TREATMENT DECISION DILEMMA - YOUNG PERSON WITH A FLOATER. TREATABLE OR NOT?
Вставка
- Опубліковано 18 сер 2022
- Hey Floater-Sufferers, treating floaters is hard. Sometimes the decision to treat, or not to treat, is even harder. This video is of a young guy (35yrs) with some floaters that were treated elsewhere (by a very experienced YAG laser doctor) but without any improvement. Here in this video, I'll explain why after my evaluation, I recommend NOT to treat his bothersome floaters with a YAG laser.
- - - - - - - - - - - - - - - -
The Floater Doctor, James H. Johnson M.D. is Medical Director of the only medical practice in the world specializing in, and exclusively treating 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:
► ATROPINE PROGRAM" thefloaterdoctor.com/atropine
► MAIN WEBSITE: www.TheFloaterDoctor.com
► 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...
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
Absolutely excellent information. Now I know what I have and what to due.DGR.
I believe this type of floater is atypical with those found in the premacular bursa? A cobweb floater? The very one I have :/ frustrating how something so small physically, has such a profound effect given it literally is so damn close to the retina. Can such floaters move away from this region of space doc? If it wasn't so close to the retina I'm sure it wouldn't drive me crazy. 18 with this visual phenomenon, I really am so frustrated ugh. Previous vitreoretinal specialists I had went to likely wouldn't have even been able to see such a floater given the nature of the dilation examination, and undermined my issue as something trivial.
They ARE difficult to see on examination and your experience is common enough. They may move away from the retina, but who knows if or when. Check into Low Dose Atropine, a mild pupil dilating agent I have available via a telemed consultation with me.
@@Thefloaterdoctor1 I'm also 18 with the same visual experience as alchemyst. I had read some old forums that depict the floater as a crystalline/crystal worm which is completely accurate for the floater that constantly gives me trouble. If I am correct, due to early liquefaction of the bursa, I wonder why this issue isn't more common. Fuck me I have my finals in a month and this shit is driving me insane, previously comfortably an all A student, now with impeded concentration with these (dealing for over 1.5 years now) struggling to maintain my grades. Such a pity, especially given the magnified appearance of such floaters in my vision (though very small in size) due to their posterior location within the eye. Man god help me, doesn't help that the vitreoretinal specialist I had a consultation with thought I was an obsessive nutcase.
@@user-fy1qj1le2g how are you now after a year ?
is there any way for younger ptients to somehow move the floaters forward? I heard in another of your treatment videos you asked someone to move their eye so that the floater can move forward after being pushed back by the laser.
I have patients move their eyes all the time, especially in older patients who have had PVD and the remaining vitreous has liquefied a bit, I can get the floaters to move a bit - sometime in from the periphery, or moving forward from a posteriorly located floater. If may only be momentary, and often because of tethering the floater often drift back to where they want to go. It is not a way to move them permanently. And younger people tend to have more gelled vitreous and movement is really limited.
Hello doctor, good time, is having an ICL lens an obstacle for floating treatment? Thank you for your reply
Treating through an ICL lens with the laser would not affect my ability to treat at all and my treatment would not affect the lens. I have much more difficulty treating through multifocal cataract lens implants or through small pupils or even through people who've had significant corneal refractive surgery.
I wanted to give an update on my question below. I actually went back to Amsterdam to visit Dr Gerbrandy for my 3rd treatment. He was conveniently accompanied by Dr Geller (another specialist based in Florida who was visiting the clinic), and I can say the few floaters I have struggled with for 4.5 years are now basically non-existent. If I flick my eyes up and stare at the sky I might not even see them. I may notice a tiny one every now and again, but if I hadn't been through this I might not even know what they were now. I think my brain is so use to seeing them that it still picks everything up, but that'll adjust. I was 22 when this started, and they were extremely bothersome and close to the retina. I became incredibly depressed, angry, and powerless so I know how challenging this can be. I had been to multiple doctors who perform laser treatments and was told I am not suitable for treatment, so don't give up. I understand why doctors are cautious with young patients, but because this is not 'life threatening' there is very little help out there. Thank for Dr Johnson for raising awareness in this part of the field, I hope you don't mind me posting a positive story in this space.
P.S. Very low dose atropine was the only other thing I found that gave me some relief. I had 0.01% and even had to dilute this down to a 1/4 of its original strength to get the benefit without over-dilating my pupil.
have you done the laser vitreolysis in Amsterdam? i have a bunch of them in my right eye, just a couple in my left eye for as long as i can remember.. like i have them since 2014 when I was 16..now i am 25 and I really get frustrated from it on a daily basis.. can't drive during the day without constantly shifting my focus back and forth for the floaters to move away.. but without sunglasses i see them every day during the day..and doing my work on the computer is difficult because in my right eye they are more present and more dense than the left eye.. I hope mr Dr. Gerbrandy can solve this with the laser? What do you think?
@@rinoruzir6310 yes I did. I would say definitely worth a trip if it’s as annoying as you say. It has helped me a lot. Unlikely to get everything gone 100% but can significantly help.
Are you the patient in the video?
You were fortunate. I went to see Gerbrandy and he couldn't help. The floaters were too near the retina.
No@@cristobalmenchaca5475
Doctor, I want to ask you about floaters that are in the form of transparent threads, can they decompose with the passage of years?
Not likely. What you're describing is very common in that younger age group. These are microscopic, microscopic tiny little filaments and threads usually located very close to the retina. Unexamination. These are almost impossible to find using even microscopes and contact lenses. This is the floater that younger people suffer. The good news is these can be helped or mitigated with the low dose. Atropine. Please check out my website and the links that go to the lotus attributing program. You can sign up for a tele medicine consultation with me and I'll mail out the lotus atropine directly to you. It's very safe for long-term chronic use as it is also used in children for different purpose.
Thanks for posting, doc. Do you miss California??? 😉 I've got pretty bad floaters, and I've been taking the Bausch & Lomb eye supplement, which helped a little bit. But then I added in a slice or two of fresh pineapple every day, and that made a huge difference. Yes, I still have floaters, but way less bothersome, using these two treatments.
@@magyaradam8957 - Not a cure, but they definitely help. I still eat a slice or two most days.
Really can you let know how is it now
@@sunethsilva2720 - still using same protocol. If I neglect the pineapple, then after a few weeks I start to notice the floaters more. Then, after resuming pineapple, the floaters get somewhat less noticeable but they are still there.
@@ChevySS1968 thank you very much for your reply. May I ask why didn't you think of Yag laser treatment. Is there a reason.
@@sunethsilva2720 - probably the main reason is that I would have to travel to find a real specialist like the 'floater doctor' here.
Hi doctor, I am now suffering exactly this type of floater and it has been nearly two years without any improvement but a longer shape. Do you know anything about what is the reason of this type of floater in younger people? My case was that I have had the myopia operation in 2020, and everything was fine until I went skiing in 2022 without wearing sun glasses, then my eye had inflammation and this semitransparent strand appeard with other visual abnormalties such as halo. I felt i might be related to my operation but I am not sure about that.
There isn't much research or knowledge to understand why floaters occur in otherwise healthy young people. Maybe inflammation? How's your diet?
@@Thefloaterdoctor1 At the same time that I noticed floaters I also started to have conjunctivitis which is now still affecting me now and then because I feel my eyes are now more sensitive. My diet is very normal that I basically eat meat and vegetables very day. I was doubting that maybe excessive sunlight that I recevied during skii resulted this bad floater, but probably i can never find out the real reason behind.
doctor you say that in most younger patients floaters are close to the retina i just had an oct done and at 25 my floaters are close to the lens and my eyes are healthy according to every ophthalmologist ive been to what could be the cause of blob like opacities near the lens?
This is an interesting point to discuss. During the early development of the eye, the primary vitreous is a busy place with blood vessels and canals and such. Most everyone has some minor irregularities in the vitreous, all throughout the vitreous. So all we know is that your doctors saw "something" near the lens where things are much easier to see on examination. This doesn't mean that the bothersome, 'culprit' floaters are those near the lens. If you are younger, and if you can draw of describe your bothersome floaters with great detail (distinct edges, clear translucent areas, like 'crystal worms', then those floaters responsible for that are very likely located very close to he retina.
What causes floaters close to the lens? They are not different floaters, just described by their location.
Im a young sufferer of floaters, im 22 and was hoping to get laser treatment for the large floater in my right eye. However, my 'floater' does not move and doesnt have sharp defined edges. It is more of a grey blurry spot. In your opinion, is this PVD and would it be possible to receive YAG laser treatment. Obviously i know you cannot directly see my floater, but are my symptoms consistent with younger patients that can receive treatment? I worry that my floater is too close to the retina for treatment, but you describe these floaters as having defined edges. I have been referred to a retinal specialist in the mean time, but was hoping for some insight if possible.
Age and description make this very unlikely to be a PVD.
@@Thefloaterdoctor1 any ideas what this may be, i have seen two doctors about this already
Is it possible that young patients who suffer with these type of floaters in their 20's/30's may get some relief as they get older? I went to Amsterdam to see another floater specialist, Dr. Feike Gerbrandy (I think the only other eye floater doctor with a similar level of expertise in the world) and someone there said to me that it's very possible that as we age these types of floaters can move slightly further away from the retina.
I have 2 of these types of floaters and I still got treated - I would say I experienced a 20% improvement. I also use low dose atropine (I dilute 0.01% down by about 50% with saline solution) on days where they can very bothersome (e.g. golf, beaches etc...) which does help but my pupil still goes to the size of a moon. I am considering going back to Amsterdam again, because I think with another 20% improvement it may get to a point where they actually aren't annoying enough to care about. Or doc, do you think that because they are so close to the retina, any improvement is still going to result in me noticing them?
Dr. Gerbrandy is one of very few laser specialists I would trust. It is true that floaters can move further away from the retina, but I would think that if they do so they will essentially disappear off your radar rather than becoming candidates for treatment. I can't say that another 20% will be enough as the small floaters close to the retina are particularly bothersome that you almost need to get rid of all of them to get satisfactory relief.
@@Thefloaterdoctor1 Thank you for your response. Given there was some relief from the first treatment though is it not possible that the second could provide some further relief (even if not completely eliminating the floater all together)? I also feel like I can apply a lower dose of atropine to get the same effect (with less side effects) if there is any organic help from the laser treatment. One question about atropine - are there any rules in terms of how you should store the drops and how long one bottle should last you? Because I don't use them every day, I am using the same bottle that I got prescribed close to a year ago as it takes quite a while to get through, and I just store it at room temperature. Is this okay? And is it safe to use everyday?
had this type of floater since 17 😭 im turning 19 in a few months, excuse my profanity but fuck me this shit is so annoying. literally hell when it comes back to the central visual axis.
Uppdate bro plese
You define a young floater suffering as under 35 on your website, and say that most of your patients are over 45. What about the people in the 35-45 age category? Do you find you can usually treat them or are they like the young patients with floaters too close to the retina?
They are an in-between age group and hard to make predictions or generalizations regarding their floaters. They tend to have more widespread thin, cob-web like floaters some of which can be treated with the laser, but also will benefit with low dose atropine.
Hi doctor, I am 36 with true PVD in both eyes, weiss rings, cobwebs, lines, jelly clouds. Also had CSR 5 years ago 2 times, and this year again. Do you think I am a candidate for laser vitreolysis? Can the MSM eyedrops help? Besides all I kept my 20/20 vision in both eyes, but my contrast sensitivity is very bad, escpecially at low light condition
I can never say without an in person evaluation. Based on your age, probably not a candidate for laser. Please look at my Low Dose Atropine program.
Hi Doctor....I'm 64 years old with massive floaters on both eyes and they are not close to the retina...do you think the laser will do it for me? Thank you.
Doctor is bromelain helpfull for eyefloater? I wonder what are you thinking about.
bromelain is a very large molecular weight molecule and should be too large to pass through the blood-brain barrier or in the case of the eye, the retina vitreous barrier. Large molecules like this should not even be able to get into the vitreous to exert any kind of effect. And even if it could, it would be non-specific and would disorganize all of the vitreous proteins, not just the individual floaters. It's also problematic in the way that this article was written as one of the authors is the named city in Taiwan and it reads as if the article is written by the pineapple growers promotion board. I think it is problematic and as one of my patients described me, as he went all in with bromelain and pineapple, he developed gastritis and has needed some procedures and medications to try to heal that.
@@Thefloaterdoctor1 Thank you doctor i am 18 years old student i see floaters you suggest low dose atropine for young patients.but low dose atropine according to my reads effect near eye sight so it can effect my exam performance what shall i do for this situtation?
@@Thefloaterdoctor1 ?
Question: i need to do yagg post cataract secondary cataract. Now i just started to see cobweb floters. Is it safe to the yagg still for secondary cataract? I also had previous rd.
Nothing is completely without risk, but YAG capsulotomy is a very successful, brief, painless procedure, and very low risk.
I noticed a very bothersome floater after eye exam, where they dilated my eyes and it lasted for 5 days! i know dilation should only last several hours!, but anyway now i have a very annoying floater and my doctor said it is normal age related floater. I'm only 37 so i'm wondering if the Yag laser is an option for me? Thank you Dr
The dilation lasted for 5 days?? Maybe the technician inadvertantly gave you cyclogyl instead of tropicamide. Anyhoo, at 37 years old you will not likely be a good candidate for safe and successful treatment with the YAG laser. Do you recall if when you were dilated, if that diminished your awareness of the eye floaters. If 'yes', you might consider the low dose atropine program. It is better suite for younger floater-sufferers. thefloaterdoctor.com/atropine
@@Thefloaterdoctor1 Thank you very much for your response. The problem is I never had any eye floaters. I noticed them after the exam. My left eye has one and it is pretty big and a bit dark, it literally appeared out of thin air. I went back to my Dr and they rechecked and they told me it is a normal age-related floater. I'm not sure if it will settle down to the bottom in a few months or not. If it keeps bothering me I will most likely make an appointment with you.
@@DrmanoRanjahow are you now?
@@alghurraba im good! It is still there! But I think it sinks a bit and you just don’t notice it much anymore. Unless u looking for it, or it’s cloudy outside!
How about now? Has it continued to sink?
Could you explain the atropine and what it does to reduce the floaters? Thank you very much.
It is explained in detail here: www.thefloaterdoctor.com/pupil-dilating-agents
How can u blast a floater with a lazer then say no improvement this is mind boggling
It is actually quite possible. One example might be someone who draws a picture and describes a thin strand of a floater. I might look in the eye and see a prominent, thin strand in the middle part of the eye, which is quite safe to treat. After treating that successfully, the patient may still describe the same. Floater unimproved. Then strand floaters are quite common and this patient may actually have their culprit or bother some floater located very close to the retina where I can't see and cannot treat it. So that treatment would be a failure. In cases like that I would usually refuse payment from the patient as I didn't deliver any significant value to them. There are other examples but you get the idea.
I’m 19 had them since I was 18 and it was randomly and now it’s worst. I have a huge blood like floater in my eye I think it’s called the Weiss ring floater
Not likely a Weiss Ring at your young age. But it doesn't have to be a weiss ring to be bothersome
how do you know which floater is the most bothersome?
I've been doing this for 16 years and have performed over 12,000 procedures and so I have a pretty good idea. The truth is, though, it is not a perfect process and sometimes it comes down to getting whatever you can and hoping you got it.
Do floaters change their "appearance" according to their position in the eye?
Absolutely. And I use the knowledge of this to help me locate the culprit or bother some floaters. Floaters that are closer to the red to know will usually cast very distinct and defined floater boundaries and outlines whereas those further away will have softer and cloudier shadows.
Dear doc，
I am a young eye floaters patient from China. I cant buy medicine from America.What is the content of low concentration atropine, 0.01%?
I can not mail internationally. You can download a free document explaining the why's and how's of Atropine for eye floaters ( thefloaterdoctor.com/atropine-request ). Low dose atropine that I start of with is 0.01%, but I have some strengths stronger and weaker than that to customize it further for the individual.
Hey doc I sent you a message somewhere else ? Can someone use atropine with dry eyes and also if your eyes would be blurry will your eyeglasses work to correct the vision? And also would you be able to know if you are having a retinal detachment since the appearance of floters would be less noticeable on the medication? Thanks.
The low dose atropine is a 100 fold dilution over commercially available 1% attribute. We are trying to find that sweet spot of just a mild dilation that decreases the shadows caused by the floaters without overwhelming you with the amount of light getting into the eyes. In addition, full strength dialing agents will paralyze your focusing ability. This 100-fold dilution barely changes it all your focusing ability. There are virtually no contraindications for its use to include dry eyes.
Im 22, I have a large floater in my right eye that has lasted longer than 6 months. The floater moves around very fast when i move my eye around and has clear defined edges. I can especially see it when I look at white walls. Would I be the ideal candidate for YAG laser treatment?
No. Based on your age alone. Seeing clearly defined edges suggests proximity to the retina and LESS likely to be a candidate.
👍
👍
Does it has side affects?
Do you mean risks? Yes. Everything has risks. With experience and good judgment, they can be kept to a very minimum.
I’ve heard some laser hit the retina and causes damage
It can but should be entirely preventable by keeping the focal point where the laser energy is delivered safely away from the retina.
In your experience, floaters can also cause blur in certain areas, i have floater the tip of it is slight blurry it goes with your vision.
I'm ten and I have hundreds of floaters it seems like is there any glasses that could help and I've had them for I think at least almost as long as I can remember
Really
Hey Beanieboos, have your parents contact me about the use of low dose atropine. It can really help with the floaters and It has been used in children for their myopia and it's prescribed for daily use for years. It's very very safe. It might be worth considering. They can contact me here mail@thefloaterdoctor.com and in the meantime you both can read more here: thefloaterdoctor.com/atropine
I have anti blue light glasses and they help me.
Hey doc! Have you ever heard of someone getting floaters from a slit lamp eye dilation exam?
No, I haven't. There are anecdotes of dilation causing floaters etc., but considering how many people get dilated each day, I do not think it is a public safety concern.
I thought floaters were bad until I got vaccine injured. It's hell on earth.
I am not anti-vax in that conspiratorial kind of way, I'm anti-vax because I think a healthy person is at very very low risk for severe complications, and I would rather have complete and robust immunity rather than specific community to just one protein that needs to be updated with every mutation. We don't even know really what the long-term effects will be for something that was pushed through so quickly and really doesn't fall into the definition of a vaccine in the way that everybody knows it.
@@Thefloaterdoctor1but that’s just it, they are tarring *everyone* as ‘conspiratorial’. Clearly there’s a multitude of reasons for someone to be ‘anti’, such as someone who had Guillain-Barre for instance. They are the ones being unreasonable and heavy handed.
Whats your advice i have rd in right eye few times but need now yag post cataract. How risky it is ? I don’t want another rd.
There are some reports of RD after capsulotomy, but it is pretty rare. If your capsule is opacifying and you feel like you are looking through wax paper or getting a lot of glare... it is time