Understanding Thinning of the Optic Nerve Fibers and Glaucoma Risks
Optic nerve fiber thinning Hello, Doctor~~ Over the past six years, my intraocular pressure has increased from an initial 18-19 to 26-27 this year, and I was subsequently diagnosed with suspected glaucoma! The doctor noted that my optic nerve fibers have thinned, and after perfor...
Dr. Gao Pilin Reply:
Hello: Based on your description, your intraocular pressure has increased from 18 and 19 to 26 and 27 over the past six years, with thinning of the optic nerve fibers. The OCT examination shows abnormalities in the inferior quadrant of the left eye, but the visual field test is n...[Read More] Understanding Thinning of the Optic Nerve Fibers and Glaucoma Risks
Understanding Post-Laser Surgery Symptoms: Eye Movement and Light Flashes
After retinal laser surgery, there may be sensations of movement or floaters at the edges of the vision? On February 16, I experienced blurred vision and flashes. During the examination, it was noted that there were holes in both eyes. After undergoing laser treatment, the blurri...
Dr. Gao Pilin Reply:
Hello: 1. The sensation of movement in the far right side of the right eye after laser treatment may be a temporary phenomenon related to the laser procedure or the treatment itself. However, if there is persistent discomfort or worsening symptoms, it is advisable to consult an o...[Read More] Understanding Post-Laser Surgery Symptoms: Eye Movement and Light Flashes
Understanding Post-Surgery Laser Treatment for Retinal Issues
Retinal laser treatment Hello, Doctor. 1. I underwent a scleral buckle procedure on my left eye on December 22 of last year, and this morning I had a postoperative laser treatment. I would like to know why laser treatment is needed after surgery (the doctor during my follow-up ...
Dr. Gao Pilin Reply:
Hello: 1. Typically, postoperative laser treatment may be performed to enhance the effects of the surgery. This helps ensure that the surgical outcome is optimized. 2. Regarding the slight vibration sensation you described when looking slightly upward with your left eye, this may...[Read More] Understanding Post-Surgery Laser Treatment for Retinal Issues
Understanding Macular Health: Insights on OCT and Eye Pressure Management
Macular issues Hello Doctor, due to high intraocular pressure, my doctor scheduled my first OCT examination in mid-January. The results showed that the optic nerve portions of both eyes are thinner than average (indicated in yellow). However, the doctor mentioned that two reports...
Dr. Gao Pilin Reply:
Hello: Based on your description, you underwent an OCT examination, and the report indicates that the optic nerve in both eyes is thinner than average. However, two reports need to be compared to confirm whether this is indicative of pre-glaucoma. Additionally, the values for the...[Read More] Understanding Macular Health: Insights on OCT and Eye Pressure Management
Understanding Retinal Detachment Symptoms: What You Need to Know
Symptoms of retinal detachment? I underwent a dilated eye exam at the beginning of January, during which no retinal tears or holes were found. However, the doctor mentioned that the flashes I was seeing were part of the process of traction, and I should monitor for any stronger f...
Dr. Gao Pilin Reply:
Hello: Based on the symptoms you described, the presence of transparent floaters and blurred central vision may be concerning. However, these symptoms do not necessarily indicate retinal detachment. Retinal detachment is typically associated with sudden flashes of light, shadows ...[Read More] Understanding Retinal Detachment Symptoms: What You Need to Know
Understanding Vitreous Degeneration and Its Impact on Eye Health
Vitreous degeneration Continuing from question 204644, I apologize for bothering you again, Doctor. I would like to ask if, under the premise that there are no issues found during the dilated eye examination, is there still a possibility of 1. glaucoma, 2. visual field defects, o...
Dr. Gao Pilin Reply:
Hello: Based on your recent dilated eye examination being normal, it is generally possible to rule out certain conditions such as retinal and optic nerve atrophy. However, glaucoma and visual field defects may not be detected through a dilated exam, and additional tests are neede...[Read More] Understanding Vitreous Degeneration and Its Impact on Eye Health
Understanding Suspected Early Glaucoma and Vision Loss: Key Insights
Glaucoma and Visual Field Loss: The Gray Area Between Presence and Absence Hello, Director. Recently, during a routine eye examination (which included intraocular pressure, fundus examination, OCT, and visual field tests), the physician determined that there was some visual field...
Dr. Gao Pilin Reply:
Hello: Since I have not examined you in person, my response is for reference only. Please consult your ophthalmologist for specific treatment recommendations. 1. It appears that your fundus examination results show some changes, including the structure of the optic nerve head. ...[Read More] Understanding Suspected Early Glaucoma and Vision Loss: Key Insights
Understanding Rainbow Halos and Glaucoma: Eye Exam Insights
Fundus examination for glaucoma? Hello, Doctor. I would like to ask: 1. Tonight, while looking at streetlights or other lights, I noticed a rainbow halo around them. I was initially worried it might be glaucoma, but then I realized that adjusting my glasses eliminated the effec...
Dr. Gao Pilin Reply:
Hello: 1. The phenomenon of rainbow halos you described may be due to the improper positioning of your glasses, causing light to scatter when it enters your eyes. If the symptoms disappear after adjusting the position of your glasses, this typically indicates that it is not rel...[Read More] Understanding Rainbow Halos and Glaucoma: Eye Exam Insights
Understanding Floaters and Light Shadows in Vision: When to Seek Help
Vitreous degeneration & retinal degeneration Hello doctor, I have recently experienced a significant increase in floaters, so I went to a large hospital for an examination. I had a fundus photography done, and the doctor said that my retina looked fine, advising me to have re...
Dr. Gao Pilin Reply:
Hello: Based on your description, you experience a phenomenon of light shadows at the edges of your vision when turning to the far left or right. This condition may be related to certain physiological phenomena of the eyes. One possible reason is that slight changes in the vitreo...[Read More] Understanding Floaters and Light Shadows in Vision: When to Seek Help
Managing High Eye Pressure: Should You Stop Medication Before Follow-Up?
In cases of elevated intraocular pressure, if the follow-up diagnostic appointment is scheduled too far in the future, should the medication be paused first? Hello Doctor, I spontaneously decided to visit a nearby ophthalmology clinic on Monday evening for an eye examination, as ...
Dr. Gao Pilin Reply:
Hello: 1. Timing for discontinuing medication: If your intraocular pressure has significantly decreased after using eye drops, and you plan to undergo a visual field test, the doctor may recommend stopping the medication, believing that your current examination situation does not...[Read More] Managing High Eye Pressure: Should You Stop Medication Before Follow-Up?
Understanding Early Glaucoma: Concerns and Monitoring Strategies
About glaucoma? Hello, Doctor. I previously had an OCT examination, and although the doctor said there was no immediate danger, I am still concerned about the possibility of glaucoma due to the cupping of the optic nerve head and some degeneration around the optic nerve. I consul...
Dr. Gao Pilin Reply:
Hello: First, the cupping of the optic disc and surrounding degeneration are characteristics of glaucoma, but these features alone are not sufficient for a diagnosis of glaucoma. Other assessments, including intraocular pressure, visual field testing, and corneal thickness, are i...[Read More] Understanding Early Glaucoma: Concerns and Monitoring Strategies
Understanding Vision Issues and Glaucoma: What You Need to Know
Visual field issues and glaucoma? Hello Doctor, I have myopia over 300 degrees, and in the past few months, I have suddenly experienced a significant increase in floaters. I went to a large hospital for a fundus examination and fundus photography, and my intraocular pressure was ...
Dr. Liang Ce Reply:
I recommend that you: 1. Discuss the above situation further with your attending physician. 2. Consider consulting with an ophthalmologist at a major hospital. Wishing you good health. Thank you![Read More] Understanding Vision Issues and Glaucoma: What You Need to Know
Glaucoma and Corneal Transplant: Treatment Options for Elderly Patients
Glaucoma and Corneal Transplantation Due to a family history of glaucoma, my father is also a glaucoma patient and is currently receiving treatment at a major hospital in central Taiwan, where he is using eye drops to control his intraocular pressure. My father's left eye ha...
Dr. Gao Pilin Reply:
Hello: Regarding corneal transplant surgery, this treatment is typically applied to corneal-related diseases, rather than glaucoma or macular degeneration. For glaucoma, topical medications to lower intraocular pressure are a common approach. If control is inadequate, surgery or ...[Read More] Glaucoma and Corneal Transplant: Treatment Options for Elderly Patients
Understanding Glaucoma: Is High Myopia a Risk Factor?
Glaucoma issues Hello, doctor. I would like to inquire about the OCT scan of the optic disc today, which appears to be larger than normal. Could this possibly be caused by high myopia (500 degrees)? The doctor mentioned that the optic nerve looks normal and there are no other iss...
Dr. Gao Pilin Reply:
Hello: Based on your description, you underwent an OCT examination today, and it was found that your optic disc is larger than average. The doctor indicated that the optic nerve is normal and there are no other issues, which may be due to traction caused by high myopia. Here are ...[Read More] Understanding Glaucoma: Is High Myopia a Risk Factor?
Do Psychiatric Medications Affect Eye Pressure and Glaucoma Risk?
Do psychiatric medications affect intraocular pressure? Hello, Doctor: I have a condition of elevated intraocular pressure. After examination, the doctor did not indicate that I have glaucoma and did not prescribe any eye drops, but advised me to have regular visual field tests a...
Dr. Gao Pilin Reply:
Hello: Long-term use of the psychiatric medication "Sertraline" (active ingredient: sertraline hydrochloride) typically does not directly lead to increased intraocular pressure or trigger glaucoma. The ocular side effects include mydriasis and visual disturbances. Regar...[Read More] Do Psychiatric Medications Affect Eye Pressure and Glaucoma Risk?
Understanding Colorful Floaters in Vision: Causes and Concerns
The appearance of colorful dot-like floaters in the eyes? Hello Doctor: I have high myopia and had a dilated fundus examination at the end of November last year. The doctor said everything was normal, just typical degeneration associated with high myopia. I would like to ask a qu...
Dr. Gao Pilin Reply:
Hello: This symptom is described in the field of ophthalmology as photopsia, which typically occurs when the eyes move suddenly, potentially resulting in the perception of colored flashes or spots. This may originate from certain substances within the eye, such as proteins or oth...[Read More] Understanding Colorful Floaters in Vision: Causes and Concerns
Understanding the Differences Between Ultra-Widefield and Standard Eye Exams
Ultra-widefield fundus photography What is the difference between ultra-widefield fundus photography and standard dilated eye examinations? Can it detect conditions such as glaucoma, retinal diseases, or visual field defects? Traditionally, high myopia has been assessed using dil...
Dr. Gao Pilin Reply:
Hello: There are some differences between ultra-widefield fundus photography and standard dilated eye examinations in assessing eye health. Here are the main distinctions between the two and their capabilities in detecting specific eye diseases: 1. Field of View: - Ultra-wide...[Read More] Understanding the Differences Between Ultra-Widefield and Standard Eye Exams
Should You Get Your Eye Floaters Checked? Understanding Symptoms and Risks
Is it necessary to have white spots examined? Hello Doctor, I am the person with consultation number <a href="https://adoctor.tw/article/204106">#204106</a> from yesterday. Today, I observed again and found that the white spots are round and there is more th...
Dr. Gao Pilin Reply:
Hello: The white spots you see that seem to move when you shift your gaze are a type of vitreous floaters. Your condition can be monitored for now. However, if you experience new symptoms, especially those that differ from your previous experiences, such as an increase in shadows...[Read More] Should You Get Your Eye Floaters Checked? Understanding Symptoms and Risks
Understanding Eye Flashes: When to Seek Medical Advice
Eye problems Hello, Doctor. I would like to ask about something that happened just now. While I was taking a shower, I suddenly saw a flash of light for 1-2 seconds. I'm not sure if it was just the bathroom light flickering, as it felt like the flash came from that direction...
Dr. Gao Pilin Reply:
Hello: The sensation of flashes may be a physiological phenomenon of the eye, but it can sometimes indicate a retinal issue. Flashes are typically described as sudden bursts of light that can last for a few seconds or even shorter. This phenomenon is usually caused by changes in ...[Read More] Understanding Eye Flashes: When to Seek Medical Advice
Is Headache in the Dark Always a Sign of Glaucoma?
Experiencing headaches in low-light conditions does not necessarily mean that you have glaucoma? Hello, doctor. I had a visual field test two weeks ago, and everything was normal. I have significant myopia and also experience floaters. I read online that glaucoma can cause headac...
Dr. Gao Pilin Reply:
Hello: I understand your concerns. First, anxiety can affect physical sensations, particularly the perception of visual or head discomfort. However, if you experience headaches or discomfort, especially in low light, it is important to carefully evaluate and rule out potential op...[Read More] Is Headache in the Dark Always a Sign of Glaucoma?