Myopia

SMILE 手術後視力恢復時間

SMILE 手術後,視力恢復一般需要休息多長時間?

SMILE 手術(小切口透鏡切除術)是一種微創近視矯正手術,視力恢復通常快速,已成為不少近視患者的熱門選擇。大多數患者術後當天即可感受到明顯改善,但完全穩定需數星期至數月。

SMILE矯視手術後恢復時間進度

湯文傑眼科專科醫生表示 SMILE手術後當日,多數人已能感覺視力明顯改善,可以恢復6~8成的視力,多數人2~7天內可恢復最佳視力,能從事日常活動如閱讀或上班基本無礙。但每個人體質不同,極少數人可能恢復時間需要1~3個月。

影響視力恢復的因素

矯視手術後的視力恢復速度因人而異,當然年輕患者(40歲以下)恢復更快,老年人角膜癒合較慢。其他因素包括︰

術前近視與散光程度:度數越高,神經與角膜調整時間可能稍長。

用眼習慣:長時間盯螢幕或手機會延緩進度,建議每30分鐘休息5-10分鐘。

術後護理是否到位:是否按時點眼藥水、避免揉眼等,影響很大。

是否有乾眼體質:乾眼較嚴重者,初期模糊感可能持續較久。

哪些眼睛情況屬於正常?

手術後常見正常現象包括輕微矇矓(當天或1-3天)、眼睛乾澀(因角膜神經修復,持續1-4週)、畏光、看燈有光暈及短時間用眼後容易疲勞,這些多為暫時性,隨癒合消退。

如果出現劇痛、持續嚴重視力下降、大量分泌物、紅腫加劇或感染跡象,應立即復診,可能為傷口問題或感染。超過一星期無改善的乾眼或眩光,應馬上尋找眼科醫生檢查。

完成 SMILE 激光矯視後護理小貼士

完成 SMILE 激光矯視後,想讓眼睛恢復更快、更穩定,湯文傑眼科專科醫生建議注意以下幾點:

  • 依時滴眼藥水,減少感染與乾眼
  • 戴太陽眼鏡,降低紫外線與強光刺激
  • 不建議手術後三個月內游泳
  • 除游泳外。一個星期後方可做運動

SMILE 手術後恢復速度普遍較快,大多數人在幾天內即可回復日常生活,但要達到穩定清晰視力,仍需數週到數月時間。只要術後護理得當、留意異常情況,多數人都能順利恢復並享受清晰視界。手術成效受多重因素影響,強烈建議諮詢眼科醫生並完成全面檢查後再作決定。

💬 預約 SMILE 微笑激光矯視諮詢

WhatsApp 預約 SMILE 微笑激光矯視諮詢

SMILE 手術後,視力恢復一般需要休息多長時間? Read More »

矯視後度數反彈的情況常見嗎

Is it common for vision to revert to its original prescription after vision correction?

所謂「度數反彈」是指在完成激光矯視手術後,原本已經矯正的視力再次出現近視、遠視或散光的情況。但過了一段時間,又再次出現近視或散光度數,需要重新配戴眼鏡或隱形眼鏡,甚至考慮再次矯視。

大多數情況下,反彈幅度較輕微,例如回復 50至100度,並不會回到手術前的高度近視狀態。輕微的視力波動屬於正常,例如手術後頭幾個星期或幾個月,視力時好時壞,夜間光暈、眩光等,隨角膜復原而逐漸穩定,未必算是「真正反彈」。

矯視後出現反彈的主要原因

角膜修復與變形

即近視的結構性改變仍在進行,特別是年輕、術前度數較深的患者,若在近視未完全穩定前做手術,將來眼軸可能繼續拉長,度數自然會再增加。

過度用眼、近距離工作多

香港人長時間使用電腦、手機、閱讀近物,會令睫狀肌長期收縮,眼睛處於緊繃狀態,長遠可能加劇近視發展,矯視後若不改善生活習慣,也會增加反彈機會。

術後護理不足或未有跟進

沒有按時覆診、停藥或用藥不當、未有遵從醫生指示避免揉眼、劇烈運動等,均可能影響角膜復原和穩定性,增加視力不穩甚至反彈的風險。

如何減低矯視後反彈風險?

一般建議近視度數至少穩定 1–2 年,沒有持續明顯加深,才考慮矯視,避免在近視發展期動刀,減低成效。

戴太陽眼鏡

太陽眼鏡能有效阻擋紫外光對脆弱角膜的刺激、防止沙塵和異物入眼,並減輕眼睛對強光的敏感與不適感。

嚴格跟從醫生指示

準時點眼藥水、避免揉眼、3個月內暫停游泳、按時覆診,讓角膜有足夠時間復原及穩定。

長期改善用眼習慣

每用近距離螢幕 20–30 分鐘,讓眼睛休息、望遠數分鐘,減少睫狀肌長期緊繃;保持充足睡眠及適當光線。

如何減低矯視後反彈風險

如果出現反彈,可以怎樣處理?

專業視力及角膜檢查

由眼科醫生或視光師檢查現時度數、角膜厚度與形狀、眼壓及眼底,判斷是輕微生理波動,還是真正度數回升,並排除角膜擴張等問題。

配戴眼鏡或隱形眼鏡

若反彈度數不大,或患者不想再做手術,可配戴適度數眼鏡或軟性/硬性隱形眼鏡,恢復清晰視力即可。

評估是否適合再做「二次矯視」

在安全評估通過的情況下,有機會建議進行第二次矯視。湯文傑眼科專科醫生解釋,如要進行二次矯視,必須符合兩個重要條件。首先,透過角膜圖檢查,了解第一次激光矯視的情況,例如是否準確打在角膜中央。其次,必須評估角膜厚度是否足夠,以確保能安全地再做矯視。

SMILE 微笑矯視技術

目前最新的激光矯視技術是 SMILE 微笑矯視,原理是利用激光,根據患者的度數需要,來改善近視與散光。

湯文傑眼科專科醫生解釋,SMILE 與傳統激光矯視的切割方式不同:傳統技術需要在角膜上製作一條約 20 毫米長的切口,形成角膜瓣,再掀開角膜瓣以激光削薄角膜,從而減低近視度數。而 SMILE 則只需開一個約 2 至 4 毫米的小切口,透過這個微小傷口取出角膜組織,達到矯正近視的效果。這種微創方式能夠減少角膜表面受損範圍,提升術後穩定性與舒適度。

即使視力良好,也建議每年檢查一次,及早發現視力變化或角膜狀況問題,提早處理。

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矯視後度數反彈的情況常見嗎? Read More »

黃斑病變食療

Dietary Therapy for Macular Degeneration: 6 Key Nutrients at a Glance

Macular degeneration (MD) commonly affects individuals over the age of 65, hence it is also known as age-related macular degeneration (AMD). Patients with this eye condition experience symptoms such as blurred central vision and distorted vision, which in severe cases can lead to blindness.

Since macular degeneration is an incurable eye disease, once diagnosed, only certain treatments or dietary approaches can slow its progression. Therefore, preventing macular degeneration becomes crucial, and modifying one's diet or adopting specific dietary therapies is one of the most direct methods. This article will outline key nutrients and dietary habits for managing macular degeneration through nutrition, helping readers maintain healthy vision.

6 Key Nutrients for Preventing Macular Degeneration

The following are nutrients beneficial for preventing macular degeneration and some corresponding food references:

  • Lutein: Spinach, asparagus, carrots, cauliflower, pumpkin, etc.
  • Vitamin A: Red sweet potatoes, egg yolks, beef liver, mangoes, goji berries, etc.
  • Vitamin B complex: Salmon, pork, avocado, milk, nuts, etc.
  • Vitamin C: Lemons, kiwis, oranges, papayas, strawberries, etc.
  • Vitamin E: Salmon, almonds, cashews, wheat germ, olive oil, etc.
  • Zinc: Whole grains, seafood, meat, and legumes

葉黃素

Lutein is a vital component of the retina and macula, serving as the primary source of retinal pigment. It not only possesses antioxidant properties but also absorbs harmful light, reducing eye damage from light exposure and lowering the risk of developing macular degeneration.

Vitamin A

Appropriate supplementation of vitamin A helps maintain normal retinal epithelial cell function and promotes metabolism in the cornea and retina.

Vitamin B Complex

The B vitamin complex includes multiple vitamins such as B1, B2, B6, and B12, which effectively maintain photoreceptor and retinal nerve cells while preventing cellular aging. These vitamins help promote blood circulation within the eye and alleviate eye fatigue. Individuals who frequently strain their eyes are advised to supplement with these nutrients to reduce the risk of developing macular degeneration.

Vitamin C

Increasing vitamin C intake not only helps prevent macular degeneration but also guards against eye conditions such as cataracts, glaucoma, and retinal disorders. Vitamin C possesses powerful antioxidant properties that shield the eyes from free radical damage. It also enhances blood circulation in the retinal microvasculature, thereby helping to prevent macular degeneration.

Vitamin E

Vitamin E possesses free radical scavenging properties and can slow the oxidation of lutein, thereby maintaining eye health and helping prevent macular degeneration. Furthermore, vitamin E is primarily concentrated in the retinal pigment epithelium layer and photoreceptor cells, making it one of the essential nutrients for preserving retinal health.

Zinc

Zinc possesses significant antioxidant properties and has been confirmed by numerous scholars to effectively maintain eye health and prevent macular degeneration. Furthermore, zinc aids in the metabolic function of vitamin A within the eye, helping to maintain normal retinal epithelial function and preserve visual health.

Dietary Habits for Preventing Macular Degeneration

In addition to specific nutrients, good dietary habits are also key to preventing macular degeneration. Here are several dietary approaches that support vision health:

Low Glycemic Diet

Diabetics are more susceptible to macular degeneration and a range of eye diseases than the general population. This is because excessively high blood sugar levels can damage the retina and even cause retinal detachment. Therefore, ophthalmologists generally recommend that diabetic patients follow a low-glycemic diet to reduce advanced glycation end products (AGEs). This approach helps control blood sugar while also preventing eye conditions such as retinal detachment and macular degeneration.

A low-glycemic diet , as the name suggests, involves consuming foods with low glycemic loads to minimize blood sugar fluctuations. Examples include whole grains, vegetables, and lean meats, which are considered low-glycemic foods. Conversely, white rice, white bread, and processed meats are classified as high-glycemic foods.

Beyond individuals with diabetes, the general population may also consider adopting a long-term low-glycemic diet to maintain overall health. The simplest approach to implementing a low-glycemic diet is to follow dietary guidelines for diabetes management. This not only helps prevent macular degeneration but also reduces the risk of developing diabetes.

Mediterranean Diet

A study in Australia found that participants following a Mediterranean diet had a 41% lower risk of developing macular degeneration compared to those not following the diet, confirming that the Mediterranean diet can help prevent macular degeneration.

The Mediterranean diet emphasizes fresh vegetables, fruits, fish, olive oil, and nuts, with limited red meat and dairy products. This dietary pattern is rich in antioxidants and unsaturated fatty acids, effectively reducing eye inflammation and helping prevent macular degeneration.

If you wish to prevent or improve macular degeneration through the Mediterranean diet, it is recommended to consult your ophthalmologist for further advice or seek additional knowledge and dietary guidance on preventing macular degeneration from your nutritionist.

Balanced Diet

If you are unable to follow a low-glycemic diet or Mediterranean diet to prevent macular degeneration due to work or other reasons, then strive to ensure balanced nutrition daily. Aim to consume two servings of fruit and five different colored vegetables each day, while reducing intake of fast food or foods high in oil, salt, and sugar.If needed, consult a nutritionist to create a personalized dietary plan for preventing macular degeneration or consider appropriate supplements. Maintaining a balanced diet not only helps prevent macular degeneration but also supports overall health.

If you suspect you have macular degeneration, do not blindly trust folk remedies or unproven treatments. It is essential to consult an ophthalmologist promptly and undergo a thorough examination. Allow a professional doctor to develop the most effective treatment plan for you.

Frequently Asked Questions

What soups are recommended for macular degeneration?

If you simply wish to prevent macular degeneration, any soup containing a balanced mix of various nutrients is suitable for consumption. For patients already diagnosed with macular degeneration, it is advisable to consult a nutritionist or ophthalmologist to select soups that are effective for treating the condition.

Can macular degeneration be cured solely through dietary therapy?

Currently, there is no complete cure for macular degeneration. However, appropriate treatment and dietary management may slow the progression of the disease. It is strongly recommended to seek immediate medical attention if you suspect you have macular degeneration.

黃斑病變食療 6大營養素一次看 Read More »

smile vs lasik

SMILE vs. LASIK: Which is Better? Dr. Tong Wenjie Explains in Detail

SMILE微笑矯視(英文:Small Incision Lenticule Extraction)和 LASIK角膜切割激光矯視(英文:Laser Assisted in Situ Keratomileusis) 是兩種常見的激光視力矯正手術,各有特點和適用情況。

LASIK 使用準分子激光製作角膜瓣,再重塑角膜以矯正視力,適用於近視、遠視和散光。SMILE 則使用飛秒激光在角膜內部製作透鏡狀組織,通過小切口取出,主要治療近視和散光。

相較於 LASIK,SMILE 傷口更小,恢復更快,術後不適感和乾眼症狀較少。這兩種眼睛手術究竟有何不同?適合什麼人群?應該點揀先好?下文將為您一一解說。

什麼是 LASIK 激光矯視?

LASIK激光矯視(英文:Laser-Assisted In Situ Keratomileusis)起源於 1990 年代,於1992年引入香港,在香港是一種常見的眼科手術。

LASIK手術基本原理是通過飛秒激光打磨角膜中層去改變角膜形狀,從而矯正視力問題。LASIK可用於治療1500度或以下的近視、600度或以下的遠視和散光,通過飛秒激光精確地重新塑造角膜,能使光線正確聚焦在視網膜上,從而改善視力。

自 LASIK 手術問世以來,其技術不斷進步,手術過程變得更加精確和安全。數以萬計的患者已經通過 LASIK 手術擺脫了眼鏡和隱形眼鏡,享受更清晰的視力。如今,LASIK 手術已經發展成為一種高度成熟且被廣泛接受的視力矯正方式。

LASIK 手術流程

  1. 消毒和麻醉:在手術開始前,醫生會在患者的眼睛周圍消毒和滴入麻醉劑,以確保手術過程中不會感到不適。
  2. 製作角膜瓣:醫生使用飛秒激光切割角膜片,然後將其掀開,暴露出下方的角膜中層部分。
  3. 激光重塑角膜:利用准分子激光精確地移除部分角膜組織,以重新塑造角膜形狀。
  4. 復位角膜片:重塑完成後,將角膜瓣復位,傷口會自然癒合,因此不需要縫合。
  5. 術後護理:手術後,醫生會給予一些護理指導,包括使用抗生素眼藥水和人工淚液,並建議定期回診檢查。

什麼是 SMILE 微笑矯視?

SMILE微笑激光矯視(英文:Small Incision Lenticule Extraction)是一種新型的激光矯視手術,於 2011 年面市,2014年引入香港。SMILE矯視的操作原理是利用飛秒激光,隔著上層角膜去切割角膜中層,然後通過一個小切口將其取出,以改變角膜弧度,從而達到矯視效果。這種手術方式不需要製作大的角膜瓣,因此對角膜的損傷更小。

SMILE 激光矯視可用於治療散光、近視、老花等視力問題,具有高精度和低風險的特點。由於切口小,術後恢復時間更短,患者的舒適度也更高。隨著技術的進步,香港的SMILE眼睛手術已逐漸成為許多患者的首選視力矯正手術之一。

另外,為了讓眼科醫師在做SMILE手術的時候更有效率及更安全,近期也推出了升級版SMILE PRO的儀器。SMILE PRO主打激光頻率快,對敏感緊張,害怕眼球無法專注的患者來說是一大福音。

SMILE 手術流程

  1. 消毒:眼科醫生會使用眼部手術專用消毒藥水幫你清潔皮膚、眼珠、眼睫毛等眼睛周圍。
  2. 切割角膜透鏡:眼科醫生會用SMILE儀器的激光,隔著上層角膜去切割角膜透鏡,即是角膜中層部分。這就是SMILE微笑激光矯視和LASIK的不同之處。
  3. 製作微切口:利用激光在上層角膜開一個約2~4mm的微切口。
  4. 取出透鏡:用儀器將已切割角膜透鏡從微切口抽出,再合上切口即可。
  5. 術後護理:手術後,醫生會給予護理指導,包括使用抗生素眼藥水和人工淚液,並建議定期覆診檢查。

LASIK vs SMILE 比較

LASIK和SMILE各有各的好處,並不能說邊個比較好,如果想要通過手術去矯正視力,建議您到正規的眼科中心去諮詢醫生,相信在一系列的檢查和諮詢後醫生會給您最好的治療方案。

LASIKSMILE
適用人士最高1500度近視最高600度遠視最高600度散光最高1000度近視最高500度散光老花
手術時間(單眼)約 10 分鐘約 5 分鐘
激光程序時間(單眼)製作角膜瓣:10秒激光重塑角膜:10~30秒約25秒 (smile pro可縮短至10秒)
傷口大小約 20 毫米約 2-4 毫米
角膜自然癒合時間數周數小時/數天內
術後不適感可能有輕微不適感不適感較少
後遺症可能有角膜瓣移位風險smile矯視風險極低
Benefits恢復快,視力改善明顯切口小,角膜結構更穩定
壞處有角膜瓣相關風險技術較新,長期效果數據較少
Dry eyesThere is輕微
痛楚手術後幾乎無痛手術後幾乎無痛

無論是 LASIK 還是做SMILE,兩者都是有效的視力矯正手術,各有其優點和適用情況。患者應該根據自身的眼部條件和需求,與專業眼科醫生進行詳細討論,選擇最適合自己的手術方式。透過現代科技的進步,相信越來越多的人能夠擺脫眼鏡和隱形眼鏡的束縛,享受更清晰的視力和更高的生活品質。

Frequently Asked Questions

LASIK 和 SMILE 術後會反彈嗎?

數據顯示,有超過95%的患者在LASIK術後多年仍保持良好效果,只有一小部分人在術後10年內需要進行二次手術去改善視力;至於SMILE微笑矯視的切口較細,手術後角膜也較完整,通常矯視後反彈機會都會較低。

LASIK 和 SMILE 的價格如何?價錢昂貴嗎?

LASIK 和 SMILE 的價格視個人情況而定。這取決於您想要改善什麼視力問題、手術是單只眼還是雙眼,種種因素都會影響LASIK 和 SMILE 的價格,因此建議您向信任的眼科醫生預約諮詢。

手術後多久可以恢復工作?

大多數人可以在 LASIK 手術後的 1~3 天內恢復工作,而 SMILE手術後恢復時間可能更短。每個人的情況不同,建議在術後聽取醫生建議。

SMILE術後該如何護理?

關於SMILE術後如何護理最主要還是得跟著醫生指示用藥、定期進行術後覆診、1周內避免眼睛接觸污水、避免戴con或化妝等,更多護理相關內容可到SMILE 微笑激光矯視查看。

SMILE 矯視有何風險?

SMILE 矯視風SMILE矯視雖然風險較低,但仍存在一些潛在SMILE後遺症,例如:眼乾、夜間視力下降、畏光等問題;而角膜層間發炎、細菌感染等情況則較為罕見。

SMILE同LASIK邊個好?湯文傑眼科醫生為您詳解 Read More »

Symptoms of presbyopia

Symptoms and Causes of Presbyopia

Presbyopia is a normal physiological phenomenon. Its primary characteristic is a decline in near vision, particularly when reading or performing close-up tasks. Presbyopia is a vision problem that develops with age; symptoms typically begin to appear around the age of 40. It is caused by the gradual deterioration of the ciliary muscles and the lens, resulting in a slower ability to focus.

8 Common Symptoms of Presbyopia

Although presbyopia isn’t considered a serious eye condition, the degree of presbyopia tends to worsen with age, and its symptoms become increasingly noticeable, which can significantly impact daily life and work efficiency. Here are some symptoms that may indicate you have presbyopia:

  1. When reading or looking at a phone, I have to hold it more than 40 centimeters away from my eyes to see the text clearly.
  2. Eyes tend to feel tired, dry, or sore.
  3. It is difficult to see nearby objects in dimly lit environments.
  4. When I look at something in the distance and then shift my gaze to something closer, it feels like the focus is slower
  5. You need to blink frequently or rub your eyes to try to adjust your focus.
  6. I have less time to read, so I need more time to rest.
  7. Blurred or fuzzy vision, especially when looking at things up close.
  8. Performing detailed work, such as intricate painting or crafting, requires more time and effort.

2 Ways to Self-Test for Presbyopia

In fact, the early symptoms of presbyopia are not very noticeable, and many people mistake them for eye strain or temporary blurred vision caused by overuse. Below are two methods you can use at home to check if you have developed presbyopia. However, these are not professional diagnostic methods. If you notice symptoms of presbyopia, we recommend that you visit a professional eye care center for a comprehensive examination and to develop a treatment plan tailored to your needs.

Banknote Testing

  1. Take out a bill and place it where you can see it most clearly.
  2. Then focus on the fine print on the banknote.
  3. Look away from the banknote and focus on an object about 2 to 3 meters away for approximately 5 seconds.
  4. Then look back at that line of small print and see how many seconds it takes to make out the text.

Focusing within 1 second is considered normal; Taking longer than 1 second indicates a risk of developing presbyopia; Taking over 3 seconds confirms the presence of presbyopia.

Symptoms and Screening for Presbyopia

  • When looking at objects, I find myself wanting to take off my glasses—yet without them, I see more clearly.
  • Feeling that your home or office is dimmer than before
  • Often misread numbers or text
  • I often feel eye strain.
  • Stiffness and soreness in the shoulders and neck
  • Frequently frowns, experiences dizziness

These are all common signs of presbyopia. If you experience three or more of these symptoms, you may have presbyopia. We recommend consulting an ophthalmologist as soon as possible to get professional advice and assistance.

Causes of Presbyopia

The primary cause of presbyopia is the gradual loss of flexibility and elasticity in the ciliary muscles and lens of the eye, which prevents the eye from accurately adjusting its focus. This leads to a decline in near vision, resulting in difficulty seeing objects up close. Presbyopia is typically age-related, but it can also be influenced by other factors.

In addition to natural aging, the following factors may also contribute to the development of presbyopia:

  • Genetic factors: Genetics may influence a person’s susceptibility to presbyopia and the age at which it develops.
  • Chronic eye strain: Prolonged exposure to electronic screens or other close-up work may cause presbyopia symptoms to appear at a young age.
  • Environmental factors: Harsh environmental conditions, such as intense ultraviolet radiation or pollutants, may also accelerate the progression of presbyopia.

How to Prevent and Treat Presbyopia

Almost everyone will eventually experience presbyopia. Although there is currently no proven method to prevent it, there are ways to slow its progression, such as maintaining good eye care habits, giving your eyes adequate rest, and consuming plenty of eye-nourishing nutrients.

If you start noticing signs of presbyopia, there’s no need to worry too much. You can choose from various options to address presbyopia, such as reading glasses, reading contact lenses, LBV laser vision correction, or Presbymax laser surgery.

In summary, presbyopia is an age-related vision condition. To slow the progression of its symptoms, it is important to maintain good eye health on a daily basis and undergo regular eye exams. Early intervention and treatment are essential for effectively preserving good vision and maintaining quality of life.

老花眼症狀及成因 Read More »

近視和老花分別_封面圖

同時患有近視同埋老花應點做?一文睇清矯視方法

近視和老花是兩種不同的視力問題,但它們確實有可能同時存在於同一個人身上。這些常見的視力問題可能會影響生活品質和工作效率,因此及早識別並積極尋找合適的矯視方案十分重要。下文將爲你𨤳清近視和老花的分別,及如何矯正近視+老花。

什麼是老花?

老花是眼睛自然老化過程中的一部分,通常在40歲以後出現,主要表現為近距離視力模糊。隨著年齡增長,老花的度數也會逐漸增加,這是因爲眼睛的晶狀體逐漸失去彈性,也令其屈光力減弱,使得眼睛難在看近距離物體時變得困難,尤其是在較暗的環境下。

雖說老花眼的發生與年齡相關,然而,隨著科技的進步,幾乎每個人都離不開電子產品。許多人長時間低頭盯著螢幕,導致睫狀肌長時間緊繃,從而使眼睛提早進入老化階段。在香港,低於40歲的人患上老花眼的情況增加了20至30%,甚至許多人在35歲到40歲之間就開始出現老花眼的症狀。

什麼是近視?

近視與老花相反,近視是指在看近距離物體時能夠清楚看到,但看遠處物體模糊。近視通常是因為眼睛的角膜或眼睛的長度與其屈光度不匹配所致,導致光線無法正確聚焦在視網膜上。

近視的成因主要有兩種,即家族遺傳和後天形成。然而,近視主要還是由於後天因素所引起,例如長時間近距離閲讀或使用電子產品、在過亮或過暗的環境下用眼等。反而家族遺傳的風險相對較低,除非父母均爲高度近視患者。

如何分清老花及近視?

老花和近視是兩種不同的視力問題,老花是近距離看不清;而近視則是在望遠距離物體時感覺視力模糊。

以下圖表簡單概括老花和近視的徵狀、成因、如何預防和治療方法。

PresbyopiaMyopia
徵狀近距離影像模糊閲讀困難遠距離影像模糊看不清路牌
成因睫狀肌老化,晶狀體僵硬眼球過長
預防方法避免過度用眼健康飲食40歲後定期進行眼睛檢查*老花無法避免,只能減緩老花速度良好的燈光下閲讀避免長時間使用電子產品定期進行眼睛檢查
治療方法老花眼鏡老花隱形眼鏡老花矯視手術近視眼鏡近視隱形眼鏡手術

有近視還會有老花嗎?

是的,即使有近視,也有可能在中年或老年時出現老花。近視的人原本只要戴著近視眼鏡就可以有清晰視力,但是年過40歲之後,會發現看近物時看不清楚,甚至需要把近視眼鏡拿掉才看得清,這時便需要換副有老花功能的眼鏡了。

如何治療老花及近視?

漸進式眼鏡

配戴眼鏡是最常見且平價的治療方法之一。如果同時患有近視和老花的問題,可以考慮選擇漸進式鏡片。漸進式鏡片可以將近視和老花的度數放在同一個鏡片上,免去了患者需要時常更換老花和近視眼鏡的麻煩。使用漸進式鏡片可以更方便地應對不同距離的視覺需求,是多數人會優先考慮的視力矯正方案。

隱形眼鏡

。現今市面上的隱形眼鏡不止限於單一功能,也有一些隱形眼鏡可同時矯正近視,散光和老花。對於不喜歡戴眼鏡的人來說,則可以考慮驗配老花+近視的隱形眼鏡。然而,如果想要購買能夠同時改善近視,散光和老花的隱形眼鏡則需要尋找專業眼科醫生驗配,在一系列的檢查和評估後才能訂製專屬個人度數隱形眼鏡,確保視力矯正的效果和舒適度。

矯正手術

對於一些人來說,矯視手術可能是一個更快速解決近視和老花的最佳方案。這些手術可以通過改變眼睛的結構,從而改善視力問題。如果打算通過矯正手術來恢復視力,就必須尋找正規且專業的眼科醫生進行手術。

需要注意的是,雖然手術可以解決近視和老花問題,但老花度數在年齡增長的過程中仍然會逐年增加。因此,在考慮手術前,應聽從眼科醫生的建議並深入了解手術的風險和效果。同時,患者應該做好準備,明白手術後可能需要重新配戴老花眼鏡或老花隱形眼鏡的情況。

#老花 近視 #近視 老花 同時 #近視 老花 #近視加老花

同時患有近視同埋老花應點做?一文睇清矯視方法 Read More »

高度近視文章封面圖

High myopia poses a threat to vision; cataract symptoms should not be ignored.

高度近視本身並不會直接對視力造成嚴重危害,因為市面上有多種方法可幫助改善近視度數。然而,高度近視的形成是由於眼球結構發生變化,因此即使使用其他方法改善了視力,仍需面對深近視可能導致的一系列併發症,如白內障、視網膜穿孔甚至剝離、青光眼等。

若不及時治療,這些問題可能導致永久失明。因此,高度近視者需要深入了解這些潛在風險,並定期進行眼科檢查,以確保視力健康並及時處理任何問題。

高度近視定義

高度近視(High myopia)是相對嚴重的近視水平。600度或以上的近視,醫學上定義為高度近視。它的形成和眼球長度改變有關。

高度近視併發症

高度近視本身通常不會導致視力下降。但是,患有這種疾病的人更有可能患上其他幾種威脅視力的疾病,包括視網膜穿孔脫離、青光眼、白內障及黃斑病變。

高度近視檢查

高度近視所帶來的危害可大可小,眼科醫生會建議高度近視者一年內進行1至2次全面的眼睛檢查,一旦發現徵狀,便可即刻治療,減低治療難度。

高度近視使白內障加深快

高度近視者白內障發生得更快,因此必須進行常規眼科檢查,監控眼睛健康狀況。

高度近視人士患白內障的風險較高。如果你需要白內障手術,用 3 分鐘做個人工晶體初步配對測試,提前了解最適合你的方向。

👉 立即做測試

💬 預約眼科評估

高度近視人士建議定期檢查,及早發現白內障及其他眼疾

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高度近視威脅視力, 白內障症狀不可忽視 Read More »

兒童近視可大可小

Childhood Myopia: A Serious Concern! Control and Prevention Solutions at a Glance

近視是時下小朋友最爲普遍的眼睛問題之一。據衛生署資料顯示,香港約有18% 的6歲兒童有近視問題;而12歲兒童近視率更高達62%,比率遠高於其他歐亞地區。除了不良用眼習慣外,如果父母本身有高度近視,那麽小朋友患上近視眼的幾率也會大幅增加。因此,早期預防及控制兒童近視加深極爲重要。

電子產品乃兒童近視的主因

隨著電子產品普及,近視兒童的年齡層也有逐漸上升的趨勢。不少家長把電子產品當作「兒童奶嘴」,小朋友在眼睛尚未完全發育的階段,就養成依賴電子產品的習慣,影響眼睛正常發育。

在患有近視的兒童中,其中有高達8成的兒童近視成因是用眼習慣不良所致。長時間觀看電子屏幕,會使瞳孔不斷適應光源變化,令調節瞳孔的睫狀肌時刻維持緊張狀態,導致眼睛過度疲勞,增強小朋友近視風險。若要預防或控制兒童近視程度,家長必須嚴格管控孩子使用電子產品的時間,同時鼓勵他們參與戶外活動,減少依賴「電子奶嘴」。

兒童近視也有分真假?

但其實近視也有「真近視」跟「假性近視」,前者是因爲眼睛結構已發生變化,所以無法自然恢復;後者則是眼睛暫時性疲勞的表現,只要適當放鬆眼睛肌肉,就能得到改善。由於兩類近視恢復的方式都不同,所以重點應先了解小朋友的近視屬哪一類。

假性近視常發生在12歲以下的小朋友身上,因爲小朋友的睫狀肌相當有力,加上他們長時間近距離使用電子產品,容易出現睫狀肌無法自然放鬆情況,因而導致假性近視。不過只要讓眼睛充分休息,假性近視的兒童就能恢復正常視力。

若是懷疑家中小朋友有視力問題,建議即刻尋求眼科醫生進行檢查,通常假性兒童近視可以恢復的,大多數是通過點藥去放鬆眼睛,從而檢測眼睛的真實屈光狀態,去判斷真/假近視。

雖然兒童假性近視可以恢復,但這也是近視的一大徵兆,若小朋友不及時更正用眼習慣的話亦有可能變成真近視。

如何發現小朋友患上近視?

小朋友不會意識到自己有視力問題,因此,家長應格外留神,通過觀察去判斷小朋友是否出現近視或其他視力問題。若出現以下近視徵兆,家長應帶小朋友去咨詢眼科醫生:

  • 經常眨眼或揉眼睛
  • 經常拉扯眼角或瞇眼去看遠處事物
  • 經常傾斜頭部去看事物
  • 看事物時眼睛和東西貼很近

疏於控制兒童近視有甚麼後果?

部分家長或認爲,若小朋友的近視不深便可不必理會。然而,實際上,如果兒童近視不做任何控制的話,近視度數會隨著年齡逐漸增加,甚至在短時間内急速飆升。若年幼時已有近視問題,那麽很容易會令近視度數超過500度。

但你以為就只有令近視加深那麼簡單嗎?不!當近視度數越深,日後罹患白內障、青光眼、黃斑病變等眼疾的機會也會幾何級上升,嚴重甚至可能導致失明。

  • 白內障:高度近視者的水晶體容易退化和混濁,進而導致白內障的風險增加。
  • 青光眼:高度近視者的眼壓較高,罹患青光眼的風險為正常人的4倍。
  • 黃斑病變:在近視達800度且近視10年的病患中,約有5~10%患者合併黃斑部病變。
  • 飛蚊症:高度近視者的玻璃體容易退化,進而產生纖維絲狀的懸浮物。
  • 視網膜剝離:高度近視者的視網膜容易退化或萎縮,罹患視網膜剝離的風險是普通人的20倍以上。

因此,家長應積極關注兒童近視度數及採取控制和預防措施,避免兒童將來成爲高度近視者。

有哪些方法可控制兒童近視?

一般來說,小朋友最理想的近視加深速度應維持在每年不超過50度。若兒童近視每年增加超過100度,則屬於不尋常情況,未來亦有可能發展成高度近視,甚至會增加患上併發症的風險,所以醫學界近年來致力於研究出多種控制及改善兒童近視方法,以減緩兒童近視加深的速度。

Low-concentration atropine eye drops

低濃度阿托品眼藥水可抑制鞏膜過度生長,減慢眼球拉長,進而控制兒童近視加深,1年内就能減慢67%的加深。

然而,有些小朋友使用低濃度阿托品眼藥水後會出現畏光的副作用,或看近距離事物時不清的情況,因此,使用低濃度阿托品眼藥水前宜謹慎考慮。

角膜塑形隱形眼鏡 (OK鏡)

角膜塑形隱形眼鏡(OK鏡)是一種在夜間佩戴的隱形眼鏡,適用於近視不超過600度的近視兒童。其原理是通過高度透氧的硬性鏡片去幫助角膜塑形,讓使用者在日間時無需配戴眼鏡也可以看得清楚。研究證實,長期配戴OK鏡可以控制兒童近視度數加深,一般可以將兒童近視速度延緩至50%~80%。

不過,角膜塑形隱形眼鏡只是暫時性的矯正視力,若是停止配戴,兒童近視度數加深程度將恢復回原來的狀態。

另外,OK鏡片控制兒童近視的價格通常在HK$5,000~HK$10,000左右,加上每9個月左右就需要更換一次鏡片,因此這類兒童近視控制鏡片價格對部分家庭而言,或許會有些負擔。

離焦鏡片 (DIMS)

離焦鏡片有兩種度數,分別是中央位置是普通近視鏡片,及周邊鏡片,利用了近視離焦光學元素,把周邊的影像聚焦在視網膜前方,進而減慢眼球拉長,控制兒童近視速度。研究證實,配戴離焦鏡片的兒童在2年内近視速度明顯減慢52%。

可惜的是,離焦鏡片只適用於近視不超過650度,散光不超過400度的近視兒童,超過該度數的兒童只能另尋其他控制方案。再者,這類兒童近視控制鏡片的價格也不低,現時市售的兒童用的控制近視離焦鏡片價格大多HK$4,000起,價格直接令想用鏡片控制兒童近視的家長有所卻步。

更早期控制兒童近視的方法——兒童AI近視控制計劃

一如上述所講,部分控制兒童近視的眼藥水或會產生副作用,而現時市售的兒童用的控制近視離焦鏡片價格又偏高,加上所謂「預防勝於治療」,令家長開始意識到要控制兒童近視及近視加深的機率,並非在發現他們有近視後,才開始著手計劃,而是應在更早期就著手控制小朋友出現近視的風險。

兒童AI近視控制計劃是近年來香港重點研發的專項,預測準確率高達8成以上。目的是爲了能夠提前預測小朋友未來3年近視發展,並提前定制個體化的治療方案,控制兒童近視加深或恢復視力。

兒童AI近視控制計劃的主要流程如下:

  1. 填寫小朋友生活習慣問卷
  2. 進行各類眼睛檢查
  3. 輸入檢查數據,通過人工智能與大數據分析小朋友未來3年近視狀況
  4. 家長及眼科醫生可透過報告及圖表瞭解小朋友的近視發展是否屬於高風險
  5. 眼科醫生將根據評估結果為小朋友定制個人化治療,延緩兒童近視加深,降低高度近視風險。

現時由眼科醫生湯文傑醫生負責的「兒童AI近視控制計劃」已於 129,242 青少年人群中進行驗證,預測準確率高達80%以上,為青少年近視預警提供幫助。

Parents can accurately predict their children's future myopia progression through the "Children's Myopia Control AI Platform." This AI platform uses big data intelligent analysis to generate predictive results, enabling parents to monitor changes in their children's refractive errors at different ages based on the prediction report (which parents can consider a "refractive development profile").Ophthalmologists will also use the prediction report to provide parents with a detailed analysis of their child's current myopia status, comparing it to normal refractive development for the same age group, and develop a personalized myopia treatment plan.

改善或控制兒童近視的日常方法

想預防或控制近視問題,除了尋求眼科醫生的幫助,家長也可以從日常生活中去幫助近視兒童恢復或改善視力。

建立正確的用眼習慣

盡量規定小朋友做功課或閲讀時要維持正確坐姿,避免趴著或躺著,也應避免他們在昏暗的環境閲讀或玩手機,並控制近視兒童每日使用電子產品的時間,及養成用眼每30分鐘,休息5~10分鐘的好習慣。

攝取護眼食物

家長平日亦可以給小朋友多攝取含有維生素A、C、E、葉黃素、花青素等之類的護眼食物,有助於近視兒童恢復或改善視力。

戶外活動

建議家長每日帶小朋友到戶外活動,例如到遊樂場玩耍、公園散步,減少他們使用電子產品的時間,而且戶外的陽光也能夠刺激視網膜多巴胺的分泌量,有效控制兒童近視加深。

兒童近視的發展速度極快,稍不注意度數就可能迅速飆升。因此,除了在日常生活中要監督小朋友養成良好用眼習慣,建議家長定期帶小朋友進行眼睛檢查。一旦發現異常,就能及時採取適當的控制措施和治療方案,以確保兒童視力的健康。

兒童近視可大可小!控制及預防方案一文看清 Read More »

Cover Image_Myopia in Children_Prevention and Management_Important Considerations

Tips for Controlling Myopia in Children

What Should Parents Pay Attention to When Controlling Children's Myopia? Smart Eye Care Tips You Need to Know

Children today frequently use computers for online classes. Even when not attending lessons, they remain glued to their phones and tablets, rarely putting down their devices. Consequently, many children develop myopia at an early age.A survey revealed that over half of myopic children aged 4 to 12 who participated in e-learning during the pandemic experienced worsening myopia. This significantly increases the risk of developing high myopia, potentially leading to more severe eye health issues in the future. Therefore, as parents, it is crucial to teach children early on how to protect their eyes and implement effective myopia control to prevent worsening myopia. Here are nine tips to share with you. When using smartphones, computers, browsing the internet, or reading, remember to pay attention to the following points:

Every 20 minutes, give your eyes a break.

Ensure adequate lighting when reading.

Maintain a minimum viewing distance of 30 centimeters.

Adjust the screen brightness to a comfortable level.

Do not watch while lying in bed or riding in a vehicle.

Increase the amount of time spent on daily outdoor exercise

Go to bed early and rise early every day.

多進食含豐富維生素A的食物
例如紅蘿蔔

Get comprehensive eye exams early and regularly.

Tips for Controlling Myopia in Children Read More »

Cover Image_Causes of Childhood Myopia_Symptoms of Myopia

Causes and Symptoms of Childhood Myopia

Causes of Myopia in Children

Hong Kong has one of the highest rates of myopia in the world, with nearly 18% of children already experiencing nearsightedness by age 6! What exactly causes myopia in children?

Myopia Myopia occurs when the eyeball is too long. In a relaxed state of distant vision, parallel light rays passing through the eye's refractive system focus in front of the retina. This causes distant objects to appear blurry, while near objects appear clearer.

Myopia can be hereditary, but environmental factors are also major contributors to its development, such as:

  • Reading at too close a distance for extended periods
  • Electronic devices emit excessive brightness, and the environment is too dark.
  • Frequently looking at electronic screens
  • Lack of exposure to sunlight and outdoor activity time

Symptoms of Myopia in Children

How can you tell if your child has myopia?
Parents should regularly observe whether their child exhibits the following behaviors:

  • Complaining of a headache
  • Reporting blurred vision (or double vision)
  • Frequent blinking and rubbing of the eyes
  • Eyes are often bloodshot.
  • When focusing on electronic screens or reading books, you need to squint or tilt your head to see clearly.
  • When looking at electronic screens or reading books, cover one of your eyes. 
  • When reading, I often overlook certain words.

If parents notice their child frequently exhibiting the above behaviors, there is a high likelihood they have developed myopia. It is recommended that parents promptly take their child for an eye examination and seek professional advice from an ophthalmologist.

及早控制兒童近視
可預防加深近視的風險

Children's Myopia: Don't Ignore It!

Children who frequently view electronic screens have a significantly increased risk of developing myopia. If parents notice their child has myopia, it is recommended to consult a professional ophthalmologist and pursue appropriate vision correction treatment. Currently, there is a " Children's AI Myopia Control Program ." This program can predict changes in a child's myopia over the next three years, enabling the provision of personalized myopia correction treatment plans for children.

Without corrective treatment, myopia is highly likely to worsen. The elongation of the eyeball will cause the retina to thin progressively, simultaneously increasing the risk of developing various eye diseases, such as retinal detachment and macular degeneration , and glaucoma and cataracts , among others. These complications can impair vision, and in severe cases, lead to blindness or loss of sight. Therefore, it is recommended to control myopia in children as early as possible and ensure timely correction!

Early eye examinations for children can effectively prevent or delay the progression of myopia, reducing the likelihood and risks of developing high myopia in the future.

Parents, please remind your children to start protecting their eyes from an early age by improving their daily habits!

Causes and Symptoms of Childhood Myopia Read More »