Laser vs. Vitrectomy for Floaters at The Eye Clinic of Florida with Dr. Ahad Mahootchi
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- Опубликовано: 26 сен 2024
- Floaters are caused by opacities in the vitreous jelly that cast a shadow over the retina. Dr. Mahootchi discusses the different options for having floaters in the back of the eye.
Here at The Eye Clinic of Florida, floaters can be treated by laser or vitrectomy.
To schedule a consultation please call 813-779-3338.
For more information visit us at www.SeeBetterFlorida.com
Dr. Ahad Mahootchi is the best ophthalmologist in the state of Florida. No ophthalmologist would do the laser eye floater procedure on me. Even doctors that perform this procedure stated that I was way too young. Most ophthalmologist didn't even know you could use a yag laser to treat floaters. Which was shocking to me. I have researched this for years. Unlike some doctors that might only do floaters Dr Ahad Mahootchi treats the entire eye. His pricing is very good with or with out insurance. My floater was successfully vaporized and I am going back for some touch up. I experienced zero side effects and was able to drive 420 miles home after the procedure. He was fast, efficient, but yet careful and patient. I have only one good eye due to amblyopia and I am so glad I did my research. My wife is going to make an appointment to see if she can qualify for LASIK.
Thank you so much for your thoughtful comments. My pleasure to help.
Why life gotta be soooo hard 😭😭😭😭😭
Excellent Video! Excuse me for butting in, I would appreciate your opinion. Have you thought about - Franaar Spectacular Look Formula (google it)? It is a great one off guide for curing eye floaters without the headache. Ive heard some super things about it and my friend after a lifetime of fighting got excellent success with it.
:( ι dont knowww
@@elenadolcezzamusic2337 feel you❤️
@@succumbtohim i have tinnitus trigeminal neuralgia and floaters !
@@elenadolcezzamusic2337 those must suck so bad, i really dont know what to tell you since im feeling like shit myself but i do really want you to be well and healthy. I pray for your health and wish you to be happy
Two questions on the FOV: 1. What Gauge cutter do you use? 2. Has every patient you have had pre-cataract developed a cataract? How long has it typically taken?
I used 23 and 25 gauge in the recent years. I usually refer those who still have their natural lens to a retina colleague. I just saw a patient with a natural lens 12 years post vitrectomy without cataract but that's one of only 2. Most are bothered by cataract formation within 2 years.
So, why did my eye doctor say nothing can be done? That I have to just learn to live with an eye floater? I had cataract surgery on my right eye and see the floater in that eye now. I'll ask again when I see my new eye doctor in 6 months.
Thanx for the info doc.
You are welcome.
Thanks doctor for the well explanation. I am going to see my Retina specialist in a couple of days after seeing him 3 weeks ago for this huge floater I have that's been bother me. I guess he wants to see if it has dissipated somewhat but I still have it and it looks like I am seeing more cobweb like strings on top of this floater. I've already had cataract surgery on both eyes 15 years ago at an early age, I will be 61 this year in May. I know with cataracts you sometimes have some floaters, but they are very small like little dots and I've been dealing with them and are not bothersomes since you really have to look for them especially in a white background but they don't swirl around.
However, towards the beginning of December of last year, I notice little flashes on my left eye while walking my dog at night especially looking at the neighbors xmas lights on their houses. I thought it was snow or rain coming down at the time but thought nothing of it. Two weeks later, this one BIG floater appeared on my left eye, it looks like a worm swarming all around and it is driving me insane and crazy and in a very deep depression state that I get anxiety attacks and have to take anxiety med like Xanax. I have been dealing with depression for almost all my life and been taking meds(Cymbalta) for the past 20+ years. My concern is that my doctor will not recommend to do anything and say I would need to live with it. I am worried. Am I a candidate for this YAG Laser surgery? Or a Vitrectomy(FOV) is the solution?...Please help!. PS, I live in Marietta Ga and the doctor I am seeing is Lakshmana Kooragayala, M.D. from The Marietta Eye Clinic.....Please help!!
Yag is only really good for a Weiss ring. Fem to sec will be good for all floaters but it's a few years off.
I had Vitrectomy for lense debris after cataract surgery and also had floaters but have comeback already.
That’s a unique situation that doesn’t quite fit into our floaters discussion here. However, you should definitely tell your surgeon of the issue.
How does the vitrectomy affects the eyesight after surgery? Can you have again clear vision? How much time needs for complete recovery?
Vitrectomy clears the debris floating around inside the eye ( the floaters). Vitrectomy is used for a number of conditions and recovery for conditions can be different from Floater Only Vitrectomy. For Floater Only Vitrectomy things are back to normal typically in 24-48 hours.
I had bilateral cataract surgery 6 & 7/21 with panoptic lens insertion. Developed huge floaters and had YAG laser bilaterally 9 & 10/21. While it helped somewhat, I continue to have large gray floaters continually in both eyes. I can't drive at night, this is so distracting, I can't read a book. I don't know what to do--very scared to have any more procedures, but don't know if these will ever go away and can't seem to get any answers.
Floater only vitrectomy can really be helpful for Panoptix patients with floaters. The Panoptix seems to be sensitive to cloudy type floaters.
Sir i from nepal hv a floaters and dry eye treatment plzz floaters irrited me my life is damag victretomy experience can do this process risk is high or low
There are many factors. I cannot address individual patients unique situation on line.
How safe is vitrectomy ?
1-2 % chance of retinal detachment, 0.1% chance of infection which leads to blindness. low risk but not 0 like any surgery.
I am 21 years old i have squiggly dark line on my left and round one on my right eye . I am myopia person . Vitreolysis or vitrectomy which is suitable for me ? It day by day increasing , i am get frustrating sir
Vitreolysis is an attractive option for younger patients if the floaters are isolated as you describe and the surgeon is very experienced with performing laser on those still with their natural lens. Only an exam determine if it's right for you.
Sir I consulted 3 doctors they said no treatment , ingnore that . They can't understand my problems . Mostly in my country no one perform laser. Can you suggest any doctor in India or how to approach you sir . !!
in Europe usually if you are 50 or older they do combined cataract surgery and vitrectomy, this way they can remove all viterous near the lens too and it is easier to do cataract surgery before vitrectomy. for floaters it is best to remove all removable vitreous
The posterior lens capsule separates the vitreous from the lens. Removing the vitreous doesn’t make the cataract surgery easier to perform. There may be rare cases where cataract surgery and vitrectomy are done together but it’s thought that certain unwanted complications are more common (even if perfectly performed) so they are usually done separately here.
@@AMahootchi sorry DR..do you do YAG laser on PVD cases?, the floaters I have in my eye I would describe as the cotton candy kind of floaters, i've only just been diagnoised with it..(had for about six weeks)...told (here in London) that you in six months time it can calm potentially (the DR here said a small amount of vitreous has broken off but the back of your eye retina is fine..
@@kailashpatel1706 That’s right. 6 weeks is too soon for any intervention and most are not bothersome 4-6 months later.
Any chance I could get an email address to describe the details of my particular case?
For future patients, try info@seebetterflorida.com.
@@AMahootchi i wish we had doctors like u in Greece
What if I have only single vision due to my accident in 2000 I lost my retina so now I have floaters and cataract. Scared to death trying to figure out my options .. looking thur clouds and floaters now ..
Doing nothing is not an option. I hate when this is parroted time and time again.
Patients need to know their choices. They learn the risks and benefits of those options vs doing nothing.
Could you tell me the infection rate? And how I’d go about reducing this risk
The infection rate for laser is about as close to zero as you can get. No path is cut from outside to inside with laser.
For vitrectomy, the rate of infection depends on whether the antibiotics are used in the eye at the time of surgery or whether antibiotic drops are used afterwards only. With antibiotics placed in the eye during surgery the infection risk should be around 1 in 10,000. To reduce risk making sure the surgeon places antibiotic in the eye during the surgery has the biggest impact. Making sure the lashes and lid are clean before the surgery is a very big deal. I would use Sterild or Ocusoft foam for a few days before the procedure and perhaps afterwards but without the lid manipulation.
Ahad Mahootchi, MD thank you. I plan on having vitrectomy soon and infection scares me
@@deanhughes4504 did u do vitrectomy??
Please reply 🙏🙏🙏
What are the chances developing glaucoma after FOV?
For the typical patient, I don’t think FOV raises or lowers their baseline risk.
@@AMahootchi thank you Dr for the quick reply. I’m 32 years old and have really bad floaters on both eyes. One retina specialist says I have Pvd already and the other one said I don’t. My question is what is the success rate for PVD induced vitrectomy for my age?
if i come to Florida for the vitrectomy i am allowed to get in plane after this ? because i read that its forbidden
If the doctor uses gas, then, depending on the gas used, it may be a while before you can get on an airplane. For patients who have already had cataract surgery, using gas afterwards is uncommon.
@@AMahootchi i have never done surgery for cataract .thanks for the answer i would like to find a good doctor anywhere in the world to help me !
I have floaters like a line over one year my age 41 no diseases is the laser safe for me and effective
Probably but would have to examine you to comment specifically about case.
Does a vitrectomy increase the chances of other eye problems later in life, like a higher chance of macular degeneration, etc?
The risk of future problems is low. Surgery has some short term risks that are more well known like retinal detachment or cystoid macular edema ( which affects the same part of the eye as macular degeneration). I only do floaters surgery (operate) on non smokers eyes with normal
maculas (no Drusen or Epiretinal membranes) and after taking oral lutein for a few months. I have seen other so floaters vitrectomy that was just floaters surgery and did other things that weren’t that necessary and cause macular problems. I think it’s important to pick the right patients and be quick and specific with what you do inside the eye.
@@AMahootchi i am from greece i would like vitrectomy for floaters .i dont smoke i take vitamins like these that u say but i had myopia 7 degrees and i did lazer before 11 years. am i a good candintand? here in greece i havent found a doctor. i would go everywhere to do it
Is there any side effects?
Hiba Rasheed, haven’t seen serious side effects in my 15 years of doing the procedure the way I do it.
sir how many floaters i have before it can lead to retinal detachment?
The number of floaters, per se, doesn’t correlate with retinal detachment.
Can 25years old have good result via laser??
Mines are mostly bubbles or look like long worms…
Yes
Hi I am a myopia with +9. Power. 2 years back I had cataract surgery. Now I have diagnosed with partial pvd and also having marginal pco. Can you suggest
I think you mean -9. You need a good dilated exam of the peripheral retina done by the ophthalmologist prior to and shortly after the laser. You should only do the Yag laser if your vision is bothering you significantly. If the PCO is marginal you probably aren't looking through it.
i am facing floaters problem .....i am to far from your clinic.....
Best of luck to you and your doctor.
hi doc
Hi there old friend!
I'm from the Caribbean
Hello sir my father have tractional detachments and my father has lost vision with 2 eyes even after surgery can't see anything only can see blurry vision and also my father have diabetes since 20 years please reply me what should I do
His problems are outside the scope of this video. I would see a retina specialist.
how did u get these tractional detachments??
Why can’t the eye floaters disappear on its own or go away from the retina over time?
I believe the movie contains the comments that 98% of the time the floaters do go away or become not bothersome with no treatment. The two treatments discussed apply to the 2% of patients who are still very bothered, despite having the symptoms for four or more months.
Does the eye prescription matter to do the laser? I have a -6 in the left and a -7 in the right eye
No. For laser the prescription doesn’t matter. For vitrectomy, it doesn’t factor in the technical performance of the procedure but does factor into risk calculation for future detachment.
@@AMahootchi Where in Florida are you located?
In the Tampa area.
www.Seebetterflorida.com
Based on the description, I feel floater only vitrectomy will be suitable for someone who had cataract surgery done and also had PVD prior to cataract. My floaters are cloudy (cotton candy type) which won’t be suitable for YAG laser. I did a couple of vitreolysis sessions which removed the Weiss ring but didn’t help much on the other remaining floaters.
I think floater only vitrectomy is an outpatient procedure, right? What’s the usual recovery time after the procedure (though it can vary with each individual)?
Thanks for this informative video!
You are correct that floater only vitrectomy is usually an outpatient procedure. The typical recovery is fairly fast.. in a day or two.
Very informative, thank you. So how can I figure out which type of floaters I have? Is it worthy to take a PVD-induced vitrectomy at age 35 with no PVD pre surgery to get rid of floaters? If only remove part of the vitreous that caused the floaters instead all, how long will it take to form a cataract usually? Thanks in advance.
余三思 There are many factors. Your ophthalmologist can examine you and see what’s there. It the are a few distinct floaters then laser is probably the way to go. The choice of Vitrectomy depends on the status of your retina, your family history of macular degeneration, smoking and many other things... it’s mainly done when there are very many floaters or if they are close to the lens and not amenable to laser.
@@AMahootchi Really appreciate your patience, Dr Mathootchi. One more question, if I got an unsatisfactory result from vitreolysis, will it make the FOV surgery later more difficult or just the same?
余三思 No. laser doesn’t make FOV more difficult.
余三思 usually 1-2 years for cataract to form
Ahad Mahootchi, MD Than you, dr Mahootchi
Doctor do you know if infrared sauna affects the retina or causes cattaract? i thought of asking you because i do sauna frequently! is it bad ?
55 yo male. 2 weeks ago blobs suddenly appeared in the vision of my right eye, and then the more they moved around they started breaking and the debris clouded my vision. Went to eye doctor. Diagnosed with a retinal tear. Had a vitrectomy the next day. Now the gas bubble from the vitrectomy is almost gone but there are dozens/hundreds of small dark spots in the vision of my right eye. Like I'm in the middle of a fruit fly swarm. Very distracting. Is this normal after a vitrectomy? Will they go away?
Any update?
My doctor in U.K. had a look at my eyes because I randomly started to get bunch of floaters and flashes in both eyes recently, I couldn’t tell because I work at home remotely, it’s very noticeable during the day when I’m out and about, never needed glasses vision is fine, he checked my eyes and said they are healthy and I probably had migraine, he said come back in 2 weeks if you still have floaters, but I been researching online and it says floaters are permanent, I think he was lying to reassure me, What do you think doc?
Hi, Retinal migraines ( a cousin of the typical headache) migraine usually last 20 minutes or so. I doubt the doctor is intentionally lying to you. He/She wants to check in 2 weeks so you should address those concerns after they look. 98% of the time, new floaters aren't that noticeable or bothersome a few months later. However, it's important to check for retinal detachment in the meantime.
I have -5.5 myopia and i am suffering from floaters. Am I a bad candidate for floater only vitrectomy?
It would depend on age, health of the peripheral retina, and family history or propensity toward macular disease, smoking history, and many things. The next step would be with an ophthalmologist to discuss.
@@AMahootchi I am 19 years old and due to myopia i have lattice degeneration but apart from that I have no other retinal pathology and my vision is 6/6 with glasses. What would be your recommendation?
@@soumyadipghosh5781 I can't really answer to your specific need. It's a procedure to consider in light of your age and other issues vs how bad the floaters bother you. You can discuss all that with your ophthalmologist.
@@AMahootchi yeah your are right, but is lattice degeneration a contraindication to vitrectomy?
@@soumyadipghosh5781 Usually some barrier laser is done for high risk cases. Again, the doctor will need to look and assess risk.
can a 17 year old get any treatment.
Age isn't a factor in laser treatment but would be for vitrectomy surgery.
@@AMahootchi due to cataract?
@@deanhughes3179 Yes and other issues depending on how nearsighted the young person is.
@@AMahootchi I’m 29 with -2 to -3 with floaters that have destroyed my life. Would you agree the risks dont out weight the benefits in a case like this and how nearsighted people have you come across that have had problems due to surgery. Thank you for replying to my questions
@@deanhughes3179 I can't say that.
Thank you Doctor you are the best God bless you 🙏 ❤️
Thank you
I can't live my life just like I were,I can't go to gym anymore, I am depressed .
See a retina specialist with experience treating patients like you. If you live in Florida my office offer some names.
@@AMahootchi I'm so far from usa
Why you can't go to gym anymore?
👍👍👍👍
My floaters are called Asteroid Hyloses or something like that. It feels like there is millions of them on my left eye and I am really finding them annoying and my brain just doesn't seem to adjust. I have already had Mono-focal lens replacement. Would you suggest recommend laser or Vitrectomy on your opinion? Many Thanks
Vitrectomy for sure. The first vitrectomy was done for asteroid hyalosis.
Hi doctor I am 17 years old I have myopia -6 and -7 and lots of floaters, is it very unsafe to do vitrectomy in future?
It’s all relative. Great vitrectomy surgery can be done but you likely will develop cataract.
Please we need help doctor 😭
I'm a steroid responder.. my IOP reached 45 when I used Steroids eye drops.. can I do this surgery?
I don’t use steroids for laser. Steroids are necessary for vitrectomy.
The Dr. At the Colorado retina center told me that the Lazer surgery is very dangerous ,and that he didn't know any doctors in Colorado that would perform it 🤔🤔this would be for floaters,you make this procedure sound simple ,and they are warding me away from it .
How are the chances that i get cataract after fov surgery? I heard Normal vitrectomy is different from Fov surgery because Fov eliminates about 20-30% of vitreous so the chances of cataract is pretty low than normal vitrectomy
Is this right? I am 22 and my life is ruined dut to annoying floaters . And i am considering surgery.
Thanks for reading
Different docs may have different specifics of their surgery. I think the rate of cataract is much higher than 20-30% but have seen one or two done over a decade ago without cataract.
How safe is vitrectomy ?
It's a relatively safe surgery particularly if you have already had cataract surgery. The skill of the surgeon is paramount. Identifying small preexisting weak spots in the retina is important.
I have bilateral trifocal implants, am 70 y/o with significant floaters and PVD in one eye. Is laser floater treatment still an option for me (I imagine the Fresnel lens could cause unwanted refractions of the laser beam)?
I have astimagtism and it causes floater to my eyes ,what shall I do? should I laser my eyes to cure my astimagtism? After I laser my floaters will be gone?
Floaters and Astigmatism are two separate issues with different, non-over lapping treatment options. One does not cause the other.
is floater only vitrectomy unsafe for a patient with high myopia??
I would not say it’s unsafe but your risk of retinal detachment is higher and any retinal pathology needs to be treated before vitrectomy. Follow up needs to be more frequent.
@@AMahootchi if i have any latrogenic retinal detachment then can that be fixed?
@@riyaghosh3130 Usually. Not always ... for example, if you have a detachment years later and don’t catch it the repair would be more complicated.
I went to him to treat a couple very bad floaters in my left eye. After only 5 minutes and him firing the laser probably only 15 times, the surgery was over. There was absolutely no improvement after the procedure I still had the same exact floaters in my eye as before this procedure. Very disappointing.
Your age?