Great video presentation. It amazes me that these lasers can do so much and yet we have fragments of tissue floating around in the eyes causing so much frustration and despair in people yet can ‘t find a way to annihilate all of them! There are lasers to correct the shape of the corneas and retinal problems yet nothing out there to disintegrate these eye demons completely! I wish you all the best as you continue on your journey to actually be “the one “ who does and will make the ultimate difference for people suffering with this most frustrating and anxiety provoking visual disturbance! If I were closer to you I would be there to share my own story and of course have you treat me! Best of everything to you and I wish you God speed with everything you need to do to manifest your goals! You have your focus and may you reap abundant blessings from all your many hours and dedication to your work! Truly you are the “ Floater Doctor” 👁👁
Thanks for your videos Doc! You're a light of hope to all of us sufferers. Have you thought about training other doctors? We need more floaters doctors.! I'm from Mexico
It is definitely a quality of life situation. I have a PVD and a large floater that darts from the left of my eye to the center of my eye. It gives me headaches and an eye strain.
why ophthalmologists do nothing to help us eyefloater suffer, and they just tell us to get used to them when it's impossible to do that, It is so comfortable for you just to say that something does not work but it doesn't help us to find the solution. There are people who are depressed because of this condition, it affects your mental healththeyt will never going to understand until they don't have them it is terrible
Doctors think it's all about visual acuity but it's really about visual function. No point having 20/20 vision if it's full of opacities/ floaters and Starbursts... that's like having a Lamborghini with square wheels
@@Thefloaterdoctor1 How do you think they could make one? I know in London there's a new CT under FDA that's much better at identifying floaters / eye issues. Then again some people who have loads of floaters on an ultrasound just can't see them when questioned bizarrely. After trying atropine I think this might be to do with pupil size now; I know when people get a new IOL ( small aperture) they can suddenly see there floaters on mass post op.
My patients who are 10/10 bothered by their floaters often have floaters that can not be seen with magnification at the slit lamp. A CT will not match the resolution and dynamic range of the examiner's eyes. Maybe if it is different technology, a scanning laser ophthalmoscope perhaps, designed for this purpose.
I once asked my eye doctor (opthalmologist) about getting rid of floaters. I told him I had done some research online, and found a doc that used a laser to zap floaters. He told me there was no treatment for floaters other than a vitrectomy (which he said was risky and not to be done unless the case is really severe), and that anyone offering anything else is peddling snake oil. He said there was no recognized medical procedure for it (other than vitrectomy). He has since retired. But, I see a very strong increase in practices that now offer floater zapping. I think it's probably time for me to take a fresh look. Sure appears to be more available and common than it did 12 years ago. Dr. Johnson surely appears credible. IMO, the most significant thing he said was when he mentioned his concern not to do his procedure on anyone he determines not to be a suitable candidate. To me, that speaks of integrity-- not snake oil peddling.
I hear these stories now and then and wear it as a badge of honor. There is a pioneering aspect to what I do, and a rebellious aspect to what I do. Thankfully, I don't need to wait around for a consensus approval by other ophthalmologists and I don't have to drive around delivering bagels to other ophthalmology practices pandering for referrals.
I am also in Ohio....really tired of not being able to treat my floaters. They appeared suddenly last November and the eye doctor was basically useless. I've NEVER had anything like this. The doctor simply said to me "how old are you?" So, basically he felt that this was "normal" because I'm 68. I am afraid to have my floater's lasered, I understand you can go blind or have other complications. I changed my diet and take supplements (vitamins and herbs). This seems to help.
I mean...there are risks with everything we do. The question is only partly answered by "What is the worst that could happen?", but also answered by the question: " What is the likelihood that worst case scenario would happen? In the hands of a very experience practitioner, the risks of laser treatment are very acceptable low. You have to ask yourself if the quality of vision and quality of life are worth the trip, expense and (low) risk.
Thanks for this floater discussion. You looked and sounded sincere in your presentation. I feel better knowing how you broke down every point in numeric detail. I guess I will have to try and live my life as routinely as possible knowing there really isn't anything that can help my floater problem. I don't have that many years left to spend on this problem as I continue to grow older. Thank you.
Lol try Canada, here they are in the dark ages with floaters. When I’m in my 40s if they still bother me I’m going to fly on down and visit the floater doctor.
Thank you, but floaters are very common, not like some rare 'orphan condition'. It is just wrong that the eye care specialties have not done a better job addressing this problem.
My son recently, got lasix surgery in Columbia under the direction and advice of his father. Mike, is 21 and this is keeping me up at nights and he's are severe.Very quickly. I need your help plz! I plan on making and appointment and this is concerning because he is in college and driving us an issue. He is a hard working lovely young man and is being told nothing can be done to say this has caused him depression is an understatement! Thank you for your information and what you are doing. Yep on the edge.
Mike, is not bothered by much and be er had issues beforehand. To say its effecting me and afraid for my son sight is an understatement! I could ring his dads neck for this. I will do whatever it takes to help get him to u and where he needs to go to get help.
I know that we will have to pay cash. Which, we will do. And travel there. I am in Tennessee, where they just are live with it which he can't. Are u in Cali or Texas? My number is 6292109338 I pray you get this message!
I think there should be some sort of floater simulation video for diagnosis that allows the doctor to have a better understanding of the condition of patients when they compare it with their subjective experiences.
Hi there doc I got eye floaters in both eyes right eye first then left two weeks later had flashing in top left corner of left eye.still got them seven months now been to ER three times got discharged after that said would eventually fall to lower levels but this not happening ER named them infinity floaters very cute to look at nightmare for me especially when driving.they said a small retinal hole but had healed itself.I like darkness now tried excercises and pineapple nothing seems to help !
I'll be calling you soon. My past visits with you were life changing. But a few more need work. You know how many I had. To those needing Dr Johnson's expertise don't hesitate. It is very likely he will improve your vision.
After developing a dry eye condition roughly six months ago I also developed a floater problem. It is not just a floaters but appears as a film moving across the eyes. Looking at a white wall makes it quite noticeable. Also, I have noticed that the White part of the eyes are softer, more liquid-like rather than firm gel. Any tips for me as I have do not have insurance and already spent a small fortune trying to cure the dry eye.
Depending on where you are and possible availability, Platelet Rich Plasma eye drops can use your body's own healing hormones, growth factors, and cytokines to heal the ocular surface. Read more: www.prpmedicalclinic.com/dry-eye-prp
@@Thefloaterdoctor1 I clicked on the address you gave above and said the page could not be found. I have dry eyes, cataract surgery (2003) and many floaters. Would love to get rid of them!
I started getting mine floater on my right eye after the age of 61, it’s like a light white silk curtain going from left to right. I call it my Casper the Not so friendly Ghost!! Specially when it’s bright outside or watching tv when the screen is bright when there’s a bright white background scene.
The vitreous cortex 'membrane' is very common with a PVD. These are very difficult to see on typical exam, but do affect overall quality of vision. A sheer curtain like effect is a good description.
Not everyone is a good candidate for treatment, and not everyone with a YAG laser has the experience to treat adequately and/or aggressively to a place of satisfaction, unfortunately.
Hi Doc, I've been thinking about seeing you for a time now to see if you can help with my floaters. I've been reading about the lower laser power necessary for the gold nano particles injected into the eye and how much that seems to have worked incredibly well. Is there any chance you would be interested in switching to that method in the next few years? If so, I may wait in hopes of that method for myself. The floaters are driving me crazy and I'm about ready to do something. I'll admit I'm a little 'scared' to do anything because every time I ask my eye doctor they say 'DO NOT DO laser surgery for floaters!!!'. I think I will feel a lot better going to someone like you who has a LOT of experience however and am probably getting closer to doing it than not. Just curious if you know or plan on switching to the gold nano particle method. I sure do appreciate all the info you give on here and am very thankful for experts like yourself.
Excellent, thank you! I understand that laser vitreolysis is state of the art, but it also seems - with all the points you discuss in this video - that we are still in the 'Model T' stage of floater therapy. It seems rather 'hit and miss' - pun intended. What do you see as the 'ideal' therapy? Some 'non-invasive' form of vitrectomy? An intra-vitreous injection that dissolves every last floater? That's the biggest shame of the lack of research you point out - how are we going to develop breakthrough therapies without research? In any event, if I didn't have to undergo the hassle of travel, I would have been a patient of yours years ago. At 67, I've asked every ophthalmologist I have seen since the late 80's: "Has a treatment for floaters been developed?" Their answer has always been, "No".
Ideal? Yeah, may an injectable enzyme, but I can see an enzyme targeting the floaters specifically because they are made from the same stuff that all the other collagen in the vitreous is made of so it would have to break down ALL of the collagen and that might overwhelm the eye's natural drainage system and increase eye pressure. There some early talk about hyaluronic coated gold nano-particles. It still would require an injection, but seems to make the laser much more efficient. In the mean time, a laser designed more specifically for this purpose would make it easier for me.
What are your thoughts on this Bromelain thing from pineapples helping with floaters. Also, I heard fasting has helped some people with eye floaters, have you seen this in any patients? Last thing, someone recommended to me that I use a cold compress to help them. I tried it for weeks and it seemed to change the way they behave and made them alot lighter, more movable and flexible, and actually more annoying...Any idea why cold compress has this affect on them? Keep up the amazing work!
Bromelain is a high molecular weight molecule and is should not be able to pass through the blood-brain barrier (retina-vitreous barrier in the eye). Even if it could, how/why would it target the proteins responsible for the floaters? They are the same proteins that have always been in the eye - natural normal body stuff. If you read the original article out of Taiwan, it is not that well design and reads as if from the pineapple growers advertising promotion committee. For either fasting or cold compresses, I'd have to ask what is the putative mechanism of action? I wouldn't be able to come up with a plausible explanation as to how either would help 'un-stick' the collagen proteins. Here are some good illustrative points: One person's anecdotal experience does not make good science, correlation does not prove causation, anyone can say anything on the internet (including me!), there may be some natural improvement/worsening in some people. I would not worry about fasting / cold compresses causing harm, and it is not emptying your wallet, so I see no reason NOT to do it. Truth is, there is still a lot we don't know about floaters, especially in younger people. -Dr. Johnson
@@Thefloaterdoctor1 Thanks for the detailed response! Much appreciated! I think i'm going to try a fast next, not sure much will happen, but as you said, no reason not to if done properly. And yeah, i'm only 26, got them at 25 during lockdown, my eyes were perfectly crystal clear but suddenly started deteriorating with floaters over the last 9 months...
@@Thefloaterdoctor1 Whilst I am sceptical of the pineapple study and results, I think it is way too far to suggest it's a conspiracy of pineapple growers from Taiwan to boost profits. I didn't even know Pineapples come from Taiwan !.. they are cheap to buy and supplied from all over the world. So not a real reason in my opinion. If it was a single product from a single source or medical doctor 😉 then maybe. Great video by the way.
The 'backstop' for the laser is not the retina. The energy is delivered in a cone-shaped' energy pattern so that the energy is delivered at one point in space, not along a linear collimated path. My responsibility is to know where that energy is delivered and keep the focal point of that energy away from the retina and lens. If that is done correctly, there is no effect on the retina.
I was wondering if they could develop a needle that could go into the eye and somehow open up like a whisk that could then spin around and grab all the floaters and then close up and come back out of the eye with the floaters.
I mean...it could be developed, but if you are going into the eye, then just do the vitrectomy and remove all the proteins causing a problem now...and in the future.
Just eyedrops. Dilating drops for the pupil, and topical anesthetic for the contact lens I use at the laser. No drops or medications afterwards and no restriction of activities after treatment.
A true PVD will be very very rare in a 22 year old. What is not rare is a doctor mis-diagnosing a PVD. Low dose atropine drops may be very helpful with the floaters more typical of younger patients.
I had a retinal tear and now I can see my Weiss ring. My retinologist says there's no treatment available for the my armada of floaters. Is a tear a contraindication for laser vitreolysis? The tear was 6 months ago.
I have treated many patients with previous retinal problems. As long as it has healed and things are stable, the retina should not be at any risk AS LONG AS the treatment is adequately far away enough from the retina.
If have a pronounced dark shadow that is close the my center of my vision that is always visible would that be a type of floater that could be used to treat with vitrolsis? It's not a solid block but more of concentrated thumbprint that is way darker than my other floaters
Please visit the web site for more information. It is an important question without a simple answer in this venue. To summarize: "It depends". It depends on the age of the patient, and the infinitely variable factors of optics, amount of floaters, their location/distribution, type of floaters, expectations of the patient. It is not a simple binary matter of success vs. not successful. But... even with all that evasiveness, I have all five-star reviews (yelp and google) and I have been doing this exclusively for 16 years (as of 2022), and it has been a pretty successful focus for my professional life.
Doctor i have eye floaters due to putting some ayurvedic eye drops in 2017 at that time my age was 19 . Before that my eyes were perfectly fine . Doctor checked said my fluid in eyes become dirty no retina detachment . I have floaters more in left eye as compared to right eye i have taken Supplement which improved a little bit not fully now its been 6 years still have floaters . Now Im taking bromelian supplement and maqui berry suplement plus cod liver capsules .
@@Thefloaterdoctor1 doctor my eye floaters delevlop after putting ayurvedic drops that eye drops were so painful . What is the exact reason ? it make my eye fluid dirty.
My floaters started by having a eye dilating test I am confirmed that eye dilating drop did something wrong in my eye in vitreous humour some chemical reactions I don't know but I am pretty sure that I have floaters by having a eye dilating exam
Your experience and temporal association is real, but it is not consistent with the 100's of thousands of people who are dilated every day who do not experience the same. I'd just shrug my shoulders and say 'I don't know'.
It depends on your age, the type, location, and distribution of the floaters. You may or may not be a candidate for laser. The Floater-Only Vitrectomy (FOV) does have some significant risk including a very high rate of cataract formation after the surgery. Please contact me with more details via my website www.thefloaterdoctor.com
@@Thefloaterdoctor1 when you get floaters at a young age, it means that due to their nature they will never be able to be treated or it means that you have to wait? At what age can people have laser? Floaters close to retina do move far from it with time? :') you are a blessing and a hope doctor
It is a known risk. Rare, but known consideration. I'll get on average about 2-3 patients a year with some elevated eye pressure response and may need eye drops treatment for a few months until it resolves.
What can be done about this doc mine not appealing at all I miss my clear vision I just developed them in July I can’t stand the fact that I can’t enjoy a cloudy day or clear skies without running back in the house where I don’t see them
I have a ton of information about eye floaters on my web site and I encourage you to read through that and watch more of my videos. You might consider starting with the low dose atropine which doesn't change the floaters, but may change ( and diminish) how you see them. thefloaterdoctor.com/atropine
my eye doctor told me that PVD has not occured yet my eyes are currently in vitreous synerisis. I have a higher than normal IOP (23 and 22) but all the eye exam done including glaucoma test were ok. I can actually accept my eye floaters but whats really bothering me is the increased sensitivity to "negative afterimages". Like for example I read a paragraph then look away, I can see the lines (not actual text), just like faint bars for a few seconds. I am certain that I dont experience this prior to developing eye floaters. I'm not sure if this is also related with dry eyes (like my doctor said). I'm thinking if I should consult a Neurologist for further examination. It is really hard to focus in life because of my increased sensitivity to negative afterimage. Thanks in advance.
YAG Laser Capsulotomy is for clouding of the posterior lens capsule after cataract surgery. I have seen some capsule material move into the vitreous causing some floater symptoms but it sounds more like it may have precipitated a posterior vitreous detachment.
@@Thefloaterdoctor1 thanks for replying Doc in simple terms any chance you think it will dissolve or not I’ve seen my optician he said eye health was great and I may have to live with it
No one can say for sure, but there is no mechanism or filtration of the eye to get ris of them. If I were a betting man I'd say they will not go away on their own...but it is possible.
I had surgery on May 11 and May 25, 2021. Now the floater in the left eye is really bothering me as it also irritates my eye. The eye Dr. doesn’t seem to concerned.
I am a 72 year U.S.M.C. Vietnam combat veteran that was born with floaters that has been trying to get any kind of help with my floaters. So far it hasn’t happened & it is not going to. Semper Fi
@@Thefloaterdoctor1 I think I had uveitis because I was feeling pain in my eyes, redness and sensitivity to light, then dark spots appeared in both eyes. Now, after thirty days of the appearance of the floaters, there is no pain or redness.
Neither is nearsightedness and astigmatism, but an entire industry revolves around treating them with refractive surgery. There is no 'plug and play' method yet for doctors to treat eye floaters. When there is, there will be more interest in floaters. Like so many things in life, "Follow the Money", The money is just not there yet for floaters.
Well, not dangerous perhaps, but they do affect the quality of life. Isn't the purpose of medicine to alleviate pain, improve function, and improve the quality of life?
@@Thefloaterdoctor1 Well said. I had vitrectomies but either way, l appreciate your compassion and that you take time to answer people's questions - even the annoying ones.
Most eye doctor only know how to prescribe glasses and that's it.
At least he isn't a lasik doctor.
Great video presentation. It amazes me that these lasers can do so much and yet we have fragments of tissue floating around in the eyes causing so much frustration and despair in people yet can ‘t find a way to annihilate all of them! There are lasers to correct the shape of the corneas and retinal problems yet nothing out there to disintegrate these eye demons completely!
I wish you all the best as you continue on your
journey to actually be “the one “ who does and will make the ultimate difference for people suffering with this most frustrating and anxiety provoking visual disturbance!
If I were closer to you I would be there to share my own story and of course have you treat me!
Best of everything to you and I wish you God speed with everything you need to do to manifest your goals!
You have your focus and may you reap abundant blessings from all your many hours and dedication to your work!
Truly you are the “ Floater Doctor” 👁👁
Thank you for the nice comments and feedback
Thanks for your videos Doc! You're a light of hope to all of us sufferers. Have you thought about training other doctors? We need more floaters doctors.! I'm from Mexico
It is definitely a quality of life situation. I have a PVD and a large floater that darts from the left of my eye to the center of my eye. It gives me headaches and an eye strain.
I use a laser to treat quality of life
Same
why ophthalmologists do nothing to help us eyefloater suffer, and they just tell us to get used to them when it's impossible to do that, It is so comfortable for you just to say that something does not work but it doesn't help us to find the solution. There are people who are depressed because of this condition, it affects your mental healththeyt will never going to understand until they don't have them it is terrible
Doctors think it's all about visual acuity but it's really about visual function. No point having 20/20 vision if it's full of opacities/ floaters and Starbursts... that's like having a Lamborghini with square wheels
Well said. Unfortunately, there is no objective measure of floaters THAT CORRELATES with the patient's symptoms
@@Thefloaterdoctor1 How do you think they could make one? I know in London there's a new CT under FDA that's much better at identifying floaters / eye issues. Then again some people who have loads of floaters on an ultrasound just can't see them when questioned bizarrely.
After trying atropine I think this might be to do with pupil size now; I know when people get a new IOL ( small aperture) they can suddenly see there floaters on mass post op.
My patients who are 10/10 bothered by their floaters often have floaters that can not be seen with magnification at the slit lamp. A CT will not match the resolution and dynamic range of the examiner's eyes. Maybe if it is different technology, a scanning laser ophthalmoscope perhaps, designed for this purpose.
Maybe someday some person or entity can find a way to contrast floaters against vitreous with the light color spectrum.
I once asked my eye doctor (opthalmologist) about getting rid of floaters. I told him I had done some research online, and found a doc that used a laser to zap floaters. He told me there was no treatment for floaters other than a vitrectomy (which he said was risky and not to be done unless the case is really severe), and that anyone offering anything else is peddling snake oil. He said there was no recognized medical procedure for it (other than vitrectomy). He has since retired. But, I see a very strong increase in practices that now offer floater zapping. I think it's probably time for me to take a fresh look. Sure appears to be more available and common than it did 12 years ago. Dr. Johnson surely appears credible. IMO, the most significant thing he said was when he mentioned his concern not to do his procedure on anyone he determines not to be a suitable candidate. To me, that speaks of integrity-- not snake oil peddling.
I hear these stories now and then and wear it as a badge of honor. There is a pioneering aspect to what I do, and a rebellious aspect to what I do. Thankfully, I don't need to wait around for a consensus approval by other ophthalmologists and I don't have to drive around delivering bagels to other ophthalmology practices pandering for referrals.
I am also in Ohio....really tired of not being able to treat my floaters. They appeared suddenly last November and the eye doctor was basically useless. I've NEVER had anything like this. The doctor simply said to me "how old are you?" So, basically he felt that this was "normal" because I'm 68. I am afraid to have my floater's lasered, I understand you can go blind or have other complications. I changed my diet and take supplements (vitamins and herbs). This seems to help.
I mean...there are risks with everything we do. The question is only partly answered by "What is the worst that could happen?", but also answered by the question: " What is the likelihood that worst case scenario would happen? In the hands of a very experience practitioner, the risks of laser treatment are very acceptable low. You have to ask yourself if the quality of vision and quality of life are worth the trip, expense and (low) risk.
@@Thefloaterdoctor1 I wish more doctors with reply to people having questions on CZcams thanks for taking the time to reply to this person
I would not risk it. I am in my 30's and have bad floaters. I decided to just live with them rather than risk even worse problems.
Don't do it.. you might regret it like i did
what happend where did you do it?
Thanks for this floater discussion. You looked and sounded sincere in your presentation. I feel better knowing how you broke down every point in numeric detail. I guess I will have to try and live my life as routinely as possible knowing there really isn't anything that can help my floater problem. I don't have that many years left to spend on this problem as I continue to grow older. Thank you.
Wish you were closer to Ohio. Done a lot of homework in the years I've had floaters and love what I'm seeing and hearing compared to other practices.
Lol try Canada, here they are in the dark ages with floaters. When I’m in my 40s if they still bother me I’m going to fly on down and visit the floater doctor.
Very informative. Glad to see some of you care about us minorities.
Thank you, but floaters are very common, not like some rare 'orphan condition'. It is just wrong that the eye care specialties have not done a better job addressing this problem.
@@Thefloaterdoctor1 Thank you. I just hope we get an easy and cost effective treatment in the near future. :)
My son recently, got lasix surgery in Columbia under the direction and advice of his father. Mike, is 21 and this is keeping me up at nights and he's are severe.Very quickly. I need your help plz! I plan on making and appointment and this is concerning because he is in college and driving us an issue. He is a hard working lovely young man and is being told nothing can be done to say this has caused him depression is an understatement! Thank you for your information and what you are doing. Yep on the edge.
Mike, is not bothered by much and be er had issues beforehand. To say its effecting me and afraid for my son sight is an understatement! I could ring his dads neck for this. I will do whatever it takes to help get him to u and where he needs to go to get help.
Mika... Is his name by the way.
I know that we will have to pay cash. Which, we will do. And travel there. I am in Tennessee, where they just are live with it which he can't. Are u in Cali or Texas? My number is 6292109338 I pray you get this message!
Did he also develop dry eye after the surgery?
@@justaddlivingwater how is he doing now?
I think there should be some sort of floater simulation video for diagnosis that allows the doctor to have a better understanding of the condition of patients when they compare it with their subjective experiences.
That's a good idea. And then you could say hey doctor. How would you like to try to do cataract surgery looking through this mess?
@@Thefloaterdoctor1 thats genius
Hi there doc I got eye floaters in both eyes right eye first then left two weeks later had flashing in top left corner of left eye.still got them seven months now been to ER three times got discharged after that said would eventually fall to lower levels but this not happening ER named them infinity floaters very cute to look at nightmare for me especially when driving.they said a small retinal hole but had healed itself.I like darkness now tried excercises and pineapple nothing seems to help !
God bless you
I'll be calling you soon. My past visits with you were life changing. But a few more need work. You know how many I had. To those needing Dr Johnson's expertise don't hesitate. It is very likely he will improve your vision.
Precious information , Thank U Dr!
Like many have probably said already thanks for posting this video very informative
After developing a dry eye condition roughly six months ago I also developed a floater problem. It is not just a floaters but appears as a film moving across the eyes. Looking at a white wall makes it quite noticeable. Also, I have noticed that the White part of the eyes are softer, more liquid-like rather than firm gel. Any tips for me as I have do not have insurance and already spent a small fortune trying to cure the dry eye.
Depending on where you are and possible availability, Platelet Rich Plasma eye drops can use your body's own healing hormones, growth factors, and cytokines to heal the ocular surface. Read more: www.prpmedicalclinic.com/dry-eye-prp
@@Thefloaterdoctor1 I clicked on the address you gave above and said the page could not be found. I have dry eyes, cataract surgery (2003) and many floaters. Would love to get rid of them!
I started getting mine floater on my right eye after the age of 61, it’s like a light white silk curtain going from left to right. I call it my Casper the Not so friendly Ghost!! Specially when it’s bright outside or watching tv when the screen is bright when there’s a bright white background scene.
The vitreous cortex 'membrane' is very common with a PVD. These are very difficult to see on typical exam, but do affect overall quality of vision. A sheer curtain like effect is a good description.
Great video. Very clear information delivered with empathy. Keep up the good work.
They don’t give a fuck about our pain
Dang, I should have added that to my video. Too late now.
@@Thefloaterdoctor1 obviously you do, but most doctors are clueless and push you out the door
6 months ago i had yag laser surgery.. still seeing cloudy larger floaters.. I can't see very well at all.. Its depressing to wake up in the morning
Not everyone is a good candidate for treatment, and not everyone with a YAG laser has the experience to treat adequately and/or aggressively to a place of satisfaction, unfortunately.
Hi Doc, I've been thinking about seeing you for a time now to see if you can help with my floaters. I've been reading about the lower laser power necessary for the gold nano particles injected into the eye and how much that seems to have worked incredibly well. Is there any chance you would be interested in switching to that method in the next few years? If so, I may wait in hopes of that method for myself. The floaters are driving me crazy and I'm about ready to do something. I'll admit I'm a little 'scared' to do anything because every time I ask my eye doctor they say 'DO NOT DO laser surgery for floaters!!!'. I think I will feel a lot better going to someone like you who has a LOT of experience however and am probably getting closer to doing it than not. Just curious if you know or plan on switching to the gold nano particle method. I sure do appreciate all the info you give on here and am very thankful for experts like yourself.
I think it is a very interesting proposal, but it is still investigational at this stage. I hope it proves to be effective. I am interested.
Excellent, thank you! I understand that laser vitreolysis is state of the art, but it also seems - with all the points you discuss in this video - that we are still in the 'Model T' stage of floater therapy. It seems rather 'hit and miss' - pun intended. What do you see as the 'ideal' therapy? Some 'non-invasive' form of vitrectomy? An intra-vitreous injection that dissolves every last floater? That's the biggest shame of the lack of research you point out - how are we going to develop breakthrough therapies without research? In any event, if I didn't have to undergo the hassle of travel, I would have been a patient of yours years ago. At 67, I've asked every ophthalmologist I have seen since the late 80's: "Has a treatment for floaters been developed?" Their answer has always been, "No".
Ideal? Yeah, may an injectable enzyme, but I can see an enzyme targeting the floaters specifically because they are made from the same stuff that all the other collagen in the vitreous is made of so it would have to break down ALL of the collagen and that might overwhelm the eye's natural drainage system and increase eye pressure. There some early talk about hyaluronic coated gold nano-particles. It still would require an injection, but seems to make the laser much more efficient. In the mean time, a laser designed more specifically for this purpose would make it easier for me.
We need a flaoter new treatment which non invasive, we want to live again, we lost our hopes
What are your thoughts on this Bromelain thing from pineapples helping with floaters.
Also, I heard fasting has helped some people with eye floaters, have you seen this in any patients?
Last thing, someone recommended to me that I use a cold compress to help them. I tried it for weeks and it seemed to change the way they behave and made them alot lighter, more movable and flexible, and actually more annoying...Any idea why cold compress has this affect on them?
Keep up the amazing work!
Bromelain is a high molecular weight molecule and is should not be able to pass through the blood-brain barrier (retina-vitreous barrier in the eye). Even if it could, how/why would it target the proteins responsible for the floaters? They are the same proteins that have always been in the eye - natural normal body stuff. If you read the original article out of Taiwan, it is not that well design and reads as if from the pineapple growers advertising promotion committee.
For either fasting or cold compresses, I'd have to ask what is the putative mechanism of action? I wouldn't be able to come up with a plausible explanation as to how either would help 'un-stick' the collagen proteins. Here are some good illustrative points: One person's anecdotal experience does not make good science, correlation does not prove causation, anyone can say anything on the internet (including me!), there may be some natural improvement/worsening in some people. I would not worry about fasting / cold compresses causing harm, and it is not emptying your wallet, so I see no reason NOT to do it. Truth is, there is still a lot we don't know about floaters, especially in younger people. -Dr. Johnson
@@Thefloaterdoctor1 Thanks for the detailed response! Much appreciated! I think i'm going to try a fast next, not sure much will happen, but as you said, no reason not to if done properly. And yeah, i'm only 26, got them at 25 during lockdown, my eyes were perfectly crystal clear but suddenly started deteriorating with floaters over the last 9 months...
@@Thefloaterdoctor1 Whilst I am sceptical of the pineapple study and results, I think it is way too far to suggest it's a conspiracy of pineapple growers from Taiwan to boost profits. I didn't even know Pineapples come from Taiwan !.. they are cheap to buy and supplied from all over the world. So not a real reason in my opinion. If it was a single product from a single source or medical doctor 😉 then maybe. Great video by the way.
Your back stop for the floaters YAG treatment is the retina. What is the effect of YAG laser on the retina? Please respond.
The 'backstop' for the laser is not the retina. The energy is delivered in a cone-shaped' energy pattern so that the energy is delivered at one point in space, not along a linear collimated path. My responsibility is to know where that energy is delivered and keep the focal point of that energy away from the retina and lens. If that is done correctly, there is no effect on the retina.
I was wondering if they could develop a needle that could go into the eye and somehow open up like a whisk that could then spin around and grab all the floaters and then close up and come back out of the eye with the floaters.
I mean...it could be developed, but if you are going into the eye, then just do the vitrectomy and remove all the proteins causing a problem now...and in the future.
I’ll be flying to see u soon!
Everything says this is a normal consequence of aging and nothing needs to be done. Very frustrating.
Cataracts are a normal process of aging as well.
What prep is done on the patient prior to the actual laser treatment? Is the eye injected with anything or are drops simply applied?
Just eyedrops. Dilating drops for the pupil, and topical anesthetic for the contact lens I use at the laser. No drops or medications afterwards and no restriction of activities after treatment.
Hello Doc, you have moved your office from Irvine, Ca to Arlington, Tx ?
Yes I have.
@@Thefloaterdoctor1 I live in Montreal, Canada and will see you for my eyes. Thanks doc.
I had an accident, got many many floaters.
Thanks doc, wants to remove my floaters unfortunately none available here in Jakarta Indonesia 😞 it is really unpleasant situation I experienced
Spot on!!
I'm just 22 and i got floaters 😢 and PVD it is devastating
A true PVD will be very very rare in a 22 year old. What is not rare is a doctor mis-diagnosing a PVD. Low dose atropine drops may be very helpful with the floaters more typical of younger patients.
@@Thefloaterdoctor1 doctor can floaters fade over time?It's so depressing no one understands me and doctors easily say to ignore it.
I had a retinal tear and now I can see my Weiss ring. My retinologist says there's no treatment available for the my armada of floaters. Is a tear a contraindication for laser vitreolysis? The tear was 6 months ago.
I have treated many patients with previous retinal problems. As long as it has healed and things are stable, the retina should not be at any risk AS LONG AS the treatment is adequately far away enough from the retina.
If have a pronounced dark shadow that is close the my center of my vision that is always visible would that be a type of floater that could be used to treat with vitrolsis? It's not a solid block but more of concentrated thumbprint that is way darker than my other floaters
what is your success rate and customer satisfaction with your process and procedure?
Please visit the web site for more information. It is an important question without a simple answer in this venue. To summarize: "It depends". It depends on the age of the patient, and the infinitely variable factors of optics, amount of floaters, their location/distribution, type of floaters, expectations of the patient. It is not a simple binary matter of success vs. not successful. But... even with all that evasiveness, I have all five-star reviews (yelp and google) and I have been doing this exclusively for 16 years (as of 2022), and it has been a pretty successful focus for my professional life.
Thanks
Doctor i have eye floaters due to putting some ayurvedic eye drops in 2017 at that time my age was 19 . Before that my eyes were perfectly fine . Doctor checked said my fluid in eyes become dirty no retina detachment . I have floaters more in left eye as compared to right eye i have taken Supplement which improved a little bit not fully now its been 6 years still have floaters . Now Im taking bromelian supplement and maqui berry suplement plus cod liver capsules .
I have not seen any good explanation as to how supplements will help eye floaters.
@@Thefloaterdoctor1 doctor my eye floaters delevlop after putting ayurvedic drops that eye drops were so painful . What is the exact reason ? it make my eye fluid dirty.
update? @@empty2273
I'm a general ophthalmologist, can you tell me the yag laser settings??
please contact me via my web site: thefloaterdoctor.com
From where do you belongs to..?
I am from India.
Right u are
My floaters started by having a eye dilating test I am confirmed that eye dilating drop did something wrong in my eye in vitreous humour some chemical reactions I don't know but I am pretty sure that I have floaters by having a eye dilating exam
Your experience and temporal association is real, but it is not consistent with the 100's of thousands of people who are dilated every day who do not experience the same. I'd just shrug my shoulders and say 'I don't know'.
I have too many floaters. My doctor proposed me FOV. Is it okay or should I go through several vitreolisis procedures on every eye instead?
It depends on your age, the type, location, and distribution of the floaters. You may or may not be a candidate for laser. The Floater-Only Vitrectomy (FOV) does have some significant risk including a very high rate of cataract formation after the surgery. Please contact me with more details via my website www.thefloaterdoctor.com
@@Thefloaterdoctor1 when you get floaters at a young age, it means that due to their nature they will never be able to be treated or it means that you have to wait? At what age can people have laser? Floaters close to retina do move far from it with time? :') you are a blessing and a hope doctor
Is glaucoma a problem in treatment of floaters?
It is a known risk. Rare, but known consideration. I'll get on average about 2-3 patients a year with some elevated eye pressure response and may need eye drops treatment for a few months until it resolves.
how much does it cost.if med . care does not cover it
Fees are describe in detail, very transparently on my website: thefloaterdoctor.com/fees
What can be done about this doc mine not appealing at all I miss my clear vision I just developed them in July I can’t stand the fact that I can’t enjoy a cloudy day or clear skies without running back in the house where I don’t see them
I have a ton of information about eye floaters on my web site and I encourage you to read through that and watch more of my videos. You might consider starting with the low dose atropine which doesn't change the floaters, but may change ( and diminish) how you see them. thefloaterdoctor.com/atropine
@@Thefloaterdoctor1 how can I get my hands on these eye drops
my eye doctor told me that PVD has not occured yet my eyes are currently in vitreous synerisis. I have a higher than normal IOP (23 and 22) but all the eye exam done including glaucoma test were ok. I can actually accept my eye floaters but whats really bothering me is the increased sensitivity to "negative afterimages". Like for example I read a paragraph then look away, I can see the lines (not actual text), just like faint bars for a few seconds. I am certain that I dont experience this prior to developing eye floaters. I'm not sure if this is also related with dry eyes (like my doctor said). I'm thinking if I should consult a Neurologist for further examination. It is really hard to focus in life because of my increased sensitivity to negative afterimage. Thanks in advance.
I'm also waiting for doctor's reply for this issue ...
What you are describing doesn't sound like typical eye floaters. Maybe consider seeing a retina or neuro-ophthalmologist specialist.
I had a yag laser cap procedure done months ago unfortunately left me with massive floaters
YAG Laser Capsulotomy is for clouding of the posterior lens capsule after cataract surgery. I have seen some capsule material move into the vitreous causing some floater symptoms but it sounds more like it may have precipitated a posterior vitreous detachment.
@@Thefloaterdoctor1 thanks for replying Doc in simple terms any chance you think it will dissolve or not I’ve seen my optician he said eye health was great and I may have to live with it
Did laser make bigger floaters?
@@SeraSan- I now notice them all the time now in daylight
@slowsteadysteve6565 so the laser is not working ?
I had cataract surgery and I have brown floater in front of my vision. My surgery was done June 8. Will it go away in time.
No one can say for sure, but there is no mechanism or filtration of the eye to get ris of them. If I were a betting man I'd say they will not go away on their own...but it is possible.
I had surgery on May 11 and May 25, 2021. Now the floater in the left eye is really bothering me as it also irritates my eye. The eye Dr. doesn’t seem to concerned.
Where are you located ?
He's in TX
Arlington, TX. Between Dallas and Ft. Worth.
Sir do you also visits in India for this treatment ?
There are some doctors in india for this treatment like in kolkata
@@NISHANTSingh-if4kk
Very Very thank you for your reply
May you also please tell me name of any particular Dr. ?
@@NISHANTSingh-if4kk
What is your opinion about doctors in Delhi ?
@@NISHANTSingh-if4kk
I saw a video of Dr. Rahil Choudhary Eye7 hospital Delhi
@@rohitbadiwal3132 Dr. Amitava biswas you can Google it he had done lazer on 200+ eye.
I am a 72 year U.S.M.C. Vietnam combat veteran that was born with floaters that has been trying to get any kind of help with my floaters. So far it hasn’t happened & it is not going to.
Semper Fi
Floaters in older people is quite common. For now vitrectomy is the only option if you want to get rid out of them.
Can floaters caused by uveitis disappear with time?
It is possible. I rarely see patients with these floaters so I don't have much experience with it.
Thank you doctor
@@Thefloaterdoctor1 I think I had uveitis because I was feeling pain in my eyes, redness and sensitivity to light, then dark spots appeared in both eyes. Now, after thirty days of the appearance of the floaters, there is no pain or redness.
@@Thefloaterdoctor1 Do you advise me to examine the eyes every month to ensure its safety?
I suggest you start with a good baseline eye examination and then go with your doctor's recommendation for follow up care.
In summary: floaters are not considered a disease
Neither is nearsightedness and astigmatism, but an entire industry revolves around treating them with refractive surgery. There is no 'plug and play' method yet for doctors to treat eye floaters. When there is, there will be more interest in floaters. Like so many things in life, "Follow the Money", The money is just not there yet for floaters.
doctors, will say floaters are not dangerous😡😡
Well, not dangerous perhaps, but they do affect the quality of life. Isn't the purpose of medicine to alleviate pain, improve function, and improve the quality of life?
@@Thefloaterdoctor1 Well said. I had vitrectomies but either way, l appreciate your compassion and that you take time to answer people's questions - even the annoying ones.
It figures...clear across the nation in California. And I'm in Ohio. Damn. I'd sell a leg to get rid of these things.
I am now in Dallas, Texas area kinda close to DFW International. Closer to Ohio now!
There are now some legitimate practitioners in Pittsburgh, PA, Richmond, VA, etc.
I wish I had found you sooner!