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Wang Hui Zhen
Ophthalmology
About me
Ophthalmology, Associate Chief Physician.
Proficient in diseases
Diagnosis and treatment of common eye diseases.
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Early symptoms of glaucoma
There are many types of glaucoma, and the symptoms vary between different types. Some patients with glaucoma might not have noticeable symptoms in the early stages; others may only experience mild eye soreness and occasional blurred vision, which can improve with rest; some present with insidious vision decline and field defects. Glaucoma refers to a group of progressive optic nerve damage that eventually impairs vision, mainly associated with pathological elevation of intraocular pressure. Glaucoma is the second leading cause of blindness worldwide, and it is the top irreversible blinding eye disease. Common symptoms of glaucoma include blurry vision, vision decline, field defects, and acute attacks, often accompanied by eye pain, headache, nausea, vomiting, and more. If glaucoma symptoms occur, or there is a suspicion of glaucoma, it is advised to visit an ophthalmology clinic for comprehensive examinations like visual acuity, intraocular pressure, fundus examinations, etc., to determine the cause and provide targeted treatment, actively reduce intraocular pressure, and protect the optic nerve.
What are the early symptoms of cataract?
Early symptoms of cataracts are not obvious in some patients, while others may experience mild blurriness of vision. As the lens becomes cloudier, the blurriness will gradually worsen, and symptoms such as nearsightedness, glare, and double vision may also appear. In advanced stages, some may develop glaucoma, leading to symptoms like eye pain, headache, nausea, and vomiting, and in severe cases, it can cause blindness. Cataracts are a common and prevalent eye disease and are the leading cause of blindness worldwide. The lens, an important optical component of the human eye, is normally transparent. Cataracts can form due to various reasons leading to protein degeneration in the lens, causing it to become cloudy and result in various degrees of vision loss. It is recommended that patients with cataracts regularly visit ophthalmologists and consider cataract removal surgery if necessary.
Does night blindness lead to blindness?
Night blindness, if severe, can lead to blindness. Night blindness refers to blurred vision at night or in dimly lit environments, or even total inability to see, causing difficulty in movement and affecting normal life. Night blindness can be categorized into congenital night blindness, acquired night blindness, and temporary night blindness. Congenital night blindness is mostly related to congenital genetic factors, where patients are born with a lack of the ability to synthesize rhodopsin, leading to night blindness. Acquired night blindness is often due to diseases of the retina itself, and it is advisable to actively treat the underlying disease, which can cure most cases. Temporary night blindness is mostly due to a lack of vitamin A in the diet or due to certain digestive system diseases affecting the absorption of vitamin A, for which it is advisable to follow medical advice and supplement with an appropriate amount of vitamin A and other treatments.
What will happen if night blindness is not treated?
Night blindness, if left untreated, can progress slowly in some cases and more rapidly in others, potentially leading to blindness quickly. Therefore, it is recommended to visit a hospital for diagnosis and targeted treatment if night blindness occurs. Night blindness refers to the blurriness or even complete inability to see in low light conditions or at night, causing difficulty in movement. Night blindness can be categorized into congenital night blindness, acquired night blindness, and temporary night blindness. Congenital night blindness is mostly related to genetic factors. Patients are born with a deficiency in synthesizing rhodopsin, which leads to night blindness. It is recommended to supplement with Vitamin A as per medical advice, though the treatment effectiveness for congenital night blindness is generally poor, and gene therapy is considered a direction for the future. Acquired night blindness is often caused by diseases intrinsic to the eye, and it is advisable to actively treat the primary disease. Temporary night blindness is mostly due to a lack of Vitamin A in the diet or due to certain digestive system diseases that affect the absorption of Vitamin A; hence, it is recommended to supplement Vitamin A as advised by a doctor.
Can night blindness be improved by wearing glasses?
Generally speaking, it is difficult to improve night blindness by fitting glasses. If the patient already has tunnel vision, they can try wearing special glasses to enhance the visual quality of the remaining vision. Night blindness refers to blurred vision or even complete inability to see in the dark or dimly lit environments, causing difficulties in movement. Night blindness can be categorized into congenital night blindness, acquired night blindness, and temporary night blindness. Congenital night blindness is mostly related to congenital genetic factors, where patients are born lacking the function to synthesize rhodopsin, leading to night blindness. Currently, there is no specific treatment, but it is advisable to supplement vitamin A as per medical advice. Acquired night blindness is often due to diseases of the eye itself and it is recommended to actively treat the primary disease. Temporary night blindness is mostly due to a lack of vitamin A in the diet, or diseases of the digestive system that affect the absorption of vitamin A, and it is recommended to supplement vitamin A as per medical advice and treat digestive tract diseases, which can mostly improve the condition.
Does night blindness also cause a decrease in vision during the day?
Patients with severe night blindness also experience a decline in vision during the day. Night blindness refers to the blurriness or complete inability to see in the dark or dimly lit environments, causing difficulties in movement. In severe cases, vision can also decline during the day. Night blindness can be categorized into congenital, acquired, and temporary night blindness. Congenital night blindness is mostly related to congenital genetic factors, where patients inherently lack the ability to synthesize rhodopsin, leading to night blindness. Acquired night blindness is often due to diseases of the retina or other eye diseases, and it is recommended to actively treat the primary disease. Temporary night blindness is mostly due to a lack of Vitamin A in the diet, or due to certain digestive system diseases affecting Vitamin A absorption, and it is advised to supplement Vitamin A and other treatments as prescribed by a doctor.
What should I do if night blindness is afraid of sunlight?
People with night blindness, who are sensitive to sunlight, can wear sunglasses when going out, and should actively seek treatment for night blindness. Night blindness refers to the blurriness or complete inability to see in dim light or at night, which makes mobility difficult. Night blindness can be categorized into congenital night blindness, acquired night blindness, and temporary night blindness. Congenital night blindness is mostly related to hereditary factors, where patients are born lacking the ability to synthesize rhodopsin, leading to night blindness. It is recommended to supplement vitamin A in appropriate amounts, and gene therapy is a potential treatment direction. Acquired night blindness is generally caused by diseases of the retina or other eye conditions, and it is recommended to actively treat the primary disease. Temporary night blindness is often due to a lack of vitamin A in the diet or due to some digestive system diseases affecting the absorption of vitamin A. It is advisable to supplement vitamin A as per medical advice and actively treat digestive tract diseases.
Is retinal detachment a minor surgery?
Retinal detachment surgery is considered major surgery in ophthalmology, where retinal detachment refers to the separation of the retinal neuroepithelium from the pigment epithelium. There are many surgical methods for retinal detachment, including external scleral buckling, internal vitrectomy, gas injection into the vitreous, and the use of silicone oil, among others. Generally, internal procedures carry a greater risk than external ones. Retinal detachments can be categorized into rhegmatogenous retinal detachment and non-rhegmatogenous retinal detachment. Rhegmatogenous retinal detachment usually requires surgical treatment and is commonly seen in cases of high myopia, artificial intraocular lenses, aphakia, and ocular trauma that cause retinal detachment. Non-rhegmatogenous retinal detachment can be divided into tractional retinal detachment and exudative retinal detachment. Tractional retinal detachment often requires surgical treatment, whereas exudative retinal detachment usually does not require surgery.
Can astigmatism and strabismus be corrected?
Astigmatism and strabismus can sometimes be corrected, depending on their severity. Astigmatism refers to the condition where parallel light rays entering the eye cannot focus on a single point on the retina after being refracted by the eye's optical system, instead forming two focal lines, ultimately failing to produce a clear image on the retina. Astigmatism can be categorized into regular and irregular types. Regular astigmatism can be corrected with cylindrical lenses in eyeglasses; while irregular astigmatism generally requires correction with contact lenses. Additionally, after reaching 18 years of age, astigmatism can also be corrected through refractive surgery. Generally, mild astigmatism does not impact vision and does not require special treatment; however, moderate to severe astigmatism, if uncorrected, might lead to amblyopia and other vision impairments. Strabismus means that when one eye is focusing, the visual axis of the other eye deviates from being parallel, presenting an abnormal eye position. It is generally recommended to start treatment immediately after diagnosing strabismus. If there is significant refractive error, glasses should be prescribed first. If glasses cannot correct the condition, surgery might be necessary.