I greatly appreciate the care with which you acquire your target before every burst. Watching many, many other floater lasering videos, I couldn't help but think that many times the operation of the laser seems careless and hasty.
Hello Doctor, I’m not gonna lie I’ve even fascinated in your videos destroying floaters and explanations. As a sufferer of Floaters since my early years all of this is interesting. Maybe one day I’ll come on down for a consultation! I’m not gonna lie I really enjoy when you floater doctors upload patient treatment video it’s like watching a video game! Keep up the good work your explanations are 100% easy to understand and have me convinced! Have a good one 8)
@@Thefloaterdoctor1 The honest thing to do would be to do a video where you actually tell the whole TRUTH about floaters, instead of lying like you're doing here. One of the most dangerous types is a vitreous hemorrhage -- small bleeds in the eye when the vitreous detaches. Of course you don't mention that, because you don't TREAT those riskier types of floaters. Instead you tell people in this video that if they see 'dark' floaters, that's because 'you're seeing the shadow'. NO, it could very well be because they've suffered a vitreous hemorrhage. Shame on you.
I've just had this treatment from Dr. Scott Geller here in Fort Myers Florida. One session for the left eye and three for the right. Huge improvement. Very satisfied.
Yes Dave, but I should elaborate. I am still not done with the treatment as I am in Michigan and winter in Florida. Soon I will return for more treatment. Dr. Geller started with my left eye which had astonishing improvement after only one session. I wasn't as lucky with the right eye where the destruction of a large floater resulted in a lot of debris which has effectively made my floater problem worse in that eye. I ran out of time and had to return to Michigan but I am anxious to return to Dr. Geller soon to finish up.
@@1FreeSelfGoverningAmericanMan Thanks so much for replying ! I am also part time in FL like yourself. I originally planned to see Dr Johnson but Dr Geller would be much more convenient. I am curious did you also have a posterior vitreous detachment (PVD) that caused your floaters or was it something else ? I only have the issue in my left eye but I have a very large fly shaped one right in the center of my vision which is causing a lot of anxiety. Sorry your right eye got worse, and hope the follow up treatment is successful.
I have had floaters since childhood but no other eye problems. Remember, Dr. Geller is the guy who pioneered this procedure almost a quarter century ago and most everyone else who does it learned from him. I have no reason to expect failure at this point. I'm sure you will like Dr Geller.@@DaveG-qd6ug
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.
When I had a retina tear repaired, I left with what seemed like more floaters after the laser repair, however they did seem to get somewhat less noticeable over time. I’m still dealing with annoying floaters and do hope treatment such as this becomes more accepted and available.
Getting this done for my eye in Tokyo ,Japan!!⛩️🗼🇯🇵..soon! 😯Most likely recovered by the time this comment is read!☺️👌🏾Feeling much more confident in the procedure now! Thanks Doc!! 🙏🏾🥹
@@Thefloaterdoctor1 Japanese Docs are too scared to do what you do on a daily basis!! Thus,..no treatment for me yet,..so in misery with is giant “Weiss ring” in my right eye for months now!! They even let me see my own photos taken because I’m so informed on the issue & procedures. So familiar with the condition due to good research & concern of my future “quality of Life” post surgery!! Quite well versed now on the medical terminology of my eye condition thus far upsetting them so that they get quite annoyed I KNOW so much and cannot easily “BS” me on the eye illness. They are pushing for a “vitrectomy” op but I refuse to go that route due the risks & post complications/ cataract ops involved. I prefer the risks of a “vitreous Laser Surgery” instead due to their arguments of hemorrhage issues contradicts itself when there is no such hemorrhage presently only what is apparently “trapped” inside the “Weiss Ring” floater in my right eye. I see clearly from my peripheral view + some hemoglobin inside the floater that moves along with as i move my eye. They see the back of my eye good enough for laser surgery,..is just why they won’t show nor give me the photos to observer. Thru research I’m well informed on the ops, procedures & medical terminology now (since suffering this ordeal for months now!!🙄) So i know how & why this type of floater is formed + the risks of Retina detachment,..Laser Strike, & Vitrectomy Surgery complications thus post “Cataract op inevitably “ etc;…🤔🙄So,..with this situation, it may be in my best interest to return to the US for treatment because I’m betting that they don’t have my best interest nor quality of life in mind!!…just profits via my illness!! 😔
I found a doc back East who seemed to know what he was doing. After three treatments on both eyes, involving 3x10 hour round trips and two hotel stayovers, not only was there no improvement, but he ended up putting a hole in the back of my lens capsule, which eventually led to vitrectomy and lens replacement. Some years before, Dr. Johnson was very kind in corresponding with me. If anyone can perform successful YAG vitreolysis, I believe he can. That said, I would tell anyone reading my comment to be very cautious with this procedure.
Thank you for sharing yeah I'm in my mid-50s and these just came out of nowhere, educating myself on this stuff as I went to my ophthalmologist in didn't really get any ideas about what could be done about it almost as if nothing could be done about it
The simple and short answer is to stay away from the retina. The longer answer involves describing the physics involved where the laser is not like the novelty lasers that you can buy at the store or even your awareness of hell, military and industrial lasers work. Those are thin culminated beams that if you were to miss a target the laser will continue on to the next target. That would be bad inside the eye. Instead, the YAG lasers have a cone-shaped energy profile, the laser is only delivered at the tip of the cone, that is, at one point in space. Primary responsibility is to know where that point is located in space and to keep it safely away from the retina and the lens. The advantage I have is 16 years of experience and over 12,000 procedures. As of this writing. There are many doctors who have YAG lasers but man oh man be careful with those who just occasionally treat or dabble with the procedure.
my floaters are white. I did not know that. That Radiologist had lots of the damn things. I'll never complain about my Rag, Tag and Bobtail again. Thank you
I had cataract surgery 4 days ago...now today I have flashes,and a major blob that drips floater ,when I look downward to the right.. IM SCARED...I CANT WAIT ..MUST CONTACT DOCTOR MONDAY...it's sat...IM FREAKING OUT
I've got the largest floaters my options had seen , I've had this treatment done several years ago best thing I've had , my floaters were uncomfortable and disturbing to me . The only side effect if you can call it that when it's sunny I must wear sunglasses because it gets uncomfortable but I have no regrets .
It's fascinating that the technology exists for a common problem as eye floaters. This procedure should be available through out the many institutions that deal with the eye. I also find it somewhat disturbing that the cost for such a procedure is so out of reach for the average person. I understand that the equipment is quite costly and the actual experience of the treating doctor to be indispensable. Having said that the cost of cataract surgery with a team of specialist is much more involved and less costly. It would be nice to see those that treat eye floaters charge a reasonable amount of money so that many more individuals can benefit from the procedure and regain some quality of life.
That is a valid sentiment. I have not changed or increased my professional fees in over 12 years even though all my other expenses increase (rent, insurance, etc.) Treatment costs about the same as (fill in the blank here... fixing your transmission, a high end TV, etc.) It is impossible to answer this concern to the satisfaction of everyone.
Nice video on YAG...The problem is we kind of need floater treatment for 30y oldish patients who have their entire life still to go and have to deal with these floaters...and as I understand 30y old is not a candidacy really for YAG or vitrectomy
I have them in my right eye only, and likely about 70 of them, and I highly doubt you can get rid of them , but hey, if you can, I'm all in. An eye specialist here being an Opthamologist told me about 40 years ago, they were just dead skin cells, and the light cannot shine thru them properly, and they show up as floaters, in the retina, back part of the eye, that receives images. I don't see how you can get rid of them, considering that ? Just listened to an opthamologist who was being interviewed by the Mayo Clinic, and he said these are located in the Virous Gel of the eye, and they are parts that have compacted. He went on to say, that by having them treated by Lazer could make the problem worse, by blowing up the existing floater, and then it spreads into many different smaller pieces ? so he says, it's best to just leave them. With that being said, medical science is advancing all the time, and this gentleman just may be able to do what he says, and I'd certainly be up for that. Love to get rid of them as their very distracting. I'm sure there would be hundreds of thousands of people with these. Really good video here, and it's made me think ? BTW - about 40 years ago, I only had maybe 2 floaters, now it's about 70.
I find it interesting when doctors say "Wouldn't you rather have one or two main floaters rather than a bunch of smaller ones. It betrays and reveals their lack of understanding of how people see floaters. You don't see the floaters, you are 'aware of the shadows' of the floaters. Small floaters - if far enough away from the retina may not even be seen, or they will be much less bothersome than a larger and intermittantly obstructive floater. I can not comment on yours specifically. Maybe yours are too close to the retina, and it all may be a moot point with you.
I've had the flashes and floaters. I'm probably adapted to them now. But I feel like I am looking through "vitreous". I had a cataract consultation with one of the 2 most prominent surgeons in town. I asked him if I'm looking through 'vitreous' or cataract. He said cataract. Yet he said my cataract isn't bad. Wish I knew if my vision would clear up with expensive lens replacement.
Hi Doctor, I can appreciate that at 22 years old, even though my floaters do really affect my quality of life, I am a very unlikely candidate to get any procedure done to help them. However, is there research being done and is the treatment always improving? Do you think there will ever be a day where there is a simple and safe way to treat floaters that any candidate will be able to receive?
Simple and safe? Maybe someday, but not in the near future. There is some interesting preliminary study in using gold nanoparticles coated in hyaluronic acid. It appears to catalyze and increase the efficiency of laser treatment. I don't know if that will allow us to treat close to the retina which is the big challenge with younger patients.
@@Thefloaterdoctor1 This is the exact question I was wanting to ask you about. Whether or not you will be looking at the gold nano particle and hyaluronic acid treatment and incorporating it into what you do. That's what I'm waiting for. Hope it happens soon. I heard it takes far less energy and Like the way it bonds to the floaters and takes them out in less shots.
Hello doctor, is there a chance that floaters can go away/deminish/miniscule on their own in a 3-9 months period as my own eye doctor said they might? My eye floaters are sometimes very noticeable one dot in my left eye and some webs in the right periphal vision, but i can only see them in very bright surfaces/ ambients... so is there a hope that i could use any suplement or any sort of food to get a healthier vitreous liquid and maybe just maybe tend to have my floater on the left eye move from the centrr of vision to another place less visible?... thanks for the answer and im glad ur doing a good work and working towards a better future for us suffering with these microscopic monsters in our eyes! And any tips that help with them in the long run beside the “ get used to them” !?
Well of course anything can happen, but there is no predictable expectation that they will move further away form the retina or to a location that will be less bothersome.
Hello doc,perhaps you can advise me about energy levels (mj)and the max number of shots.(safety zone).And what kind of lens would you recommend?Goldmann?other?thank you in advance
I am 25 years old and i have a large floater in my right eye and some medium sized floaters in my left eye. Is it recommended to do a laser treatment in younger years? I can usually see only the Big one which creates a small blurry/grey like spot. Or would you recommend a few more years? Thanks for your Video!
At your young age, you would not likely to be a good candidate for treatment with the laser. I have a video discussing this particular challenge at length and I will encourage you to watch it: ru-vid.com/video/%D0%B2%D0%B8%D0%B4%D0%B5%D0%BE-vdR7ehY5X98.html
Thanks for the video Doc, very helpful. I would come see you right away, except I am in Northeast, close to Boston. Can you recommend anyone in the Boston area? Again, many thanks. My current eye doctor is recommending vitrectomy, but I only have one big floater in center of vision to get rid of. It would seem so much easier to do your treatment.
I have floaters in just my right eyes, they are all over the place, went to my eye doctor I told her about my floaters, she checked my eye pressure is was good, no separation, that was it, I saw the floaters when she put the bright light, but she bypassed it, that's what I came in for, to see about these floaters, she just said if they get worse, she would send me to some professional doctor, like you said the only thing they make sure of is, I don't have cataracts. I'm 68 and these floaters are getting on my nerves. I would like to order the low dose Atropine 1%, I don't know if I want to go to any doctor that don't know what they are doing, even if they are professional.
Great info. When I first had floaters 8 years ago (In my late 20's at the time), I was stress & frustrated for months cause it tend to distracted my vision. What I noticed as years progress is that my floaters seems to be less less dense but more spread out like a thin cobweb. For whatever reason, its not as destracting as when it was smaller and dense. I remember reading your page about the YAG laser treatment back in 2012 ... now 8 years later I'm disappointed that the medical world still doesnt care about eye floaters. I havent really pay attention to the floaters anymore in past few years , although its usually more distracting when I'm tired, but I notice that its really becoming more and more spread out but more transparant. Any idea what actually happen? I have it in both eyes around 8 years ago and it actually appeared around the same time.
The appearance of the Shadows, or rather the appearance of the Shadows for the disturbance of the vision that you are aware of can change depending on where the floaters are located in the eye particularly in the anterior - posterior position. Very small and microscopic floaters that are very close to the red tonight with 10-day have more dense in distinct Shadows that you are aware of. If these seeing floaters move even one or two MMS further away from the retina, the Shadows that they cast can be softer and more diffuse and possibly even slightly larger. The position of the floater within the eye in regards to how close it is to the retina is absolutely critical. So it is possible for things to change over time although not in the way that some doctors would suggest. They will often tell floater sufferers that they'll just go away, or the brain of get used to it, but the reality is some may benefit by naturally moving a little further away from the retina where they are just a little bit less noticeable. This is more so in younger people whose floaters are very close to the retina. The people I usually treat are those where things are quite well settled in stable in the middle part of the eye where they generally will not get better on their own.
Appreciate video content! Forgive me for chiming in, I would love your initial thoughts. Have you considered - Franaar Spectacular Look Formula (just google it)? It is a good one of a kind product for curing eye floaters minus the hard work. Ive heard some interesting things about it and my buddy after many years got amazing results with it.
@@Thefloaterdoctor1Thanks alot for the respond and info doctor. For some reason I didnt get notification from YT for your reply until today! Yea , I read the info on your page that the floaters on younger people are different than those on older people. So in my case, I suppose its floaters which located very close to retina? compare to 8 years ago, its definetely looked less dense but more spread out. Now I could stare at white wall or blue sky, its still there but instead of looking like a thick eel/snake , now it looks like thin cobweb. Whatever causing the floaters shape to changed, its certainly benifits me. Sure there are times it could still be distracting , I have mild myopia and I remember it really bothers me in first 1-2 years especially when I dont put my glasses on. However, its certainly not as distracting anymore as I know I've been back to my old habit that is reading books , smartphone or doing sports activities without glasses. Do you think its because is moving further or those liquids are breaking up ?
Thank you doctor , you are giving good information. I do have floaters and nearly every light i see ,it causes eye splotches (see light sparks), why is this?
Retinal holes/tears/detachments can do this, as well as a partial posterior vitreous detachment. Other possibilities. I can not answer in this forum. Get it checked out locally if you have not aready
Hello, I am watching your videos, trying to find information why eye floaters happen in younger population, if they are supposed to be a natural part of the aging process (and therefore expected to happen for those that are 40+), but I can't find this info, not even on your website. It only says it is related to "AGE, MYOPIA (near-sighted), TRAUMA, and UNKNOWN". It is the "unknown" that I am interested in, as I can't accept that as an explanation. Everything has to have a cause, so I have to ask you: if a patient was young and did not have trauma or wasn't near sighted, was there anything else he or she had in common with other patients from the same age group? Like, did they share the same blood type, shared a history of headaches, wearing contact lenses for the sole purpose of changing their eye color, had a job where they lift heavy objects etc? Is there absolutely nothing nobody found that these patients had in common? Thank you.
It is not well studied and so 'unknown'. It might be the entropy of nature going to more disorder, it could be oxidation and inflammation perhaps from illness or the widespread low grade smoldering inflammation associated with pro-inflammatory foods: oxalates, phytanic acids, ultra-processed foods and seed oils/ fast foods.
Doctor thank you for very good and clear explanation this treatment.Could I ask you some few questions,pls.. what s a percentage of risk of miss the target during shooting energy into floaters .what's a risk to demage opt.nerve/retina...before treatment can you be sure if retina is not impacted yet?..and a last question is...after treatment what's a risk of creating floaters and in what amount?..can this worse a condition ?..I 'll be appreciate of answering.. thank you in advance...
www.thefloaterdoctor.com/the-yag-laser Please see this detailed explanation of how the laser works, and it will better explain how even missing the target is not dangerous as you think. In the hands of an experienced laser floater specialist, the risk to the retina statistically approaches 'zero' because you keep the focal point of the laser far enough away from the retina and lens. Laser treatment can cause some cloudy floaters to re-form differently. Are these new floaters, or re-aggregation of just-treated floater collagen? It is asemantic question.
My eye doctor said the floaters in my eye is because I’m getting older . “This no reason to worry a least there’s a lot of them..”he said. But I am really worried any extra effort like exercise bother my eyes. I think maybe 🤔 I will make a appointment with you.
YAG laser for posterior capsulotomy? YAG for floaters? In the former case, that should not affect or improve floaters. In the latter case, there are many doctors offering treatment for floaters but with limited experience and I find they tend to grossly undertreat.
Hi doctor i am glad that i found this channel thankew for the information i have a Question i am 20 yrs old now i had floaters nearly from 4! Years now but that was may 1 or 2 floaters not tht distractebel but on now i noticed that there are 4 floating objects now does i do lot of gaming does they increase due to the gaming or not n should i visit doctor aslo pls pls answer my Question
Hello. I live in Spain, on Tenerife island. Do you know a doctor in Spain or Canary Islands that you can recommend. I hope profesionales like you meet at conferences to exchange knowledge and get to know each other. Please recommend a doctor you know that I can trust. Thank you.
I am not aware of anyone if your area, unfortunately. There are many who have purchased lasers and many of those offering the treatment of floaters but beware of those with little experience.
That is so inaccurate. I have been treating for 17 years have not caused a cataract. You may be thinking about a surgical vitrectomy which does have a high rate of cataract formation.
Yes it is, although not as responsive to the laser. The membranes can be broken up and hopefully moved out of the way. Like I tell my patients, if you want to look out the window, you don't have to burn the drapes, just move them off to the side and out of the way.
I treat through multifocal lenses all the time. I curse under my breath while doing so, but they are not a contraindication to treatment and should not add any risk to the patient.
Thank you for explaining this. I have had floaters for years. They are becoming bothersome for me. I live in Tehachapi, Ca. Are you in Irvine, CA? It's not that far from me.
When you say younger patients, do you mean someone who’s had floaters since childhood need to wait until they’re older for treatment or those individuals will never be candidates for YAG laser treatment?
Nope. I mean the age of onset of the bothersome floaters. Younger people's floaters do not advance or graduate to the older floaters that are more widespread and often associated with a PVD.
@@Thefloaterdoctor1 Im debating getting a vitrectomy but I have excellent vision and I don’t want to lose accommodation with cataract surgery. What’s your advice?
So I have one dark one that goes side to side after the flashing subsided a bit would that be a Weiss ring ? Will it stay that way? Going to website for more info thank you 🙏🏾
I had both eyes done with cataract surgery, then I got scar tissue and they treat it with YAG laser but since then I having a big floater and it’s bothering me because it gives me a blurry vision, my doctor said to do a surgery is very risky, I have only one good eye and my other eye is with very little vision
I wish you were close to Connecticut . I had the surgery . I had a hemorrhage with floaters in my left eye. Now after 5 wks it is still bleeding I was told and I cannot see. Its like a white sheet over my eye. My doctor is looking confused . So he referred me to an ocular specialist 🤦🏾♀️
Hi doctor I suffer from eye floaters and elevated eye pressure but in the mid 20 ,,I do put eye drops once daily and my eye pressure stays at 16 or 15 ,,,all tests are good OCT and Visual field...is this procedure suitable for me ? As I heard a side effect of the laser can be elevated eye pressure...please reply thanks
It is pretty unusual to have eye pressure problems at your age, but regardless, I share your concern about eye pressure elevations as a risk, but it depends on the type of floater. Large, dense, cloudy floaters put the patient more at risk, but these are rare floaters for a young patient. It is more likely that you will not be a candidate at all based on your young age, unfortunately.
@@Thefloaterdoctor1 Thanks Dr. For your reply ...My age is 41 ,,,what I meant by mid 20 is the eye pressure reading before taking eye drops ..After eye drops it came down at 16 and stays around there ...I started having floaters like a year ago when I was about 39...Cheers
ahh. I read that wrong. That makes more sense. So I will be reluctant to treat someone actually diagnosed with and on meds for glaucoma for fear of making things worse, pressure-wise. Maybe if they just have a smaller weiss ring type of floater or thin spider-web fiber type of floaters I might consider it, but I am not too excited about the prospect because of the risk.
This is very interesting. I'm curious if you have issues with cataract lens replacement patients? In my case, I have had replacement lens surgery to partially remediate a posterior subcapsular cataract. The posterior portion is still there and I've just now been diagnosed with a posterior vitreous detachment. A lot going on, but I still have pretty good vision - all other symptoms aside. Any advice is appreciated!
Are you asking if I have any issues with patients who have had cataract surgery? Well, part of the answer is that I see these patients all the time. Since my bread and butter and typical patients are over the age of 45 to 50, a reasonable percentage of them will have already had cataract surgery. What does that do for me? Well if they are the so-called premium lenses there is a small aperture and a lot of optical glare and aberration that I have to do with. It does not increase the risk to the patient, but does decrease the efficiency and energy that can be actually be delivered. This may translate to some of the posterior located floaters being more difficult to treat or maybe not treated at all and quite possibly more overall treatment to compensate for the lack of efficiency.
Here is a challenge: There is no objective measurement of floater THAT CORRELATES with the patient's experience. It would be great if there were, as I could better show the effectiveness of the laser treatment.
as in... can I treat those people? At treatment, I use a hard contact lens 'floating' on a gel and topical anesthetic. I can usually still treat with mild/moderate corneal scarring/irregularities as with previous corneal refractive surgeries.
My eye floater came from a procedure for a condition called PVC... the blood clot near the macula was removed by an injection but now the broken down clot formed a netlike floater thats blocking my line of vision. is your protocol considered as one of the better alternative solutuons, beside draining the whole vitreious?. Thank you
For a floater that is in good position in the eye, the laser treatment is a great option as it avoids the common and potential complications of an invasive vitrectomy surgery. You wrote PVC... did you mean PVD / Posterior Vitreous Detachment? PVC is usually the acronym for Premature Ventricular Contractions in the heart. I can not comment on your specific floaters without the opportunity of an in -person examination.
Hello Doctor, thanks for your explanations of this great innovation at treating eye floaters. Are there any chances of these floaters recurring later even after treatment? How much does it cost and do you have branch office in the UK? A friend has floaters first in the left eye. seeing strands of floaters and dark ones with flashes of light which later resolved leaving only strands and dryness of eyes at night. He woke up recently to discover that the right eye has taken over with strands and a dark floater rolling about and flashes. Optometrists have see these and only pray they do not get worse. Caterracts also affect the right eye which is being referred to eye specialist hospital. My friend is almost 60 and believes there must be some food responsible for the floaters and slight detachment of the retina or something he uses like laser hair combes or even lack of drinking of enough water. Are there any relationships between these as according to him, his parents are older and none has ever experienced floaters. Many thanks.
Floater are a common problem and more common as we age. It is not likely anything he ate or failed to drink. I am only in Texas. It IS hard to find doctors with experience.
Hi Doctor ... what I don't understand is, we put a man on the Moon in 1969, yet this procedure is not standard in any country. I am from the UK and suffered a PVD following lens replacement surgery in the Summer, yet I am struggling to find any practice or recommendations for any UK opthalmolgists. It's a lonely place with all these floaters that have turned my right eye into a washine machine full of translucent socks being thrown around 24/7. Surely a big opporutunity for a similar practice like your own.
Hi Paul I went to eye clinic in Altrincham 13 years ago and they done lazer treatment on floaters there. Unfortunately I wasn't suitable for the treatment as they were too close to my retina. The ophthalmologist was a man called Mr Moriarty. Not sure if he still there. The taxi driver that drove me there told me he had it done himself and it worked for him.
@@cjc201 I found a forum of reviews on Brendan Moriarty and ot be honest they were overall very poor, I guess those that had a good experience are far less to join a forum but I saw enough to put me off persuing. Thanks again though.
@Paul Cramer oh really I never actually looked at reviews or anything, just going by his actual experience and it's pretty impressive, I seen him twice and found him to be very professional. I can understand your reluctance though. I hope you get your floaters sorted. They are a curse.
The 'backstop' for the laser is not the retina. The energy is delivered in a cone-shaped' energy pattern so that the energy is delivered at one point in space, not along a linear collimated path. My responsibility is to know where that energy is delivered and keep the focal point of that energy away from the retina and lens. If that is done correctly, there is no effect on the retina.
The laser is focused and delivers energy to only one point in space. As long as the focal point is far enough away from the retina and lens, there should be no risk to critical structures.
I do this quite commonly. The laser passes right through the lens implants without affecting it, or the optics of the eye. The newer multifocal lenses are a bit of a challenge, but if 'it' were easy, more doctors would be doing this, right?
Hi, one question. I have floaters that moves slow and others that are fixed ( I always find they in the same position) what is de difference? The fixed are closer or far from retina?
It's hard to say with absolute certainty as there's so many variables involved. I would use your description of the movement as well as the definition of the shadow itself. Floaters closer to the retina usually give you very distinct and defined outlines whereas those further away have softer and more diffused and cloudier outlines and shapes to them.
Hello Dr. (Floater Doctor) ; I have what you might say, a large vitreous floater in my right eye. The result of a PVD experienced a bout a year ago. This floater or detachment is so large that it is very noticable. My doctor refuses to do anything about it or treat it. Just recently, (during Omicron Covid period, this floater became infected. It was causing me a lot of pain. My doctor told me to use the prescribed medicine(tobramycin). This helped me for a couple a month but, I still am having pain from this floater on certain days. Will I need another type of treatment such as laser treatments? Is this something you would recommend?
If you are having pain, it is something else... no floater, however big, can cause pain. And the floater itself cannot become infected. Something is lost in the translation, or maybe you need a second opinion. Get that all sorted out first.
Short answer: The blood brain barrier (equivalent is retina-vitreous barrier) prevents molecules larger than 400 Dalton from getting into the vitreous space. Bromelain is lager than 20,000 Dalton, so ingested bromelain should not be able to get into the eye. Injected directly into the eye would be different and it would have a non-selective enzyme action to all the protein material, not just the specific floaters.
I have floaters for months I rubbed my eyes after that I see a black or dark floaters in my eyes that’s how I started my floaters it’s annoying I don’t know how to get rid of this
I live in the Cleveland Ohio area and have use of the Cole Eye Institute Ophthalmology. Is there anyone here you would recommend for floaters here? Any recommendation you could give would be great. Thank You.
I am not aware of anyone in your area with significant experience treating eye floaters with a laser. I suggest you watch my video "Choose Carefully" ru-vid.com/video/%D0%B2%D0%B8%D0%B4%D0%B5%D0%BE-lCTt94_D3sc.html I will be moving in early 2021 to the Dallas Ft Worth area... a bit closer
How do you deal with potentially large floater(s) that could cause glaucoma? And, are you or will you in the future be using nanoparticles technology to make floater removal surgery safe?
1. Taking into consideration other associated risk factors, we can choose not to do any treatment (always an option), but I have had good results with doing much lighter/milder/less aggressive treatments initially to see how the eye responds by checking the pressure the next day. If all is well, continue with lighter treatments. This has mitigated risk significantly even though the overall risk is quite low. 2. Gold Nanoparticles is theoretical and investigational. It will require an injection into the ye prior to treatment and although it might make the current laser technology much more efficient, it would not necessarily allow us to treat microscopic floaters very close to the retina which is the main problem with floaters in younger patients.
@@Thefloaterdoctor1 , what safer treatments are you suggesting when dealing with anxiety and floater? If you are suggesting pineapples, are you saying once a week?
Hello! I have had this problem since I was 18 (now I am 21). Could this problem get worse in the future? (does the number of spots or blindness increase?) Now everything is fine, but sometimes they catch my eye when I look at something bright (sky)
Everyone is different and there is no way to predict what will happen in the future. If you can, consider the low dose atropine. It has been a very successful program in my practice.
How risky is using 27 gage cutter and vitrectomy for floaters with someone who has had previous retinal tear and has had a partial PVD with lattice degeneration?
Do you suggest PPV surgery. I have lots of floaters and kind of like a shower curtain liner in the way of my 20/20 vision. Has gotten much worse over the years
Occasionally I will recommend vitrectomy for those not candidates for, or not satisfactorily treated with the YAG laser. Most of patients would rather try a non-invasive, arguably much less risky procedure with the laser before even considering the Floater-Only Vitrectomy.
I am 36 and have tons of floaters, cobwebs, wavy lines, circles, but the worst are like clear shower curtain liner and I think they are actually decreasing my vision. I never know how to describe them but shower curtain is really good description. I am diagnosed with PVD at this young age 🙁 . My contrast sensitivity is really bad
I had dropless cataract surgery in August and September and although most of the floaters are gone I now have vitreous detachment and the doctor wants to see me in six months. I'm 71 years old so some of this is normal with aging but will it be obvious if I develop a retinal detachment? Is seems the symptoms are very similar. I see a flickering, like a candle and not flashing light. I wish I would have seen your RU-vid videos before my surgery but my distance vision was getting pretty bad.
The flashes should subside of time if a typical PVD. With a retina detachment you can have flashes, but they may get worse, and also develop a darkness/shade/cloud that advances . Any worsening should be checked out out locally.
Thank you so much. I am seeing my doctor in a few days for an exam. I am thinking about asking him if I can come in every few months until the flickering light subsides. My surgery was three and four months ago. Surgeries were a month apart.@@Thefloaterdoctor1
No they can not. The microscopic, thin floaters in younger people are usually located too close to the retina and there it is not safe to treat with the laser. For the younger group, they will often benefit by a mild pupil dilating agent. It reduces the symptoms without actually affecting the floater.
Can it help? The better question is 'How could it possibly help?' If someone can posit an explanation as to how the proteins in the vitreous would respond to tiny little needles in your hands and fingers.
No, not likely. Doctors generally do not describe in detail the type, distribution, location, etc. of floaters. It requires an in person evaluation based on experience and judgment. Also, just because they may see 'something', it does not ensure that what they are seeing is the actual culprit floater(s) responsible for your symptoms.
I had cataract surgery got lenses put in and 2 weeks later floaters were so bad i couldn't see so i went and had floaters removed and i still have dot's and a rogue floater and months of eye drops.
Give it some time. Some of the dots may improve in the weeks after vitrectomy. Interestingly, I have treated a couple patients after vitrectomy for a random rogue residual floaters or two - and successfully.
@@Thefloaterdoctor1 You are correct after a time the dots go away and the floater has disappeared also, or my brain and eyes have tricked me into not seeing them anymore. You never realize how finite the eye actually is.
Did I hear you say either in this video or another one that there are a finite number of collagen particles in the vitreous? And, if so, I guess this would mean that using the laser would definitely help since once you got rid of all or close to all of them, you would be finished with treatment? But what about when the vitreous detaches (PVD)...does that then create more floaters beyond the original count of collagen particles in the vitreous?
