YAG Laser Eye Floater Treatment w/ Interview with Patient
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- Опубліковано 8 гру 2023
- I seem to get mostly really complex cases from all over the country, so it is refreshing to treat a classic weiss ring type floater + some 'crinkly' plastic-looking vitreous cortex membrane. Even nicer is to enjoy the company of and interview Ralph, a thoughtful and articulate microbiologist and nature photographer. Ralph experienced a posterior vitreous detachment and typical to many floater sufferers he was offered few options: not even a mention of the laser treatment option. After discovering laser vitreolysis, he couldn't find anyone in New Mexico offering this specialty treatment.
We discuss his experience up to and after a couple of treatments as well as a couple of YAG Laser Vitreolysis articles he brought me.
The studies had surprisingly good results as far as patient satisfaction, even though the average treatment was very light (averaging about 300 laser bursts) - and only one treatment. Ralph's first treatment was a tedious 1221 shots on day one, and then the next day another 800+. I have been exclusively treating eye floaters for over 17 years and I have found aggressive treatments are often necessary but are also very well tolerated in the right patient. Experience is an important factor here and Ralph concurs.
There are many doctors with YAG lasers, but nowhere is there any teaching, training, course of instruction for them to build the foundation of experience. Occasionally dabbling with light treatment might offer a safe procedure, but not very effective as I am now hearing from patients treated elsewhere.
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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.TheFloaterDoctor.com/prac...
► FAQs: www.thefloaterdoctor.com/faqs
► TREATMENT OPTIONS: www.TheFloaterDoctor.com/trea...
► THE YAG LASER: : www.TheFloaterDoctor.com/the-...
► WHY AREN'T MORE DOCTORS TREATING EYE FLOATERS www.thefloaterdoctor.com/why-...
►CHOOSE YOUR DOCTOR CAREFULLY www.thefloaterdoctor.com/choo...
►YOUNGER PERSON WITH FLOATER? www.thefloaterdoctor.com/youn...
►THE EVALUATION AND TREATMENT VISIT | WHAT TO EXPECT: www.thefloaterdoctor.com/eval...
►LOW DOSE ATROPINE: www.thefloaterdoctor.com/pupi...
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. - Наука та технологія
Thanks for sharing this Dr.Johnson !! Your expertise are so appreciated!! Given lots of hope to lots of us with eyes floaters!!
Definitely would travel to be seen by this man
Thanks for doing this doc. I really enjoyed our Zoom chat from a few weeks ago. Hopefully the atropine helps me out once my family relative gives it to me from the states. Would still like to see you myself if I come back to the states. Just to be examined in person. 🙂
Thanks for this video. I am 58 and had a PVD mid October with a dense Weiss ring. I also felt I was patronized by my ophthalmologist assuring me that ‘you’ll get used to it’! Very frustrating. I am seeing another Ophthalmologist in February who does YAG vitreolysis. I am praying that I can have even a slight improvement. This interview gave me a lot of confidence. Thank you
I have a lot to say about that, but I'll direct you here instead: CHOOSE CAREFULLY ua-cam.com/video/lCTt94_D3sc/v-deo.html
I really urge you to interview this patient in a few months, even if over Zoom. The results could be enlightening. I had a quite possibly unnecessary cataract surgery on my non-dominant eye seven months ago, and the main change I've noticed is a fairly prominent Weiss ring that I didn't have before, or at least had never noticed. As with your patient, my brain has adapted somewhat to this, but it's still super annoying. I will most likely come for a consult this year. I live in Ecuador, but I have family in the DFW area of Texas, so I could reduce my cost by having someone to stay with on my visit. Keep up the good work, Dr. Johnson, and I look forward to more video interviews. They are very encouraging.
Thanks Gary. Excellent suggestion.
Hope to see Dr Johnson as soon as my travel to Sunnyvale (my sis location) being scheduled, it's a dream for me to get rid of these ugly floaters also thinking of training course requisite for others in the world...so important issue of eye vision and such level of inconsideration by ophthalmologists needs promotional investments
Thanks for your content Doc. Can you do this procedure for those of us what have already had cataract surgery? Thank you
Yes. All the time.
I am an optometrist in the UK. YAG laser vitreolysis isn't done very much at all here. The consultants just tell the patients they'll adapt.
I have a patient who has very bad floaters in her only good eye (she is a high myope and lost her vision in one eye due to a retinal detachment).
I emailed a local ophthalmologist about if he knows anyone who does YAG laser vitreolysis. He replied that he doesn't mind having a go. That hardly filled me with confidence!
Thanks for sharing. The skills involved for cataract surgery, LASIK, and even delicate retina specialty procedures do not transfer over to YAG laser vitreolysis. It is an interesting marketplace right now and no where to learn the skills for someone who is interested.
Please let us know about the articles the patient brought in and your assessment of them. I've been looking for a doctor who does this treatment in my area and there are none. I'm in Wisconsin. I have history of cataract surgery, large floaters especially the right eye, weak eye muscles and development of double vision at about age 60. I have prisms in my glasses. My last optometry appointment the Dr also suggested referral to eye surgeon to fix the eye muscles. I also see a retinal specialist who is monitoring the floaters and talking about vitectomy I'm 67, had cataract surgery at 64. I'm seriously thinking of having a consult with you.
Good idea. When I am back in the office, I'll add references to the articles in the video description.
Hello I am 24 slight black floaters show up in my right eye , kinda annoying . As I now only now search for them .
But I have a question.
I am a very heavy cannabis user. Would that contribute to floaters?
Been there for a while for after a lot of years of cannabis use . Uhm 3 days ago they are not kinda going away.
Mainly show up in day time .
I don't think that is a contributor.
Sir eye. Me floaters hai kya wo theek ho sakta hai. ?
BTW is 0.01% atropine the same anywhere you can get it? Just asking in case I'm able to get a prescription here where I live in Macao.
It would be an ophthalmic preparation, but yes it is the same. In some countries it is already pre-compounded as 0.01% and may be labelled for pediatric use.
Dr Johnson, are you able to treat highly mobile floaters? I have a sizable floater in each eye but their position is not fixed. If I’m looking at the horizon, the floaters will float down into the bottom of my visual field.
It's funny to me. I don't even think about movement of floaters as a particular challenge. They all move somewhat, and during treatment. I'll have the patient move their head/eyes to manipulate their position.
Hello dr, I’m 25 years old and I got only one floater in my right eye. Any suggestions? God bless you. And it’s been on my eye for 6 months.
Look into the use of low dose atropine. It is ideal for the younger patients that are typically not good candidates for safe and successful laser treatment. www.thefloaterdoctor.com/pupil-dilating-agents
Hello, I had a flashers 'event' 3 years ago (retina was fine) that left me with big, fluffy gray floaters in both eyes. All docs said 'will go away, you are exaggerating how bad they are' etc.
At same time as onset of floaters I had onset of eyes watering and burning (dry eye). All docs said both starting at same time was a coincidence.
Apparently, my dry eye is the result of inflammation.
I am 61 now. My questions are:
Does inflammation cause floaters?
Can the yag laser treatment be done on someone with dry eye / MGD?
Will floaters return if inflammation remains?
Thank you!
Severe or intraocular inflammation could change the interaction of collagen, hyaluronic acid and the water that makes up the vitreous fluid, so 'maybe'. Superficial eyelid inflammation responsible for dry eye syndrome- probably not.
YAG laser can certainly be used with dry eye / meibomian gland problems.
I can't predict if floaters will return or worsen.
Hello doc johnson may I ask what am I seeing? It's like a water ripple just drifting through my vision or you could say it's a crumpled plastic that lopks transparent, it moves less faster than my normal floaters. I am worried sick because it might be my retina being wrinkled
Wrinkle retina would be fixed in position. Vitreous moves around with eye and head movement. The thin membrane-y outer vitreous layer can look like a sheet of plastic and could be associated with a posterior vitreous detachment.
@@Thefloaterdoctor1 that's a relief! I thought of it as a frill but they say they can only see those after FOV but haven't done any surgery before. I have one more question do, what would I be seeing if I have a wrinkled retina?.
You described a ripple moving in your vision. Moving. I previously stated that if it is moving, then it is in the vitreous. Retina doesn't move like that.
Hello, I am 17 years old and I have a lot of floaters in my eyes, but I don't care because I only see them when I'm out of the house, but about 3 months ago, I was hit in the eye, which caused a new and very dark floater to appear in my left eye, and very It's annoying for me this floater is a black dot with a bunch of lines attached to it but the lines are almost invisible and I only see them when I'm out and I just wanted to know if I can get rid of the black dot or not, because I see this spot every minute, even when I look at black surfaces, even when I wear sunglasses
Younger floater sufferers like you are rarely good candidates for laser treatment and the surgical vitrectomy is too risky. I have a lot of younger people using low dose atropine. It doesn't get rid of the actual floater, but reduces the shadows we see as floaters.
Dr.. can u pls reply... I m 22 and i had floaters and flashes for about a year... And a month ago i did laser retinopexy... Now these floaters have increased and i m getting flashes in the centre of my eye... It is very frustrating for me to go outside... Is it suggesting a retinal tear or a detachment... I m so worried... I m a med student.. i have constant fear about when my retina is going to detach...
You should know I can't make or corroborate a diagnosis, make a medical recommendation, or reassure you without an examination. That said, sometime flashes can't be persistent for more than the few weeks it take for them to typically subside. Years! in some cases. If you have a worsening of floaters or increase in flashes or other symptoms, get it checked out.
@@Thefloaterdoctor1 ok doc..thank you
Hi doctor, i just got floaters from one day to another. Got it checked out twice no tears or detachment. I have about 6 long ones in my right eye and 5 in my left. They drive me crazy, and make me get Anxiety. I cant keep this on, I have 20/20 and 37 and this sucks. They move every time i move my eyes, They look the worse under Floreset lights, like clear and shiny. What do i need to do to be helped by you. Is it garented to get Cataracts if i get this procedure done . Please help
Guaranteed to get cataracts? I have been treating for 17 years and no one has developed a cataract as a result of treatment. It is more likely that you will not be a candidate for treatment with the laser because of your younger age.
@@Thefloaterdoctor1 what other options do you offer? Yhank you forbthe reply 🙏🏼🙏🏼😪
I’m in the uk here my optom told me yag laser is a risk for holes in retina ! Is this true
Hasn't happened yet in 17+ years, but I list retina injury as a possibility in my informed consent.
Hello doctor Johnson , I saw a doctor he said "I didn't notice anything on your eye . Eye looks fine ". I asked , can you spot the floaters in my eye ? He replied "No i can't see ". "But I have a floaters in my both eyes like strands it's length increasing day by day it's frustrating and my potential affects much more . Also have multiple small transparent floater dots .My age 21 😢.I suffering for 1 year and above.
The floaters in younger people can be near impossible to find on examination. There are many times I have shrugged my shoulders..."I can't find them".
@@Thefloaterdoctor1 Any possible ideas as to why this is the case for younger patients? Thanks
How will connect with you
mail@thefloaterdoctor.com
What new technologies/lessons have been learned in the last 17 years doing this treatment?
The technology really hasn't changed that much. I (we) are using off the shelf YAG lasers which are not ideal. There is room for improvement, e.g. better visualization of the floaters. It will take the industry to realize there are many patients suffering this condition, and maybe they will be motivated to build a better mousetrap.
@@Thefloaterdoctor1I had them since 2013, and nothing has changed. If anything, it seems Medical technology is going backwards. The world is crazy but our generation grew up in the best times for some great memories. Thanks for your time and enjoy!
Promo_SM 😇
Had to look it up: "Promosm" = The term "promo sm" in a UA-cam comment commonly stands for "promote so much" or "self-promotion," indicating that the commenter is trying to promote their own content, channel, or product. This type of comment is often considered spam and is typically discouraged within the UA-cam community.
That's a snarky first time complaint on my channel. If you read through all the comments on my You tube Channel, you will find overwhelming gratitude and appreciation for the information I provide that is not available elsewhere, and even especially when the floater-sufferer has been to their own doctor and only got dismissive platitudes of reassurance. I spend a lot of my time answering peoples question and the vast majority of that is not being monetized. I am sitting now at my home office on a Saturday answering almost every question in the comments section of some 40 You tube videos and I will spend hours doing so because people are worried and panicked and anxious about their floaters and don't know where else to get information.
If you concern is about people promoting their businesses on You tube and feel compelled to comment on that, you have a Sisyphean task ahead of you. What are you contributing?