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VMR Institute
Добавлен 30 май 2014
The VMR Institute is a state-of-the-art treatment and research facility providing laser therapy and surgery of the eye’s vitreous, macula, and retina. Through expert surgeons Dr. J. Sebag, Dr. Lawrence P. Chong and Dr. Wayne Gui we offer groundbreaking specialty care in a private setting located in Huntington Beach in Orange County, California, where exceptional care is delivered in a compassionate environment.
For more information please visit our website: www.VMRinstitute.com
For more information please visit our website: www.VMRinstitute.com
Managing Floaters - 2024
Floaters are a common vision complaint of people young and old. Recent R & D has identified the causes and developed new diagnostic approaches for clinical evaluation. These improvements have facilitated medical decision-making enabling treatments that improve vision. This interview discusses the current management of floaters, both diagnostic and therapeutic.
Просмотров: 988
Видео
Dr. Sebag delivers the 2023 Meyer-Schwickerath Lecture to German Society of Ophthalmic Surgery
Просмотров 346Год назад
On June 17, 2023, Dr. Sebag delivered the Meyer-Schwickerath Lecture at the 35th International Congress of the DOC held in Nuremberg, attended by over 6,000 participants. Entitled “Vitreous and the Lens - a tale of two media”, this prestigious lecture discussed how principles of ocular physiology can be used to modify vitrectomy surgery and lessen the development of cataracts.
The Case for Vitrectomy for Vitreous Floaters
Просмотров 3,9 тыс.Год назад
In collaboration with the American Society of Retinal Specialists, the American Academy of Ophthalmology held a special debate session on October 3, 2022 during its annual meeting in Chicago, where several topics were discussed. Dr. Sebag was invited to speak about his experience performing limited vitrectomy for vitreous floaters that disturb vision, called Vision Degrading Myodesopsia. Previo...
The Aging Eye: What's Normal & What's Not?
Просмотров 2142 года назад
Retina specialist, Wayne Gui, M.D. provides a comprehensive presentation about the eye. He discusses topics including how the eye works, normal changes with aging, signs and symptoms of eye disease and advice for maintaining good eye health.
Vitrectomy Improves Visual Function in Multifocal Pseudophakia with Vision Degrading Myodesopsia
Просмотров 5483 года назад
Multi-focal intraocular lens implantation is an increasingly popular way to restore vision after cataract surgery. There are, however, unhappy patients who experience degradation in contrast sensitivity function, believed to be due to the implant. If such patients also have vitreous opacities causing floaters, there is further degradation in contrast sensitivity. This study of 180 subjects foun...
EURETINA (European Society of Retinal Specialists founded in 2000)
Просмотров 2233 года назад
On Sep 12, 2021 this invited lecture was presented to the European Society of Retinal Specialists (EURETINA) on the subject of vitreous, the gelatinous structure that fills the center of the eye. During aging, vitreous gel liquefies (accelerated in myopia) and eventually collapses and pulls away from the retina, an event called Posterior Vitreous Detachment (PVD). Anomalous PVD can feature spli...
GERMAN OPHTHALMOLOGY SOCIETY (Deutsche Ophthalmologische Gesselschaft, founded in 1857)
Просмотров 2033 года назад
On September 30, 2021 this invited lecture was presented at the annual meeting of the D.O.G. on the subject of the innate cells of the vitreous body, called hyalocytes. In health, these cells play an important role in immunology of the eye. In disease, hyalocytes are important in proliferative vitreo-retinal pathologies such macular pucker, recurrent retinal detachment due to proliferative vitr...
The VDM (Vision Degrading Myodesopsia) Project Webinar
Просмотров 7123 года назад
The VDM (Vision Degrading Myodesopsia is the clinical term for significant vitreous floaters) Project is a grass roots movement organized by patients with vitreous floaters. The Project is dedicated to education, public awareness, patient support, and stimulating government and corporate R & D to improve understanding of the cause(s) of VDM and improve its diagnosis and treatment. There is a gr...
Post Robert Machemer Lecture Interview with Dr. Sebag
Просмотров 2755 лет назад
In the interview following the inaugural Robert Machemer lecture of the European Society of Ophthalmology, Dr. Sebag shared some thoughts for young Ophthalmologists.
Inaugural Robert Machemer Lecture of the European Society of Ophthalmology
Просмотров 5865 лет назад
On June 14, the Inaugural Robert Machemer Lecture of the European Society of Ophthalmology was delivered in Nice, France by VMR’s founding director, Dr. Sebag. Paying homage to Dr. Machemer’s revolutionary invention of vitrectomy in the 1970s, Dr. Sebag‘s lecture was entitled “Vitrectomy for Vision Degrading Myodesopsia” during which he shared with the world new concepts of how vitreous floater...
Macular Pucker Surgery
Просмотров 9 тыс.6 лет назад
Retina lines the inside of the back of the eye and works like a film in a camera. Macula is the center of the retina, responsible for central and detailed vision. Macular pucker is characterized by distorted and blurred vision caused by an abnormal sheet (membrane) that physically distorts the macula. To cure macular pucker the eye is entered with microscopic instruments to remove the central v...
The Cure for Eye Floaters (Vitrectomy for Vitreous Opacities)
Просмотров 18 тыс.8 лет назад
Dr. Jerry Sebag of VMR Institute for Vitreous - Macula - Retina discusses the merits of Vitrectomy (minimally invasive) surgery for curing eye floaters. He discusses new developments in testing to find vitrectomy candidates, as well as what makes this new kind of vitrectomy better than any other floaters treatment.
Limited Vitrectomy for Floaters - The Eye Floaters Treatment [GRAPHIC]
Просмотров 107 тыс.9 лет назад
Limited Vitrectomy for Floaters is a 10 minute outpatient procedure using very small 25 gauge instruments, eliminating the need for stitches. It is considered the definitive treatment to cure floaters and with a minimal amount of risk. Learn more about floater vitrectomy here: www.vmrinstitute.com/treatment-of-floaters/
Vitrectomy For Floaters
Просмотров 9409 лет назад
There are several causes for floaters. In most cases floaters are not related to any eye disease. But only a thorough examination with our specialists can rule out disease related to the floaters. Limited 25 gauge vitrectomy can be performed in about 10 minutes under local anesthesia to successfully remove your bothersome floaters.
Treating Diabetic Retinopathy with Laser Surgery
Просмотров 4,6 тыс.9 лет назад
American Health Journal features Dr. Sebag as he discusses the effectiveness of laser surgery in treating diseases of the eye, such as diabetic retinopathy, macular degeneration, and retinal tears & detachments.
Using Laser-based Nanotechnologies to Explore the Human Eye
Просмотров 5139 лет назад
Using Laser-based Nanotechnologies to Explore the Human Eye
Dr. Sebag Answers Questions About Vitrectomy For Floaters
Просмотров 10 тыс.9 лет назад
Dr. Sebag Answers Questions About Vitrectomy For Floaters
Macular Degeneration - The VMR Insitute
Просмотров 9910 лет назад
Macular Degeneration - The VMR Insitute
Just listened for 33 minutes - no big news in this podcast. Please focus on new significant developments there at the VMR Institute. Thanks
How widely known/practiced is the concept of limited vitrectomy? Is it something that local eye surgeons here in Europe would know about and be able to carry out, or is it still something that most doctors have never heard of and would be unwilling and/or unable to perform? Does it require special additional training, or is it sufficient that a surgeon be aware of the concept and put it into practice by avoiding total vitrectomy?
Where do I find a doctor who has LOTS of experience in limited vitrectomy? My "snow globe " amount of floaters I believe was caused by my implants of premium IOLs. Did they cause them? I went to the Floater Doctor in Texas and multiple treatments helped but I still have a bunch left. Some large. Help me. The Floater Doctor can't laser the floaters in back 1/3 of vitreous, too close to retina. Help me. I'll go anywhere to get help.
I had emergency vetrectomy due to verteous haemorhage on left eye. The side benefit is floaters are gone. I authorized surgeon to remove cloudy lens if they find cataract during surgery & he did. Now my vision on left eye is improved with lens replacement, no cataract, floaters gone. I live in Singapore, most hospitals with eye clinic can perform the surgery.
Help Mucha gente padece esto yo tenia 15 años cuando me salio ahora tengo 28 ,13 años prácticamente y ya mi vista ya lo siento invadida cads dia son mas y mas y no se quitan por favor necesitamos wue avanze rapido un tratamiento no invasivo
I just wish it was a longer video
I had cataract surgery almost 10 months ago. After my cataract surgery, i now have floaters on both by eyes. It's not so much the black mosquitoes moving around my field of vision, but In my case, I also have a bad cellophane type cloud that constantly moves over my field of vision. This is very distracting and affects my reading and focusing. I also get lots of glare when watching TV. Twice now as of last month, I have made mistakes while paying my bills. My Dr says it's a dangerous procedure and that I could lose my vision. I am very concerned whether to address this issue or not. The left eye is the worst, but my right eye is also affected. What should I do, as my Dr dismisses me because I have 20/20 vision while wearing glasses????? After I kept insisting in further care, he referred me to a Dr at Bascom Palmer. His comment was that the Dr he is referring me to, may or may NOT help surgically. I certainly do NOT want surgery, but I can not see due to the size of this cellophane cloud that obscure my vision. Please Advise!
I had cataract surgery almost 10 months ago. After my cataract surgery, i now have floaters. It's not so much the black mosquitoes moving around my field of vision. In my case, I also have a bad cellophane type cloud that constantly moves over my field of vision. This is very distracting and affects my reading and focusing. I also get lots of glare when watching TV. My Dr says it's a dangerous procedure and that I could lose my vision. I am very concerned whether to address this issue or not. The left eye is the worst, but my right eye is also affected. What should I do?????
Thank you for that video. I have floaters and they feel like a real curse. What is almost as bad as having them though is going in and complaining about them and they don't do anything to help. Nobody has ever done an ultrasound or test my contrast sensitivity. Even though I can tell it is low as white walls look like static now. And the offer no help other than "wear sunglasses more often" or "just think of them as your friends." It would help me a lot if it was treated as a serious problem and not just "part of the aging process"
Rogemos al señor que les de el conocimiento necesario para puedan hallar una cura menos invasiva y eficas
So basically after 30 years of research we still have the same 2 shitty options!!!
Dr. Sebag, you are already living history of ophtalmology. But we need you to keep on working on the nanoparticles project and get to clinical trials. Thanks a lot for listening to patients 🙏 keep on the good work
We want treatment. Stop talking. You have been talking for years and there is no work
Sirr we need a cure please help us 🥹🥹🙏🙏
Dr Sabag is a genius. He is the only one that actually listened and found a solution to my problem. God bless his life.
You had vitrectomy?
@@themusicscene. correct. No problems at all. Thank god.
@@saludconsciente5671 how old at the time?
@@themusicscene. 60. this year. Contact me if u want details. Would be happy to help.
@@saludconsciente5671 thank you
Doctor Sebaj. We need to move forward as quickly as possible in the treatment of eye floaters. since there are millions of people who already suffer from this disease and they are getting younger and younger. Very soon we will be in the year 2025. We need this treatment of nanoparticles as soon as possible
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 (😎. 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 really wish more people watched this... And I really appreciate Dr. Sebag's effort in pushing things forward. We really need help with floaters... All over the world... And not just in developing new cures... We need doctors to understand that it's not madness to perform vitrectomy on floater patients... I've been to 4 retina specialists in my country (Portugal), and none of them is willing to do it. They treat you like a lunatic...
Are not cataracts an inevitability soon after a vitrectomy?
Please help people who suffers from eyefloaters...please...we are wasting our lifetime
I'm 25 and debilitating eye floaters have really destroyed my life. Unfortunately there is no surgeon who is experienced in vitrectomy for floaters in Australia. Every day I pray for a way out of this hell.
I can help if you come to Pakistan there is best surgeon in islamabad
If you are rich come to Pakistan and we do vitrectomy together
I'm from Uzbekistan, I'm 30 years old, I live like you, floaters make me mentally tired and my life is not smooth, The doctors said that if there are a large number of floaters, there will be no worries, but I am always worried about fear.
Dr sebag you find any solutions for us? Eyefloaters sufferer 🥲
This guy is a genius.
What about the risk of cataracts? I thought it was very high anytime you puncture the eye like this.
it depends really. Cataracts are caused when oxygen touches the back of the lense. Surgeons often leave a thick enough layer of vitreous behind the lense to block off any cataract forming oxygen bubbles.
My son has problem of retinopathy of prematurity. He cant see . He has opacity in eye ball and light does not pass through eye ball to retina . Is that curable ? Is their any research / solution for restoration of vision of my son . He is thirty year old . He is M.Phil English literature and Professor in a university . Kindly guide me .
IT POKES INTO THE EYE BALL
Omg doctor we need help with eyefloaters 😭
I need this done but I’m scared to try have this done . I only have single vision ..
Are there any new treatments in the horizon? Make a new video please.
I really wish this info was shared in amongst ophthalmologists, I have been told several times that it is to dangerous and that it guarantees Cataract surgery in a few years
Do you have any new updates, any new treatments? I will pray for a cure. GOD Will deliver.
I want to come to your office. I want to support the organization. I don’t have much money, but I can contribute.
Hello I need your help. I am in California
Dr, Johnson in Texas does the YAG laser also another doctor in a different state. Check his videos out.
don't go there, ever
Praying to GOD that He will find a cure.
Hello Dr. Sebag, what do you think about MSM eye drops about eye floaters, from Dr. Berne ? He is a holistic ophthalmologist in New Mexico. Please let me know. Thank you.
What do you think about MSM drops?
How much experience do you Dr. ?
What about Yag Laser Vitreolysis instead … surely significant less invasive and therefore lower risk
Just had this done. Only took 20 minutes. Was in preop longer then the actual surgery.
Outcome?
@jitujitu1964 my mother has it; she said everything looks blurry
How is your vision?
Sir which substance you use as vitreous replacement. What is the cuurent status of artificial vitreous hydrogel mimics.
Ig I'll have to live with it😔
I recently had a floaters only vitrectomy in my right eye in an attempt to improve the quality of my life. I developed PVD in one eye in early 2021, the second eye 7 months later - at the age of 45. My vitrectomy was successful 2.5 weeks ago. I was concerned but I could not continue to live with massive floaters in my eyes. I had no surgery issues. My eye pressure has increased, I’m on medication and under weekly observation. But I have no floaters in my right eye, where I had the vitrectomy. I’m very pleased so far. Very grateful for God and my eye surgeon in Australia. I’m glad I had the surgery. Praying that I don’t get a cataract. Very pleased so far.
What dr put in eyes after removing gel ?
@@m.jq8444 Saline solution which is replaced by body's own aqueous humour within a few days
Thank you Natalie for sharing. I was looking for some assurance. I too am having vitrectomy on my right eye for floaters only. The operation is booked at the end of January 2023. Actually, it is to remove floating membrane from a PVD which happened last April. I was supposed to have the surgery last Sept but wanted to give my eye more time hoping the membrane would move out off the line of sight but to no avail. God bless from a fellow Aussie and Christ Believer.
@@Paul-op9oz hi Paul. I’m still going great. So grateful I had the surgery. It’s made a massive improvement to my life. You’ll be ok! 🙏🏼
@@TheFaithdownunder Hi Nat, I had my operation last Wed. All is well. My sight is improving everyday. No regrets. Dr lewis Lam ESI on the Gold Coast is highly recommended. God is good. Hope you are well and your eyes give you no more problems.
To see research quickened to save us all is my hope. Good nanoparticles sound so great. No vitreous removal ; just burst of the opacities
I'm a little disapointed that you didn't mention Vision Degrading Myodesopsia in the eye diseases that come with aging :(
My eye don't watch this😱 My brain watch this My brain won 😁
I want a vitrectomy
Learned lots of things, thank you VDM!
When you get excited watching videos like this and dream every day of relief it’s time to go through with it. You have a 1/100 chance of dying in a car crash yet you still drive. Time to get this procedure and take control of my Life
What is ur age buddy
Why floaters have control of you life ?
@@julkinezi1558 if you haven't had a floater such as a Weiss ring, you wouldn't ask. When a gauze of tissue floats back and forth incessantly, glaring in the centre of your vision, it's all you can think about as you try to read, drive, gaze at clouds, paint (speaking as an artist), and is impossible to focus on anything else. A constant, moving source of despair. Retinologists who perform this surgery not only allow one to see clearly, but contribute to mental health.
You are trying to be over smart. With you silly old car sarcasm.
Yup can anyone summarizes in Arabic plz.
U