expert type icon EXPERT

Dr. Randal Pham

Ophthalmologist

Dr. Randal Pham is an ophthalmologist practicing in San Jose, California. Dr. Pham specializes in eye and vision care. As an ophthalmologist, Dr. Pham can practice medicine as well as surgery. Opthalmologists can perform surgeries because they have their medical degrees along with at least eight years of additional training. Dr. Pham can diagnose and treat diseases, perform eye operations and prescribe eye glasses and contacts. Ophthalmologists can also specialize even further in a specific area of eye care.
Dr. Randal Pham
  • San Jose, California
  • MD at University of California
  • Accepting new patients

I'm farsighted and have a slight astigmatism - should I wear my glasses all the time?

You may not need glasses all the time. With very little sphere and cylinder in your glasses you may only need to wear your glasses at night when you drive. The reason that your READ MORE
You may not need glasses all the time. With very little sphere and cylinder in your glasses you may only need to wear your glasses at night when you drive. The reason that your eyes can read better toward the end of the day is that you are 35 y/o and you may be starting becoming presbyopic but for now you do not need reading glasses yet. I you take off your glasses you will be able to read.

Does Visine help watery eyes?

No, Visine is an over-the-counter medication for red eye. You can get dependent on it. It works temporarily by constricting the vessels of the eye making the eye looks white. READ MORE
No, Visine is an over-the-counter medication for red eye. You can get dependent on it. It works temporarily by constricting the vessels of the eye making the eye looks white. When the effect is gone the eye gets redder.

Is it a blood clot or pink eye?

The pink eye seen in patients infected with Covid-19 has a distinctive red lid margins with some lid swellings. If you think that your father has high risks for Covid-19 fatality READ MORE
The pink eye seen in patients infected with Covid-19 has a distinctive red lid margins with some lid swellings. If you think that your father has high risks for Covid-19 fatality you should request a test on an emergency basis for your father. Those with the eye signs have severe infections and usually need hospitalization.

Do I need to see a doctor if I have conjunctivitis?

Hi,

Yes, please see an eye doctor. You could be infected and may need treatment.

Sincerely,

Randal Pham, MD, MS, FACS, FASOPRS

Why are my eyes watering after cataract surgery?

You may have dry eye caused by eyedrops like steroid to help calm down inflammation after cataract surgery. Use of preservative free artificial tears should help.

I accidentally slept in my contacts. Can just once cause permanent damage?

No, you may have a cornea ulcer. This is an emergency. You can lose your vision. You need to see an ophthalmologist ASAP. And please do not use the contact lens again until further READ MORE
No, you may have a cornea ulcer. This is an emergency. You can lose your vision. You need to see an ophthalmologist ASAP. And please do not use the contact lens again until further instructions from the ophthalmologist.

How long is the recovery from a cataract surgery?

The usual recovery time for cataract surgery is one month. However, with the state-of-the-art technology the recovery time can be as short as a few minutes. With femtosecond READ MORE
The usual recovery time for cataract surgery is one month. However, with the state-of-the-art technology the recovery time can be as short as a few minutes. With femtosecond laser assisted cataract surgery most patient can see immediately coming off the OR table.

What is the treatment for diabetic eye disease?

Early detection and treatment are keys to success. Please have your mother seen by an eye professional as soon as possible.

Why do I blink so often?

You may have dry eye, which initiates the blink reflex. Please check with an eye professional (optometrist or ophthalmologist).

My mother's eyes seem cloudy in color. Why?

Diabetes can cause cataracts, which make the eye cloudy. Also, diabetes can cause bleeding in the back of the eye. Please have her eyes checked by an ophthalmologist.

Can a 3 year old child have glasses?

Yes, 3 year olds may need glasses. It is crucial that they see clearly so the eye brain pathways can be well developed.

There's an intense pain in my eyes and my vision is blurry. What could this be from?

Pain and blurriness can be a serious problem. You could have a narrow angle glaucoma attack or uveitis; both of these are blinding diseases. Please see an eye physician (ophthalmologist) READ MORE
Pain and blurriness can be a serious problem. You could have a narrow angle glaucoma attack or uveitis; both of these are blinding diseases. Please see an eye physician (ophthalmologist) immediately.

Does not wearing glasses all the time increase eye power?

No. If you can see without glasses you do not need to wear them. Not wearing glasses will not make your eyes worse. However, you may not see 20/20 without glasses.

Can i be affected with two types of cataract in the same eye?

Yes, but the second cataract is just a membrane that was left to contain the man-made lens that was used to replace the original cataract, the natural lens that got cloudy. The READ MORE
Yes, but the second cataract is just a membrane that was left to contain the man-made lens that was used to replace the original cataract, the natural lens that got cloudy. The second cataract (also called second cataract) can be broken down by a laser. The laser procedure takes only a few minutes to perform and is painless. It is usually performed at least 3 months after the original cataract surgery if you develop symptoms such as blurry vision or glare. You don't even have to lie down for this laser procedure. Please make sure you have a dilated exam before the procedure to rule out other causes of blurry vision that occur in the retina.

Why are my eyes blood red when I wake up?

When you stare at the computer for a long time during the day without blinking you can develop dry eye. One of the signs of dry eye is redness. I recommend using preservative free READ MORE
When you stare at the computer for a long time during the day without blinking you can develop dry eye. One of the signs of dry eye is redness. I recommend using preservative free artificial tears during your work hours (every 2 hours) to see if it helps. Please visit an eye professional for an exam. There are several good medications that require prescriptions that can help. One is Xiidra; the other is Restasis. Xiidra works faster and can make a difference in 1 to 2 weeks. Restasis will take a couple months to be fully effective. Good luck!

My eyes feel very dry after LASIK. What could be the cause for this?

After Lasik the eyes can feel dry, but we now have very good medications to treat dry eye. Xiidra eye drops and Blink preservative free can help alleviate dry eye. Please return READ MORE
After Lasik the eyes can feel dry, but we now have very good medications to treat dry eye. Xiidra eye drops and Blink preservative free can help alleviate dry eye. Please return to have a post op check with your surgeon. Please ask him or her whether these drops can help you.
Good luck.

I can't stand to wear contacts

You probably have severe dry eye of your left eye. Please stop wearing contact lenses in both eyes and have your eyes checked by an eye professional, optometrist or ophthalmologist. READ MORE
You probably have severe dry eye of your left eye. Please stop wearing contact lenses in both eyes and have your eyes checked by an eye professional, optometrist or ophthalmologist.

Constant eye floaters--what's wrong?

Floaters are result of an entity called posterior vitreous detachment. Please have your eye check by an eye professional to rule out retinal detachment. If you do not have retinal READ MORE
Floaters are result of an entity called posterior vitreous detachment. Please have your eye check by an eye professional to rule out retinal detachment. If you do not have retinal detachment do not worry about it too much. The floaters usually go away.

Why are my eyes so sensitive to light?

You probably have dry eye. Please get a pair of good sunglasses to see if they help. The moisture that the glasses retain on your eyes usually help. Preservative free artificial READ MORE
You probably have dry eye. Please get a pair of good sunglasses to see if they help. The moisture that the glasses retain on your eyes usually help. Preservative free artificial tears can also help. Check with an eye professional to rule out cataract and other diseases that cause light sensitivity.