Search Results for: 飛蚊症

飛蚊症原因、症狀及治療方法 眼科醫生為您詳解

飛蚊症是一種常見的視力問題,患者會看到視野中有浮動的黑點、蝌蚪形、絲狀物等等,飛蚊症的型態眾多,每位患者描述的形狀也盡不相同。究竟飛蚊症有冇得醫?飛蚊症會自己好嗎?下文將由湯文傑眼科醫生為您解惑。

飛蚊症是什麼?

飛蚊症在醫學上又稱為玻璃體退化。我們眼球內有一個透明啫喱狀組織叫玻璃體,位於眼球中央,在水晶體後面,視網膜之前。正常情況下,玻璃體會充滿整個玻璃腔,支撐眼球的形狀,使得光線可以順利折射到視網膜上,從而形成影像。如果玻璃體退化,那麼玻璃體內的啫喱狀組織就會有液化的現象,形成細小的纖維在玻璃腔內漂浮,也就是患者看到的黑點。

Causes of floaters

飛蚊症主要形成原因可大致分為3種,即是生理性、退化性和病理性。

Physiological

生理性飛蚊症常見於40歲以下或長期用眼過度的人身上,如:車衣工、教師、長時間用電腦辦公的人等等。一般來說,高達80%的飛蚊症都屬於生理性,患者會感覺眼球有黑點或看到線條,這些都是玻璃體內的雜質。目前尚無藥物或手術去治療這類飛蚊症,不過無須過於擔心,這些黑點會隨著時間而消失在視野中。

Degenerative

眼球內有一個透明啫喱狀組織叫玻璃體,位於水晶體後面,視網膜之前。隨著年齡增長,這個玻璃體會退化、脫落,形成細小的纖維,這些纖維就會在玻璃體內漂浮,導致我們睇野眼睛有黑點或黑塊,有些人的眼睛則會看到一條一條像蟲一樣的東西。只要眼球裡的黑點沒有變多,位置也相對固定的話,都屬於良性飛蚊症,不必過於焦慮。

Pathological

病理性飛蚊症形成的原因是因為其他眼睛問題或全身性血管疾病引起的,如:外力拉扯、撞擊,或全身性血管疾病,如:眼中風、糖尿病、高血壓,都有可能會導致玻璃體脫落出血,睇野眼睛有黑點甚至黑塊。這類飛蚊症如果沒有積極治療的話,有可能會導致永久失明,建議患者儘早尋求改善飛蚊症的治療方法。

飛蚊症症狀

飛蚊症初期症狀很容易辨別,患者會感覺眼內有漂浮物,看得到但卻抓不到,特別是在光線強烈或背景明亮的情況下更明顯。飛蚊症的影像形態眾多,因此每位患者所看到的形狀也不同:

  • 眼球有黑點
  • 眼睛看到線條
  • 看到網狀物
  • 雲狀物
  • 眼睛看到一條一條像蟲的東西

如果感覺飛蚊症的症狀加重,如:飛蚊症劇增、眼睛有閃光、眼睛有黑影、視野被遮擋、視力模糊等,應馬上尋求眼科醫生做詳細檢查,聽取醫生的治療方法去改善飛蚊症。

飛蚊症治療方法

一般飛蚊症初期無須立刻治療,多數人在一段時間後都能適應黑點的存在,或隨著時間推移這些黑點可能會沈澱在玻璃體底部,不再影響視力。不過,如果發現黑點變多,眼睛有黑影,或感覺這些黑點會影響您的日常生活,則可以考慮激光治療或進行飛蚊症手術去改善眼睛黑點。

激光治療

激光治療適合於體積較大且集中的玻璃體纖維。通過激光將這些纖維擊碎成更小的碎片,可以改善和消除飛蚊症的症狀。激光治療在局部麻醉下進行,過程中不會感到疼痛,整個治療大約需要15至20分鐘。然而,並非所有人都適合這種治療,如果纖維較鬆散或位置太接近黃斑或晶體,則不宜進行,以免引起白內障或黃斑受損等併發症。

玻璃體切除手術

玻璃體切除手術通過小切口移除眼內的玻璃體,並以溶液替代以維持眼睛的形狀。手術大約需要10至15分鐘。雖然這種手術可以有效清除纖維,但也有可能導致流血或視網膜撕裂,進而形成新的浮游物。因此,多數醫師不建議使用這種手術來治療飛蚊症。

另外,有許多患者會試圖通過眼藥水去改善眼睛退化症狀,並請求眼科醫生推薦飛蚊症眼藥水。要注意的是,眼藥水並無法滲透到玻璃體內,因此單靠點眼藥水是無法治療玻璃體退化的,切記勿隨意聽信非專業人士推薦的飛蚊症眼藥水。

飛蚊症預防方法

飛蚊症多數是因為年齡增長和高度近視導致玻璃體退化。目前來說並沒有完全避免飛蚊症發生的方案,但我們可以通過日常保養去減慢眼睛退化症狀。以下是一些我們可以預防飛蚊症發生的方法:

  • 避免過度使用電子產品(用眼1小時,休息5~10分鐘)
  • 儘量在光線充足的情況下閱讀或工作,避免近視加深
  • 確保每日飲食均衡,減少攝入高油鹽及高糖的食物
  • 多攝取含有類胡蘿蔔素、花青素、維生素等各類營養素
  • 定期做身體檢查及眼睛檢查

FAQ

飛蚊症如何消除?

如果感覺眼前的黑點會嚴重影響您的日常生活,您可以考慮激光治療或玻璃體切除手術去消除飛蚊症。

為什麼突然有飛蚊症?

飛蚊症的發生有可能是生理性、退化性、或病理性造成,建議向專業的眼科醫生進行諮詢才能準確釐清您罹患飛蚊症的原因及治療方法。

飛蚊症會自己消失嗎?

飛蚊症不會自己消失,不過多數人會在一段時間後逐漸適應它的存在。

飛蚊症不理他會怎樣?

良性飛蚊症一般可以無須理會,不過需要注意黑點是否有變多,如果感覺視野嚴重被遮擋,務必及時就醫,避免延誤治療導致失明。

飛蚊症是白內障手術的後遺症嗎?

內障手術的後遺症不包括飛蚊症。有些患者之所以在接受白內障手術後發現飛蚊症,往往是因為手術前視力過於模糊,才沒有發現原本就存在的飛蚊症。

飛蚊症原因、症狀及治療方法 眼科醫生為您詳解 Read More »

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Is a black spot in the eye a precursor to blindness? Ophthalmologist explains in detail the treatment and improvement of floaters

Floaters are sometimes annoying, people with floaters will see "black spots" floating in their eyes, not painful or itchy and unable to rub open, when you look directly at them, they will disappear in an instant. Floaters come in different shapes, such as black dots, lines, circles, ovals, tadpoles, etc., especially when looking at a bright and clean background, it is easier to spot its presence. Floaters are a degenerative disease of the eyes, mild patients in general, as long as they are used to coexisting with black spots and floating objects in the eyes, daily life is not affected, they do not need to receive floaters treatment, but if the black spots or floating objects in the eyes are too large or too much, floaters suddenly attack or flash, so that vision is damaged, you should seek improvement methods, find an ophthalmologist for the treatment of floaters for consultation and surgery or laser treatment of floaters, otherwise, the longer it drags on, the more serious or blind!

What is floaters?

Floaters are medically a phenomenon of vitreous degeneration of the eye. The vitreous is a transparent gel located behind the lens and before the retina. Normally, the vitreous fills the entire vitreous cavity to support the shape of the eyeball. But with age, myopia and other problems, the vitreous will liquefy and shrink, forming turbid fibers, and these fibers will float around in the vitreous, when the light refracts these fibers, the patient will feel that there are black spots in the eyes, which is the precursor of floaters.

Illustrated floater lesions

Floaters are medically a phenomenon of vitreous degeneration of the eye. The vitreous is a transparent gel located behind the lens and before the retina. Normally, the vitreous fills the entire vitreous cavity to support the shape of the eyeball. But with age, myopia and other problems, the vitreous will liquefy and shrink, forming turbid fibers, and these fibers will float around in the vitreous, when the light refracts these fibers, the patient will feel that there are black spots in the eyes, which is the precursor of floaters.

Who is most likely to develop floaters?

Floaters usually become more common with age, so older people are more likely to have dark spots in their eyes. But in addition to age, other factors that may increase the risk of floaters include myopia, history of eye surgery, eye trauma or eye inflammation. According to clinical studies, high-risk groups for floaters include:

  • Middle-aged and elderly
  • People with high myopia
  • People with hypertension/diabetes
  • Have had eye surgery
  • Blows to the head, e.g. car accidents, divers
  • Other eye problems, such as eye inflammation

However, most floaters are benign, such as because of old vitreous degeneration, or excessive eye fatigue, there may be symptoms of floaters, as long as there are more black spots in the eyes, and the position is fixed, do not worry too much.

Conversely, if suddenly there are a large number of dark spots in the eye that have affected the field of vision or there is a flash, it may be vitreous peeling, resulting in pulling the retina to the hole or even falling off. This condition must be investigated immediately, for improvement, or for floaters.

Causes of floaters

The causes of floaters can be broadly divided into three types, namely physiological, degenerative and pathological.

  • Physiological

About 80% of floaters are physiological. Physiological floaters usually occur in people under the age of 40 or people who have been using their eyes for a long time, and most people will see black spots in the eyes, which are vitreous impurities that usually do not affect vision, and do not need to be treated immediately for floaters, and will disappear on their own over time

  • Degenerative

As we age, the vitreous body of the eyeball, like other organs in the body, gradually deteriorates. In this degeneration process, the vitreous body will shrink to form fine fibers, these fibers will float in the glass, when the light enters the eye, and these impurities refract, it is the black spots in our eyes.

  • Pathological

Pathological floaters are caused by eye disease or systemic vascular disease. The so-called eye disease refers to the retina under the pull or degeneration of the process of the retina in the process of tearing or degeneration, resulting in vitreous hemorrhage, and even retinal peeling, resulting in visual impairment, and in the worst case, permanent blindness. In addition, systemic vascular diseases, such as eye stroke, diabetes, hypertension or macular degeneration, if not paid attention to and actively treated, may also appear pathological floaters, patients should seek to improve floaters as soon as possible.

Complications of floaters – retinal detachment/tear

Although suffering from floaters is not a serious disease, retinal detachment caused by floaters is an emergency in ophthalmology. One in four people with floaters may have their vision affected by retinal detachment or a tear. Keep in mind that if you have these signs of retinal detachment due to floaters, including:

  • There are a large number of dark spots in the eyes in a short time
  • Unusual flashes
  • shadow
  • The view is blocked

This means that there may be cracks in the retina, and it is important to seek immediate medical attention for treatment, otherwise floaters will cause permanent damage to vision or even blindness.

How is floaters treated?

If you have benign floaters, you do not need to be treated immediately. When you notice dark spots in your eyes, you can try moving the eyes to let the fluid flow through the eyes so that the fibers leave the line of sight. Of course, some people can't bear the black spots floating around in their eyes, and their attention is often disturbed by black spots, which seriously affects their mood, so they can consider floaters treatment.

With current technology, the main treatment and improvement of floaters is laser therapy and vitrectomy.

First, laser treatment of floaters

This floater treatment is suitable for large and concentrated vitreous fibers, using laser light to break these fibers into smaller fragments, through these methods to improve and eliminate floater symptoms. The laser treatment is performed under local anesthesia without pain and the whole treatment takes only 15 to 20 minutes. However, not everyone is suitable for laser treatment to improve floaters, and if the fibers are loose or too close to the macula or crystals, it should not be performed to avoid complications such as cataracts or macular damage.

Second, vitrectomy surgery to treat floaters

Vitrectomy is performed by removing the vitreous inside the eye through a small incision and replacing it with a solution to maintain the shape of the eye. The procedure only takes about 10 to 15 minutes. However, vitrectomy does not necessarily completely remove the fibers, and if the surgery itself causes bleeding or retinal tears, new floats may form, so most physicians do not recommend this procedure to treat floaters.

Floaters improvement and maintenance methods

Once floaters occur, it is almost difficult to reverse, even after laser or surgical treatment, there is a possibility of recurrence, what we can do is to live peacefully with it, or we can improve floaters by the following methods to reduce symptoms slightly.

First, the daily maintenance of benign floaters

  • Avoid excessive eye use

PAY ATTENTION NOT TO OVERWORK THE EYES, ESPECIALLY 3C HEAVY USERS, YOU SHOULD LET THE EYES REST FOR 5 TO 10 MINUTES EVERY 1 HOUR, USE THE REST TIME TO BLINK, LOOK INTO THE DISTANCE TO RELAX THE EYES.

  • Good living habits

In daily life, it is recommended to reduce the time spent playing with mobile phones, especially to avoid staying up late at night to look at mobile phones, to ensure that you have enough sleep and do exercise in a timely manner, which is also a way to improve floaters.

  • Regular follow-up

Do not think that you have benign floaters can relax, floaters must be regularly checked to avoid other lesions, miss the best time for treatment.

  • Eye care diet

Foods with antioxidant effects, such as berries, green or yellow vegetables, carrots, soybeans, milk, and fish oil, should be consumed in your diet to help improve floaters.

2. Postoperative care and maintenance of malignant floaters

  • Medication treatment

After surgery, be sure to follow the doctor's instructions, remember to wash your hands thoroughly with soap before each medicine to avoid cross-infection.

  • Improve your lifestyle

Rapid eye movements and excessive eye use should be avoided for 1 week after surgery. Try not to read books, mobile phones, computers, TV, etc. during this period. In addition, it is recommended not to do strenuous exercise, climbing, diving, or flying, as these activities can irritate the eyes and affect the speed of postoperative repair.

  • Use an eye patch

During eye repair, it is recommended to wear an eye mask at all times to prevent collisions and avoid unconsciously rubbing your eyes when sleeping at night. It is necessary to ensure that the eye mask is clean when using, and it is recommended to wash and disinfect the eye mask daily to avoid wound infection due to bacteria.

  • Daily diet

In addition to avoiding irritating foods, it is also necessary to avoid eating legumes, because such foods are easy to let the nitric oxide in the blood run into the eyes, causing the inert gas in the eyes to produce flatulence and increase the pressure in the eyes.

  • Safe at home

Keep your home clean and tidy, reduce dust and avoid secondhand smoke, and do not change the layout of the home or place objects in the aisle during the recovery period, so as not to cause collisions or falls in unfamiliar environments and irritate the eyes.

  • Regular follow-up visits

In addition to following the doctor's advice for regular follow-up consultations after surgery, if you notice eye discomfort, such as persistent eye pain, sudden blurred vision, nausea, increased or larger dark shadows, etc., remember to consult your ophthalmologist immediately to avoid worsening of the condition.

How can floaters be prevented?

Although we cannot completely avoid the occurrence of floaters, we can slow down the aging of the eyes and reduce the chance of developing floaters through daily maintenance.

1. Develop good eye habits

  • AVOID EXCESSIVE USE OF 3C PRODUCTS (1 HOUR WITH EYES AND 5-10 MINUTES BREAK)
  • Works in sufficient light and stable without flickering
  • Avoid staying up late to increase the burden on your eyes

2. Intake of eye care nutrients

  • Carotenoids (dark green, dark yellow and red fruits and vegetables)
  • Anthocyanins (plum fruits)
  • VITAMINS (VITAMINS A, B, C AND E)
  • Omega3 fatty acids (fish oil)

3. Proper control of systemic vascular diseases (such as: diabetes, hypertension)

  • Maintain a balanced nutrition and reduce the intake of foods high in oil and salt and sugar
  • Regular exercise (jogging, cycling)
  • Have regular full-body examinations

Although most floaters can not be treated, they should not be completely ignored, and they must be checked regularly, and if symptoms are aggravated, they should seek medical attention immediately to avoid missing the golden period of floater treatment.

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Is a dark spot in the eye a sign of blindness? Read More »

Cover image of an article with high myopia

High myopia threatens vision, cataract symptoms can not be ignored.

High myopia itself does not directly cause serious harm to vision, as there are a variety of ways to help improve myopia. However, the formation of high myopia is due to changes in the structure of the eyeball, so even if vision is improved using other methods, it is still necessary to face a series of complications that can lead to deep myopia, such as cataracts, retinal perforation and even peeling, glaucoma, etc.

If left untreated, these problems can lead to permanent blindness. Therefore, people with high myopia need to have an in-depth understanding of these potential risks and have regular eye exams to ensure healthy vision and deal with any issues promptly.

Definition of high myopia

High myopia is a relatively severe level of myopia. Myopia of 600 degrees or more, medically defined as high myopia. Its formation is associated with changes in the length of the eyeball.

The normal length range of an adult eyeball is 22-27mm. If the length of the eyeball is greater than 27mm, it will cause high myopia. In almost all cases, genetics play a role in the development of high myopia. If both parents are nearsighted, then their child also has a greater chance of developing high myopia.

High myopia

Complications of high myopia

High myopia itself usually does not cause vision loss. However, people with this condition are more likely to develop several other sight-threatening diseases.

Retinal perforation or even detachment

The retina is the imaging site of the eye, located in the inner layer of the eyeball wall, and is a transparent film. The retina of people with high myopia will be more fragile than that of normal people, because the retina will be stretched and thinned after the eyeball becomes longer, and the retina will be more prone to perforation or rupture after thinning, and retinal detachment may occur in severe cases.

Glaucoma

Glaucoma is an eye disease in which the optic nerve is damaged due to abnormal pressure in the eyeball due to excessive or inability to drain fluid from the eyeball. In people with high myopia, the eyeball is too long, so the optic nerve or supporting tissues and blood vessels inside the eye are under more pressure, which leads to changes in intraocular pressure and the formation of glaucoma.

Cataract

People with high myopia are more likely to develop cataracts than the general population because the structure of the eye has changed, which may increase the burden on the lens, which in turn will lead to accelerated aging of the lens and the formation of cataracts.

Macular lesions and bleeding

Because of the long axis of the eye, there may be cracks in the basement membrane of cells below the macula of the retina in people with high myopia. Due to the body's self-healing function, new blood vessels grow from the choroid to the retina. In addition to occupying the photoreceptor cell layer and affecting the central visual field, these new blood vessels are susceptible to damage and cause bleeding, blood clots, and scar tissue, which can affect central vision.

Floaters

There are two main causes of floaters caused by high myopia. In the case of high myopia, the eye will age at an accelerated rate, which can lead to changes in the structure of the fibers inside the vitreous humor, and when light enters the eye, these fibers are projected onto the retina, like a mosquito floating in the eye.

Another cause is retinal detachment or tear caused by high myopia, which leads to the appearance of floaters.

High myopia test

Ophthalmologists will recommend patients with high myopia to undergo a comprehensive eye examination once or twice a year, and once symptoms are found, they can be treated immediately, making it less difficult to treat.

In the examination of high myopia, the ophthalmologist usually performs the following tests depending on the individual's situation:

  • Visual acuity test: An eye test is the most common eye test and is used to determine if the eye power is stable.
  • Fundus examination: Fundus examination will use color fundus photography to check for lesions or abnormalities in the optic nerve, blood vessels, retina, vitreous, etc.
  • Intraocular pressure and visual field test: Intraocular pressure and visual field test can assess whether you are at risk of developing glaucoma, and if signs are found during the examination, the doctor can treat it before it affects your vision.
  • Ocular CT: Ocular CT is an optical coherence tomography (OCT) that can help detect macular lesions early.
  • Slit-lamp examination: The doctor can clearly observe the eyelids, conjunctiva, sclera, cornea, anterior chamber, iris, pupil, lens and anterior 1/3 of the vitreous through the slit-lamp microscope, and can determine the location, nature, size and depth of the lesion.

Regular eye exams can detect any underlying eye problems early and prompt appropriate treatment measures to ensure healthy vision.

Even if laser vision correction surgery reduces the degree of high myopia, complications cannot be avoided

In recent years, some patients with high myopia have undergone laser vision correction surgery, and their myopia has decreased, so they have forgotten to continue to pay attention to the problems that may be caused by high myopia. But in fact, laser correction only changes the curvature of the cornea, not the length of the eyeball. Therefore, all complications arising from the length of the eyeball will not be reduced by LAIS!

High myopia causes cataracts to deepen rapidly

In a recent study of cataracts and cataract surgical outcomes for high myopia, researchers found that cataracts in highly myopic eyes occurred more quickly compared to normal eyes. In addition, there is a higher prevalence of comorbid diseases and complications (e.g., retinal detachment) in the eye with high myopia.

Therefore, people with high myopia must have a routine eye exam so that their ophthalmologist can monitor the health of their eyes and look for these symptoms as well as signs of other complications of severe myopia.

High myopia threatens vision, and cataract symptoms cannot be ignored Read More »

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How to maintain cataract surgery?

Cataract surgery involves minimally invasive removal of the cloudy lens and implantation of an intraocular lens, which takes about 10 to 30 minutes, but post-cataract surgery care takes up to 1 to 2 months.

In addition to following the doctor's instructions for medication, follow-up visits, and maintaining eye hygiene, how should patients take care of themselves to speed up the recovery time after cataract surgery?

How long do I have to rest after cataract surgery?

Modern cataract surgery is minimally invasive, usually with a 0.2 cm wound. Therefore, exactly how long to rest after cataract surgery depends mainly on the individual's vision recovery.

In general, most patients can see clearly by the second day after cataract surgery. With careful care, vision can be fully restored within 1 week to 1 month after cataract surgery. 

However, we generally recommend that patients after cataract surgery use both eyes normally as soon as possible to speed up the recovery time after cataract surgery. Within a few hours of cataract surgery, if you can see clearly, you can do daily activities such as watching TV, using a computer, eating, and showering.

However, cataract surgery should be followed by careful care, medication as recommended by the doctor, eye cleaning, strenuous exercise and heavy lifting. When the eyes are tired, they should rest properly.

Precautions after cataract surgery

Although cataract surgery is considered a minor surgery, neglect of cataract surgery can lead to intraocular infections and even the risk of blindness. Therefore, proper cataract postoperative maintenance is crucial.

  1. Follow your doctor's instructions to clean your eyes and avoid scratching your eyes.
  2. Avoid collisions, heavy lifting, or strenuous exercise for 1 month after surgery to avoid affecting wound healing or displacement of the intraocular lens.
  3. Avoid bending over to wash your hair for 2 weeks after surgery, and avoid splashing sewage in your eyes when showering.
  4. Wear an eye mask before going to bed.
  5. Wear sunglasses when you go out to prevent light from shining on your eyes.
  6. If you have eye discomfort for a long time, such as severe pain, severe redness and swelling, and vision loss, please treat it immediately.

After-effects of cataract surgery

Cataract surgery is a safe and effective treatment, but there may still be some potential sequelae, but there is no need to worry too much, most of the sequelae of cataract surgery are mild or rare, as long as the vision can be restored with careful care or timely treatment after cataract surgery.

Here are some possible cataract surgery sequelae: 

  • Seeing flashes or shadows: It's fairly common to feel some flashes or shadows within a few hours or days after cataract surgery, but these symptoms go away in a short period of time and don't cause much concern.
  • High intraocular pressure: In some cases, it may cause an increase in intraocular pressure after surgery, which usually disappears after 24 hours. If the intraocular pressure continues to rise, then it may be a problem with residual crystal cortex, inflammation, viscoelastic residue, etc., and you need to seek medical attention immediately.
  • Light sensitivity: After surgery, patients may be more sensitive to bright light, so remember to wear sunglasses when you go out. Over time, the eyes will naturally adapt and the symptoms of light sensitivity will lessen.
  • Posterior capsule opacity: After surgery, some patients may have blurred vision due to the proliferation of epidermal cells in the posterior capsule surrounding the lens. This condition can be corrected with laser treatment, which can improve the symptoms of the eyes.
  • Retinal detachment: If you suddenly see something floating or flashing lights at some point after cataract surgery, making it difficult to see what is in front of you, it is most likely a symptom of retinal detachment, and consult an ophthalmologist immediately for further treatment.
  • Floaters: Some patients find black spots in their eyes after cataract surgery, because their vision was too blurry before cataract surgery to detect the presence of floaters. Floaters are one of the symptoms of eye aging, and if there is no sudden increase in black spots, you can ignore it.

Patients should take proper care of cataract surgery and follow up on time, and seek immediate assistance from an ophthalmologist if there are unusual visual changes after cataract surgery.

Cataract Surgery Frequently Asked Questions

1. How long should I wear sunglasses after cataract surgery?

1 to 2 weeks. After cataract surgery, patients will suddenly feel that the environment becomes brighter and that they can see things clearly, which may cause them to feel uncomfortable with luminosity. Therefore, during the 1st and 2nd weeks after surgery, we recommend that patients wear sunglasses to help their eyes adjust to the light environment.

2. How long after cataract surgery can I wash my own hair?

After the 2nd week or 1 month postoperatively. Although the wound after cataract surgery is small, there is still a risk of infection. When washing your hair yourself, sewage may splash on your eyes, so it is recommended to ask someone else to wash your hair as much as possible within the second week or one month after the surgery, and you must lie flat or on your back when washing your hair to reduce the risk of infection.

3. How Long After Cataract Surgery Can I Touch Water?

1 month. We cannot guarantee that you will not touch water for 1 month after cataract surgery, but what you can do is to avoid contact with water as much as possible. Consider using a face wipe instead of water when washing your face, while eye secretions can be cleaned with cooked water to prevent bacterial infection.

4. How Long After Cataract Surgery Can I Live a Normal Life?

After cataract surgery, it usually takes about 1 month to ensure the stability of the intraocular lens. During this time, as long as you avoid heavy lifting and strenuous exercise, you can basically return to your normal life or return to work the next day after surgery. If possible, it is advisable to take appropriate rest for the first week after surgery. However, patients still need to take good care of their eyes after cataract surgery and follow up on time.

5. How long does it take for vision to recover after cataract surgery?

Generally speaking, the vision will be significantly improved the day after cataract surgery, as long as you pay attention to maintenance after cataract surgery, your vision can be restored to 8~9% within 1 week. If the vision is completely restored and the wound is completely healed, it usually takes about 3 to 4 weeks, and the prescription will be relatively stable at this time.

 6. Will cataract recurrence after surgery?

No. However, about 5% of patients will feel that their vision will gradually become blurred after a period of surgery, because the epidermal cells proliferate in the posterior capsule, causing the posterior capsule to become cloudy, which can be improved with laser treatment. Therefore, when vision changes occur after cataract surgery, you should seek medical attention as soon as possible and treat them in time.

How to maintain cataract surgery? Read More »

Myopia in children can be big or small! The control and prevention plan is clearly read in the article

Myopia is one of the most common eye problems among children nowadays. According to the Department of Health, about 18% of children aged 6 in Hong Kong have myopia. The rate of myopia in 12-year-olds is as high as 62%, which is much higher than that in other Eurasia regions. In addition to bad eye habits, if parents themselves have high myopia, the chance of children suffering from myopia will also increase significantly. Therefore, early prevention and control of myopia in children is extremely important.

Electronic products are the leading cause of myopia in children

With the popularization of electronic products, the age group of myopic children has gradually increased. Many parents use electronic products as children's pacifiers, and children develop the habit of relying on electronic products when their eyes are not fully developed, affecting the normal development of their eyes.

Among children with myopia, up to 80% of children myopia is caused by poor eye habits. Watching the electronic screen for a long time will make the pupil constantly adapt to the change of light source, so that the ciliary muscle that regulates the pupil is always in a state of tension, resulting in excessive eye fatigue and enhancing the risk of myopia in children. To prevent or control myopia in children, parents must strictly control the amount of time their children spend using electronic devices, encourage them to participate in outdoor activities, and reduce their reliance on electronic nipples.

Is myopia in children also true and false?

But in fact, myopia also has "true myopia" and "pseudomyopia", the former is because the eye structure has changed, so it cannot recover naturally; The latter is a manifestation of temporary eye fatigue, which can be improved as long as the eye muscles are properly relaxed. Since the two types of myopia recover in different ways, the focus should be on understanding which type of myopia children belong to.

Pseudomyopia often occurs in children under the age of 12, because the ciliary muscles of children are quite powerful, and they use electronic products for a long time in close proximity, which is prone to the inability of the ciliary muscles to relax naturally, resulting in pseudomyopia. However, as long as the eyes are sufficiently rested, children with pseudomyopia can return to normal vision.

If you suspect that the child at home has vision problems, it is recommended to seek an ophthalmologist for examination immediately, usually pseudomyopia in children can be restored, most of them are ordered to relax the eyes, so as to detect the true refractive state of the eyes, to judge true/false myopia.

Although pseudomyopia in children can recover, it is also a major sign of myopia, and if children do not correct their eye habits in time, they may also become true myopia.

How to find out if a child has myopia?

Children will not realize that they have vision problems, so parents should pay extra attention to whether children have myopia or other vision problems through observation. If the following signs of myopia occur, parents should take their child to consult an ophthalmologist:

  • Blink or rub your eyes frequently
  • Often pull the corners of your eyes or squint to see things in the distance
  • Often tilt your head to see things
  • When looking at things, the eyes are close to things

What are the consequences of neglecting to control myopia in children?

Some parents may think that if their children's myopia is not deep, they can ignore it. However, in fact, if children's myopia is not controlled, the degree of myopia will gradually increase with age, and even soar in a short period of time. If you already have myopia at a young age, it is easy to cause myopia to exceed 500 degrees.

But do you think it's just as simple as deepening myopia? No! When the degree of myopia is deeper, the chance of suffering from eye diseases such as cataracts, glaucoma, and macular degeneration will increase exponentially in the future, and severe may even lead to blindness.

  • Cataracts: People with high myopia tend to degenerate and cloudify their lenses, leading to an increased risk of cataracts.
  • Glaucoma: People with high myopia have higher intraocular pressure and are 4 times more likely to develop glaucoma.
  • Macular degeneration: Among patients with myopia of 800 degrees and myopia for 10 years, about 5~10% of patients have macular degeneration.
  • Floaters: The vitreous of highly myopic people is prone to degeneration, resulting in fibrofilamentous suspended solids.
  • Retinal detachment: The retina of highly myopic people is prone to degeneration or atrophy, and the risk of developing retinal detachment is more than 20 times that of ordinary people.

Therefore, parents should actively pay attention to the degree of myopia in children and take control and preventive measures to avoid children becoming highly myopic in the future.

What are the ways to control myopia in children?

Generally speaking, the ideal rate of myopia progression for children should be maintained at no more than 50 degrees per year. If children's myopia increases by more than 100 degrees per year, it is an unusual situation, and it may develop into high myopia in the future, and even increase the risk of complications, so the medical community has been committed to developing a variety of methods to control and improve myopia in children in recent years to slow down the progression of myopia in children.

Low-concentration atropine eye drops

Low-concentration atropine eye drops can inhibit scleral overgrowth, slow down eye elongation, and then control the progression of myopia in children, which can slow the progression by 67% in 1 year.

However, some children may experience photophobia side effects after using low-concentration atropine eye drops, or may not be clear when seeing things at close range, so caution should be taken before using low-concentration atropine eye drops.

ORTHOKERATOLOGY CONTACT LENSES (OK LENSES)

ORTHOKERATOLOGY CONTACT LENSES (OK LENSES) ARE CONTACT LENSES WORN AT NIGHT AND ARE SUITABLE FOR CHILDREN WITH MYOPIA WHOSE MYOPIA DOES NOT EXCEED 600 DEGREES. THE PRINCIPLE IS TO HELP SHAPE THE CORNEA THROUGH HIGHLY OXYGEN-PERMEABLE RIGID LENSES, ALLOWING USERS TO SEE CLEARLY DURING THE DAY WITHOUT GLASSES. STUDIES HAVE CONFIRMED THAT LONG-TERM WEARING OF OK LENSES CAN CONTROL THE DEEPENING OF MYOPIA IN CHILDREN, AND GENERALLY CAN DELAY THE SPEED OF MYOPIA IN CHILDREN TO 50%~80%.

However, orthokeratology contact lenses are only temporary vision corrections, and if they are stopped, the deepening of myopia in children will return to their original state.

IN ADDITION, THE PRICE OF OK LENSES TO CONTROL CHILDREN'S MYOPIA IS USUALLY AROUND HK$5,000~HK$10,000, PLUS THE LENSES NEED TO BE REPLACED EVERY 9 MONTHS OR SO, SO THE PRICE OF SUCH CHILDREN'S MYOPIA CONTROL LENSES MAY BE A BIT BURDENSOME FOR SOME FAMILIES.

DEFOCUSING LENSES (DIMS)

There are two degrees of defocusing lenses, namely ordinary myopia lenses in the center and peripheral lenses, which use myopic defocusing optical elements to focus peripheral images in front of the retina, thereby slowing down eye elongation and controlling the speed of myopia in children. Studies have confirmed that children who wear defocusing lenses have significantly reduced myopia by 52% within 2 years.

UNFORTUNATELY, DEFOCUSING LENSES ARE ONLY SUITABLE FOR MYOPIC CHILDREN WITH MYOPIA OF NO MORE THAN 650 DEGREES AND ASTIGMATISM OF NO MORE THAN 400 DEGREES, AND CHILDREN WHO EXCEED THIS DEGREE CAN ONLY FIND OTHER CONTROL SOLUTIONS. IN ADDITION, THE PRICE OF THESE CHILDREN'S MYOPIA CONTROL LENSES IS NOT LOW, AND MOST OF THE COMMERCIALLY AVAILABLE CHILDREN'S MYOPIA CONTROL DEFOCUSING LENSES START FROM HK$4,000, WHICH DIRECTLY DISCOURAGES PARENTS WHO WANT TO USE LENSES TO CONTROL CHILDREN'S MYOPIA.

AN EARLIER METHOD TO CONTROL MYOPIA IN CHILDREN - AI MYOPIA CONTROL PROGRAM FOR CHILDREN

As mentioned above, some eye drops to control myopia in children may have side effects, and the current high price of defocusing lenses for controlling myopia in children, coupled with the so-called "prevention is better than cure", parents are beginning to realize that to control children's myopia and the chance of myopia deepening, they should not start planning after discovering that they have myopia, but should start to control the risk of myopia in children at an earlier stage.

THE CHILDREN'S AI MYOPIA CONTROL PROGRAM IS A KEY RESEARCH AND DEVELOPMENT PROJECT IN HONG KONG IN RECENT YEARS, WITH A PREDICTION ACCURACY RATE OF MORE THAN 80%. THE PURPOSE IS TO PREDICT THE DEVELOPMENT OF MYOPIA IN CHILDREN IN THE NEXT 3 YEARS IN ADVANCE, AND CUSTOMIZE INDIVIDUALIZED TREATMENT PLANS IN ADVANCE TO CONTROL THE DEEPENING OF MYOPIA OR RESTORE VISION IN CHILDREN.

THE MAIN PROCESS OF THE CHILDREN'S AI MYOPIA CONTROL PROGRAM IS AS FOLLOWS:

  1. Fill in the questionnaire on children's habits
  2. Perform various eye examinations
  3. Enter the examination data and analyze the children's myopia in the next 3 years through artificial intelligence and big data
  4. Parents and ophthalmologists can use the reports and charts to find out whether children's myopia development is at high risk
  5. Based on the evaluation results, the ophthalmologist will customize personalized treatment for the child to delay the progression of myopia in children and reduce the risk of high myopia.

At present, the children's AI myopia control project led by ophthalmologist Dr. Tang Wenjie has been verified in 129,242 adolescent populations, with a prediction accuracy rate of more than 80%, providing early warning of myopia among adolescents.

PARENTS CAN ACCURATELY PREDICT THEIR CHILDREN'S FUTURE MYOPIA CHANGES THROUGH THE "AI INTELLIGENT PLATFORM FOR MYOPIA CONTROL IN CHILDREN", AND THE PREDICTION RESULTS CAN BE INTELLIGENTLY ANALYZED THROUGH THE BIG DATA OF THIS AI PLATFORM, SO THAT PARENTS CAN OBSERVE THE CHANGES IN THE REFRACTIVE ERROR PERFORMANCE OF THEIR CHILDREN AT DIFFERENT AGES ACCORDING TO THE PREDICTION REPORT (PARENTS CAN SEE THIS AS THE "REFRACTIVE DEVELOPMENT FILE"). BASED ON THE FORECAST REPORT, THE OPHTHALMOLOGIST WILL ALSO ANALYZE THE CURRENT MYOPIA SITUATION OF THE CHILDREN FOR PARENTS IN DETAIL, COMPARE THE NORMAL REFRACTIVE PERFORMANCE OF THE SAME AGE GROUP, AND FORMULATE PERSONALIZED MYOPIA TREATMENT PLANS.

Everyday ways to improve or control myopia in children

To prevent or control myopia, in addition to seeking the help of an ophthalmologist, parents can also help myopic children recover or improve their vision from daily life.

Establish proper eye habits

Try to stipulate that children should maintain a correct sitting posture when doing homework or reading, avoid lying on their stomachs or lying down, and should also avoid them reading or playing with mobile phones in a dim environment, and control the daily use of electronic products by myopic children, and develop the good habit of resting for 5~10 minutes every 30 minutes with their eyes.

Consume eye-friendly foods

PARENTS CAN ALSO GIVE THEIR CHILDREN MORE EYE PROTECTION FOODS SUCH AS VITAMINS A, C, E, LUTEIN, ANTHOCYANINS, ETC., WHICH CAN HELP MYOPIC CHILDREN RESTORE OR IMPROVE THEIR VISION.

Outdoor activities

It is recommended that parents take children to outdoor activities every day, such as playground play, park walking, reduce their time to use electronic products, and outdoor sunlight can also stimulate the secretion of retinal dopamine, effectively control the deepening of myopia in children.

Myopia in children develops very quickly, and the slightest attention can quickly soar. Therefore, in addition to supervising children to develop good eye habits in daily life, it is recommended that parents regularly take children for eye examinations. Once abnormalities are found, appropriate control measures and treatment plans can be taken in time to ensure the health of children's vision.

Myopia in children can be big or small! Read More »