Treating the "Untreatable" VITREOUS EYE FLOATERS with YAG Laser
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- Опубликовано: 29 сен 2024
- Poor Steve has been suffering this mess of vitreous degeneration for a long time making it difficult to, well, just live his life. As The Floater Doctor I am used to seeing a lot of quite impressive vitreous degenerative conditions, but this was a 'doozy'. And as an extra insult, was about the same in both eyes. A surgical procedure, the vitrectomy was a consideration and part of the conversation during the initial consultation, but Steve was not to excited about the prospects of an invasive procedure that has a nearly 100% expectation of developing cataracts requiring more surgery later on. I set the expectations low but the results exceeded what I thought I could do, and I am probably the most experienced in this procedure.
The patient is happy and can get on with his life as a husband, father, land agent, and hunting expedition organizer and leader.
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The Floater Doctor, James H. Johnson M.D. is Medical Director of the only medical practice in the world specializing in, and exclusively treating eye floaters, the bothersome spots, shadows, and clouds that affect your vision. Although common, especially changes such as posterior vitreous detachment (PVDs) as we age, these vitreous eye floaters are rarely offered treatment by your local and well qualified eye care providers, even at top specialty institutions. Dr. Johnson uses a specialized FDA-approved YAG laser to vaporize and destroy the proteins in the vitreous that are responsible for your spots, shadows, and moving blurred areas in your vision. He has been doing so since 2007 making him one of, if not the most experienced in this very specialty niche area in ophthalmology, a pioneer in this field.
Links you may be interested in:
► MAIN WEBSITE INTRO: www.TheFloater...
► TREATMENT OPTIONS: www.TheFloater...
► THE YAG LASER: : www.TheFloater...
► WHY AREN'T MORE DOCTORS TREATING EYE FLOATERS www.thefloater...
►CHOOSE YOUR DOCTOR CAREFULLY www.thefloater...
►YOUNGER PERSON WITH FLOATER? www.thefloater...
MEDICAL ADVICE DISCLAIMER: All content in this video and description including: information, opinions, content, references and links is for informational purposes only. The Author does not provide any medical advice on the Site. Accessing, viewing, reading or otherwise using this content does NOT create a physician-patient relationship between you and it’s author. Providing personal or medical information to the Dr. Johnson does not create a physician-patient relationship between you and the Dr. Johnson. Nothing contained in this video or it’s description is intended to establish a physician-patient relationship, to replace the services of a trained physician or healthcare professional, or otherwise to be a substitute for professional medical advice, diagnosis, or treatment. You should consult a licensed physician or appropriately credentialed healthcare worker in your community in all matters relating to your health.
![DDG & G Herbo - Nosey [Official Video]](http://i.ytimg.com/vi/I9Ra0Zc2NlQ/mqdefault.jpg)
Thanks for helping my brother @chuckD ❤
I had this treatment 4 days ago with significant improvement in my vision with a reduction in annoying floaters that made things blurry. Dr. Johnson spends a lot of time explaining things very clearly. Highly recommended.
Thank, Phil for taking the time to share your experience and trusting me with your precious vision.
I may actually consider taking a flight from Australia to see Dr Johnson for treatment. Amazing stuff and love the information and videos
I’ve had mine since I was a kid. I thought everyone had them. I’ve looked at them from my point of view, I have always wondered what they look like from the view of some one looking inside my eyes. It would be cool to see videos of them from a doctors view.
Please doctor can u give us your patient with eye floaters to talk about their experience after using laser please for eye floaters
YELP: www.yelp.com/biz/the-floater-doctor-arlington
I have been suffering from eye floaters for 3 years i am 23 year old but unfortunately i can't effort surgery or leaser operation 😢
I'd like to make an appointment
Done online via my web site.
I have been suffering from eye floaters for 3 years please help me I can't effort surgery 😢
Thank you for sharing this looks remarkably helpful, this really appears to be a refined skill you need to train more physicians on this I have a feeling a lot of people are not comfortable trying to use the laser to break down this material in such a sensitive area, this issue with floaters it has a detrimental issue to a lot of people including myself
It's true and there is no course of training for this procedure.
Same here, I can't even work anymore, am very depressed..and in trouble $$$
I am 31 years old. I am from Brazil. I had refractive surgery to correct my vision in December 2022. I no longer wear glasses. In February, two months after the surgery, these floaters appeared. I didn't even know they existed. The doctors told me there was nothing they could do. Today I am depressed because of this. Help Dr. Johnson, I can't take it anymore. Is it possible to do this YAG laser vitreolysis on me???
Thankyou for hope
Are you the only ophthalmologist that does this procedure? I live in Canada and don’t have a lot of money yet my vitreous detachment has caused significant vision impairment. I’d like to get this procedure done to help but what kind of cost am I looking at? Thanks
I'm 21, I see floaters like microorganisms and bacteria like tiny ones that is transparent. I understand that laser is not for younng peole but if it's not close to the retina, or lens, Is it possible to do vitreolysis?
It all depends on the location of the floaters. Age is not an absolute criteria, but it is a strong correlation that younger people typically have their floaters close to the retina.
what are the possible complications? whats the complication rate?
Which lens do you use for the procedure doctor?
Would love to hear from you patients a couple of weeks after there procedure. Great to see that something can be done with floaters, they can be quite debilitating
YELP: www.yelp.com/biz/the-floater-doctor-arlington
their not there
I've tried the YAG Laser treatment for my annoying floaters and I can tell you: It works magically. Worth every penny. It has been now almost a year since I did it over 3 sessions. I and the doctor discussed all aspects of the simple operation (It takes around an hour from preparation to finish). The most important thing is for the doctor to have a spatial understanding of the eye and what's inside it, everything else is pretty automatic and the laser is super safe. They just dilate the eyes and put some local anesthesia then place eyelid stopers so you don't blink. You will feel some discomfort but nothing painful.
The result is amazing from the first session, but due to the nature of how floaters are formed and are attached, you might need a few more sessions.
One drawback has to do with our bodies; these floaters form for many reasons. It could be inflammation, aging, or sudden head shakes, so due to this, floaters might form again, which is what happened to me a few weeks ago when a clump of stubborn floaters appeared right in the center of my vision, this means I will have to do the procedure again.
I guess the YAG Laser procedure isn't a long-term solution, but worth it in the short run.
@@saadrabia
Hey Saad
Is it possible you that I can contact you ?
@@saadrabia Depois que você fez o tratamento suas moscas volantes sumiu como foii a sensação de enxerga depois da sessão meu sonho e fazer esse laser vejo muitas moscas volantes acaba com minha qualidade de vida tbm moro no Brazil os oftalmologista daki não indica vitrectomia e arriscada pode dar outros problemas além das moscas volantes e suas moscas volantes voltarão depois da sensação me conta sua experiência?
Because of floaters, I've been sleeping with only death consolation since I was 20. I wish I had a chance to go to doctors like you. But it is impossible for me
i hope i die soon
email me: mail@thefloaterdoctor.com
Can you remove large debris from a PVD induced vitrectomy that I had for floaters? During the PVD I had retinal tear (Which I cant see thank god), though it has left VERY black large floaters, as in darker than normal vitreous floaters. I can do another vitrectomy wash to remove them, which is safer than before since I have no virtuous, but id rather see if a laser can break them down so they can drain out of my eye, (Mesh network)
I have had a few patients with some residual material after a vitrectomy. It can be done.
Do floaters have to be in a safe position inside the eye in order to have this procedure done?
Abso-YAG-olutely!! This is why I can rarely treat the 20-30 year old patients... their floaters are too close to the retina.
I’m 31 and have pretty bad eye floaters. I feel like I’m too young to be having this problem and it completely puts a damper on my life. Talked to my doctor about this treatment and might do it. What are the possible side effects of this treatment? We didn’t go into much detail because I have a follow up in six months
See my page on my website where I discuss this at length. Risks are also a function of the doctor's experience. If your doctor's web site just has a paragraph saying something like "We also treat floaters, easy peasy" then be very careful. He/she may be super-qualified in cataract surgery, etc., but those skills do not translate to treating eye floaters.
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!!!!
I have a big ones rendering right eye almost useless. Looking forward to this procedure soon myself to hopefully clear things! up.
I'll be glad to see you here in Dallas
how did it go
How did it go!??
I'm suddenly observing a floater,its like a fine hair,its so annoying. I'm distracting while reading or doing other works and its more prominent in bright and white objects. I'm so depressed now. I'm only 22 and it's on left eye i also have -ve 0.25 power in that eye when i last checked but I don't wear any glass for it.From past few months i was seeing blurring vision from lest eye and i noticed a floater fews days back but that went away now from tomorrow I'm seeing this floater that doesn't go.😢
I'm 21 and really want this laser treatment but I know you said this is not for younger people in most cases. What age would you say I need to wait till for the laser treatment? Also what is the chance of you being able to treat me right now?
There is no magic timeline where these younger people floaters convert to treatable older people floaters. There is the possibility that with time, as the vitreous ages and liquefies, the small floaters can move further away from the retina where they will be less noticeable. Treat right now with the laser? Probably
I have been using the low dose atropine, It has been helpful. I have had floaters for over a year now do you think if I wait 4 or 5 years the floaters can move further away from the retina so I can do the laser?
@@trendnation4975 do you have myopia?
@@antoniusfaro5763 no I don't
@@trendnation4975 how are your floaters now
Hello Doctor, I am Alaa from Algeria. I suffer from floaters. They first appeared in July 2014 in the form of a black fly in my left eye. I was 22 years old. Then after four years and in the same month, floaters appeared in my right eye. They were transparent and did not always appear in the field of vision. And this year, in the same month, July, new floaters appeared in my left eye, and now the floaters have become clearer and more mobile. Now I am 30 years old. What is your explanation for this? Am I a good candidate for Yag laser treatment? Finally, I would like to remind you, Doctor, that the first problem that started with me in my eyes is seasonal allergies, especially In the summer, would that be the reason?
Unfortunately, I don't have some of the answers that you were looking for. Floaters can occur in younger people that are otherwise healthy and don't have any associated problems like allergies or injuries or medication use. There's still a lot that is not known about eye floaters in younger people. Regarding the laser? Based on your younger age, you will not likely be a good candidate for treatment with the laser. If you can convince a local doctor to prescribe a custom compounded atropine, it might be a good effort. People who are not candidates for the laser using atropine 01 or some low dose variation of that and it's been very very helpful for them. It's safe to use in the long term. Unfortunately, I cannot mail the lodos atropine outside the United States. If you go to my website, there is an explanation paper that you can download for free and present it to your doctor which states the case for the use of low dose atropine in these situations. thefloaterdoctor.com/atropine
@@Thefloaterdoctor1 is atropine okay for long term use lets say 5 years plus?
my eye floaters appeared after 2 months of my second PRK surgery (enhancement)
im 33 years old
...
- I am booking my appointment. You are incredible!
how did it go
I second that. How did it go!?
Thank´s a lot for sharing this information. But what happens to the membrane when you hit a weiss-ring floater? Isn´t it affected too?
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.,
What do you think is causing the increase in floaters for younger people under 30? I started to notice them 1 year ago and my life has never been the same. I’ve considered every possible cause under the sun. Whether it be screen time on phones/laptops, caffeine, energy drinks, diet soda, contracting Covid, or even Bluetooth like my AirPods. I would cut any of those out of my life to get rid of these!
First, we don't really know if floaters are more common now than in the past as we have no data! We do have more ways for floater-sufferers to communicate and share their experiences on social media. Regarding your possible causes list? I don't think using your eyes (intensive, in UV, screen time, etc) is responsible, but I do have some theories. You have inspired me to plan an upcoming video to address this common query. For the younger floater sufferers, the low dose atropine program I have has been really helpful. Done via Zoom tele-med consultation and then mailed to you anywhere in the US.
Thanks Doc. I appreciate your thorough reply. I am very interested in the low dosage treatment and plan to try it out at the start of the new year. Very interested in your video and would love to hear any theories and even cut things out of my life if it meant healing
Probably inflammation from stress. I had them during periods of increased neurosis and anxiety.
Did they ever go away for you? I am absolutely in the most stressful phase of my life so far. I have a parent with stage 4 cancer so all of that has taken a huge toll on me. Would love to know if there’s hope that they may someday go away
@@chris.t1629una vez que aparecen se quedan de por vida.
Doc, I’m 62 and I recently had a severe impact to my left eye while wearing safety glasses. No obvious injury initially. The glasses truly save my eye but a few days later I started getting classic PVD symptoms. Was at the doc the next morning where I was diagnosed with a moderate retinal tear. Immediately had the laser treatments to seal the area around the tear. Maybe two months now I still get the minor light show in a dark area but the big jewfish floater is a real problem. I asked my doctor if the floater laser treatment should work on the jellyfish and was told no. But he doesn’t do the floater laser treatments. I’m thinking maybe he’s just not familiar with the process. Or is he correct? He said it should go away over a few months. But the change has been hardly noticeable. Thank you for your time.
The 'Jellyfish' could be a cloud or the vitreous membrane that peels away during a PVD. These are a bit more technically difficult to treat and a less efficient to treat, but I treat these all the time.
Thanks for the video. I'd also like to hear the patient's honest review after the laser treatment.
The bottom of my web site has links to yelp.com and Google reviews. thefloaterdoctor.com
I have floaters and they’re too many in number, very big ones, I don’t know if this is an option for me or not, but I’m just happy that guy got rid of his floaters, thanks Dr. James, God bless you, you’re a legend! I hope I get a similar treatment for my floaters one day too.. 🙏
I read this to my girlfriend and she rolled her eye when I got to the 'Legend' part, but I appreciate it.
Thanks to the universe I found your video !!!...Now, I know we don't have to live with this torment thanks to heroes like you, Dr. James, must eye drs don't want to deal with it only a very few in the country has the nerves of steel to do this procedure, my life is been miserable since last year when I started seen more floaters (seen them for over 20 yrs, small ones got used to it) with different shapes, darker and zigzag types that terrified me me at first , follow by a vitreous hemorrage at night a couple weeks later on my left eye that blocked my vison on that eye for 2 months due diabetes 2, I started to control my diabetes , BP, diet , the numbers came down but the damage was done already on my other eye too, my right eye , early this month I started to see the same huge floaters and black floaters again and I knew it was coming, last Wednesday 9 months later it happened again on my good right eye this time ! Thanks God the other one cleared up or I will be blind, my eye dr told me I need the laser surgery to treat (kill) those vascular vessels( don't belong there) inside my eyes that keep causing this bleeding and keep watching your diabetes , for now go home and let's wait until your blood get reabsorbed and I see you in 4 weeks. I will have that procedure done and then I will try to see you for your procedure to remove the remaining floaters. I typed all this info to help other too and don't wait until this happens like I did, if your normal floaters you have been seen for long time turn biggers and darker go to the dr right away!!!!!!!
@@Thefloaterdoctor1 Giga Sigma Chad Legend she can kick rocks, or floaters matter of fact👍🏻
I'm 25 and my bothersome eye floater is dark and in the centre of my eye even when dilated with atropine. Does this sound like it could be a laser candidate?
Not necessarily. Your floaters could be small and very close to the retina which may explain why you still see it even when dilated.
I would love to get this done!
You make this look so easy. The ophthalmoloist I go to discourages use of the laser, stating it increases the risk of other eye issues, and I've already had a partially detached retina in my more problematic eye. But if I ever decide to pursue the laser, I'll put my fears of plane rides aside and will fly to Texas. Thank you for the helpful videos you post.
Did you ever get the procedure done?
@@Jsrmal No. The floaters are worse in both eyes and the hundreds of flashes of light in each eye every single day drive me nuts, but I worry a lot about another detached retina. If I get to the point where I can't handle the floaters any more, I'll get them zapped.
I am wondering if it is stress. Mine suddenly appeared after my 97 year old mom (probably dementia or sundown syndrome I didn't realize at the time) accused me of stealing her mail! I didn't realize taking care of an elderly person could be so stressful. It was that one stressful day they appeared. Before that the eye doctor recently said my eyes looked very healthy.
Not likely stress. More likely you are well into your 60's in age and that is the main risk factor. Good luck with Mom. Mine is 84 and still living alone and mowing her lawn, so finger's crossed...
wow I am surprised that a floater that huge and dense wasn't treated by a vitrectomy that is honestly insane.
I will often suggest or at least discuss vitrectomy at the time of the first consultation, but for obvious reasons many do not want a vitrectomy, or are at least wiling to try the laser first.
@@Thefloaterdoctor1 i bet he is happy he didnt go for a vitrectomy.
@@Thefloaterdoctor1yes dr, you are absolutely right!...I am going to need you soon. can you send me your email or any info how to contact you? Thanks!
Doctor my eye lot of floters...im srilanka..there no have treat mant...doctor where are you...floters big problem me.
I am in Texas in the United States. Read about Low Dose Atropine on my web site. You can get it from the pharmacy in India. Maybe also in Sri Lanka
Hello doctor, I'm 18 years old, I live in France and I have a lot of floaters for a few years now. I have lots of dreams and projects, like moving to the USA after graduating, visiting the world etc... But the problem is that these floaters bother me so much that I say to myself "there's no point in realizing these dreams if it's only to see these floaters bothering you for the rest of your life..." so it demotivates me and makes me sad. I don't know what to do, what do you recommend?
For younger patients, I recommend trying the Low Dose Atropine. I can not mail internationally, but you might be able to convince your local doctor to prescribe it for you. thefloaterdoctor.com/atropine-request
I will do my best helping everybody find you , Here the laser is available unfortunately Doctors are not skilled towards the procedure Hope some day there will be training course implement of Laser Vitreolysis for some of them
Thank you so much.
i have a question, i had like 6 or 7 big floaters in my eyes that stuck in the middle, should i treat it with laser? or is this treatment for bigger amount of floaters?
I can treat small floaters, I can not treat floaters near the retina. I just dropped a new video explaining the thought and evaluation process: ruclips.net/video/naOvFVBjPH8/видео.html
i didnt mean middle i meant center of my vision they always move around when i look up around too fast they jump they visible and annoying... @@Thefloaterdoctor1
I've had Lasik about 15 years ago, now I'm 35 and my right eye if filled with floaters. Can this procedure be done post Lasik?
Absolutely. I do it all the time in patients with history of RK, PRK, LASIK, cataract surgery, previous retina procedures.
I dont know why we cant just make a less powerful laser to slowly hit floaters that are closer to the retina.
That is possible, but visualizing them is another challenge. The resolution of the optical microscopes is never going to be as good or correlate well with what the patient is seeing.
Can people with EDS get this treatment? I have heard that lasix is not recommended for people with EDS so I wasn’t sure about this as it’s a laser. Also is this treatment painful?
Ehler Danlos Syndrome? It is a collagen problem and the cornea is essentially 100% collagen. LASIK removes corneal tissue and that might make a weakened collagen structure even weaker. That's LASIK. Laser vitreolysis would not make collagen weaker and so they are really unrelated concerns.
@@Thefloaterdoctor1 thank you so much! I’m relieved I could possibly get this treatment. Now I’ll wait 6 months to see if it settles - since my PVD just started - and I’ll be in touch!
Hello doc, I'm from Malaysia and suffer with this floaters for over 4 years. I'm 28 years old and need to hear your consultation. Am I qualified enough to do this treatment because Im still young but having this bad floaters really make me depress. Help me.
People in their 20's and 30's are rarely candidates for treatment with the laser.
My theory is eye floaters are caused from dry eyes causing oxidative damage over time to the vitreous. This causes it to shrink, contract and pull away from the posterior edge of the eye to the interior. Contraction pulls cells with it in front of the retina. Dry eyes can be caused from perscription drugs such as Acutane or eye infections that block the oil glands on the edge of the eye lids.
I think there might be something to inflammation and oxidation affecting the vitreous chemistry, but the front surface of the (dry) eye is pretty compartmentalized and away from the vitreous space, and floaters in younger people typically occur at the furthest distance away from the front of the eye, typically adjacent to the retina. It may be the highly inflammatory and oxidated foods typical of a western diet spilling over from the retinal blood vessels.
so if this different than the typical laser treatment?
He had much more and widespread degeneration than most. Even the doctors that occasionally treat with a laser would probably not attempt to treat this mess.
I NEED YOUR UTMOST ATTENTION.
Seems I figured out the crux of the problem. If the vitreous is clean - It's definitely blood vessels issue. Let me explain how I've figure it out.
Few days ago I commenced to apply the DETRALEX pills. I was worrying of the pain that had seemed like hemorrhoids beginning.
Today evening I saw something similar between rainbow and north shining in the both of my eyes.
I closed one eye - rainbow was there. I closed another - the same. It ceased in an hour.
But the most interesting is that the most disturbing wide eye floater have almost disappeared. Now it occurs way less noticeable.
WE HAVE TO TREAT BLOOD VESSELS!
One more notice from me - Maybe I'm insane but I'd taken two azithromycin pills (one per day), just to cleans me body from everything before I started taking detralex.
Your comments are desirable
research "Ophthalmic Migraines"
@@Thefloaterdoctor1 Thanks a ton
Sir I am from Pakistan 🥺 you are very far from me I have a lots of floaters in my both eyes what should I do for
Especially if you are younger, consider low dose atropine. I believe you can get it from the pharmacy without prescription (0.01% NOT 1%). Check to see if same in Pakistan.
Hello Dr I had cataract surgery then after a month I hv noticed many floaters and got a grey shadow in my vision do laser can treat this dr said its also kinda floaters
It is fairly common to develop floaters after cataract surgery. As far as treatment, it al depends on where the floaters are located. If you are over 45-50 yrs, if you experienced a posterior vitreous detachment, if your doctor easily saw your floaters, then these are all good predictors of the ability to treat with a laser.
can it be used post victrectomy for some mild vitreous blood?
Blood 'should' clear over 3-4 months, even more so post-vitrectomy where these little free agents can find their way into the anterior chamber and get filtered out. More direct to your question, I have treated a few patients after vitrectomy, but it was leftover vitreous strands, not blood.
I have a bothersome Weiss Ring floater in my right eye. I also had cataract surgery in that eye with implant of a Synergy multifocal lens. Can I still have YAG laser to vaporize the Weiss Ring or is YAG contraindicated in the presence of a multifocal lens?
It is not a contraindication to treatment and it would not increase any risk to you or the lens itself. Optically, it is a real challenge and the multifocal's can decrease the delivered energy. It is not a beginner's or dabbler's treatment. Today, I had a patient with a history of RK and PRK corneal refractive surgery, small-ish pupils, and a fresnel type multi-focal lens (technis). A reasonably good treatment and so I am satisfied, but it would have been particularly difficult if just starting out treating with the laser.
Wish I could find a doctor in my area that does this procedure.
I honestly would only go with this guy if you go through with it. One mistake and you can go blind. I don't even think it's worth the risk with even this guy doing it
I am 14, and I got this for almost two years I got two huge spider web like floaters, some lines like floaters and some dots. I’m really afraid as it seems to be getting more and more, I don’t know what can I do :(
Discuss with your parents, make sure the eyes are healthy with a dilated eye exam, and ask parents to read through my web site regarding low dose atropine thefloaterdoctor.com/atropine
Sir do you have a email so I can ask you some questions?
mail (at) thefloaterdoctor.com
How much is your treatment, ballpark ?
Fees are described transparently and in detail on my website: thefloaterdoctor.com/fees
Hi doctor james please reply me can low dose of atropine relife me from floaters 5 to hours per day and which atropine please mension her name please reply me sir please❤️❤️
Low dose atropine should be effective for 18-24 hours. I start with 0.01%, but can custom compound weaker or stronger strengths.
hopefully the yag laser will be less energy and can cure young floater sufferers
Yeah there is alway hope.
Unfortunately I have ERM and coats disease and I have seen a lot floters should I do this laser for floters is it safe to do that.
The laser energy should not affect the retina as long as the laser operator keeps it safely away from the retina - as in all patients.
mine are just a black dot
God bless your hands dr' Johnson.
does the laser blind you?
16+ plus years, 12,000+ procedures, 18 million shots of the laser and no one has lost vision, visual acuity, or visual function... So, Ima gonna say "No"
Is this treatment can be done On a paitaiten who had lasik on feb 2022
yes, but it depends on where the floaters are located. Otherwise I can treat those who have had RK, PRK, LASIK, intraocular lens implants, or who have had previous retina problems as long as all are healed and stable.
Do you know anyone in the Denver area that does this?
You can find someone probably, but 'caveat emptor', buyer beware. There is not prerequisite for treatment other than owning a laser and an MD diploma.
I’ve had cataract surgery and still have floaters. Can this be used on me?
I very often treat patients who have had cataract surgery. There no increased risk to you or your lens implant.
How much should thos cost normally I was just quoted 3K per eye Is that to much ?
My fees are transparently explained on my web site: thefloaterdoctor.com/fees
4:09 @@Thefloaterdoctor1
Is there a rough idea how much this costs?
All described transparently on the website: thefloaterdoctor.com/fees
Do the optics of the eye shape play a role in where the laser goes? Meaning, the Doctor may think the target is locked into the floater, but the shape of the eye might force the laser elsewhere and hit something else that can cause permanent damage? If so, how does the Doctor take into account the optics of the shape of the eye with 100% accurately that the laser will hit the target?
Nearsighted, farsighted, astigmatism... no it doesn't matter. The laser is focused where it's focused. I don't have to consider or compensate for the refractive error.
@@Thefloaterdoctor1 Thank you for that. I have had one doctor who only has about 1000 of Yag floater patients tell me that depending on the optics of the eye, the laser can go elsewhere and hit something it's not supposed to (and it happened to him once). Specially if it's in front of the macular you run the risk of the energy being diverted there which would leave a blind spot.
@@funkycowboyTo clear this up, if the floaters are closer to the front of the eye the energy burst can cause damage to the surrounding area, same thing goes if the floaters are to far back in the eye. That's why this procedure so nitpicky along with 20 other things. Not everyone can get this done either, there are requirements that MUST be met to do this. This guy's answers seem kind of half asses to me. Not sure I would trust him.
Does this procedure hurt or damage the retina
Painless, and the retina is avoided always.
Where to make an appt with you
app.acuityscheduling.com/schedule.php?owner=20387568
I heard they come back more severe after the treatment. Is that true?
You read it somewhere?
@@vincentsimonin4278 from some people
So, be honest. What percentage of your patients had results that were less desirable, and or unhappy with the overall treatment?
I am pretty good at pre-determining who is a good candidate and who is not and won't treat the latter. It is also fairly common for me to refuse payment if it is not a lot better after treatment. What I may be best at, though, is managing patient's expectations. Under-promise, over deliver whenever possible. That, and having very good skills is why you have to look very hard to find unhappy patients.
@@Thefloaterdoctor1 pity I don’t live close to you, I appreciate your honesty. I’m 36 and have a lot of floaters for my age - anecdotally by speaking to people. I fly for a living so it’s even more frustrating when trying to spot certain traffic. It in no way limits my abilities, it’s just annoying and it’s there, particularly noticeable against a blue sky.
I have one that has remained in my vision for as long as I can remember and it’s tremendously frustrating to read. They are all still fluid. I’ve always wondered if I could just blast that one away! You may find it curious to know, that when I have used VR and you find yourself in a “white” background loading screen. I can see all of my floaters with absolute clarity. Not sure if that’s a thing or not. But I can sit and focus on each one and it’s shape.
Do you counsel patients for the risk of Retinal Detachment after aggressive YAG laser?
In 16 year and >12,000 procedures, I have never seen a patient experience a retinal detachment. RD's are much much more likely from the posterior vitreous detachment. A PVD can cause traction on the retina as it peels away. The laser does not.
Any energy introduced can change the eye. The best operation/laser is the one that is not performed.
Can you only put energy into the eye in one sitting then the eye resets to zero in a few weeks? ... or does the energy remain in the eye forever? Kinda like x-rays, it remains with you forever.
There is NO Cumulative energy or damage to tissues. I often do consecutive day treatments as there is no intervening period of inflammation or healing.
The energy input of the Ellex laser is limited to 2000 milijoules per treatment. If it is not gone after 3 treatments, a vitrectomy is better afterwards.
Cost per session?
Fees are explained in detail and transparently here: www.thefloaterdoctor.com/fees
Doctor, if I have 1 in one eye would you still get rid of it or does the have to have a bunch of them?
Less targets is better. Candidacy for treatment with the laser is better the older the patient. It all has to do with the location of the floaters. If you have just one floater, but it is close to the retina, I would not be able to safely treat it.
@@Thefloaterdoctor1 How would I be able to get the one floater removed if it is closed to the retina?
I’m 41 is that too young for you to do? Cuz you said previously about age
@@collegeslam5158It cannot be removed, a safety distance of 3 mm must remain
What are the risks
They are described in detail in my website.
Any reference in India Doc?
It is impossible to assess the experience of others offering the treatment of eye floaters. Anyone with a YAG laser and an "MD" certificate can do so.
@@Thefloaterdoctor1 That's true.
Finding someone trustworthy is the biggest challenge now even for me being a doc myself.
Wow, good video and commentary.
Glad you enjoyed it!
@@Thefloaterdoctor1 Wondering what it means if at first the spider web floater seemed more distinct and then after one week it is like lighter and cloudier and wisps around like smoke .. is actually something happening or is it just my brain?! It really feels like what started as a more darker floater that I could actually draw on a piece of paper that now seem to be "loosing up" for lack of a better word and moving around quicker like smoke in a wind! Insane to say the least as it literally feels like looking through smoke as you move your head .. !
Vitrectomy?
Vitrectomy is an option and further down the aggressive/invasive/risk spectrum. It has a high rate of causing cataracts, and some risk of retinal detachment especially if the younger patient has not already experienced a posterior vitreous detachment.
@@Thefloaterdoctor1 But if a good surgeon operates on you, the probability is low, right?
@@AmintorThe risk of retinal detachment during a vitrectomy is around 4%
Cataract almost always occurs afterwards in younger patients.
May I ask how much this procedure typically cost?
It is described in detail on the web site: theflopaterdoctor.com/fees
@The Floater Doctor (Vitreous Floater Solutions Inc.) thank you. Sorry to bother you doctor but I'm very interested in this procedure. Hopefully this isn't taking up too much of your time but I've read through the comments and it seems that a 32 year old is an unlikely candidate but if I may ask how long would a person have to wait to remove them once they appear?
@@JB-qe2mo For sudden onset floaters associated with a posterior vitreous detachment I recommend waiting at least 1 month or longer if still experiencing peripheral flashes of light. For other floaters there is no necessary waiting time. It just depends more on where the floaters are located and are they far enough away from the retina to safely and successfully treat.
@@jamesharlanjohnson6882 ok, thank you so much for the reply!!!
@JB-qe2mo For sudden onset floaters associated with a posterior vitreous detachment I recommend waiting at least 1 month or longer if still experiencing peripheral flashes of light. For other floaters there is no necessary waiting time. It just depends more on where the floaters are located and are they far enough away from the retina to safely and successfully treat.
Absolutely impressive doctor!!
It would actually be worth it to drive to 25 hours down from the Northeast see this doctor.
I don't know of anybody that does this up here in Connecticut.
Is it true that the laser treatment isn’t really an option for younger people? I’m 35 and have been dealing with floaters for almost 5 years now.
Based on what I have learned from Dr Johnson’s videos & website, for younger individuals floaters are more likely to be near the retina which makes it risky to treat with YAG laser.
Rarely are younger floater sufferers good candidates for safe and successful laser treatment. The floaters are microscopic and usually located very close to the retina.
What age would you recommend? I’m 48 and just started having PVD and after 3 days this Weiss ring floater is making me crazy. I feel like I’m going to have a panic attack thinking of living with this forever 😩@@Thefloaterdoctor1
@@Thefloaterdoctor1 How long would you say it takes for floaters to move from the retina then? I'm 32 and have been dealing with floaters for 2 years now
Good question, I am 33. What type of floaters do you have?
Where can we locate you sir for laser treatment and your what'sapp contact please
thefloaterdoctor.com located in Arlington, Texas, US