Conjunctivitis_Cover Image

Conjunctivitis (Pink Eye): Causes and Treatment Methods

Conjunctivitis, also known as pink eye, is a common eye condition. Early signs or precursors typically include itchy eyes and a sensation of having something in the eye. As it progresses, the entire eye may become red, accompanied by a burning sensation and possible blurred vision.Conjunctivitis can be caused by various factors, including viruses, bacteria, and allergies. Understanding the different types, symptoms, causes, and treatments of conjunctivitis can help us better prevent and manage this condition.

What is conjunctivitis?

Conjunctivitis, also known as pink eye, is an inflammation that causes redness, pain, and itching in the eyes. The conjunctiva is a thin membrane covering the eyelids and the white part of the eye, serving to moisturize and protect the eye. However, when this membrane becomes inflamed or irritated, the tiny blood vessels within it become engorged and swollen, leading to redness in the eye.Symptoms of conjunctivitis include redness, swelling, itching, increased tearing, and discharge. Depending on the underlying cause, symptoms may vary slightly.

Types of Conjunctivitis (Pink Eye)

Viral Conjunctivitis

Viral conjunctivitis is associated with the respiratory tract and caused by viral infections, with adenoviruses and enteroviruses being the most common pathogens. This type of conjunctivitis is highly contagious and typically spreads through direct contact with an infected person's secretions or contaminated objects. Symptoms include redness and swelling of the eyes, tearing, a burning sensation, and clear, watery discharge. Some patients may also experience inflammation at the inner corner of the eye.

Bacterial conjunctivitis

Bacterial conjunctivitis is caused by bacterial infection, with common pathogens including Staphylococcus aureus, Streptococcus, and Streptococcus pneumoniae. Symptoms of this type of pink eye include redness and swelling of the eye, pain, discharge of thick white or yellow mucus, and eyelids sticking together, especially upon waking in the morning. Inflammation of the eye caused by bacteria requires prompt treatment to prevent more serious eye health issues.

Allergic conjunctivitis

Allergic conjunctivitis is the most common type. It is triggered by allergens and is typically associated with seasonal or perennial allergies. This type of conjunctivitis is not contagious but causes extreme discomfort.

Seasonal allergies

Seasonal allergic conjunctivitis typically occurs in spring and fall and is associated with allergens such as pollen and grasses. Symptoms of this type of pink eye include itchy eyes, tearing, redness, and increased discharge.

Perennial allergies

Perennial allergic conjunctivitis can occur throughout the year, typically triggered by allergens such as dust, dust mites, pet dander, and mold. Its symptoms resemble those of seasonal allergies, though they are generally milder.

Giant Column Sensitive

Giant papillary conjunctivitis is a relatively uncommon allergic conjunctivitis typically associated with contact lens wear.Long-term contact lens wearers develop an uneven conjunctival surface, leading to eye inflammation. This type of red eye condition presents with severe itching and discharge. The solution is to never purchase contact lenses without professional guidance. Always seek a qualified ophthalmologist for fitting and follow their care recommendations to reduce the risk of complications and long-term effects.

Conjunctivitis (Pink Eye) Symptoms

  • red and swollen eyes
  • Tears
  • Itchy eyes
  • burning sensation
  • Increased discharge (which may be watery, thick, or purulent)
  • Swollen eyelids
  • A foreign body sensation in the eye
  • Blurred vision (in some severe cases)

Causes of Conjunctivitis

The causes of eye inflammation can generally be divided into three major categories: viral infections, bacterial infections, and allergies. Beyond these three types, contagion is also a common cause of eye inflammation.Conjunctivitis is typically spread through direct contact with an infected person's secretions or indirect contact with contaminated objects. Both viral and bacterial conjunctivitis are highly contagious, placing individuals in close contact with infected persons—such as family members, classmates, and coworkers—at higher risk. Conjunctivitis caused by allergens, however, is non-contagious and usually relates to an individual's allergic constitution.

High-risk groups for conjunctivitis:

  • Children and preschoolers: Because they are easily spread in school and kindergarten settings.
  • Individuals who have come into contact with infected persons: including household members and close contacts
  • Individuals with allergic constitutions: Prone to developing allergic conjunctivitis
  • Contact lens wearers: particularly those who wear them improperly or fail to follow hygiene guidelines

Treatment Methods for Conjunctivitis (Pink Eye)

How long does it take for a bacterial eye infection to heal? How can conjunctivitis be treated quickly? These are undoubtedly among the most pressing questions for anyone suffering from conjunctivitis. The treatment for pink eye depends on the underlying cause of the inflammation. Different types of pink eye require different approaches. Early diagnosis and appropriate treatment can alleviate eye inflammation symptoms, shorten the duration of the illness, and prevent complications.

Viral Conjunctivitis

Viral conjunctivitis resolves on its own without specific treatment, with symptoms typically subsiding within a few days to two weeks. Patients may use eye drops for pink eye and apply cold, damp compresses to reduce swelling and discomfort. It is important to note that due to its high contagiousness, patients should avoid touching their eyes whenever possible and frequently wash their hands to minimize transmission.

Bacterial conjunctivitis

Bacterial conjunctivitis typically requires antibiotic treatment. Antibiotic eye ointments or drops effectively treat pink eye, alleviate bacterial infections, shorten the duration of illness, and reduce the risk of transmission. When using antibiotics, follow your doctor's instructions and complete the full course of treatment.

Allergic conjunctivitis

The primary treatment for allergic conjunctivitis is avoiding allergens.If accidental exposure to an allergen causes allergic conjunctivitis, will it resolve on its own? As long as you promptly clean your eyes and avoid touching them with your hands, this type of allergic conjunctivitis will typically resolve within hours or days. If symptoms are particularly bothersome, a doctor may prescribe anti-allergy medication tailored to the patient's condition to alleviate inflammation of the conjunctiva.

How to prevent conjunctivitis?

  • Maintain good personal hygiene and wash your hands frequently.
  • Avoid touching or rubbing your eyes.
  • Do not share personal items such as towels and pillows with others.
  • Clean contact lenses regularly and follow proper wearing and cleaning guidelines.
  • Avoid contact with individuals infected with conjunctivitis.
  • During allergy season, try to avoid going outdoors or wear protective eyewear.
  • Avoid using expired or contaminated cosmetics.

We hope this article helps you better understand conjunctivitis. If you have further questions, feel free to click the button below to consult our professional ophthalmologists.

Frequently Asked Questions

How long does pink eye take to heal?

The course of conjunctivitis depends on the cause of the inflammation. Viral pink eye typically resolves on its own within a few days to two weeks; bacterial conjunctivitis usually improves within a week after antibiotic treatment; the duration of allergic conjunctivitis depends on exposure to the allergen, with symptoms lasting from hours to days.

What should I do about conjunctivitis (pink eye)?

If you suspect you have conjunctivitis, seek medical attention promptly to determine the cause and receive appropriate treatment. Avoid close contact with others to prevent spreading the infection, and maintain good personal hygiene.

Can I go to work with conjunctivitis?

After being diagnosed with conjunctivitis, especially viral or bacterial conjunctivitis, it is recommended to avoid going to work or school until the infectious period has ended to prevent spreading it to others. Patients with allergic conjunctivitis can decide whether to take time off based on their own symptoms.

How can conjunctivitis be cured quickly?

Early diagnosis and appropriate treatment can accelerate recovery from conjunctival inflammation. For bacterial conjunctivitis, following the doctor's instructions for antibiotic use is crucial. For viral conjunctivitis, the primary goals are symptom relief and preventing transmission. Allergic conjunctivitis requires avoiding allergens and using anti-allergy medications.

Can conjunctivitis cause blindness?

Conjunctivitis typically does not cause blindness, but if left untreated or accompanied by other eye conditions, it may lead to serious complications that affect vision. Therefore, early diagnosis and treatment are crucial.

結膜炎(紅眼症)原因及治療方法 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 »

乾眼症眼藥水

Is eye drops enough for dry eye syndrome? An ophthalmologist breaks it down for you.

乾眼症,顧名思義即是感覺眼乾乾,稍微用眼工作一會就覺得眼睛疲勞、酸澀,嚴重影響生活質量。乾眼症通常是由於淚水分泌不足或瞼板腺分泌異常等而導致眼睛表面乾燥,症狀包括眼睛乾澀、灼熱感、模糊視力、異物感和眼紅等。

因此,許多人會隨意購買標榜治療乾眼症的眼藥水來緩解症狀,然而,這些眼藥水並不一定適合每個人。下文就帶您了解更多乾眼症眼藥水的資訊和眼乾的解決方法。

乾眼症滴眼藥水會好嗎?

乾眼症滴眼藥水可以在一定程度上舒緩症狀,原理是補充眼睛所需的淚液,減少摩擦。然而,不同的眼藥水含有不同的成分,有些可能含有防腐劑或藥物成分,長期使用會對眼睛造成傷害。因此,不建議隨便購買眼藥水。若有乾眼症狀,最好先諮詢眼科醫生,確定病因並根據醫生建議選擇適合的眼藥水。

乾眼症眼藥水的種類

Artificial tears

人工淚液是最常見的乾眼症眼藥水,適合症狀較輕的患者,其主要成分包含保持黏度的纖維素,防止蒸發的分散劑及防腐劑等。人工淚液可以減輕乾眼症狀,避免角膜傷害,並維持眼球表面的光滑。人造淚水包括藥水型、凝膠型和藥膏型三種,您可以先諮詢眼科醫生再選擇適合的人造淚水去改善眼乾症狀。

  • 藥水型:這是最常見的水狀眼藥水,每款產品所含的潤滑劑和保濕劑成分不同,因此效果也有所差異。
  • 凝膠型:比藥水型更黏稠,保濕效果較好,能延長水分在眼中的停留時間。點用後可能會導致輕微視力模糊,若擔心影響工作,可於晚上睡前使用。
  • 藥膏型:效果最持久,使用後閉眼5分鐘,並轉動眼球使藥膏均勻分布。由於會導致短暫的視力模糊,建議在晚上睡前使用。

Autologous serum 

有些較嚴重的乾眼症患者可能無法通過滴人造淚水來緩解症狀,這時眼科醫生就會建議使用自體血清眼藥水。自體血清眼藥水是利用患者自己的血液製成,這些血清含有生長因子,具有抗炎和促進癒合的效果,而且能有效滋潤眼睛。

由於這種眼藥水不含防腐劑,因此在使用時需要特別小心,避免眼藥水受污染。

抗炎眼藥水

這類眼藥水除了含有抗炎成分,還有類固醇和環孢菌素等成分,雖然抗炎眼藥水能減輕乾眼症狀,但長期使用含有類固醇的眼藥水可能會造成其他更嚴重的眼部疾病,因此使用前需要聽取醫生的建議。

眼睛乾澀即是乾眼症?眼藥水邊隻好?

不少人在眼睛不舒服時,常會隨意使用親友推介的眼藥水來舒緩不適。然而,眼乾不一定是乾眼症引起的。如果使用錯誤的藥物,不僅無法改善不適,還可能使情況惡化。

當你懷疑自己患上乾眼症時,可以根據以下問題進行自我檢測:

  1. Do you often experience dry or tired eyes?
  2. Feeling tightness or heaviness in your eyelids?
  3. Blurred vision with a foreign body sensation?
  4. Do your eyes often feel itchy?
  5. 早晨起床時眼睛分泌物多且黏稠?
  6. 眼睛對光、風、煙等外在刺激很敏感?
  7. 在有冷氣的地方眼睛感到不適?
  8. 眼睛有灼熱感或刺痛感?

如果出現2個或以上的症狀,很大可能是患上乾眼症。然而,在購買乾眼症眼藥水前,需要先了解乾眼症成因,才能進行正確的治療。究竟眼藥水變隻好,建議在進行檢查後再諮詢眼科醫生會比較好。

如何正確使用乾眼症眼藥水?

在獲得醫生的藥方後,正確的使用眼藥水亦是相當重要的,如果沒有正確的滴眼藥水,藥效有可能會降低,導致需要更長的時間去改善乾眼症。下面就為您列出一般使用乾眼症眼藥水的步驟:

  1. 確保雙手清潔
  2. 將頭仰後,眼向上望,輕輕把下眼皮拉下成袋狀
  3. 根據醫生的建議用量將眼藥水滴入眼袋內
  4. 滴藥後輕閉眼晴,用清潔紙巾拭去流出眼外的多餘藥水,同時以手指輕壓眼角鼻樑處, 以防止藥水流失。

除了滴眼藥水,還有哪些眼乾解決方法?

滴眼藥水是最普遍治療乾眼症的方法,如果無法改善症狀,或您需要快速解決乾眼的方案,便可以考慮其他更快速有效的治療方法:

強脈衝光(IPL)療程

強脈衝光療程利用脈衝光發出的能量軟化瞼板腺體阻塞的油脂,改善油脂品質和幫助消炎,特別適合瞼緣炎患者。

LipiFlow 熱量脈動

LipiFlow熱度脈動治療是以局部加熱按摩方式,將阻塞的瞼板腺的油脂融化,讓油脂可以正常分泌,緩解乾眼症狀。這種治療方法可以持續9個月到3年的效果,特別適合無法熱敷的患者。

BlephEx 眼瞼衛生

BlephEx是一種深層清潔方法,能去除眼瞼和睫毛根部的細菌、生物膜、蠕形蟎、頭皮屑、片狀和死細胞堆積,保持瞼板腺開口處通暢,改善眼睛乾澀的症狀。

Lacrimal Duct Occlusion Surgery

淚小管栓塞手術通過阻塞淚小管開口,讓淚液留在眼表面,維持眼球上的淚膜穩定,以緩解乾眼症。

最後,建議大家不要自行購買不適合的乾眼症眼藥水,也不要隨意推介他人使用您覺得有效的乾眼症眼藥水,因為乾眼症的成因不同,解決方法也會有所不同,如果感覺眼睛不適,可以和我們的眼科醫生預約,進行進一步的檢查。

乾眼症滴眼藥水即可?眼科醫生為您剖析 Read More »

5 Methods for Correcting Presbyopia_Cover Image

How to Correct Presbyopia? Ophthalmologists Break Down 5 Major Correction Methods!

Presbyopia is a vision problem that develops with age, affecting nearly everyone, typically around the age of 40. Many people with presbyopia avoid wearing reading glasses out of fear of being mocked for their age, which can negatively impact their daily lives.

However, an increasing variety of methods for correcting presbyopia are now available on the market, making reading glasses no longer the only option. For instance, Presbymax laser surgery for presbyopia, highly recommended by ophthalmologist Dr. Tang Wenjie, not only eliminates the inconvenience of wearing reading glasses but also restores vision to its youthful clarity.

Treatment Methods for Presbyopia

Although presbyopia is not considered a serious eye disease, the degree of presbyopia gradually increases with age, affecting people's quality of life. Therefore, many individuals consider undergoing presbyopia surgery to correct their vision.

LBV Presbyopia Correction

Laser Blended Vision (LBV) for presbyopia correction is a method that uses laser to reshape the cornea, thereby improving presbyopia. Its operating principle involves altering the curvature of the cornea to adjust light refraction. This not only corrects presbyopia but also enhances stereoscopic vision, ensuring excellent vision at both distance and intermediate ranges.

However, LBV refractive surgery is not suitable for everyone. For instance, patients with eye conditions such as keratoconus, cataracts, or glaucoma may not be eligible for this type of procedure.

SMILE Presbyopia Correction

Smile Presbyopia Correction utilizes a femtosecond laser system (Carl Zeiss VisuMax) to reshape the dominant eye into a plano state (for viewing at medium and long distances), while leaving the non-dominant eye with approximately 50 to 200 degrees of myopia (for near vision), thereby improving presbyopia.

The key feature of Smile refractive surgery is that it does not require a full corneal flap. Instead, a small 3-millimeter incision is made at the periphery to remove the tissue. This results in high safety, short recovery time, and fewer cases of dry eye post-surgery.

However, this type of surgery is not suitable for individuals with hyperopia, myopia exceeding 1000 diopters, or astigmatism exceeding 500 diopters. Furthermore, the monovision principle employed in SMILE presbyopia correction may result in blurred intermediate vision and reduced depth perception.

Presbymax Presbyopia Correction

Presbymax presbyopia correction technology is currently one of the globally recognized methods for effectively improving presbyopia.The procedure involves the doctor using laser to reshape the cornea, creating a convex lens effect to correct presbyopic vision issues. This surgery incorporates a slight spherical aberration, enhancing binocular depth of field, extending focal length, and modifying chromatic aberration. This not only ensures clear vision at all distances—far, intermediate, and near—but also preserves original color perception and depth sensitivity without causing glare.

Presbymax presbyopia correction is the most advanced and mature laser vision correction procedure for presbyopia today, with high patient satisfaction rates. Compared to LBV and SMILE, Presbymax is more suitable for the majority of presbyopic patients.

Monocular Vision Surgery

單眼視覺手術是通過激光矯視除老花。其原理是將主力眼矯正至0度,另一隻眼睛保留近視度數,以抵消老花。這類手術適合有近視和沒有白內障的人士。

However, due to the significant difference in prescription between both eyes after surgery, a certain period of adaptation is required. Some individuals may be unable to adjust to this change and may need to consider undergoing another procedure. Additionally, presbyopia may worsen again post-surgery, potentially necessitating the use of reading glasses in the future.

Multifocal Intraocular Lens

Multifocal intraocular lenses (IOLs) are implantable "glasses"—a versatile type of artificial lens offering full-range capabilities for distance, intermediate, and near vision. They can simultaneously address presbyopia, nearsightedness, or farsightedness. Presbyopic patients also suffering from cataracts may consider this type of surgery to resolve both conditions at once.Multifocal IOLs are made from flexible materials like plastic or silicone, and patients generally do not feel the presence of the lens. However, this procedure is invasive, requiring careful postoperative care to prevent bacterial infections or lens displacement.

How to Choose Presbyopia Surgery?

Presbyopia correction surgery continues to innovate, resulting in today's diverse range of presbyopia correction methods. However, not all procedures are suitable for everyone.Therefore, when selecting presbyopia surgery, careful consideration of multiple factors is essential. These include eye health history, degree of myopia/hyperopia/astigmatism, personal lifestyle habits, and the cost of presbyopia correction. To achieve optimal results, doctors typically conduct comprehensive preoperative examinations to assess eye health before determining the appropriate treatment approach.

湯文傑醫生表示,Presbymax老花矯視技術是目前全球認可及成熟的老花矯視方法之一。經過Presbymax手術的患者滿意度極高,而且在香港,老花矯視收費也相對親民。手術時長非常短,大約10分鐘即可完成,24小時内患者便可正常活動,數周內視力可完全恢復,毫無不適感,因此Presbymax才能成爲老花矯視的最佳選擇。

Risks of Presbyopia Correction

Presbyopia correction surgery is typically classified as a minimally invasive procedure, featuring small incisions and relatively short recovery times. However, it's important to note that all surgeries carry inherent risks. Therefore, before considering this procedure, it's essential to understand some potential risks associated with presbyopia correction surgery.

  • Wound infection: After surgery, it is essential to properly care for the wound according to your doctor's instructions to prevent bacterial infection.
  • Glare and double vision: Some patients may experience glare or double vision after presbyopia correction surgery, which can affect nighttime driving.
  • Photophobia: Some patients may experience increased sensitivity to light after surgery, which may cause discomfort in bright environments.
  • Overcorrection or undercorrection: Although doctors meticulously plan correction strategies before surgery, they cannot guarantee 100% accuracy. If patients experience discomfort, a second surgery may be required to improve the outcome.
  • Corneal Issues: In extremely rare cases, surgery may lead to corneal complications such as corneal scarring or corneal epithelial hyperplasia.

Risks associated with presbyopia correction may vary depending on the specific procedure. It is advisable to request a detailed explanation from your doctor before selecting any corrective surgery. Of course, these risks are not common and may be temporary. As long as you seek assistance from a qualified ophthalmologist, there is no need for excessive concern.

老花該如何矯視力?眼科醫生解析5大矯視方法! Read More »

5種改善老花眼的方法_封面圖

5 Ways to Improve Presbyopia

老花是一種與年齡有關的視力問題,當人們達到40歲左右時,就會開始發現看近物聚焦時感到困難,需要將物體拉遠離眼睛才看得清楚。

那麽,老花可以改善嗎?要如何改善老花眼?首先,老花是大家都無法避免的視力問題,只要到達一定年齡眼睛結構就會自然老化,導致視力下降。然而,隨著醫學的進步,現在已經有多種方法可以有效矯正老花眼的問題。

接下來,本文將深入探討5種改善老花眼的方法,以助您的老花眼得到改善。

佩戴老花眼鏡

佩戴老花眼鏡是改善老花眼最常見的方法之一。目前市面有單焦鏡片和漸進鏡片2種選擇:單焦鏡片即是只能看清固定距離的物體,只有在需要看近物的時候才佩戴;漸進鏡片就可以同時看清,遠、中、近事物。雖然漸進式老花眼鏡看起來好似比較方便,但這類鏡片的設計較爲特殊,因此對一些人來説可能會因爲不適應而出現頭暈的情況。

如果覺得傳統式老花眼鏡不方便,或因爲工作原因不適合佩戴眼鏡,也可以考慮佩戴老花Con。具體該選擇老花眼鏡或是老花con則需要依據個人生活習慣和適應能力而定,或可尋求眼科醫生的建議。

進行眼部運動

適當的眼部運動不止能夠改善老花,也能有效預防老花眼或其他眼睛疾病。護眼運動並沒有規定說要在哪一個時間段進行,只要每天堅持做眼部運動就會有效果。

眨眼運動

眨眼運動能夠伸展睫狀肌,使眼部肌肉恢復彈性,并且有效促進血液循環。

  1. 緊閉眼2秒,睜眼看上5至10秒
  2. 緊閉眼2秒,睜眼看下5至10秒
  3. 緊閉眼2秒,睜眼看左5至10秒
  4. 緊閉眼2秒,睜眼看右5至10秒

眼部對焦運動

伸出一個大拇指,將眼睛對焦在大拇指,並將大拇指緩慢靠近眼睛,再拉遠離眼睛,如此反復交替,便能有效訓練睫狀肌,改善老花眼。

保持良好生活習慣

良好的用眼習慣是改善和預防老花眼的重要方法之一。在使用電子產品時避免字體太細,防止長時間瞇眼而導致晶狀體和睫狀肌用力過度加速老化。另外,盡量每小時閉眼或望向遠方5~10分鐘,給眼睛適當的休息時間,以緩解眼睛壓力。

此外,由於老花度數會隨著年齡逐步加深,因此都會建議每年進行1~2次的眼睛檢查,再根據眼科醫生提供的方法去改善老花眼。

攝取護眼食物

除了以上改善老花眼的方法外,我們平日也可以多攝取護眼食物來改善或預防老花眼的症狀。建議平日要多注意補充下列營養素,以維護眼睛健康:

Omega-3脂肪酸

可從魚類中攝取,如:三文魚、沙丁魚等。

葉黃素

葉黃素是護眼不可或缺的營養素,可從鷄蛋、菠菜等食物中攝取。

維他命A、C、E

維他命A、C、E含有豐富的抗氧化物質,能夠有效緩解眼睛老花速度,從而改善老花眼。這些營養素可從水果中獲取,如:芒果、獼猴桃、牛油果等等。

除了以上營養素,還有玉米黃素、花青素、β-胡蘿蔔素等等都具有護眼功效,也可尋求眼科醫生或營養師提供護眼食物上的意見。

進行矯視手術

對於那些希望能夠快速解決老花問題的人來説,矯視手術可能是一個理想的選擇。下面將介紹幾種常見的老花眼矯視手術

白内障手術

如果老人家罹患白内障的話,執行白内障手術也是一種能夠同時改善老花眼的方法。那麽白内障手術是如何改善老花眼的呢?在開始白内障手術前,患者可以在醫生的幫助下選擇適合的人工晶體植入眼内。然而,需要注意的是,植入人工晶體後可能會出現光暈、眩光和較低的對比敏感度等副作用。因此,醫生一般都會建議患者在手術前嘗試佩戴con進行視覺矯正測試。

LBV Presbyopia Correction

Laser Blended Vision,即LBV老花矯視是一種通過激光矯正角膜形狀,從而改善老花眼的其一方法。它的操作原理是通過改變角膜的曲率,調整光線的折射,從而改善視力問題。然而,LBV老花矯視並不適合所有人,例如患有圓錐角膜、白內障、青光眼等眼部疾病的患者,可能無法進行此類手術。

SMILE 老花矯視

Small Incision Lenticule Extraction,SMILE老花矯視利用了Carl Zeiss VisuMax飛秒激光系統,將主力眼打成平光沒有度數,而非主力眼保留約50-200度近視以抵消老花。SMILE老花矯視可以在不用打開角膜瓣的情況下,在約3毫米的微小切口取出以切割好的角膜組織,從而改變角膜弧度,達到矯正老花眼的效果。然而,SMILE老花矯視也有一定的局限性,例如對於遠視、近視度數過高的人可能不太適合進行此類手術。

Presbymax 老花矯視

Presbymax老花矯視是目前受全球認可有效改善老花眼的方法之一。通過在角膜表面施加激光,形成一種凸透鏡效果,從而改善老花眼的視力問題。這種手術更加入了Spherical Aberration輕微球面像差,增加雙眼景深,延長焦點,改變色差,這樣不但使遠、中、近全距離清晰,更不會影響原有的顏色及立體感敏銳度,亦不會有眩光問題。Presbymax老花矯視是現代最先進且成熟的老花激光矯視療程,患者滿意度都很高,比起LBV和SMILE,Presbymax更適合大部分老花患者。

總之,想要改善老花眼並非難事,只要通過正當的方法便可改善老花眼。欲瞭解更多,歡迎點擊以下按鈕聯絡我們的眼科醫生,爲您的個人情況去制定適合的方案。

5 種改善老花眼的方法 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 »

Hyperopia and Presbyopia_Cover Image

What's the Difference Between Hyperopia and Presbyopia? A Detailed Explanation of Causes and Treatment Methods

老花和遠視都是在看遠距離事物時視野清晰,看近時感覺模糊,因此人們常常混淆老花和遠視。然而,老花和近視是兩種完全不同的視力問題,各自的矯視方法也有些許不同。下文將爲你𨤳清老花和遠視的分別,及如何矯正老花和遠視。

什麼是老花?

老花是一種與年齡相關的視力問題,當人們達到40歲左右時,眼睛的水晶體會逐漸失去彈性,使得眼睛在看近距離的物體時變得困難,尤其是在閱讀小字體或進行近距離工作時,常常需要把它們拿遠離才看得清。不但如此,常時間用眼還會容易導致頭痛、眼睛酸痛等等症狀。

老花是大家都無法避免的視力問題,假設你沒有近視、遠視或其他視力問題的話,一般人會在40歲開始出現100度左右的老花眼,其後每年的老花度數會平均增加10度;直到60歲後,度數就會逐漸趨緩。


以下老花度數表只是一個大致參考,老花度數一般以英文字母“D”(Diopter,度)來衡量,例如+1.00D,就是老花度數為100度。

年齡和老花眼度數對照表
年齡老花度數
40歲+1.00D
50歲+2.00D
60歲+3.00D
60歲以後度數趨緩

什麼是遠視?

遠視一種與眼球結構有關的視力問題,一般遠視都是先天性的。如果父母其中一人有遠視的話,孩子也很大幾率患有遠視問題。

遠視主要成因是因爲眼球軸長度過短或角膜曲率太平,導致焦點落在視網膜後面,而不是直接將物體聚焦在視網膜上。與老花眼相同,遠視的人可以看清楚遠處的事物,但看近距離物體時可能會感到模糊,而且長期近距離用眼時會有頭痛或眼睛緊綳的症狀。

如何分清老花及遠視?

老花及遠視徵狀看似相同,但它們卻是兩種不同的視力問題。遠視是因爲眼球軸較短而導致事物無法聚焦在視網膜上;老花則是與年齡相關的視力問題,主要形成原因是因爲睫狀肌和水晶體功能退化,導致聚焦變得困難。

以下圖表簡單概括老花和遠視的徵狀、成因、如何預防和治療方法。

Presbyopia遠視
徵狀近距離影像模糊近距離影像模糊
成因睫狀肌老化,晶狀體僵硬眼球軸較短角膜弧度平坦
高危族群年齡40歲以上家族遺傳
預防方法*老花無法避免,只能減緩老花速度
避免過度用眼健康飲食40歲後定期進行眼睛檢查
*遠視是先天的,只能減緩度數加深
定期進行眼睛檢查儘早矯視
治療方法老花眼鏡老花隱形眼鏡老花矯視手術眼鏡隱形眼鏡矯正手術

有遠視還會有老花嗎?

這是因爲老花與年齡相關,人人都無法避免。但遠視的人比起近視的人會更早出現老花現象,因爲老花和遠視的度數不能互相抵消。此外,若遠視患者沒有及時矯視的話,睫狀肌可能會因爲長期過度使用而加速老化。因此,即便有遠視,隨著年齡增長依然會出現老花眼的症狀。

如何治療老花及遠視

隨著醫學技術不斷發展,矯正老花及遠視不在局限於佩戴傳統眼鏡,無論是手術或佩戴隱形眼鏡,都能做到客制化的矯視效果,同時改善老花及遠視問題。

老花眼鏡

佩戴老花眼鏡是改善老花眼的最常見方法之一。度數匹配的老花眼鏡可以在近距離提供清晰的視野,幫助患者克服閱讀和近距離工作時的困難。然而,有些人爲了方便而自行在街邊隨意購買老花眼鏡,長期佩戴下來反而會傷害眼鏡。因此,一定要尋求專業眼科醫生驗配適合你度數的老花眼鏡才是明智的選擇。

對於原本就有遠視問題的人,就可能需要再配副老花眼鏡,並且需要在不同情況下更換眼鏡,這可能會造成部分人的困擾,這時就可以考慮選擇多焦鏡片以解決同時存在的老花和遠視問題。

老花con

雖説是老花con,但其設計原理和傳統的多焦鏡片相似,因此現今的老花con不再只專注于改善老花,亦能改善遠視或其他視力問題。通常這類老花con需要找專業眼科醫生爲你驗配,也並非每個人適合佩戴隱形眼鏡,因此在驗配前需要先檢查眼睛狀況。

老花矯視手術

現代老花手術是一種根本解決老花及遠視問題的方法,讓患者不再依賴老花眼鏡或隱形眼鏡。特別是最新的Presbymax老花矯視技術,能夠同時矯正遠視,使患者能夠擁有清晰的視野,不再受到老花和遠視的困擾。

Presbymax 最大的優勢在於它可以實現遠、中、近全方為的立體視覺,無論是否有散光、近視或遠視,Presbymax老花矯視手術都能完美的解決這些視力問題。此外,這類手術時間短,,傷口小,多數患者在24小時内就能恢復日常活動,成功率極高。

對於一些不想佩戴傳統眼鏡或不適合佩戴老花con的人來説,Presbymax老花矯視手術可説是最高性價比的選擇。

遠視和老花有甚麼分別?詳解成因及治療方法 Read More »

Presbyopia and Astigmatism_Cover Image

Presbyopia vs. Astigmatism: Can't Tell Them Apart? One Article to Clarify

隨著年齡的增長,許多人可能會開始發現看事物變得模糊,閲讀變得困難,這種情況通常稱爲老花。然而,罹患散光眼的患者在看事物時同樣也會遇到視力模糊的問題,因此,很多人常常混淆老花和散光。這兩者該如何區別?老花和散光同時出現的話又該如何處理?下文將一一為你解釋。

什麼是老花?

老花是一種隨著年齡增長而發生的視力問題。老花主要影響到人們對近距離物體的清晰度,尤其是在閱讀小字或執行細微工作時。

老花發生的主要成因是因爲眼睛中的晶狀體變得僵硬,使其難以調整焦距以看清近距離的物體。這種變化是由於眼睛組織的老化,導致晶狀體失去彈性和靈活性。老花通常在40歲左右開始出現,並會隨著年齡的增長而加劇,直到60歲後度數的上升趨勢才會逐漸減慢。

什麼是散光?

散光是一種屈光不正的現象,可分爲先天性和後天造成,無論是哪種散光,其主要症狀都是看事物時會出現曡影影像模糊或扭曲的情況。

在正常的情況底下,光線會通過角膜、水晶體和玻璃體後,在視網膜上聚為一個焦點,形成清晰的影像。如果角膜的弧度不規則的話(即,角膜不是呈正圓的半球體),光線就無法正常通過,形成多焦點的現象。

老花和散光的分别

老花和散光是兩種不同的視力問題。散光是指光線聚焦不同,導致遠近距離畫面出現模糊或扭曲;而老花則是因爲眼球結構老化造成近距離視力喪失。

以下圖表簡單概括老花和散光的徵狀、成因、如何預防和治療方法。

Presbyopia散光
徵狀近距離影像模糊閲讀困難遠近事物有曡影影像扭曲
成因睫狀肌老化,晶狀體僵硬角膜弧度不規則
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*先天性散光無法避免,只能維持良好用眼習慣,避免散光加速惡化
治療方法老花眼鏡老花隱形眼鏡老花矯視手術散光眼鏡散光隱形眼鏡手術

有散光會有老花嗎?

老花是一種眼睛老化的現象,每個人都會有老花眼,只是來的快或慢而已。因此,無論是否有近視、遠視或散光問題都會患上老花。

如何同時治療老花眼和散光?

上文提到,老花和散光是兩種完全不同的視力問題,但現有的老花矯視方法一般都能同時改善散光。一般輕微的散光(100度以内)並不需要特別治療,同時擁有老花眼和散光的患者可以在需要時佩戴老花眼鏡或老花con,如果感覺到視力不佳或感覺影像怪怪的,則需要向專業眼科醫生另尋方案。

以下是一些能夠同時改善老花和散光的普遍治療方案:

漸進式眼鏡

漸進式眼鏡能夠同時改善老花、散光、近視、遠視等問題,增加影像的清晰度。然而,由於特殊的鏡片設計,初次佩戴時可能會感到不適,需要一段時間來適應。對於一些人來說,佩戴眼鏡可能在工作上造成不便或覺得不美觀,因此可以考慮選擇佩戴隱形眼鏡,同樣能夠有效改善老花和散光問題。

漸進式隱形眼鏡

漸進式隱形眼鏡的原理和漸進式眼鏡相同,能同時改善多種視力問題。但是如果沒有佩戴過隱形眼鏡的人可能需要時間去適應它,同時也需要根據醫生指示使用,以眼部避免感染。然而,這類con的最高散光度數只能在大約在225度左右,若你的散光度數太高的話,就只能尋求眼科醫生擬定其它矯視方案。

角膜塑型片(Ortho-K)

角膜塑型片是一種矯正型隱形眼鏡。散光眼患者在睡覺時佩戴可以調整角膜弧度,睡醒后取下便能擁有正常的角膜弧度,這時患者就只需要佩戴老花眼鏡便能看清楚近距離事物。

Refractive Surgery

隨著醫療科技不斷地進步,現今的矯視手術已有多種選擇。對於散光和老花度數較深的患者,可以參考眼科醫生的建議,選擇合適的矯視手術方案,以重拾視力。

然而,要注意的事,老花會隨著年齡而加深,因此,在矯視手術的幾年後仍可能需要佩戴老花眼鏡或老花con來保持良好的視覺。

無論選擇哪種治療方法,都應該根據個人的情況和需求來進行選擇。因此,在決定治療方法之前,最好向眼科醫生諮詢以獲得專業建議。

老花、散光傻傻分不清?一文睇清 Read More »

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Is your presbyopia getting worse? How can you improve it?

老花是一種與年齡有關的自然現衰老現象,它是因爲眼球的睫狀肌調節能力退化和水晶體老化而造成的。老花會使人看近物時難以聚焦,導致影像變得模糊,特別是在閲讀時需要將手機或報紙拿遠離才看得清。不但如此,老花的度數會隨著年齡持續加深,因此,若想要有清晰的視力就必須佩戴老花眼鏡或尋求醫生給予其他矯視方案。

如何辨認老花?

老花眼通常會在40歲左右開始出現,並且老花度數會隨著年齡的增長持續惡化。以下是一些早期的老花症狀:

  • 閲讀時需要將文字放大或拿遠一點才能看清
  • 閲讀時視線難以聚焦,容易感到頭痛
  • 眼睛容易感到疲勞、酸痛
  • 在看遠處後馬上看近物時會感覺對焦變慢
  • 近視的人開始覺得不需要帶眼鏡也可以看得清
  • 在光線昏暗的地方很難看得清

雖然目前沒有老花眼的根治方法,但還是有幾種方案可以矯正視力,如:佩戴老花眼鏡、老花con、激光矯視或手術等。若你發現開始出現以上幾種症狀,建議尋求眼科醫生進行檢查,醫生通常會通過視力檢查和測量老花度數來確定診斷,再推薦合適的矯正方法。

老花度數計算方法

老花度數一般以英文字母“D”(Diopter,度)來衡量,例如+1.00D,就是老花度數為100度。假設你沒有近視、遠視或其他視力問題的話,一般人會在40歲開始出現100度左右的老花眼,其後每年的老花度數會平均增加10度;直到60歲後,度數就會逐漸趨緩。

年齡和老花眼度數對照表
年齡老花度數
40歲+1.00D
50歲+2.00D
60歲+3.00D
60歲以後度數趨緩

以上老花度數表只是一個大致參考,實際情況因個人而異,建議大家尋求眼科醫生進行眼睛檢查,獲取確切的老花度數後才購買合適的老花眼鏡。

近視和老花度數可以互相抵消嗎?

近視和老花是兩種不同的視力問題,其成因也有所不同。近視是因為眼睛屈光不正,導致看遠事物時看不清;而老花眼則是睫狀肌和水晶體功能退化,導致看近物時影像模糊。然而,同時擁有近視眼和老花眼的人在某一個年齡階段,確實可以不必佩戴眼鏡也可以看得清近事物,這是因為近視的度數剛好和老花增加的度數相同,因此可能會誤以爲自己沒有老花。

儘管如此,近視和老花度數並不能互相抵消,因爲近視度數不會因為年紀增加而降低。同時擁有近視和老花眼的人雖然在看近物時無需佩戴眼鏡,但在看較遠事物時依然需要近視眼鏡才能看得清晰。因此,當你發現有老花眼後,就需要考慮換副多焦鏡片的眼鏡或尋求專業眼科醫生的其他矯視方法。

如何選擇老花眼鏡?

一旦發現老花眼,最方便的解決方法就是佩戴老花眼鏡。儘管佩戴老花眼鏡後度數仍然會加深,但這可以大幅減輕眼睛的疲勞程度,減輕看近物的負擔。

另外,也有些人可能會自行購買老花眼鏡,但是每個人的老花度數可能略有不同,而且有些人可能還存在近視或遠視問題,隨意佩戴不合適度數的眼鏡只會造成不適。

在鏡片的選擇上,市面上有單焦鏡片和漸進鏡片兩種選擇。單焦老花鏡片只能看清楚固定距離的物體,只有需要看近物時才佩戴。對於有近視或遠視問題的人來說,則需要經常更換不同功能的眼鏡。而漸進鏡片就可以同時看清遠、中、近距離的物體,但這類鏡片的設計較爲特別,需要適應時間。

如果你覺得戴傳統式老花眼鏡不方便,或因工作原因不適合佩戴眼鏡,也可以考慮驗配老花漸進con。要注意的是,比起傳統式老花眼鏡,與眼球零距離接觸的老花con需要嚴格遵從醫生指示使用,特別是老花con的保養和清潔方面,避免引起細菌感染或引發其他眼睛健康問題。

Presbymax老花激光矯視手術

除了佩戴老花眼鏡或老花con,現今還有一種Presbymax老花激光矯視手術,它能夠一次解決老花眼、近視等視力問題,讓你完全抛棄佩戴老花眼鏡。

Presbymax適用於40至60歲、無白內障的老花患者。醫生會透過激光,打磨角膜改變弧度,於主力眼將近視、遠視、散光矯正至接近0度,用以看遠距離影像。另一隻眼預留或製造約150至250度近視,用於看近距離影像及抵銷老花,更會加入Spherical Aberration輕微球面像差,增加雙眼景深,延長焦點,改變色差,從而為雙眼創建『融合區』。這樣不但使遠、中、近全距離清晰,更不會影響原有的顏色及立體感敏銳度,亦不會有眩光問題。

再者,手術最快10分鐘可完成,安全且不會產生不適感覺,大多數人可以在手術後24小時恢復正常活動,數周內已可回復完美視力,適合大多數老花患者。

無論是選擇老花眼鏡、老花con或矯視手術,應該根據個人的生活習慣,並尋求專業醫生的建議進行選擇。

Frequently Asked Questions

老花幾度算嚴重?

老花的嚴重程度通常取決於度數的高低。一般來說,老花度數越高,影響就越明顯。但每個人的情況都不同,有些人可能只有輕微的老花度數就會感到困擾,而有些人則可能需要更高度數的眼鏡才能得到明顯改善。

老花度數會增加嗎?

隨著年齡的增長,老花度數通常會逐漸增加,並且不會變淺,如果突然感覺老花眼變好了,有可能是白内障的徵兆。因此,醫生一般都會建議老花眼患者定期檢查眼睛,在需要的時候更換眼鏡度數來應對老花的變化。

老花眼鏡度數怎麼選?

選擇老花眼鏡的度數應該是根據你的眼睛檢查結果和醫生的建議來確定的。眼科專業人士會幫助你測量你的老花度數,並幫助你選擇最適合你需求的眼鏡。記得定期檢查以確保你的眼鏡度數仍然適合你的需求。

無論是哪種程度的老花,及早識別並配戴適合的老花眼鏡對維護良好的視力和生活品質至關重要。建議大家一定要定期進行眼睛檢查,以確保你的眼睛健康和視力狀況。

老花度數有增無減?如何改善老花? Read More »