Understanding Visual Distortion: Causes and Concerns in High Myopia
Visual distortion and floating sensation? Hello Doctor, I have been experiencing a slight distortion in my vision for the past two to three weeks. About a week ago, it progressed to a sensation of twisting and floating. Walking feels like being on a boat, and when I read, the let...
Dr. Cai Wenyuan Reply:
Hello: It is rare to encounter such a description of symptoms. Please visit a medical center for examination. Wishing you peace and health. Sincerely, Dr. Tsai Wen-Yuan, Director of the Ophthalmology Department, Taoyuan Hospital, Ministry of Health and Welfare.[Read More] Understanding Visual Distortion: Causes and Concerns in High Myopia
Understanding Normal-Tension Glaucoma: Do I Need Eye Drops?
Concerns about glaucoma? Hello, doctor. I am highly myopic with over 900 degrees and have astigmatism of about 150 degrees. Due to my high myopia, I have been regularly undergoing dilated fundus examinations and visual field tests at an ophthalmology clinic in Tainan for about 7 ...
Dr. He Jianxian Reply:
If your visual field tests have consistently been normal, it is recommended to continue monitoring. Generally, three criteria must be met for a diagnosis of glaucoma: (1) intraocular pressure, (2) optic nerve head cupping ratio, and (3) visual field. Typically, we require at leas...[Read More] Understanding Normal-Tension Glaucoma: Do I Need Eye Drops?
Exercise Guidelines for Patients with Glaucoma: What You Need to Know
Glaucoma and Exercise Hello Dr. Tsai, I would like to ask you some questions regarding health education. A year ago, I was diagnosed with a cup-to-disc ratio of 0.8 in my optic nerve, and my intraocular pressure is at the upper limit of normal. My visual field tests have been nor...
Dr. Cai Wenyuan Reply:
Hello, no need to avoid. Wishing you peace, health, and well-being. Sincerely, Dr. Tsai Wen-Yuan, Director of the Ophthalmology Department, Taoyuan General Hospital, Ministry of Health and Welfare.[Read More] Exercise Guidelines for Patients with Glaucoma: What You Need to Know
Can Strength Training Be Safe for Individuals at Risk of Glaucoma?
Can individuals in the glaucoma risk group engage in strength training? Dear Doctor He, A year ago, I was diagnosed with a greater than normal cup-to-disc ratio (0.8), and the depth of the cup is approaching the red zone, with an intraocular pressure of about 20 mmHg. Fortunatel...
Dr. He Jianxian Reply:
Generally, patients with glaucoma do not have specific restrictions on exercise, unless they have undergone surgery, in which case they should avoid lifting heavy objects. This information is for your reference![Read More] Can Strength Training Be Safe for Individuals at Risk of Glaucoma?
Understanding Vision Loss: What 80% Damage to Your Optic Nerve Means
Optic nerve damage I recently had an eye examination and was diagnosed with glaucoma. The doctor said that my optic nerve has been damaged by 80%. Currently, my vision and visual field are still normal, but the color in my affected eye appears darker. How much time do I have left...
Dr. He Jianxian Reply:
Your vision is still normal. May I ask if the test was conducted using standard perimetry? If your visual field is normal, how was your glaucoma diagnosed? As for your question about how long it will be until you are completely blind, I believe no one can answer that question.[Read More] Understanding Vision Loss: What 80% Damage to Your Optic Nerve Means
Understanding Elevated Eye Pressure: Do You Need Further Glaucoma Testing?
Slightly elevated intraocular pressure? Hello. My intraocular pressure has been consistently between 20-26 for the past few months, and my corneal thickness is about 600 micrometers. My doctor told me that because my cornea is thick, it's okay for my eye pressure to be sligh...
Dr. He Jianxian Reply:
You are a young individual with high corneal sensitivity, which often results in false positive readings for intraocular pressure. Additionally, your corneal thickness is also on the higher side, and there seems to be no further changes in your optic disc. All these signs indicat...[Read More] Understanding Elevated Eye Pressure: Do You Need Further Glaucoma Testing?
Understanding Fundus Photography and Glaucoma Detection Techniques
Fundus photography for glaucoma? Hello, I would like to ask about the process of fundus photography. During the procedure, the machine jumps several points before finally taking a flash photograph. I blinked just after the machine started jumping points (approximately one second ...
Dr. Cai Wenyuan Reply:
Hello, I’m not sure if there will be any issues with the images taken this way. It should be fine. Regarding glaucoma, will OCT detect problems earlier than visual field tests? Yes, it can be used as a reference. Wishing you safety and health. Sincerely, Dr. Cai Wenyuan, Director...[Read More] Understanding Fundus Photography and Glaucoma Detection Techniques
Post-Laser Treatment: Understanding Retinal Hole Recovery
Postoperative care after retinal laser treatment? Hello Doctor: Yesterday, I went to the ophthalmology department for a fundus examination and found a hole in the retina of my left eye. Immediate laser treatment was performed, and the doctor advised me to return for a follow-up i...
Dr. Gao Pilin Reply:
Hello: Sometimes shadows are fragments of retinal tears, sometimes they are blood clots, and sometimes they are related to floaters. It is still recommended to have an outpatient examination. If the examination shows no issues, there is no need to worry. In Taiwan, at Puzi Hospit...[Read More] Post-Laser Treatment: Understanding Retinal Hole Recovery
Understanding Visual Field Issues: Is Your Peripheral Vision Normal?
Visual field issues The normal visual field for both eyes is approximately 90 degrees. However, when I stand upright and look straight ahead with my arms extended parallel to the sides, I cannot see my hands in the peripheral vision. Is this normal?
Dr. Cai Wenyuan Reply:
Hello, I cannot see it either. Wishing you peace and good health. Sincerely, Dr. Tsai Wen-Yuan, Director of the Ophthalmology Department, Taoyuan Hospital, Ministry of Health and Welfare.[Read More] Understanding Visual Field Issues: Is Your Peripheral Vision Normal?
Managing Acute Glaucoma: Treatment, Medication, and Eye Pressure Control
Follow-up for Acute Glaucoma Hello Dr. Tsai, Previously, before my military service, I developed acute glaucoma due to family and work-related factors. After the diagnosis, the doctor immediately administered IV fluids and prescribed eye drops. Following improvement, I returned ...
Dr. Cai Wenyuan Reply:
Hello, is Qingyanlu eye drops to be applied once a day? Are there long-acting types that can be applied once daily? Do practices like eye massage, warm compresses, and acupressure help in controlling intraocular pressure? They do not provide any benefit. Wishing you peace and hea...[Read More] Managing Acute Glaucoma: Treatment, Medication, and Eye Pressure Control
Understanding Floaters and Flashing Lights: Eye Health Insights
Floaters and flashes, with a stabbing pain? Hello! Dr. He has been suffering from floaters for almost three months. I have been regularly visiting an ophthalmologist. 1) Recently, I woke up in the middle of the night with my eyes closed and saw green light along with a stinging s...
Dr. He Jianxian Reply:
It is recommended that you undergo a formal dilated eye examination. Under normal circumstances, we may observe unexplained flashes of light in the visual field. If this occurs, it is important to suspect that the retina may be experiencing traction, and a dilated examination sho...[Read More] Understanding Floaters and Flashing Lights: Eye Health Insights
Understanding Black Spots in Vision: Retinal Issues or Floaters?
Seeing black spots in the eyes? I experienced a period of about three weeks where I noticed a black spot in my vision when I blinked, and a bright light when I closed my eyes, primarily in the upper left part of my visual field. After resting for a few days, the symptoms diminish...
Dr. He Jianxian Reply:
It sounds like you're experiencing floaters; I recommend getting a dilated eye exam for a better assessment![Read More] Understanding Black Spots in Vision: Retinal Issues or Floaters?
Does Dilation Eye Drops Worsen Glaucoma Symptoms?
Does the use of scattered eye drops worsen glaucoma? Dear Doctor, due to high myopia of -1800/-1500 diopters, I need to have a fundus examination. Additionally, I have glaucoma and my left eye's visual field is poorer. Therefore, I am scheduled for fundus checks every week, ...
Dr. Cai Wenyuan Reply:
Hello, only actual measurements can provide accurate information. Wishing you peace, health, and well-being. Sincerely, Dr. Tsai Wen-Yuan, Director of the Ophthalmology Department, Taoyuan General Hospital, Ministry of Health and Welfare.[Read More] Does Dilation Eye Drops Worsen Glaucoma Symptoms?
Understanding Severe Eye Injury: Insights on Vision Loss and Treatment Options
Before and after the suturing surgery for the left eye globe laceration, there was no light perception in the left eye? Description: 28 days ago, I suffered a traumatic injury to my left eye and was taken to Kaohsiung Veterans General Hospital for ocular globe suturing surgery. B...
Dr. Cai Wenyuan Reply:
Hello, I apologize for the lengthy response, but my ability to assist you is limited. Based on your description, I do not have any other good suggestions. Kaohsiung Veterans General Hospital is quite large, and it may be sufficient for you to seek medical care locally. Wishing yo...[Read More] Understanding Severe Eye Injury: Insights on Vision Loss and Treatment Options
Understanding Rainbow Halos: The Impact of Poor Tear Quality on Vision
Poor tear quality can lead to a rainbow halo around white light at night? Hello, doctor. Recently, I suddenly noticed that when I look at white lights, there is a halo around the light that resembles a rainbow. The next day, I immediately went to see an ophthalmologist. I informe...
Dr. Cai Wenyuan Reply:
Hello, you may need to consult with the attending physician. Thank you. Wishing you peace and good health. Sincerely, Dr. Cai Wenyuan, Director of the Ophthalmology Department, Taoyuan General Hospital, Ministry of Health and Welfare.[Read More] Understanding Rainbow Halos: The Impact of Poor Tear Quality on Vision
Understanding Visual Distortion: When to Seek Eye Care
Visual field defect? Hello, doctor. First, let me explain my personal situation. I have been nearsighted for a long time, with both eyes having a prescription of -9.00 diopters. I undergo dilated fundus examinations every six months, with the most recent one in March, which was n...
Dr. Cai Wenyuan Reply:
Hello: After the medical examination, everything is fine. Wishing you peace and health. Sincerely, Dr. Tsai Wen-Yuan, Director of the Ophthalmology Department, Taoyuan Hospital, Ministry of Health and Welfare.[Read More] Understanding Visual Distortion: When to Seek Eye Care
Understanding Visual Disturbances: Is Your Eye Health at Risk?
Transparent object A few days ago, I noticed that there seems to be a transparent obstruction in the left visual field of my left eye. When this obstruction passes over an object, it appears as if the object is slightly covered, although it's not very noticeable. When I look...
Dr. Cai Wenyuan Reply:
Hello: If there are changes in your floaters, it is best to seek medical examination. Wishing you safety and health. Sincerely, Dr. Tsai Wen-Yuan, Director of the Ophthalmology Department, Taoyuan Hospital, Ministry of Health and Welfare.[Read More] Understanding Visual Disturbances: Is Your Eye Health at Risk?
Common Eye Care Questions: Health Insurance Coverage and Treatment Concerns
Some questions and issues regarding health insurance coverage? Hello, Doctor. I would like to ask a few questions: 1. A few days ago, an eyelash fell onto my eyeball. At first, I was a bit anxious and tried to use a cotton swab to remove it. Could this cause any harm to my eye ...
Dr. Cai Wenyuan Reply:
Hello, I was a bit anxious and tried to use a cotton swab to remove it, which could potentially harm my eyes. The hospital has scheduled an OCT and visual field examination soon. I am unsure if this will result in needing to pay out of pocket for the OCT examination later. If the...[Read More] Common Eye Care Questions: Health Insurance Coverage and Treatment Concerns
Understanding High Eye Pressure: Common Concerns and Solutions
Questions about high intraocular pressure? I would like to ask the doctor a few questions: 1. Yesterday, my eyes felt uncomfortable, and I wanted to go to an ophthalmology clinic for a dilated eye exam. However, the doctor mentioned that dilation shouldn't be done too freque...
Dr. Cai Wenyuan Reply:
Hello, I felt some discomfort in my eyes yesterday and wanted to go to an ophthalmology clinic for a dilated eye exam, but it is necessary to have the exam only if needed. Wearing glasses with insufficient prescription can lead to eye fatigue. Wishing you safety and health. Since...[Read More] Understanding High Eye Pressure: Common Concerns and Solutions
Understanding Visual Recovery After Retinal Surgery: What to Expect
Post-operative visual field recovery issues after retinal surgery? Hello Doctor: I underwent scleral buckle surgery (with air injection) for a retinal detachment in my right eye. After resting for three weeks, fluid accumulated again in the retina, leading to a second surgery (vi...
Dr. He Jianxian Reply:
You must consult the surgeon who performed your operation in person, as I do not have much experience in this area.[Read More] Understanding Visual Recovery After Retinal Surgery: What to Expect