PVD - What Your Doctor Won't Tell You About Your Vitreous Detachment
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- čas přidán 5. 12. 2022
- A posterior vitreous detachment is a common event, and often affects vision in a way that will not be measurable by your eye doctor because most are not aware of how it affects vision. PVD alone, we're not even talking about the associated eye floaters, the PVD ran reduce your contrast sensitivity by 50% on average. In low light and low contrast situations, it can make vision difficult, uncomfortable and possibly even dangerous. Dr. Johnson explains some of the factors involved in this change that commonly takes place as you get older, and might even help you explain the problem to your own eye doctor.
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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...
► 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. - Věda a technologie
A real ophthalmologist should be like you, shouldn’t be like those who inconsiderate our concerns, God bless you sir! ❤
What a nice comment. Thank you.
Question i had rd on right eye around 24 years old, at 40 i had cataract now at 43 i see cob web line floters . Will it go away? Any advice?
I really hope the status quo changes... I'm sick of hearing that my floaters are too small and that I should just focus on dealing with my anxiety issues... We deserve better...
Yeah, for people who like to look at the world clearly it is kind of depressing if you can’t, but no one else seems to care because they don’t know how to look around and take a deep breath and feel good
Great that you talk about contrast - it's almost ignored but it is such a huge feature of real world living.
Having low contrast sensitivity is frustrating, and can be quite debilitating.
That is why choosing carefully an IOL for cataract surgery is so important, because many 'features' of IOLs are at the expense of reduced contrast.
💯%
I’m 36 extremely near sighted (6.75) and my doctor had his nurse call me and tell me it was PVD with no explanation or follow up. Thank you 🙌🏼🙌🏼🙌🏼
Much appreciated, I've just been diagnosed, and nobody talked about contrast. I have been told to watch for a couple of things.
Must say it is bloody annoying.
Thank you. You have described exactly what I am going through. I had PVD in my right eye. I have had myopia since childhood-9.5
Me too! I have been blaming my IPad for my suddenly deteriorating near vision, but realize this happened at the exact time of my PVD. Feel relieved after this explanation 😊
How old are you now ? How many years you had pvd for ?
Just diagnosed with PVD in my right eye today; thanks for the information!
What a great channel. Had PVD earlier this year. But just recently are aware of a big floater in the pvd eye. I've always had a lot of floaters in both eyes anyway but this seemingly new one is getting me down. I will need to get it checked again I guess☹️
Thank you for the explanation. I have been diagnosed with PVD in the last 2 weeks in my left eye (-18 prescription). I have what the hospital have said is the largest floater they have ever seen in my central vision. Nothing has been explained and I've been told to just get on with life with my good eye (right -16!) This is debilitating.
Thank you for this.
I have one that started the morning I woke up New Years day this year. Diagnosed with PVD 1/9/23. Sucks, as it's stuck. I'm so sensitive to it during the day time and in lighted rooms. I love the night time now and dark rooms. :(
If it doesn't get any better, as it is right in the center(articles say stuck in the center axis or something like that), I will seek the operation. 46 years old. Too young to go the next 20-30 years of my life with this bouncing, dipping, rotating around black spot with the smudge attached to it.
Your prop and explanation helped me understand a little better.
How are you now??
Good luck with your treatment.
Constructive observation. Excellent presentation, thorough and informative. Not much about treatment of PVD, stats, results….of possible vision improvement. I get floaters are residual, partly, of PVD, but….. same in all tubes visionned
I have many videos. Most are treatment of floater due to PVD. Looking at video stats, most people don't watch beyond 3-4 minutes. My epic long narratives are mostly not being seen. I can't cover all aspects of a topic and so I am now trying to keep videos shorter. The web site makes up for shorter videos. Thanks for the feedback.
When I first found out what this problem was, the doctor told me with a smile that my other eye is likely to have the same thing eventually. V
Wow you are a fantastic medical educator. CNN should hire you as a medical commentator!
I woke up with my first floater on January 7th, and RAN to an Opthamologist. He said I just have to get used to it - I'm 40, so my vitreous fluid is still too thick to count on it sinking down. I have never been so mentally affected by a physical ailment. This is soul-crushing to know I have to just deal with this.
Good to learn this haze is due to a related detachment. Maybe I will have to consider YAG laser, although it wasnt even a consideration before watching your video. I would give my life savings for relief.
finally somebody explained to me in an understandable, normal, humanized level what has been happening to my highly myopic left eye for the past three years. I have been to many "ophtalmologists" and none of them dared to explain why it takes so long, why it make me feel anxious, why the process for me and people with my condition is more difficult to deal with. PVD is serious when being high myopic, whatever I travel I check in advance the nearest eye clinic because the chances of retinal detachnent are high. Thank you!
Great compliment: "understandable, normal, humanized level". The good news if when/if you complete your PVD, then there is no more attachment and traction to the retina and then you'll transition to a nearly zero change of any peripheral retina hole, tear, detachment going forward.
I had a bad mess of floaters in one eye with a PVD. I opted for a floater only vitrectomy and cataract IOL. Best thing ever. And the vitrectomy removed the membrane as it had already separated from the retina
The vitrectomy can be a great option, especially for those with a completed PVD and have already had cataract surgery.
it has been a very informative video thank you. You explain that very nearsighted people have significantly more chances to get a posterior vitreous detachment (due to elongated eyeball), but do you know if the opposite happens (fewer chances) for people who are very farsighted? (short eyeball). Thanks in advance
I'm 41 and mine ripped when I endured a blunt force trauma to the head. :(
My PVD started when I turned 50 years old. I have a blur in the middle of my eye. I am a dental hygienist and I am not only having difficulty with cleaning teeth but especially when numbing patients because the needle is so small. My eyes get tired at work and they are constantly dry despite using drops. Eye doctors keep telling me there is nothing they can do and that it is no big deal.
Besides targeting floaters, are you saying you can target the membrane to possibly improve contrast? Thanks for the great content.
Yes, but they are not as responsive to the laser as the denser floaters. If you can get them out of the center of vision, that would still be an improvement.
I made a comment about diagnosis about 2 months ago.
To say I'm finding it a pain in the ass is putting it mildly. The bright sun coming into summer ( Australia) . I'm now wearing dark polarised sunglasses outdoors to cut the light down.
Omg, thank you!! I have a retinal tear fixed last fall and I’m struggling with both eyes as I see a rippling when I move my eyes up and down. The Dr didn’t know what it was, said to ignore it, but it’s incredibly irritating. Plus I’m convinced that it irritates my eyes sometimes to the point that I rub my eyes and it seems to help. Plus with the flashing lights… it’s incredibly annoying and distracting. Thank goodness my retina tear was fixed with laser, the other eye has no tear but the vitreous is separated now and the ripples when I move my eyes is in both eyes…
Please, is there anything I can do for this?
Will it go away with time?
Thanks!
Great video. I wonder, could the membrane movement give the impression that a blur spot is moving position inside the eye?
It could be the membrane itself, it could be some floaters attached to the membrane such as a wise ring and everything is kind of interconnected and so there will be some ebb and flow overall where groups seem to move together.
@@Thefloaterdoctor1 Thanks so much.
Hi Dr. thank you for your video in explaining PVD. I had some floaters a week ago in one eye and been diagnosed with "Partial" PVD in both eyes using a OCT Scan. I need advice on care of "Partial" vs normal PVD. I read on the RNIB web site that should avoid exercise for 6 weeks. Is that the same for "Partial" PVD? I would like to know if I can I still do Running, Swimming, Push ups, using Gym weight machines, Punching a punch bag..etc? Anything to avoid and for how long if "Partial" PVD? Thanks
RNIB = Royal National Institute for Blindness (I had to look it up). So I would not fault someone for being conservative, and I should really not be giving anyone 'specific' medical advice... but that said, even simple left-right eye movements cause a lot of swirling of the vitreous and maybe even more so that many exercises. Unless there is a suggestion of an early hole or tear, I am not convinced that restrictions of activities have any preventative impact.
@@Thefloaterdoctor1 Understood, thanks for the quick response :)😀
I am 30 and suffered a eye injury in my left eye now i have floaters in both, they say i have pvd in my left eye, i am pretty stressed about it as i dont want it to deteriorate as i get older.
It takes the joy of being alive if i know im going to lose my sight, i have alot of floaters now in both eyes
Look into my low dose atropine program. It works well in younger patients.
@Thefloaterdoctor1 I appreciate it thankyou
How are you?❤🫂
@@michael5089 I am ok, how are you doing man ? i found taking vitamins really helps and avoiding screen time
Thank you for the explanation! I'm 27 (high minus, -12s) and just learned that both my eyes have pvd. Colors in one eye all appear darker (almost as if they're all tinted. Like adding a drop of black paint to each color palate and no one could explain why!!
PVD decreases contrast sensitivity by about 50%. Many doctors are not aware of this.
@@Thefloaterdoctor1 it's frustrating when you feel you know more than your doctor (in some aspects) :-(
Well….my ophthalmologist sent me to the ER…worried about mini stroke, or something bigger…..I mentioned numerous times foggy….not blurred….like looking through a glass shower door that hadn’t been cleaned in months. No pain in my head, no headaches, cleared up after 4 hours….Had all the checkups at the ER (not fun) but thankfully came back with a clean bill of health….which I knew when going in….I am a very fit 56 year old. The whole experience could have given me a stroke!! I came home and my husband reads out the paperwork she sent us to the ER with and what does it say….PVD in right eye, nothing mentioned to me in the exam room about this. Just possible mini stroke or something bigger don’t wait to see a DR for work up get to ER ASAP!! What am I supposed to do after that? Go home and ignore…..what you explained here is what I have, I also work for a DR and I saw him on Friday when I was actually experiencing it…he said it looks like a crease/fold….I even told her that! Oh well all is well so will focus on that. Thanks for this short informative vid! I will tell her about it.
I found it had PVD in my right eye. Went to care station nobody could help they said go to ER no optometrist. I had made an appointment for the next day at my optometrist already. Still didn’t explain it was a fairly normal occurrence.
Thanks for sharing. Any better now?
That’s my case. I’m 43 years old and I have myopia. I suffered a PVD when I was 40, since then I feel a reduction on the contrast vision. I adapted my computer, cell phone and all electronics devices to black mode, it helps me a lot.
OMG, I cant believe I find that video accidentally mins ago, Doctor, Im very very very grateful for that info, NOW ALL MAKE SENSE FOR ME and I WILL TELL WHY, before I start, I really thought that I was crazy about that issue you said on the video. I was received an diagnostic of astigmatism when I was 13y only (2013), because months before my consult with the doc, I started to see "reflex's" around people and objects, I dont remember how much degrees I had when I received the diagnostic, but it was not too much, as I remember, I just started with little reflex's and it was not necessary to use glasses, and I will tell you doctor, even with astigmatism my vision was always PERFECT, I mean, in terms of contrast and sharpness, color, trust me, it was all fine UNTIL 2021 (21y) when all the nightmare started, for the first time of my life I woke up and looked to the sky like always, and saw 3 black floaters, my reaction was like "WTF" and I noticed something wrong with me, to sum up and to not make that text bigger than its already is, I received diagnostic of PVD (both eyes) at 2022 (my astigmatism increased a little, but that never bothered me) and before that diagnostic, weeks after my "unknown-issue" suspect at 2021, when I got my first Floaters, I did the biggest research on the whole internet of my life, saw a lot of articles, reddit, a lot of new/old forums and didnt found NOTHING, NO INFO like this one at your video, yes I can comfirm, months after my PVD 2021 even before the diagnostic at 2022, my vision became blurry and I felt that I lost a good percentage of my vision sharpness, contrast, like an little dirty glass on my both eyes, and when I told my doctor about that syntom, he just told me "its probably your astigmatism, maybe glasses can improve that" AND I TRUSTED HIM, but seeing this video all made sense for me, I always had an perfect vision even with 8 years of astigmatism (10 years now) I had no problem with contrast in general, mainly sharpness of my vision, until the PVD problems became, I can comfirm this is real, is very real and accurate.
Sad but I have a lot of floaters on my vision (big, small, spider shape, ball shape...) the last time I saw a clean sky was the one day before my first floaters, since them, I never enjoyed doing that again, this bother me 24/7 even in low light ambients, I try to fight them everytime to not get completely crazy to be honest, but above all, THANK YOU VERY MUCH for eliminating that little weight from me, this info is very, but very revealing and I hope it can reach more people that suffer from this bother issue, GOD BLESS YOU DOCTOR, STAY SAFE!
Oh, thanks for that. This video does get a lot of views and comments, probably a lot of panicky youtube searches.
I'm from India I'm 22 I got floaters in my left eye and pvd I'm so sad.
Is there any hope?can you believe doctor just said to ignore them😞
@@kaifkamal6512 hey bro, for now be grateful for having it at your left eye only, I have a lot of them in both eyes on every format and size, and im 23 only (almost like u) sad but all we have to do now is try to deal with it every single second, I just cant accept my new I, cuz im not the same person as I used to be before this issue, it just changed my mind health permanently I guess, most of docs will tell us to ignore and thats rlly boring cuz for them it is a simple issue that can be ignored, but thank god we have persons like floater doctor that know our feelings about it, take care!
Hi Dr,
First of all, congratulations for the video and for helping us.
I have a question for you.
I am the case of the very myopic patient (-6 & -8) and at 35 I experienced a very large increase in eye floaters right after some medical examinations in the eye (assess if I was suitable for an ICL intraocular lens).
I have been checked by several specialists and everything is fine. Conclusion: PVD in both eyes (and according to them, it was just a coincidence that it fell off after testing). We will never know.
The thing is that in my bad eye, the sunlight "blinds me" and I have lost a lot of contrast. You know, the typical sun glare situation. The orange light "floods" my eye and I see nothing. I have to wear caps.
Could it be an effect of the PVD?
Would a vitrectomy improve this?
I have read in some study that light does not make a good reflection on the retina due to the vitreous densities. But no one knows how to give me an answer.
Thank you :)
Have u done vitrectomy?
How are you now i also have this same situation ! I get that orange light when sunlight falls from the side or corner to my eyes !
Hi Dr, 6 months ago I had trauma to my eye area from a fall. Weeks later, flashes of light followed by new black floaters. The floaters aren't too bothersome, but the flashes can last for weeks at a time, and make me anxious. 2 eye exams showed no retinal issues or indication of PVD. Are they just missing it? I was just told to get used to it as "it" may not go away. No real answers. If not a PVD, then what? Any info would be helpful. I'm 45 F btw...TY in advance!
It is not required to have a PVD to have floaters. It just takes sticky collagen to clump together.
great videos! I have yet to chance anyone who shares what I have. About 2 months ago I experienced the arcing lightning flash for a bit, and showers of black speck new floaters got concerned and went to an opthamologist who full scale examined my eyes and diagnosed my retina was fine and that I had a PVD and nothing to be concerned about. About a month went by the floaters and quick flashes went away only to be replaced by hourly quick orb like glow in the dark lava lamp rapid dissipations of blob light lasting from 2-5 seconds in the same area I'm having opaque blindness - do you know what that is?
Sounds like a PVD with a micro-hemorrhage of RBCs. The RBCs lose their hemoglobin over 3-4 months so their may still be room for improvement. The remaining cloudy blobs and membranes may not improve on their own. Without an exam I can't say with any certainty.
I am 32 and just had cataract surgery a month ago on my left eye and 5 days ago on my right. In my left eye, I’m colour deficient but no known cause. Center vision is blurry. Sides of my vision seems to have more colour and less blur. I have a donut shaped floater and a line that swirls around and what looks like a fold that stays there. I had zero vision due to the cataract for YEARS.
My right eye has perfect colour vision, seems pretty crisp and clear but I felt like I was seeing the IOL edge out the side of my eye. It’s like a dark blurry line. Sometimes I swear my eyelid is hanging down but it’s not. I see starbursts around lights out the top of my vision. No centre floaters though.
Tests showed today that my left eye is fine but my right eye has a partial PVD. Doctors says that’s what is causing that line on the side. It’s almost like the IOL edge is moving when I look left to right even though its placement is good.
I’m having major anxiety since it’s my GOOD eye. I’m an artist and I’m young and thought I’d finally be able to drive again and enjoy good sight… I was extremely near sighted before surgery and opted to keep my near sight but not as much. I also have mid range now.
Will my symptoms get worse? Will it completely detach?
Is there hope for me!? I’m feeling heartbroken.
They will usually completely detach. Usually within a few weeks, but I have spoken to those where flashes continue for years. Better? Worse? Time will tell.
ive just had a cataract done 6 weeks ago,i had the other eye done months ago,,,with no pain etc,,,,,but this one ,,while the surgeon was working on it,,,,i saw blood,,the whole area of the bright light just turned red and a sharp pain ocurred too.for a second....just before she finished the op.......so three days ago..i bent over and when i looked up all i could see was a blanket of millions of pinhead dots,,,and a large floater.!...i went to get checked out and the eye doctor told me its a vitreous gel detachment,,and the dots are blood and the large floater is the gel....she said it could happen at any age over 50,?,,,,,i asked her about seeing the blood and a sharp pain during my op?...but she said that was ok,nothing to worry about??,,im now left with a horrible large floater and blurryness.for life..?she said my brain will ajust to ignore it???.i now feel suicidal at the thought of a detached retina,,happening,,as ive to go back for a checkup,in 2 weeks???,,,from scotland,
Have things cleared up since your original post?
my doc told me i had to chose between memphis or st louis if detachment occurs. i am like what is that you say doc? i am 2 hours south of st louis and 2 and a half north of memphis. but that is all he said. so here i am youtubing PVD even though the docs tell us not to do so. Thank you kindly sir
Choose between the cities for what?
in case of retinal detachment
@@Thefloaterdoctor1
I have a hole in my macular, I am 66 years old. I must admit I am worried about it. Seeing the specialist in 3 days time to discuss the surgery. Living in England.
What was the recommendation?
Hi ! I had a injury in my eye 4 weeks back ! Got flashes in corner of my eye like 10 days back ! Got it examined thoroughly, no sign of tear or detachment. Will the flashes go away on its own ?
Most likely yes as lone as it is not retina detachment. I have had a few patients with 2+ years of flashes though.
I'm aged 22 and myopic with -1.75 in right eye and -0.50 spherical and -0.25 cylindrical power in left eye. For last 1 year or more I have been experiencing a transparent floating shape in right eye vision, it seems like number of small curls/ circles connected each other. It moves with my eye movement, and fades sometimes, particulary it fades after I rotate my eyes. Sometimes I also see tiny transparent dots in vision, especially when I look at white walls or sky when there is bright tubelight or sunlight. In left eye vision I feel like there is a pale transparent shade which seems moving with eyes, it is very light. None of these are causing any noticeable feel or irritation.
Yesterday, I got my eyes checked. Doctor told that eyes are fine and what I'm observing may be phosphenes/ vitreous gel common for myopes.
For last 1 year, since lockdown days I have been heavily using smartphone with poor lifestyle late night/ insuffecient sleep. I have noticed that these changes happened/ slighlty increased after that.
Sir can you please tell your opinion on this. Can these happen due to prolonged eye strain like I had.
I don't think use of the eye, even for prolonged periods of time would affect the vitreous. It can cause some ciliary muscle focusing muscles) spasm, but that is something entirely different. Other lifestyle habits like a poor diet that is pro-inflammatory (e.g. highly processed and high omega-6 like vegetable oils and fried foods) may possibly be more of a factor. It is not well studied so it is just my own conjecture at this point.
Hello,
I was just recently diagnosed w/PVD in the left eye. As of now my doctor says to wait it out. I return for a follow-up visit beginning of February. My occupation is road construction. I'm out in the sun alllll day & I lift approx. up to 50 lbs. I wear tinted safety glasses w/out UV protection. What do you recommend for safety glasses & can I still lift. I don't want my employer to know at this time. I go back to work soon. TY 4 your HELP.
If your retina is OK, there should be any restrictions to activities, including vigorous physical activities. Any polycarbonate or equivalent safety glasses should be fine. PVDs are very common.
He meant to say there SHOULDN'T be any restrictions.
Can you take glaucoma medications eye drops(timolol) while going through posterior vitreous detachment ?
Yes. They are unrelated fluid systems in the eye.
This sounds like a stupid question but I'm just curious.... why would the hyloid membrane only cause contrast sensitivity issues when it's detached? Wouldn't it still cause issues even if it's attached to the retina since light has to pass through it either way?
take a plastic sheet protector and place it directly on the printed page. Clear, sharp, comfortable. Now pull it away several inches and look though the plastic read the print. See the difference in quality and clarity. It not a bad demonstration
So what happens if you have PVD due to an injury...? Can it dettach with the retina as well?
I had refractive lense replacement. I just wanted to see without glasses. Ever since the surgery i have halos and that ghosting as some call it. My Dr said my brain didn't adjust. Is this what you are referring to? I also just developed PVD in the left eye. I've complained about seeing glare in that eye when i look at a bright window or white screen since my surgery. Niw after seeing your video and reading comments I've not been told the whole truth.
Halos and ghosting sound like multifocal lens problems.
@@Thefloaterdoctor1 can that be fixed? My Dr told me my brain didn't adjust. So it's in my head..🤪
Hello Doc,
I am 72 years old and in good overall health with controled HBP.. I live in Western Maryland.
My regular eye Dr. confirmed I had a PVD about 6 months after cataract surgery in my right eye.
Was told to see if they 'settled' or if I learned to 'cope' with the floaters left behind.
They appear as 'smudges' and thin curly lines. Been trying to learn to 'cope' with them for 2 years now.
They are aggravating and do blur my vision and I find myself constantly trying to reposition them
Don't want to go the Vitrectomy route, if it can be avoided.
Is YAG laser for floaters an accepted Medicare procedure?
Thanks kindly.
I believe I read that medicare does not cover any of this. It is an out of pocket expense. I do think that for quality of life, if it bothers you a lot and affects daily life (physically & emotionally) that it would be worth it. Just my thoughts, hopefully the Dr. will see this and give you the full answer! :)
No Medicare does not. I have more details here: thefloaterdoctor.com/insurance-information
Your best bet is to go the vitrectomy route. you already had cataract surgery and you've had a PVD already so basically the most common risks (retinal detachment and cataracts) are eliminated.
Hi, I had a PVD two years ago and although the Weiss ring floater disappeared after about 12 months, my vision is still a little bit blurred in particular when looking into the distance. There was cloudy looking fluid in my eyeball when they did the OCT scan. Is it likely the blurriness can ever go away on its own like the floater? I had a PVD at 35 years old and I am not myopic at all. I have no reason to have had it so early, but I do have an asymptomatic epiretinal membrane in the same eye from a long time ago which I can only think is related to the eventual PVD. Thanks for your help!
35 years old is unusually young to have a PVD, but it can happen. When the membrane separates, is can cause some diffuse and hard to describe blurriness that is separate form a distinct and defined floater, but is still important. Is it likely the blurriness will go away? Probably not as there is no filtration or mechanism intrinsic to the eye that can recognize this abnormality and clear it out. For the first few months things could improve as things stabilize or micro-hemorrhages clear, but after a year or so? not likely.
@@Thefloaterdoctor1 Ok thanks very much. Is it normal for eye pressure to rise after a PVD as well? My PVD eye was 18 and my good eye was 14 a year after I had the PVD. Sorry for another question.
Sir great explanation. Please inform remedy
Options are 1. Do nothing, 2. low dose atropine eye drops (best for younger patients), 3. laser treatment, 4. Surgical vitrectomy
Sir I have a little pdv can it further progress and i also have floaters.
Can you get a new floater towards the end of PVD? I noticed one new little dark spot 7 weeks into mine. It moves with my eye and no other changes. Looks like it sets right on my cheek. I only really see it if I look down. Just wondered if this is normal. I’ve had a normal PVD up to this point, and checked at the beginning and at five weeks. I have another appointment in three weeks. Ty!
In short, yes it is possible. A PVD is a one-time event, but it seems to be begin a general disorganization of the vitreous. In the simple version of a PVD it would just be the membrane peeling away with or without the weiss ring. I very often see large and prominent cloud-like floaters that have somehow been triggered or catalyzed by the separation of that membrane. With floaters, anything is possible.
Thank you for your explanation. No one (just you) mentions what it happens to the vitreous mebrane when PDV occurs. I currently experimenting a PDV in left eye. My oftalmologist is following me because I had a light emovitreous and she saw a bit of blood at the low vitreous base. I have several floaters but what is most annoying me is the intermittent blurred vision.
Could it be the vitreous membrane floating in the vitreous? On the other hand if vitreous membran is floating does it mean that the membrane is no more pulling the retina?
The vitreous membrane is 'suspended' 360 degrees like a very loose drum head. IF you are still experiencing peripheral flashes of light, it is still attached. If it has been awhile and no flashes, it is pretty safe to assume it is as detached as it is going to be.
During the visit of 2 days ago the oftalmogist discovered a small part of the low peripheral retina broken. She applied a barrage with Argon laser. I am not seeing any flash but I am worried that the small break could evolve in a retina detachment.
What is the treatment for vitreous degeneration, Dr?
Im 54 and got my first floater in my right eye last year. Got a mass of floaters with flashing in my left eye recently. It was checked out not a retina detachment but flashes all the time. Should i be worried. The doctor said my retina looked fine. I got it ched out asap.
The continued flashes suggest the vitreous is still attached and you are still at risk of retina hole, tear. If you have any significant worsening, get in immediately for re-examination
It seems this is an amazing and much needed service.Your videos really helped me understand what may be going on and it seems it is PVD from your discussions. It is really interfering with my quality of life and writing. However at age 77 the only insurance I have is Medicare and your prices seriously preclude me using you no matter how much I want to. The cost is just far too expensive without medicare for me to handle. Very sad.
I understand. I haven't increased my fees for 12 years and in fact moved to a lower cost of living area to keep business and life overhead lower.
thank you!! so yoga exercises for eye are not helpful here?
Breath control, flexibility, core strength, mindfulness and gratitude - all important, but not affecting floaters.
Well even if you can explain bad vision due to vitreous detachment, it doesn't really give medicine options to reverse it. I would like to know exactly how vitreous forms in the first place. I have seen research showing the regeneration of all parts of the eye except the vitreous so far.
Retina is brain tissue and doesn't regenerate. Corneal scars don't go away. All parts of the eye do not regenerate. The vitreous is a gel 'scaffold' for the fetal eye to develop around. Look up "primary vitreous".
I had a tear in my vitreous at age 60 and am 61 now. The floaters have not gotten better and are web like. Note that I never had laser on the eye, the tear was a perfect circle and the piece came off. He watched me ever 2 weeks for awhile & chose not to. More is less sometimes. They are not "horrible" yet they have affected my emotional state at times. I prefer to try alternate methods since mine or nor "horrible". Do you think that MSM drops or the Oclumed drops (or both as it states I can use both) would be a good start and perhaps be beneficial to make it more bearable even though it would not "fix" them? Note at night I see perfectly fine without seeing the floaters so much. Night is my favorite time now sadly! I have read about supplements but feel that is like throwing money away and it would take years to see improvement. I could be wrong. Thanks for any advice. 👁
I haven't seen convincing evidence that MSM or N-acetyl carnosine are helpful for eye floaters. Possibly for early cataracts
I don’t have this. Just floaters and broken blood vessels.
Can floaters appear for no apparent reason? I've developed a lot of wispy, stringy dark floaters in the past month, in both eyes.. optometrist dilated my eyes, said retina looks fine in both eyes. They drive me nuts
Absolutely they can, in otherwise healthy people, in otherwise healthy eyes.
@@Thefloaterdoctor1 that's comforting.. thanks for the reply
Hello.
Can lutein supplement 20mg daily help with retinal or vitreous detachment ?? Or can make it worse?
Neither. It is an antioxidant shown to be helpful with macular degeneration. A low inflammation diet is probably even more important than a supplement for that purpose.
Is there any link between Ed drugs and pvd
Hello doc! I’m 19 and I have been experiencing some floaters growing on my right eye, should I be alarmed? It’s been affecting me mentally and getting depressed. I have this 1 noticeable weiss ring and the rest are small floaters on my right eye only.
I can not make a diagnosis and/ or reassure you that all is well. Most floaters are benign and can be found in otherwise healthy eyes in otherwise healthy people, but the appropriate response is to get a local eye examination if you have not already done so.
Can blue light from screens cause vitreous detachment or retina detachment? I've already been diagnosed but am terrified of the retina detaching. The vitreous detachment is in both eyes. Thanks ahead!
I don't think so and there's no good science to support that. Conjecture and anecdotes on Reddit do not comprise science.
Can cataract surgery cause PVD or a tugging on the retina to create flashes?
The disturbance of surgery can tip the scales towards a PVD.
Good Afternoon,
I went to the emergency room last night and the ER Doctor diagnosed me with a partial retinal detachment of the right eye and wants me to get emergency surgery. The left eye is good. I have a follow up appointment with the VA Doctor in a week. Symptoms are a couple of black string like floaters and occasional flashes of light but I can only tell at night time. My bloodwork, EKG, Chest Xray, Cat Scan, and bloodwork all came back good. Any ideas? I know you probably need more info lol Thanks!
Get a prompt evaluation by an ophthalmologist, preferably retina specialist. IF it is a partial detachment it can often be repaired/lasered without surgery. If you wait longer the repair is harder, more invasive, and may never fully recover.
Hopefully the ER doctor's diagnosis was in error. Maybe it is vitreous detachment.
@@Thefloaterdoctor1 Thanks. Do the vitreous detachment and the retina detachment both have the same symptoms?
@@staystrongpeople4942 Both conditions may cause some peripheral flashes of lights although the PVD flashes may be more brief and the RD flashes more persistent shimmering. PVDs are responsible for most of the peripheral RDs so there will be some overlapping of symptoms. IF you experience a veil, shade, curtain, or loss of peripheral vision, that points to a RD, and the presence of thousands of tiny specks is also suggestive of an RD as that may be red blood cells from a tear in the retina. Because of the overlapping symptoms, it is the usual recommendation to get a good dilated eye exam if experiencing the new onset of any of these symptoms.
@@Thefloaterdoctor1 Thanks. Appreciate the thorough explanation.
I was recently (3 weeks ago) diagnosed with a PVD from an injury (got a tennis ball at the eye). I am seeing flashes througout the day but not really any floaters. How worried should I be about developing a retinal tear?
occasional peripheral flashes are highly suggestive a PVD is in the process, but not completed. While the flashes persist there is an increased risk of a peripheral retinal hole, tear, or detachment. Probably you are at your lifetime's highest risk right now, until the flashes go away and that changes to nearly zero risk. Unless advised otherwise, I'd go about your usual activities, but be vigilant and get examined immediately if anything changes for the worse.
@@Thefloaterdoctor1 Thank you for your answer. I've read that the first 4-6 week is the most critical. If the flashes are still there after theese weeks, is it still less critical or what changes after 4/6 weeks?
Usually flashes subside during the first few weeks. No more flashes? No more internal traction on the retina.
Am suffering badly at night ..if i get the jelly removed with my contrast improve?
PVD's do affect contrast sensitivity, so that is a reasonable expectation.
I am 37 and have a very high perscription so I am going through this right now. Do you have any suggestions? I am afraid to loose my eyesight. Also does pineapple actually help get rid of floaters?
Someday I'll do the video that argues that bromelain is too big a molecule to be able to make it into the vitreous. I don't think so.
@@Thefloaterdoctor1 Thanks your videos are helpful. Recently I learned my vitreous is detaching and I am in my 30s. Now the last two days I have eye headache. Is that something to be concerned about?
What causes PVD in a younger person? 🥺 I’m 24 and have experienced floaters, flashes in peripherals for about 5-6 months.
It is unusual to have a PVD at that young age, but anything is possible. You might just be a few standard deviations away from the typical vitreous changes that we associate with aging.
same here. how are you?
@@yentisuryani3307I’m okay! I was diagnosed with vitreous syneresis. I was told I will probably see these floaters for the rest of my life but it won’t affect my vision
Does a PVD happen once in your life as you age then it's over, or can a PVD event happen multiple times during your lifetime?
once per eye only by definition
I am 66, Can vitreous detachment, cause, eye flickering, had my cataracts removed over a year ago, right eye still flickers, could this be because of the vitreous detachment?
Thanks!
Maybe. Sometime intraocular lens implants will have a little movement in the capsule and the edges moving could cause some flickering.
Thank you!
do partial pvds have the same effect?
Potentially, yes. Having the membrane separate even slightly away from the retina is a 'diffusion' membrane, but a completed, fully separated membrane will have more laxity and movement and folds so a completed PVD would be expected to be more symptomatic.
Can you talk about vitreous syneresis
sysneresis just the describes the appearance of stingy, strandy, cob-webby bands of fibers that are the floaters. Different from the membrane that is seen with a PVD and softer, unlike the denser weiss-ring type floaters.
If the vitreous jelly is liquidated, could the floaters become sediment and dropped to the bottom? Thanks
I've had seen floater that have done exactly that and settled down to the bottom until the patient moved their eyes or head and the large mass swirled around. For much smaller floaters they behave as if they are neutrally buoyant and tend to be tethered within the gel-like vitreous. It often isn't until much later in age that the vitreous has the potential for liquefaction.
@@Thefloaterdoctor1 Thank you
I have had floaters for 40 years ( am now 77) and have often had this experience; after bending over for a minute or so, I stand up and see lots of floaters,almost blinds me, then they slowly settle down to bottom out of sight again.
I have -18 on my left eye and recently I got a barrage for the possible retinal detachment from vitreous membrane, I'm 22 and I haven't even started working, my day goes on fear when will be it repeat is there anything I could do to possibly avoid that..ik there isn't many ways but it's tireing to live in fear daily
Bro I'm also 22 and got to know about my floaters and pvd. I'm feeling so helpless. I'm from India.
Doc they say pvd is common when ur 50 years and up but what if u r 21 years old experiencing constant flashing lights in ur vision ???
It could be an early, peripheral retinal tear or detachment. That needs to get checked out soon if you haven't already done so. It would be extraordinarily rare for a PVD at your young tender age.
I'm 22 I have pdv and floaters😢
There is no retinal tear but can it happen in future?
I'm 36, very near sighted and have had this for a couple years now, progressively worsening. And I'm a professional video editor. It's so difficult to see well to do my job. I hate this condition. 😣
I have a lot of software engineers and professionals come to see me. The technical visual needs + floaters = a bad mix.
@@Thefloaterdoctor1 makes sense bc the bright white screen makes the floaters so visible. I only hope blue light and staring at screens all day isn't further worsening the condition! Do these individuals who see you typically get a corrective treatment, or learn to live with it and keep a watchful eye on its progression? (no pun intended!)
had my pvd at 30....
Can the whole vitreous get liquefied at 26 yrs of age in -10 D patients?
When it comes to vitreous, just about anything is possible, and highly myopic eyes are subject to earlier vitreous degeneration and disorganization.
@@Thefloaterdoctor1 ok sir...mine degenerated after Lasik....I think it's because of lasik
My son is having this now. He is 22 . Why would he get this so young?
I talk to a lot of younger people with bothersome eye floaters. They don't experience comprehensive disorganizational changes as described in this video, but they will typical have microscopic fiber and threads located very close to the retina. These younger people are much less likely to be candidates for laser treatment. These floaters can occur in otherwise healthy people and in otherwise healthy eyes. My Low Dose Atropine has been very helpful for the younger floater sufferers. thefloaterdoctor.com/pupil-dilating-agents
I’m only 25 and have been diagnosed with this 😢should I be worried?
Probably not, but I can not reassure you absolutely in the comments section of CZcams.
I am 77 and have had them for 40 years but I make it a priority to see my eye doctor FAITHFULLY every year, or more often if (s)he suggests it. Everyone should.
Why does removing it change your prescriptions?
Removing the vitreous? After vitrectomy? It shouldn't change the optics of the eye, unless a cataract forms in the lens.
@@Thefloaterdoctor1 yep that’s what I got. It caused a cataract and now I need to get surgery again
@@Thefloaterdoctor1 any thoughts on why eye drops that I was taking before surgery and during surgery or the surgery itself cause my pupil to stop working
My eye doctor advised me not to do any surgery, that sugery could make it worse. Ive been told that by 2 difficult opthomologists so nope. Not doing it
I am 17 years into my specialty practice of not making things worse.
Thanks, other videos don't go into what you are saying here. And some, the doctor videos does not identify themselves by name and they say some real random stupid stuff and they might not even be doctors?????.
It going to get even worse with ChatGPT churning out the average of average content. Even worse with AI voices, especially that damned TikTok female voice. It makes me insane.
OMG, did I just sound like an old guy? "Back in my day we had to carry our lasers in the snow, uphill in both directions..."
You couldn't afford a mic?
Sometimes I am inspired to set up a camera and offer an inspired presentation from my years of experience in treating eye floaters. Obviously they are not slick (but bland), professionally produced videos, and yes, the audio is occasionally off. Most people appreciate the information and will look past the production value. I am not a CZcamsr with a production/editing team. Just a guy with a tripod.
@@Thefloaterdoctor1 Fair enough.
Who cares if he doesn't use a mike. I had my first pvd 18 month's ago and my other one 9 days ago. I learned more from this short video and answers to comments than I did from the two ophthalmologist's that examined me!