FORBIDDEN TREATMENT: Laser for Vitreous Hemorrhage
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- Опубликовано: 29 сен 2024
- It is not uncommon the experience a small amount of vitreous hemorrhage with a posterior vitreous detachment (PVD) or mild blunt trauma. This patient, Paul, had a significant hemorrhage a couple weeks prior and is suffering significant diminished vision, overall cloudy vision, and intermittent obstructions of his vision. THIS IS NOT typical eye floaters and so I don't usually treat this with a laser. After a long discussion, we decided to give it a try with the hope of breaking up the aggregated dense clumps of blood cells and possibly accelerate the clearing of the vitreous which would normal take several months. On day #2 Paul reported about 75% clearance with one large residual seen at 12:00 o'clock position which I was able to see and break up that second day. I/we were really happy with the results for this 'forbidden treatment'.
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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...
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Hello doctor. My name is Guilherme, I'm Brazilian. I would like to tell you about my experiences with floaters.
I have had floaters which I call classic (they move according to the movement of the eyes) since I was a child (7-8 years old). This year I started to notice other types of floaters: some static ones that only appear when I blink and others as dark and light spots - which also "light up" when I blink. The flies I've had since childhood that move when I move my eyes - I've been used to them for a long time, but the ones that appeared this year have become a martyrdom in my life. I would like to comment that they arose after I suffered a blow to the head with a ball during a physical education class at school. Days after that blow, I also noticed some spots floating in my vision when I looked at the sky, as if they were "tadpoles".
I went to two ophthalmologists for retinal mapping and they told me that my eyes are healthy and that my retina is intact. I was also informed that I have several patterns of floaters.
I would like to know why there are (how they develop or the conditions that make it different from "normal") these floaters that do not move according to the eyes and also what are these dark "floaters" that when I blink " explode or light up".
I am currently 19 years old, I intend to undergo refractive surgery (I have 0.50 myopia and 0.50 astigmatism I believe) can it help with the floaters? What about surgery (YAG vitreolysis) can I perform it even at a young age?
Thanks.. 🙂
Laser is rarely indicated for young patients like you. Do these spots move AT ALL? If yes, they are in the vitreous. If absolutely fix in position, it could be retina. Your local doctor will need to evaluate that.
Hello Dr. Johnson, I'm glad I came across this video and I appreciate your work.
My question to you is that after vitreous hemorrhage (major) does the vitreous clear itself and be in the process of cleaning even after 6 months have passed?
Most of the denser pigment, the hemoglobin will clear after 3-4 months. By 6 months, you may have your new 'normal'. I have seen RBC ghost cells remain after this time 'stuck' to sticky vitreous making the vitreous denser. The YAG laser may be able to break that up and improve things and might be worth trying as a less risky and non-invasive alternative to the surgical fix.
I must give the highest praise and recommendation for Dr. Johnson who treated my right eye in the above video. From his bedside manner, his vast knowledge of ophthalmology, and his accuracy/ skills in targeting the vitreous material he explained above, he is the optimal choice for any candidate for YAG laser treatment. , or indeed, any needed consultations. I can now see and read significantly better far earlier than were I to have waited. Excellent, professional, and peaceful environment.
Hi Paul: happy to hear you’re feeling better. May I ask when you had the hemorrhage and how sever was it? I’ve had a PVD with vitreous hemorrhage that happened 2 weeks ago. I have tons of floaters and hazy vision that maybe has improved 5 percent over the last 2 weeks. I know no one who’s had a similar experience. This laser treatment is not offered where I live. I was wondering what were the specifics in your case. Thanks!
Hi Paul. I have a similar situation and will be seeing the doc on Aug 23rd. I have waited 2 years and my floaters never went away. How is your vision now months later after your laser treatment? Did it last?
@cathleenobryan460 It is fine. You should have good results. It all is predicated on the nature and location of the floaters of course.
@firoozeh3443 The vitreous material was evidently in much of the eye and not so close to sensitive areas that it couldn't be safely done. I had a PVH around a few weeks or so prior to my visit resulting in both floating material and hemoglobin material that blocked my area of vision. The hazy cloudiness is significantly less now. I am unsure as to what precipitated it but it was likely Age . The Doctor will elucidate all that you need to know.
Amazing!!!
So glad to come across your videos today. Searching Google and an exam by an eye doctor for PVD had me convinced nothing could be done for floaters. Your focus, persistence and compassion is much appreciated
Glad it was helpful!
Sir, i had vitreous hemmorhage 6 month old. I took 1 avastin injection but later I was unable to carry treatment now its 6 month and i feel my vitreous is clearing slowly and from red it had been white foggy with starlink like black tiny particles. Should i wait for 2 month to clear. I had b scan nothing complications yet. Please provide me suggestion as i want to avoid vitrectomy.
Best to follow your retina specialist's advice on this more complicated situation.
Hey doc i am from India i have easy access to atropine drop 0.01% but not lower than that can you tell me how can i dilute it myself? What other liquid i should use to mix atropine
thefloaterdoctor.com/dilute-your-drops
They are often labelled for 'pediatric use' there. Ignore that.
Q: how do zapped floaters get out of the eyeball?
Two ways: A. converted to gases, dissolved into solution, B. Broken down small enough to move to the anterior chamber and filter out through the trabecular meshwork along with the anterior chamber's fluids (the aqueous humor).
@@Thefloaterdoctor1 Hello Doctor. What converts them into gasses; and what is responsible for their dissolving process? Thank you.
Explained in detail here: www.thefloaterdoctor.com/the-yag-laser
@@Thefloaterdoctor1 It is an informative article, but it only talks about the laser treatment, which is self-explanatory in your advertising. I was hoping you'd know what biochemical process is responsible for the natural breakdown of the collagen fibers. At the end of the day, this could be the main issue-why the floaters built up in the first place. Thank you anyway.
Its sad how many people with this condition are forced to wear sunglasses all day everyday hopefully this changes in the future.
Dear Dr. Johnson, I noticed that during treatment it appears that the laser is oriented with gravity from top to bottom. This is apparent when cavitation bubbles that form after the laser shot move "upward" due to buoyancy. There might be an extra degree of "control" available if the patient could be dynamically oriented to allow the bubble-buoyancy effects to push the floaters in a direction that you prefer--think "multi-axis trainer" treatment. Your videos are very interesting and your practice is doing really great work. It would be great if more doctors took up your attitude with floaters. Keep it up. Best regards, Glen.
Put me and the patient into a multi-axis gimble. Sounds like fun...wait, no, it sounds horrible and disorientating. Good idea though.
When you fire the laser, energy goes into the floater. Does (or can) excess energy also hit the inside of the eye causing a burn? My floater was close to the inside of the eye and the doctor said at it's current position, the excess laser energy could cause a burning effect inside the eye.
If done right, and treating floaters safely far enough away from the retina and lens? Then "No". There should not be misdirected or excess energy.
Hi, do you know of any people that have had a PVD caused by computer screen use? Thanks.
Using the eyes, screens or not, does not cause PVDs. It is human nature to try to understand a new experience and make associations and you'll have no problem finding people on social media media claiming it was this or that that caused their floaters.
Hello doctor may I ask if the reason of my floaters is by looking at the side too much and I'm doing it a lot before getting it.
Not sure I understand. You giving people the 'side-eye'?
Hello Doctor what can you cay about treating floaters with pineapple or bromelain supplement, Hoping that you could make a video regarding that because I'm really feeling worried and depressed because of my floaters. I'm planning on taking a bromelain supplement (500mg) thanks! 😊
The blood brain barrier limits the size of molecules allowed to pass from the vessels into the grey matter, generally to about 400 Dalton. Smaller molecules, 'yes', larger? 'no'. Retina blood vessels a brain vessels and have the same limitations. Bromelain has a molecular weight of over 20,000 Daltons. It should not be able to get into the vitreous at all.
@@Thefloaterdoctor1 have you ever heard of the technology (laser-focused) of pulse medica from Canada? What can you say about that? They said It actually has the potential of curing eye floaters
Vivity toric vs monofocal toric which one is better....?
I no longer do cataract surgery so admittedly I am not an expert, but I'll always recommend a monofocal lens over a multifocal for reasons of physics and optics principles. That said, I have had some patients happy with the EDOF lens category
Hello dr. Is true that pulsemedica will be delivering a new laser by 2024?
They seem to be focused on macular degeneration and glaucoma.
@@Thefloaterdoctor1 as per their presentation they will treat flaoters too with an advanved technology like an updated yag laser where ai will interfere and not human
Wow, that sounds very promising.
hello doctor, I'm Turkish and I apologize in advance for my bad English. I'm 21 years old and have floating objects in my eyes for about a month. When I went to the doctor, he said there was nothing to be done and sent me. Since then I've been cold from life and every time I wake up I wake up very depressed. I even thought about dying. Can such a thing get better by itself in time? is it possible? I wish I was in a position to reach you, I guess this is my biggest dream right now. please give me hope will it get better or will I be able to get rid of it with a treatment
See if you can convince them to prescribe low dose atropine for you: thefloaterdoctor.com/atropine-request
I'm sure the Doc would agree that in numerous cases (to some extent) the brain will eventually learn to ignore floaters. It's really weird but a bit reassuring. I popped a large one in January and it was incredibly annoying. I decided then when feasible I would fly to Texas for a consult. I haven't yet
but will, hopefully next year. As I was told by a retinologist, my brain has accommodated to the floater.
It's there but somehow not as noticeable.
@@andredarin8966 I have it in both eyes. Like a long strand of hair, like a snake, like a worm, there are many kinds of them. It's almost been 2 months but I couldn't adapt. I don't go out, I don't meet my friends, I can't read a book. I don't feel like doing anything. I hope I can adapt as you say.
@@sehercicek8004 keep a positive attitude. It took my eye a couple years to adjust but adjust it did.
@@sehercicek8004 Geçti mi uçuşan cisimler bende de var da ne yapmamız lazım Ananası denedin mi
What might cause the onset of these ?
Mine started with dots now they r worming looking
I went to RetinA specialist and they said No tear or holes
It just happened because of old age and nearsighted
I am hopefully it will gradually float away from the retina …
I am just trying hơ this happened all the sudden
Probably old age and nearsighted.