Understanding Eye Flashes: Should You Seek Further Evaluation?
Eye flickering Hello, Dr. Gao. I am the person who inquired about #207988. I went to the clinic yesterday for a dilated eye exam. The doctor said that my fundus, intraocular pressure, and macula are all normal, but did not explain what the persistent flickering sensation in my ey...
Dr. Gao Pilin Reply:
Hello: 1. Floaters and flashes: The phenomenon of floaters is usually caused by tiny particles in the vitreous gel casting shadows. Flashes may be related to vitreous detachment, but since the fundus examination appears normal, this could represent a new variation of floaters. 2....[Read More] Understanding Eye Flashes: Should You Seek Further Evaluation?
Understanding the Link Between Glaucoma and Flashing Lights in Vision
Glaucoma and flashing lights during blinking? Hello, doctor. Recently, I have been experiencing flashes of light when I blink (I have high myopia). This occurs after staying in a dark place for about 10 to 20 minutes and then returning to a bright environment. When I blink, I fee...
Dr. Gao Pilin Reply:
Hello: Based on the symptoms you described, experiencing flashes of light after spending some time in a dark environment and then returning to a bright area may be related to glaucoma or other ophthalmic issues, but it could also be caused by other factors. Here are my responses ...[Read More] Understanding the Link Between Glaucoma and Flashing Lights in Vision
Post-Laser Treatment Eye Complications: Glaucoma or Anemia Effects?
Three months after laser surgery for retinal tear, suspected glaucoma was found during the examination? Three months ago, I suddenly experienced a large number of floaters and went to the hospital for an examination, where a retinal tear was found in the upper right quadrant of m...
Dr. He Jianxian Reply:
Dear Ms. Hsu, 1. The location of the laser treatment is usually at the periphery and does not significantly affect visual field testing. Since the laser was applied to the upper right corner, any potential visual field loss would likely occur in the lower left quadrant, so your ...[Read More] Post-Laser Treatment Eye Complications: Glaucoma or Anemia Effects?
Understanding Enlarged Optic Nerve Head: Risks and Management
Optic disc cupping is enlarged? Hello Doctor, Last week I visited an ophthalmologist due to conjunctivitis and also asked the doctor to check my optic nerve. The neurologist mentioned that my optic nerve head is larger than normal, approximately 0.6 to 0.7. Consequently, I was ...
Dr. He Jianxian Reply:
Hello, Miss Mo: 1. Congenital optic nerve pits are indeed present, but they are not common, and there is no evidence to suggest that they are more likely to lead to glaucoma. 2. This question cannot be answered definitively. 3. Since glaucoma is mostly asymptomatic, regular moni...[Read More] Understanding Enlarged Optic Nerve Head: Risks and Management
Understanding Eye Flashes and Nerve Cupping in High Myopia
Flashes of light; optic nerve cupping? Hello Doctor: A few months ago, I discovered floaters in my vision, and after undergoing dilation, no issues were found at that time. Over the past few months, I have intermittently experienced flashes of light (similar to a light bulb flick...
Dr. Gao Pilin Reply:
Hello: Floaters refer to the appearance of black dots, dust, or small insects in your line of sight, usually caused by floating debris in the vitreous body. If the symptoms of flashes change significantly and persist, it is advisable to seek medical evaluation promptly. If they a...[Read More] Understanding Eye Flashes and Nerve Cupping in High Myopia
Sudden Blackout in Vision: Understanding Eye Health Concerns
The eyes quickly turn black for a second? Hello Doctor: I have high myopia and a few months ago I discovered I have floaters, so I have been frequently visiting clinics for check-ups, even going to a retina specialist for further examinations. I went once at the end of February, ...
Dr. Gao Pilin Reply:
Hello: The symptoms and medical history you described, particularly the high myopia and the previous occurrence of floaters, are indeed concerning. High myopia increases the risk of retinal issues, including retinal tears and retinal detachment. Although the physician did not fin...[Read More] Sudden Blackout in Vision: Understanding Eye Health Concerns
Understanding Monocular Diplopia: Causes and Concerns for Eye Health
Monocular diplopia Hello, Dr. Gao. Thank you for your previous response! After researching some information and consulting with my doctor, I still have a few questions I would like to ask: 1. For individuals with congenital amblyopia (approximately +500 diopters in both eyes), i...
Dr. Gao Pilin Reply:
Hello: 1. Individuals with congenital amblyopia may not necessarily have inferior optic nerves compared to those without the condition. Thinning of the optic nerve may be associated with glaucoma, especially if there are signs of nerve fiber thinning, but the condition of the opt...[Read More] Understanding Monocular Diplopia: Causes and Concerns for Eye Health
Post-Retinal Detachment Surgery: Addressing Vision Distortion and Misalignment
After retinal detachment surgery, there is a distortion in the visual field and the images from both eyes cannot be fused? Hello! About a year ago, I underwent retinal detachment surgery on my right eye. Due to a strong inflammatory response because of my young age, the doctor me...
Dr. He Jianxian Reply:
Dear Mr. Hsu, The distortion or deformation of the visual field caused by retinal surgery or disease is indeed very challenging to address. The possibility of treatment and improvement varies from person to person, and it is essential to follow up with your surgeon for specific...[Read More] Post-Retinal Detachment Surgery: Addressing Vision Distortion and Misalignment
Understanding Flashing Lights in Vision for High Myopia Patients
Flashes of light in the eyes? Hello Doctor, I have high myopia with prescriptions of -750 and -950 diopters. Recently, I have suddenly experienced flashes of light, but they only occur when I move from a dark area to a bright one. Specifically, if I stay in a dark place for about...
Dr. Gao Pilin Reply:
Hello: The phenomenon you mentioned, where flashes appear in your peripheral vision when blinking while transitioning from a dark to a bright environment, and which lasts for several minutes before disappearing, may be related to issues with the retina or vitreous body. Here are ...[Read More] Understanding Flashing Lights in Vision for High Myopia Patients
Light Sensitivity After Stopping Eye Drops: When to Seek Help?
After discontinuing the eye drops for one month, there is still photophobia? Hello, doctor. I was misdiagnosed with glaucoma on March 18 and used 2% eye drops for nearly a week. Later, on March 25, I visited an ophthalmologist with more advanced equipment, and the doctor advised ...
Dr. Gao Pilin Reply:
Hello: The symptoms you described may be related to the side effects of the topical ophthalmic solution (2%). Generally, side effects should gradually subside after discontinuation of the medication, but individual responses may vary. If you have stopped the medication for nearly...[Read More] Light Sensitivity After Stopping Eye Drops: When to Seek Help?
Understanding Dark Shadows in One Eye: Possible Causes and Next Steps
The left eye feels darker, with a shadow in a specific area? In recent days, I have noticed an imbalance in the light perception between my two eyes. Upon comparison, I found that my left eye perceives light as darker, and there seems to be an irregular circular shadow in the cen...
Dr. Gao Pilin Reply:
Hello: Based on the symptoms you described, the uneven light perception in your left eye and the irregular circular shape resembling an afterimage from looking at a bright light may indicate an issue related to eye health. Floaters are typically caused by the liquefaction of the ...[Read More] Understanding Dark Shadows in One Eye: Possible Causes and Next Steps
Understanding Post-Cataract Surgery Black Border Vision Issues
After cataract surgery, there is a black border appearing in the peripheral vision? Hello, Doctor. I underwent cataract surgery on my left eye in February, using a multifocal intraocular lens (non-Toric). The day after the surgery, I noticed a black arc-shaped border about 0.5mm ...
Dr. Liang Ce Reply:
We recommend that you discuss the above situation further with your attending physician. Wishing you good health. Thank you![Read More] Understanding Post-Cataract Surgery Black Border Vision Issues
Understanding Floaters and Light Spots: Are They Related to Myopia?
Occasionally, bright spots appear in the vision; this is known as floaters? Hello Doctor: I have high myopia (both eyes at -10.00 diopters); a few months ago, I noticed symptoms of floaters. Currently, the floaters I see are semi-transparent floating objects, and occasionally, wh...
Dr. Gao Pilin Reply:
Hello: Based on the symptoms you described, your eyes may be undergoing some changes that could be related to your high myopia. Floaters typically present as the translucent specks you mentioned, and the rapidly moving gray-black dots you see when tired also align with one of the...[Read More] Understanding Floaters and Light Spots: Are They Related to Myopia?
Understanding Asymmetrical Peripheral Vision: Causes and Concerns
Issues with peripheral vision in both eyes? Hello Doctor, I recently noticed that the afterimage in my left eye seems to be clearer than in my right eye. Additionally, I feel like my eyeball has a bit of difficulty turning to the right when looking at the afterimage on that side ...
Dr. Gao Pilin Reply:
Hello: 1. The afterimage in your left eye appears clearer than in your right eye, and you feel a slight difficulty in turning your eyeball to the right: This sensation may be related to visual coordination between your eyes. Sometimes, the coordination can be affected, leading ...[Read More] Understanding Asymmetrical Peripheral Vision: Causes and Concerns
Understanding Low Optic Nerve Fiber Thickness and Its Implications for Glaucoma
Optic nerve fibers Hello, doctor. Last week, I went to an optical shop for an OCT examination, and it showed that my optic nerve fibers are low, with measurements of 72 and 69 for each eye. My intraocular pressure was normal except for the low optic nerve fiber count. They sugges...
Dr. Liang Ce Reply:
We recommend that you: 1. Discuss the above situation further with your attending physician. 2. Consider consulting another ophthalmology clinic for a second opinion. Wishing you good health. Thank you![Read More] Understanding Low Optic Nerve Fiber Thickness and Its Implications for Glaucoma
Eye Injury from Phone Accident: Symptoms and When to Seek Help
The phone accidentally hit my left eye? A month and a half ago, while lying down and using my phone, I accidentally dropped it, causing the phone to hit my left eye. The distance was about 15 centimeters, and since I didn't have any vision problems at the time, I didn't...
Dr. Gao Pilin Reply:
Hello: Based on your description, you experienced pain in the corner of your left eye, floaters, and flashes after your phone hit your eye, along with elevated intraocular pressure. Since the physician indicated there were no issues during your first visit, you can feel somewhat ...[Read More] Eye Injury from Phone Accident: Symptoms and When to Seek Help
Understanding Visual Disturbances: Glaucoma, Floaters, and Eye Strain
The sensation of light when blinking? Hello, Doctor! I have early-stage glaucoma, floaters, and myopia with a prescription of -5 to -6 diopters along with astigmatism (I have regular check-ups, and my visual field, OCT, and retinal examinations in December all showed normal resul...
Dr. Gao Pilin Reply:
Hello: 1. The phenomenon of seeing white circles resembling eyes after blinking in the dark may be a visual afterimage. A visual afterimage refers to the persistence of a visual impression after the stimulus has been removed. In low light conditions, blinking causes the pupils ...[Read More] Understanding Visual Disturbances: Glaucoma, Floaters, and Eye Strain
Understanding Pediatric Glaucoma: A Parent's Guide to Diagnosis and Treatment
Pediatric glaucoma My daughter is 5 years old and does not have myopia. During a routine check-up at the end of June last year, the doctor noticed a difference in the optic nerves of her left and right eyes, with a significant cupping of the left optic nerve head. She was referre...
Dr. Liang Ce Reply:
We recommend that you: 1. Discuss the above situation further with your attending physician. 2. Alternatively, consult at a medical center for advice. Wishing you good health. Thank you![Read More] Understanding Pediatric Glaucoma: A Parent's Guide to Diagnosis and Treatment
Post-Surgery Concerns After Macular Hole Vitrectomy: What to Expect
Postoperative issues following macular hole surgery? Hello, Doctor: I underwent a vitrectomy for a macular hole one month ago, and I still have a bubble in my eye measuring about 6 cm (with a transparent center and a dark peripheral shadow that moves with my heartbeat). Sometimes...
Dr. Gao Pilin Reply:
Hello: Based on the situation you described, it is normal to still see a bubble about 6 cm in size one month after your macular hole vitrectomy. During the macular hole vitrectomy, the surgeon injects gas into the vitreous cavity to help close the macular hole. The gas will remai...[Read More] Post-Surgery Concerns After Macular Hole Vitrectomy: What to Expect
Understanding Eye Health: My Journey from Hyperopia to Possible Myopia
About the Eyes Hello, Doctor. After a 7-year gap, I went for an eye examination and discovered something surprising! When I was younger (at least before my first year of college), I clearly remember being diagnosed with high hyperopia, approximately +500 diopters in each eye, and...
Dr. Gao Pilin Reply:
Hello: [Question 1] Based on your description, you have noticed a decrease in your hyperopia during a recent ophthalmic examination, and your corrected vision has improved. This may indicate that your visual condition is changing, as the refractive power of the eyes can vary at...[Read More] Understanding Eye Health: My Journey from Hyperopia to Possible Myopia