Just got 3 bottles of it in Lithuania for 16 USD. Can't wait to try them!

Do you believe that femtosecond laser will solve this?

Hello! How about the nanoparticles treatment? Any new information? I think am young for laser yag :(

thank you!

Hello there Dr Johnson I really enjoyed listening to your interview with great interest with your patient Ralph who also sounded like a very intelligent and well spoken fellow. I have recently been diagnosed with a Posterior Vitreous Detachment plus a small hemorrhage in the vitreous sack. It has been two weeks since this diagnosis. I have been told that at this point there is nothing to do about it other than take it easy and wait for another month to see how the small bleed heals. Of course, like most people in this position, I am quite anxious to get back at it, but I don't want to take a chance of a retinal tear as I have been told. So light activities only for another month and then see from there where it goes. I am 70 in November, Have been super active all my life in terms of regularly hiking with a 35 lb pack up 2000' mountains 2- 3 times a week and flying my paraglider from there. I am hoping to continue until my last breath. At any rate, I do not want to lose my sight and am quite anxious but at the same time not being able to hike on a regular basis with the energy I am used to also has me very anxious. I "am" listening to the doc and taking it very easy. I have also been told that in time my brain will get used to the floaters . I am interested in any ideas that you may have. Cheers and thank you from British Columbia Canada.

great procedure, sir. but what type of lens are you using here?

Great treatment!! Yag Vitreolysis has become a huge part of my practice. It’s amazing how other ophthalmologists just tell their patients to deal with this. I tell the patient if they had a floater like this they would be in my chair the next day.

Hello. I'm just 20 years old and I just experienced circle blub that is bright of my peripheral view, even Im closing my eyes I sometimes see it HAHAHAH. I'm just a little bit worried if I have this PVD that you mention. And if I have it, what should I do to lessen and prevent it from getting worse? I'm BSIT student so I have to face conputers for a long time, can this complicate my PVD more?

Great amazing video. But is there anything to do about it? Please tell if you have any kind of supplements or treatments that will help this condition once somebody has had PVD.

Thanks for the great explanation and reassurance

Is the YAG laser a femtosecond laser?

What about 39 yrs old is that 2 young?

Hey doc, I'll turn 20 this september and it's August as of now so I'm 19 and I had this floaters in my eyes. You said it's age related thing. So does this count on that and also I see after images all the time recently. It's so annoying. What do you think ?

whats your opinion and estimate for that middle age range? 35-45?

I love that I'm taking notes and adding this, we beg to differ and that doctors throw out the same platitudes to get you out the door.

What about laser vitreolysis by nystagmus?

My husband had mono focal, but is still having glare and halos.

I what a lot of your video for floater/ I have floater happiness about a week I come to see spacial eye doctor they said your eye fine with your age i'm62 but still there please help me what to do with my floater thank where your office location I live from Boston

But I'm only 29 years old, though😢 to be getting random white flashes on the peripheral of my left eye. (Suddenly happened as soon as I forgot to take my collagen powder, started eating organic foods, and workout 2x/day). Thank you so much for the very intricate video explaining this 🫂 it's very very helpful!

I see 2 rope ends floating around with a victreous hemorrhage my vision looks like astroid clumps of waters of current squishing around with debri blackpepper spots

Greetings! I would like to ask a question. I am 29 years old and have had partial PVD with large cobweb and blocky floaters in both eyes for almost a year now. Is it possible those can be treatable by laser treatment? Unfortunately, I think that they might be quite close to my retina though because I can see their details. Also, they are slowly getting fainter, is it possible they are moving anteriorly and can be later treated?

I have seen an increase in floaters in the past 3-4 weeks although I noticed a little 6 weeks ago. I’ve had my lasik surgery in December 2023 and everything was fine until the end of June. I’m 28 and I’m really scared if it’s a retinal tear or pvd.

What a great video. Kudos from an Aussie watching this and wishing you were here in Australia. You would probably be aware that there are a number of self-help groups concerning floaters on Facebook. I often contribute comments in one of the groups there. What gets me is the number of people who fervently believe that some sort of supplement or eating copious amounts of pineapple will help them. When you try to tell them that supplements will do nothing to "dissolve" floaters they get flustered and angry, etc. I know that supplements like lutein and bilberry are great for the general health of the eye (and I take these) but they aren't going to knock the floaters out of the ballpark. My greatest fear with laser treatment is a poorly aimed shot hitting the retina from doctor who is not as skilled as you are. I am terrified of the retina having a hole in it from such a laser strike. Can you comment about the incidence of such a thing and what happens when a mistake is made? Also, do you know any ophthalmologists who are very skilled in using lasers for floaters in Australia?

im 18 and im seeing flashes of lights in the border of my right eye sight when im outside or have a bright window behind my phone screen, it doesnt go away and it is very annoying. i visited a doctor and he told me it was pvd but somehow people say they see these flashes in dark environments while i only see them when im outside or when im looking at a bright white wall. will it ever stop flashing?

Can epiretinal membrane left after vitreous hemmorhage clear with lasers?

Thank you for this amazing explanation. You explained it very clearly - more clearly than my eye doctors. What's frustrating about PVD is that seniors or people in their late 40s or early 50s are used as the example of what is to follow, and how things are likely to progress in this age range when you get a PVD. I just turned 37, and was diagnosed with PVD and Weiss ring this past weekend. However, no doctor could clearly state how things are going to turn out a month from now or more cause I'm so young. I was told to call the floater a name and make friends with it. I wish there was more information for people in my age range. Just to know if this Weiss ring is going to disappear or not.

Doc im 20 from india i have lot of floaters in my right eye and and left eye have little bit in both eye that floaters look cloudy and cobweb i can go for vitrectomy and there is any problem in vitrectomy can u please explain what can i do please doc

hi doctor， im 28，I have noticed a significant increase in floaters in my vision, which first occurred two weeks after a long flight (11+2 hours). The same thing happened the second time I took a long flight. I am wondering if there could be any impact from the flights causing this issue?

I started seeing flashes of white light about 3 months ago and thought it had gone away, but I was in Istanbul Turkiye last week and noticed a huge increase in floaters, small black flies in my vision, and what looked like falling ash and also a couple flashes so I went to see an ophthalmologist and after doing a thorough eye exam, he noted a pvd in my left eye and recommended laser treatment to weld vitreous hole or flap closed. I still have floaters but no flashes. Cost me $1200 usd for laser treatment that I possibly didn’t need but it was what the doctor recommended so that’s what we did. FYI, I’m 53 and male.

Is vitreous degeneration same as PVD? I was diagnosed with vitreous degeneration. Is there any hope to regain vision in Vitreous Degeneration. The specialist is offering a surgery. I said I will think about it and will come back after 2 months.

A Cricket ball hit on my right eye due to unawareness as other eye working I couldn't understand loss of vison in other eye so it delayed Maximum 4-5 years that eye started squint extropia then we went to a hospital doctors said it is a Rhegmatogenuous Retinal detachment and they did surgery and in the subsequent surgery they also removed silicone oil and catract was formed that surgery also done successfully and Vision restored to 20/100 Recently after 14 years again suddenly vision lost in the right eye due to same Rhegmatogenous Retinal detachment again retina detached so they did surgery and removed silicone oil within 1.5 month I don't know why again retina got detached so again RRD surgery done post this surgery Sudden IOP increase 54mmg and immediately visited Hospital they reduced it immediately and im thinking this iop increase is due silicone oil in the eye In the next visit retina doctor told me my optic nerve is weak and doctor is uncertain till we remove silicone oil she said But im thinking due to silicone oil it temporarily stopped optic nerve function Now vision in that eye is HM+ only After removing silicone oil Can i see improvement in vison? Any possibility for significant improvement??? Any other advancement to restore vison in this cases possiblity or hope of future? Address first question after silicone oil removal vison improvement possiblity as I told I have visited hospital immediately with 24-48 hours as pressure increase and managed IOP I'm using drops also now to control IOP it's under control As retina attached with silicone oil and my restricted to HM+ only I don't know what happened to optic nerve

Hey doc! Are there any treatment for the eye floaters that are in the center of the vision? I’m 20 and I have this annoying floater that looks like a “Y” and it’s bothersome to the point where I hate going outdoors because of these annoying pests 😢 I even think about vitrectomy surgery because I can’t take it anymore with these annoying floaters are killing me mentally and emotionally, It has ruined me in many different ways

I'm a 61 yr old woman, one month ago I had quite a few more floaters and a dark coloured long one entering my right eye from the side my nose is on. I rushed in to get medical help and they discovered two holes in the retina of my right eye.. They were treated with the laser used on the retina for retinal holes. However I still have many floaters in the right eye. Would it still be possible to receive your laser treatment for my floaters? Even though I have experienced retinal.holes in the past?

Hello doctor, this serious thread in my eye caused me to get itchy when I was 10 years old due to excessive cortisone use and it has not gone away despite using vitamins and having injections in my eyes for 4 years. I am now 15 years old and is there an eye surgery that is suitable for me? Will laser surgery be very harmful when used with natural lenses or is it worth the risk? I am tired of these and they are affecting my life a lot.

I heard they come back more severe after the treatment. Is that true?

Hi doctor Great video explaining this problem in the best way 👏🏻 My right eye have developed an eye floaters within less than 3 months especially the last month the number of floaters have increased ( almost X5 )including few significant floaters can be seen all time in day light or a lightened room I have seen a doctor 2 months ago but my eyes were fine + 2 years ago i started seeing a very thin shadow in my both eyes in the extreme corners but it did not get worse Based on your experience what is my problem ( most likely )

What mJ range do you typically operate in? Do you alternate between single, double or triple burst? Do you have a max mJ that you put into the eye for each session?

Hey doc I wondering if I could book a appointment?

I’m thinking about scheduling a appointment

I’m 17,what’s sum advice

PVD in left eye,large cobweb floater and vision is blurry at times.The flashing light effect is so irritating at night.

Amazing explanation🎉

I am 16 and am seeing these flashes of light ,have floaters and was very stressed Cuz of retinal deattachement last time I checked I didn't have em . Am you really made me feel relieved thank you doc

I just went to see Dr Johnson last week and then 2 weeks previous. Had a total of seven treatments. Three in one eye and four in the other. I have to say that the treatment was very successful. My left eye is 90 to 95% better my right eye is 75% better and I will be returning at some future time to clean up those last few in my right eye. They're not all that bothersome so I'm not worried about it. My happiness level is the most important thing here. I am incredibly happy and very happy with results. I no longer see the constant web of garbage in my eyes. I highly recommend this procedure to those who are suffering as I was. Thank you Dr johnson!

Las nanoburbujas destruyen los flotadores Antes de presentar su investigación en la Academia de Medicina de Bélgica hace años, Stefaan De Smedt, investigador de administración de fármacos en la Universidad de Gante, nunca había considerado que las nanoburbujas fueran la próxima frontera en el tratamiento de las moscas volantes. Él y su equipo estaban interesados ​​en utilizar nanoburbujas de vapor, que se producen al dirigir un láser hacia las nanopartículas, como método para administrar ácidos nucleicos a las células. Cuando los científicos apuntan un láser de una determinada frecuencia a nanopartículas que están muy cerca unas de otras, las nanopartículas absorben la energía del láser, lo que calienta la solución que las rodea, lo que hace que el líquido se evapore y cree nanoburbujas. Estas nanoburbujas se expanden y luego estallan en cuestión de decenas a cientos de nanosegundos. después de formarse (7), lo que lleva a la creación de una fuerza mecánica que puede hacer un agujero en una membrana celular. “Estaba hablando con un oftalmólogo y me dijo que quizá también podría ser útil ver si este tipo de nanoburbujas podrían ser valiosas para destruir agregados”, dijo De Smedt. Intrigados por esta posibilidad, De Smedt y su compañero de posdoctorado Félix Sauvage comenzaron a probar la capacidad de las nanoburbujas de vapor producidas por diferentes tipos de nanopartículas para destruir los agregados de colágeno que causan los flotadores. En un nuevo estudio publicado en Nature Nanotechnology , De Smedt y Sauvage, trabajando en colaboración con Sebag, Paulus y otros, informaron el éxito de las nanoburbujas producidas por nanopartículas de oro y un tinte oftalmológico para destruir los agregados de colágeno in vivo por primera vez (8). Los investigadores demostraron que tanto las nanopartículas de oro recubiertas de ácido hialurónico como el colorante oftalmológico verde de indocianina (ICG) se unían preferentemente a las opacidades vítreas humanas que se habían aislado de pacientes vitrectomía en la consulta de Sebag y las destruían. Debido a que las partículas se unían específicamente a los agregados de colágeno, la creación de nanoburbujas solo se producía en los agregados. Esto significa que incluso si el láser apunta a una zona del ojo sin nanopartículas ni colorante, no se crearán nanoburbujas que puedan dañar otras estructuras del ojo. “El umbral para generar burbujas es muy alto”, explicó Sauvage. “Tenemos una manera selectiva de desencadenar la generación de burbujas”. Alentados por el buen funcionamiento de su tecnología en un sistema ex vivo , el equipo de De Smedt buscó el mejor modelo animal para probarla in vivo . Esto resultó ser un desafío, porque, como bromeó Paulus, "no hay un ratón que te diga que tiene moscas volantes en la visión". El equipo finalmente encontró conejos con ojos relativamente grandes, que son más cercanos en tamaño a los de los humanos, lo que los convierte en modelos ideales. De Smedt, Sauvage y sus colegas inyectaron fibras de colágeno en los ojos de los conejos para darles opacidad vítrea. Luego inyectaron nanopartículas de oro o ICG y aplicaron pulsos láser en los ojos de los conejos. Descubrieron que solo necesitaban usar un promedio de cinco pulsos láser para eliminar por completo los agregados de colágeno. “Cuando vimos los datos sobre su eficacia, me quedé muy sorprendido”, afirmó Paulus. Cuando el equipo evaluó la seguridad de su técnica, descubrió que no tenía efectos adversos sobre las retinas de los conejos. Como las nanopartículas y el tinte se unen directamente a las fibras de colágeno, los investigadores pudieron eliminar las opacidades vítreas de lugares del ojo que serían imposibles de eliminar con un láser YAG, como cerca de la retina. De manera similar, la agregación de las partículas permitió a los investigadores utilizar un láser de menor energía para inducir nanoburbujas que el que se requiere para que un láser YAG rompa las fibras, lo que mejoró enormemente la seguridad. Esta tecnología también mejora la vitrectomía porque no requiere una cirugía riesgosa, sino simplemente una inyección de nanopartículas o tinte en el ojo. Las inyecciones oculares son un procedimiento común para los cirujanos vitreorretinianos, agregó Paulus. “Se trata de tomar dos cosas que hacemos en esencia casi de manera independiente (las inyecciones oculares y el láser) y combinarlas”, dijo. De cara al futuro, De Smedt y su equipo están interesados ​​en investigar la farmacocinética de sus nanopartículas de oro y del ICG en humanos. Si bien tanto las nanopartículas de oro como el ICG son biocompatibles, solo el ICG es biodegradable, lo que hace que sea el más probable de los dos para pasar a ensayos clínicos en humanos en el futuro. “Sin duda, hay más trabajo en términos de ensayos clínicos que debemos realizar antes de que esto esté disponible para todos, pero creo que realmente sería un cambio radical en términos de la capacidad de tratar estos flotadores de una manera mínimamente invasiva y con bajo riesgo. Y creo que realmente transformaría la atención que brindamos a los pacientes”, afirmó Paulus. Aunque De Smedt no se propuso inicialmente desarrollar nuevos tratamientos para las moscas volantes, ahora entiende lo que significaría un tratamiento no invasivo y eficaz para las personas que sufren de moscas volantes. Después de que su equipo publicara su primer artículo sobre nanopartículas y moscas volantes (9), él y Sauvage recibieron cientos de preguntas de personas de todo el mundo que preguntaban sobre el potencial de la tecnología para tratar las moscas volantes. “Intento imaginar cómo se siente abrir los ojos y sentirse siempre deprimido por el hecho de no poder ver”, dijo De Smedt. “Puede contribuir a devolver la visión a las personas, lo que significa darles calidad de vida”.

I'm 65 yo male. Just had cataract surgery here in Austin with a multi-focal IOL in both eyes. Vision is SO much better. HOWEVER, I am noticing a LOT of floaters both dark and translucent, getting in the way of reading or watching TV, etc. I feel my vision CAN be a whole lot better if these were not in the way. My question is, after an extensive treatment, do these often re-occur - and if so, to what extent? Thank you!!!!

As a post vitrectomy patient, now I’m wondering if there is a benefit to taking a collagen supplement or would this contraindicated now?

What is the treatment for vitreous degeneration, Dr?

Wow! What a great explanation! You really explained it very well (and I might say a little amusingly). I will still rush out tomorrow to my eye doc to see what gives with the flashes on the periphery of my 63 year old near sighted left eye. But I feel reassured. BTW, I thought this was a migraine at first, as I have optical migraines, but it clearly isn't - the flashes do not 'shape' or grow into a diamond-like arc blocking my field of vision (as in my migraines.) Plus, not hell headache. Could you do a piece on migraines? They scared the ---- out of me when they first started, when I was about 29 or so.

I asked for the multifocal IOL. Never regret it. Some halo, but not major. 12 years on have AMD dry one eye, wet the other. Had 3 injections but too expensive and no health insurance. Cleaned up my diet a lot and taking various supplements. I suffer a bi from the blink and its clear for 3 seconds but my main issue is lack of contrast. Anything I can do to improve it? I've pretty good night vision. I just turned 80 and hope my vision will see me out! 🥸