctor has not taken any action regarding this, nor the macular traction, which I still feel causing...
Dr. Gao Pilin Reply:
Hello NICO: a. If there are no abnormalities, such as blurred vision, an examination every three months should be sufficient. b. Dilated eye exams are short-term and should not cause harm to the eyes. c. Holes or tears usually do not present obvious symptoms on their own; a docto...[Read More] Understanding Retinal Issues: High Myopia and Related Concerns
Understanding Eye Trauma: Symptoms, Recovery, and Concerns
The pupil of the eye was struck by a hard object, causing the eye to feel sore and swollen? Hello, Doctor. Three days ago, while I was trimming my nails, I accidentally mishandled the nail clipper, and it bounced off and hit my eyeball (right eye). I can't describe the force...
Dr. He Jianxian Reply:
If there are issues with the retina or optic nerve, the eyeball itself will not have any specific sensations. Overall, it seems that your eyes should not have experienced significant problems due to this incident.[Read More] Understanding Eye Trauma: Symptoms, Recovery, and Concerns
Understanding Post-Retinal Laser Surgery Symptoms: Is It Normal?
Retinal issues? Hello Doctor: I underwent retinal laser treatment on November 29, and the doctor advised me to return for a follow-up in a month. I would like to ask you: on the morning of December 13, after I woke up, I noticed that my right eye near the inner corner was experie...
Dr. He Jianxian Reply:
Generally, such situations do not occur after laser treatment. It is recommended that you consult the physician who performed the procedure during your follow-up visit.[Read More] Understanding Post-Retinal Laser Surgery Symptoms: Is It Normal?
Understanding Eye Irritation and Glaucoma: Symptoms and Diagnosis
The eyes feel very itchy and irritated, and there is continuous tearing? Hello, Dr. Tsai! I have two questions I would like to ask you. First, I have been experiencing a very irritating sensation in my eyes lately. Sometimes it occurs when I tear up, and other times it happens ...
Dr. Cai Wenyuan Reply:
Hello, visual field testing is a subjective examination, and there can certainly be issues with accuracy. The diagnosis of glaucoma is best determined by considering intraocular pressure, the cupping of the optic nerve head, and visual field testing together. Wishing you safety a...[Read More] Understanding Eye Irritation and Glaucoma: Symptoms and Diagnosis
Understanding Mild Cataracts: What Does It Mean and Should You Worry?
"Early cataract" refers to the initial stage of cataract development, where there is a slight clouding of the lens in the eye. This condition may not significantly affect vision at first, but it can progress over time, leading to more severe visual impairment if left un...
Dr. Cai Wenyuan Reply:
Hello, a mild degree of ocular pressure may indeed refer to age. Intraocular pressure is just one indicator of glaucoma and should be accompanied by visual field tests and optic nerve examinations. Wishing you safety and health. Sincerely, Dr. Tsai Wen-Yuan, Director of Ophthalmo...[Read More] Understanding Mild Cataracts: What Does It Mean and Should You Worry?
Understanding Blurry Vision: Causes and When to Seek Help
Blurred vision? Recently, I've noticed that when I look at something, only the center is clear while the surrounding areas are not very clear. Additionally, when I focus on a specific point, parts of the periphery seem to disappear, blending into the background color. I'...
Dr. Cai Wenyuan Reply:
Hello: The doctor said, "Everything looks very healthy and there are no issues, so let's continue to observe." Wishing you peace and good health. Sincerely, Dr. Tsai Wen-Yuan, Director of the Ophthalmology Department, Taoyuan General Hospital, Ministry of Health an...[Read More] Understanding Blurry Vision: Causes and When to Seek Help
Understanding Glaucoma: Key Questions and Concerns for Patients
Questions about glaucoma? Hello Doctor, I recently went to an ophthalmology clinic to get a new pair of glasses and underwent dilation. The doctor mentioned that my intraocular pressure (IOP) was 21 and 20, which is within the normal range but on the higher side. However, he poin...
Dr. He Jianxian Reply:
It is quite rare to develop glaucoma at this age. I recommend that you visit a large hospital to see a glaucoma specialist for a thorough examination to confirm whether it is indeed glaucoma, and then consider the subsequent management options.[Read More] Understanding Glaucoma: Key Questions and Concerns for Patients
Understanding Discrepancies Between Eye Pressure and Visual Field Tests
Concerns after examination? Hello Doctor: My intraocular pressure has been consistently high, around 23 to 25 mmHg. There have been a few instances where it spiked to 31 mmHg, but the doctor said my optic nerve appears normal. However, the visual field test showed some defects. I...
Dr. Cai Wenyuan Reply:
Hello, visual field testing is a subjective examination that may have inherent errors. It often requires multiple comparisons over time to determine if there are any defects. Wishing you safety and health. Sincerely, Dr. Tsai Wen-Yuan, Director of the Ophthalmology Department, Ta...[Read More] Understanding Discrepancies Between Eye Pressure and Visual Field Tests
Understanding Eye Pressure Issues: Is It Glaucoma? Key Considerations
Intraocular pressure issues? Over twenty years ago, my left eye suffered an accidental injury, leaving me with only light perception, and I primarily rely on my right eye. For the past six to seven years, my eye pressure in the right eye has consistently been around 23 mmHg, with...
Dr. Cai Wenyuan Reply:
Hello, in addition to intraocular pressure, glaucoma also requires assessment of the condition of the optic nerve and whether there are any visual field defects. It is advisable to regularly monitor these three examinations. Wishing you safety and health. Sincerely, Dr. Tsai Wen-...[Read More] Understanding Eye Pressure Issues: Is It Glaucoma? Key Considerations
Understanding Retinal Hemorrhage: Causes, Concerns, and Treatment Options
Retinal hemorrhage Hello, Doctor. Recently, I have been seeing flashes of light (flickering) that are particularly noticeable in bright areas. I went to an ophthalmology clinic for an examination, and they indicated that it was caused by vitreous traction. However, there is bleed...
Dr. Gao Pilin Reply:
Hello Ms. Chen: 1. Retinal hemorrhage does not necessarily indicate a hole or tear in the retina; sometimes, the symptoms can also arise from bleeding in the blood vessels. 2. Please return for a follow-up examination at the time specified by your physician. If the physician has...[Read More] Understanding Retinal Hemorrhage: Causes, Concerns, and Treatment Options
Managing High Myopia, Glaucoma, and Retinal Issues: Which Specialist to See?
Glaucoma retinal issues? Given your high myopia (left eye -1000, right eye -1300), glaucoma, and retinal issues, it is advisable to primarily consult with a retinal specialist. Currently, you are being monitored by Dr. He Zichang at National Taiwan University Hospital, which is a...
Dr. He Jianxian Reply:
It is recommended that you consult a retinal specialist for follow-up, as retinal issues are generally more complex than glaucoma. As for whether the techniques at National Taiwan University are superior, I believe it depends on the individual physician's skills; not all mon...[Read More] Managing High Myopia, Glaucoma, and Retinal Issues: Which Specialist to See?