Understanding Glaucoma: Concerns About Eye Pressure and Follow-Up Care
Suspected glaucoma? Dear Dr. Gao, I am a person who gets easily anxious and have difficulty cooperating with the air-puff tonometer tests. Previously, due to elevated intraocular pressure (around 21-23 mmHg), I was monitored at National Taiwan University Hospital Beihu Branch fo...
Dr. Gao Pilin Reply:
Hello: I understand your concerns about eye health. Glaucoma requires close monitoring and management to prevent potential optic nerve damage. Regarding your questions: 1. Frequency of optic nerve scans: Generally, the frequency of optic nerve scans depends on the diagnosis of gl...[Read More] Understanding Glaucoma: Concerns About Eye Pressure and Follow-Up Care
Understanding YAG Laser Treatment for Floaters After Retinal Surgery
Treatment for floaters: YAG Laser? Hello, Doctor. I previously underwent retinal laser treatment and developed a significant amount of floaters. I would like to ask Dr. Gao: 1. What could be the possible reasons for the sudden onset of numerous floaters the day after retinal lase...
Dr. Gao Pilin Reply:
Hello: 1. The appearance of numerous floaters after retinal laser treatment may be due to either vascular bleeding or vitreous degeneration. If the examination reveals that it is merely vitreous degeneration, there is no need for concern. 2. If there is a fixed flash in the visua...[Read More] Understanding YAG Laser Treatment for Floaters After Retinal Surgery
Persistent Air Bubble After Vitrectomy: What to Expect and Next Steps
After the minimally invasive vitrectomy for floaters, the doctor mentioned that the air would disappear in one day, but it has not dissipated after three weeks? Hello, Doctor. Thank you for taking the time to respond. Three weeks ago, on November 22, I underwent a 27-gauge minima...
Dr. He Jianxian Reply:
Hello Ms. Kelly: The air will be absorbed quickly under normal circumstances. As for why it has persisted for three weeks, it is indeed difficult to explain. However, aside from natural absorption, there should be no other methods. Dr. Ho Chien-Hsien, Ophthalmology Department, Na...[Read More] Persistent Air Bubble After Vitrectomy: What to Expect and Next Steps
Understanding Vision Loss: Causes, Treatment Options, and Expert Advice
Causes and Management of Vision Loss I have been unable to see clearly even while wearing my glasses, and I have consulted two ophthalmologists. The first doctor said, "I do not recommend getting new glasses; both eyes have cataracts, and there are no other issues. I suggest...
Dr. Gao Pilin Reply:
Hello: Thank you very much for providing such detailed information. Here are the responses to your questions one by one: 1. Different cataract conditions in the left and right eyes: Yes, based on your description, the cataract in the left eye appears to be more severe than in t...[Read More] Understanding Vision Loss: Causes, Treatment Options, and Expert Advice
Understanding Floaters and Retinal Issues: When to Seek Medical Attention
Floaters and Retinal Disorders In response to the follow-up question regarding the increase in floaters, both nurses and doctors emphasize that "if there is a significant increase in black spots, it is important to seek medical attention promptly." I would like to ask h...
Dr. Gao Pilin Reply:
Hello: 1. Sudden increase in floaters or black spots: If you suddenly notice a large number of new floaters or black spots, especially if these symptoms appear suddenly, continue to increase, or spread rapidly, you should seek medical attention immediately. Use your own judgmen...[Read More] Understanding Floaters and Retinal Issues: When to Seek Medical Attention
Understanding Eye Lightning: Causes and Concerns for Vision Issues
Closed-eye visual phenomena The phenomenon of seeing flashes of light when closing the eyes, especially after a thorough dilated eye examination in early October, is concerning. Here are the questions I have: For instance, when I close my eyes in bright light, I can perceive some...
Dr. Gao Pilin Reply:
Hello: The sensation of flashes or lightning may be one of the signs of retinal abnormalities. Flashes are typically caused by the vitreous pulling on the retina due to internal fibrous changes. Floaters are small dots, lines, or cloud-like shapes seen in the visual field, usuall...[Read More] Understanding Eye Lightning: Causes and Concerns for Vision Issues
Assessing Potential Orbital Fracture After Eye Injury: When to Seek CT Scan?
Ocular trauma A day ago, I accidentally elbowed the person next to me around the left eye corner. At that moment, he reported significant pain and dizziness, but the pain subsided after a few minutes. There were no obvious abnormalities in light reflex, extraocular movements (EOM...
Dr. Gao Pilin Reply:
Hello: Based on the information you provided, it is possible that the reduced smoothness of eye movement is due to swelling of the tissues in the injured area, and it does not seem to indicate a severe fracture. However, it is still recommended that your friend see an ophthalmolo...[Read More] Assessing Potential Orbital Fracture After Eye Injury: When to Seek CT Scan?
Understanding Eye Flashes: Causes and Concerns Explained
Flashes of light in the eyes? Hello, doctor. I would like to inquire about the issue of visual flickering. I researched online and found that the flickering resembles the patterns associated with migraine aura, but I do not have a history of migraines. This occurs occasionally, a...
Dr. Gao Pilin Reply:
Hello: Based on your description, the flickering in your eyes resembles the patterns associated with migraine aura, but since you do not have a history of migraines, there could be several other reasons: 1. **Floaters**: Floaters are a common ophthalmic condition caused by opac...[Read More] Understanding Eye Flashes: Causes and Concerns Explained
Understanding Fixed Black Shadows in Vision: Causes and Concerns
Eye floaters? Thank you for taking the time to respond, Doctor. I would like to ask about an incident that occurred last week during a retinal examination at the hospital. The doctor noted that there were areas of thinning in my retina and performed preventive laser treatment. A ...
Dr. He Jianxian Reply:
Hello Mr. Zion: 1. Floaters come in various forms and are not fixed. 2. A constricted visual field means you cannot see certain things, rather than seeing extra things. 3. If applying red micro ointment before bed makes you uncomfortable, it is advisable to switch to another ...[Read More] Understanding Fixed Black Shadows in Vision: Causes and Concerns
Understanding Eye Issues: Floaters, Eye Exercises, and Warm Compress Benefits
Eye problems 1. Sometimes I notice a small dark spot or a long shape in my vision, but it doesn't occur frequently. Is this floaters? Should I see a doctor? 2. Do eye exercises really work? 3. Is warm compress really effective? Thank you, doctor.
Dr. Gao Pilin Reply:
Hello: 1. Regarding the eye examination: The appearance of small dark circles or elongated shapes in the vision may be a symptom of floaters. Floaters typically manifest as black dots, lines, or other shapes drifting in the visual field. While this may be a relatively minor condi...[Read More] Understanding Eye Issues: Floaters, Eye Exercises, and Warm Compress Benefits
Understanding Retinal Tears and Detachment Risks in High Myopia
Regarding retinal tears and detachments? Hello, Doctor: 1. If both eyes have a myopia degree of 800, and I see persistent hair-like objects above my eyes, is there a risk of retinal tears or detachment? 2. If there are too many retinal tears, will the degeneration of the vitreou...
Dr. Gao Pilin Reply:
Hello: 1. Regarding retinal tears and detachments in individuals with high myopia up to -800 diopters, if a fixed hair-like object appears in the upper part of the eye, it may indicate not only floaters but also a sign of retinal tears or detachment. This symptom should be take...[Read More] Understanding Retinal Tears and Detachment Risks in High Myopia
Managing Normal-Pressure Glaucoma: Medication Concerns and Symptoms
Medication Issues After the Unexpected Diagnosis of Normal-Pressure Glaucoma Hello, Director. Last week, I unexpectedly discovered during my internship that I have a thin retinal thickness (nasally) through OCT. After conducting a visual field test, both eyes showed abnormalities...
Dr. Gao Pilin Reply:
Hello: Currently, there are some abnormalities in your visual field, but this is a baseline test. The values of -3dB and -4dB alone cannot specifically define the degree of abnormality. If there are no changes later, it may simply be the way it is, and there is no need to worry t...[Read More] Managing Normal-Pressure Glaucoma: Medication Concerns and Symptoms
Understanding Glaucoma Diagnosis After Normal Visual Field Test
Eye problems Hello, doctor. After completing the visual field test, the results showed no issues, and I only need to be monitored regularly. However, the primary diagnosis still states glaucoma. I would like to ask the doctor if this still indicates glaucoma, as I really do not u...
Dr. Gao Pilin Reply:
Hello: Since you are suspected of having glaucoma and have undergone visual field testing, the diagnosis will be glaucoma, which requires ongoing monitoring. A normal visual field now does not guarantee that it will remain normal in the future. Therefore, it is essential to maint...[Read More] Understanding Glaucoma Diagnosis After Normal Visual Field Test
Understanding the Increase in Floaters: When to Seek Eye Care
The number of floaters has slightly increased? Recently, I have noticed an increase in floaters. Generally, my vision is fine, but they become more apparent in bright sunlight or against a white wall. I can definitely feel that there has been a noticeable increase, but it hasn&#x...
Dr. Gao Pilin Reply:
Hello: Please rest assured that floaters are usually caused by vitreous liquefaction, a condition that is very common in many individuals, especially as they age. Vitreous liquefaction refers to the gradual transformation of the vitreous humor inside the eye into a more liquid st...[Read More] Understanding the Increase in Floaters: When to Seek Eye Care
Does Anxiety Affect Eye Pressure Readings During Exams?
Intraocular pressure measurement? Hello, doctor. I tend to feel particularly anxious and experience an increased heart rate when I visit the ophthalmologist, especially during the intraocular pressure measurement. I would like to know if the anxiety-induced increase in heart rate...
Dr. Liang Ce Reply:
We recommend that you: 1. Discuss the above situation further with your attending physician. 2. Consider seeking a consultation at another ophthalmology clinic. Wishing you good health. Thank you![Read More] Does Anxiety Affect Eye Pressure Readings During Exams?
Understanding Eye Pressure: Air Puff vs. Handheld Measurements
Issues related to intraocular pressure? Hello, doctor. Every time I measure my intraocular pressure using the air puff tonometer, the readings are consistently high (around 22 mmHg), but when the doctor uses the handheld rebound tonometer, the readings fall within the normal rang...
Dr. Gao Pilin Reply:
Hello: 1. Methods of measuring intraocular pressure: The accuracy of air puff and handheld tonometers can be influenced by various factors, including the operator's technique and the machine's precision. Since you mentioned that your intraocular pressure was elevated ...[Read More] Understanding Eye Pressure: Air Puff vs. Handheld Measurements
Understanding High Eye Pressure: Is It Glaucoma? Key Insights for Patients
High intraocular pressure issues? Hello, Doctor. I previously had an eye examination where my intraocular pressure was measured at 22 mmHg. I also have high myopia. Later, the doctor used a slit lamp to examine my eyes and found issues with the optic nerve in my left eye. I was r...
Dr. Gao Pilin Reply:
Hello: The measured intraocular pressure is 22, which may fall within the higher range. Given the presence of high myopia and optic nerve issues, the physician's preliminary diagnosis is "unspecified unilateral ocular hypertension" and "unspecified unilateral ...[Read More] Understanding High Eye Pressure: Is It Glaucoma? Key Insights for Patients
Understanding Eye Floaters and Visual Snow: What's the Difference?
Eye strain? I have floaters and while reading, I noticed that I might also have visual snow syndrome, as I experience a kind of TV static when the lights are off. However, I don't have the snowflake sensation. I had a fundus examination and it showed no issues. Could this be...
Dr. Gao Pilin Reply:
Hello: Floaters typically present as small dots or lines that move across your field of vision, resembling flies. This is caused by tiny structures or gel-like substances within the vitreous humor of the eye. A thorough eye examination that shows no issues is a good indicator, as...[Read More] Understanding Eye Floaters and Visual Snow: What's the Difference?
Post-Car Accident Subarachnoid Hemorrhage: Vision Issues and Surgery Options
Subarachnoid hemorrhage due to a car accident resulting in re-examination? I was involved in a car accident on June 17 of this year, which resulted in subarachnoid hemorrhage. It has been five months, but my vision has not improved. After being discharged, I have had monthly foll...
Dr. Gao Pilin Reply:
Hello: To apply for disability assistance, an assessment of vision or visual field is required. Please inquire at the organization where you wish to apply for disability assistance about the eligibility criteria and request the necessary documentation to be filled out by an ophth...[Read More] Post-Car Accident Subarachnoid Hemorrhage: Vision Issues and Surgery Options
Understanding Elevated Eye Pressure: Risks and Next Steps for Young Patients
Intraocular pressure issues? Hello, Doctor Gao: Recently, I visited for eye allergies, and the ophthalmologist assisted in measuring my intraocular pressure. I tend to get nervous, and even when the nurse helps to hold my eyelids open, I instinctively blink during the air puff te...
Dr. Gao Pilin Reply:
Hello: Your intraocular pressure is indeed elevated, and you have high myopia. The abnormal eye pressure may be related to glaucoma, which can affect not only older individuals but sometimes also younger people. However, we need to measure it several more times to see if it remai...[Read More] Understanding Elevated Eye Pressure: Risks and Next Steps for Young Patients