I was treated a few months ago and the doctor is very good at managing expectations. I'll be back out to Texas again for the very thing described in this video. Not much you can do, if you want it gone, there aren't many options. Here in Phoenix there may or may not be a doctor doing this, regardless I would only go see the Floater Doctor because he is so passionate, well studied and experience and I'll take the trip to Texas again. As a money saver you can uber from the airport to a hotel and walk to his office, no need to have a rental car or even uber to his office from the hotel.

Greatly appreciate Dr.Johnson … while lots of eyes care professionals out there can’t help or told the patients to ignore or there’s not much they can do….you are the only one that care about this problem!! Can’t thanks enough 🙏🙏🙏

Great to see and hear again from Dr Johnson , What is FOV ?

@Thefloaterdoctor1

5 ай бұрын

Floater Only Vitrectomy. It is not a different procedure, it just describes the 'intent', that is, "We are planning to remove the vitreous only, and don't need to treat the retina for another related problem"

@user-ex5ef1yi3x

5 ай бұрын

@@Thefloaterdoctor1 Thank You So Much 🙏

Hey doc I wondering if I could book a appointment?

Great vid and explanation, thanks. Love to see the laser in use. Two questions: 1) the laser appears quite powerful. How does it NOT damage the retina? 2) what happens to all the debris and gasses? Some may reform, as you note, but what about other stuff? Thanks again................................

@Thefloaterdoctor1

5 ай бұрын

Actually the energy is quite low. I can remove the top layer of ink and leave the underlying paper undisturbed. I think that video is from an older account. I can't find it now. The key to it's safe use is that the laser is focused in a cone-shaped profile and it only delivers energy in pone point in space, so my job is to know where that is and keep it safely away from the retina and lens. If you go back to the video, there are two focusing beams, when they coincide, that is the focus of the laser. Explained better here: www.thefloaterdoctor.com/the-yag-laser

A naive question: what would be the major disadvantage(s) of a vitrectomy versus this treatment? I assume this is much safer and less expensive, since it is non-surgical.

@Thefloaterdoctor1

5 ай бұрын

The vitrectomy is much more efficient as a 'one and done' procedure, but there is a high rate of cataract formation and some risk of retina hole/tear/detachment if a PVD has not already occurred. I don't look at the vitrectomy as my direct competitor, but as further down the aggressiveness/invasiveness spectrum. If I can get results that are 'good enough better' without having to go to vitrectomy, then win-win.

Hi Doc I wanted to ask does this laser treatment method raise eye pressure or cause glaucoma ?

@Thefloaterdoctor1

4 ай бұрын

I'll get 2-3 patients a year with some eye pressure increase after a treatment. It is related to their baseline trabecular meshwork function and the type of floaters. They may need to go on eye drops for a few months until things clear up.

That is a lesson all ophthalmologists should learn. Floaters are extremely annoying and they should be properly treated. Why are doctor so reluctant to investigate new procedures to approach the problem? Obviously, it's not your case.

@Thefloaterdoctor1

5 ай бұрын

WHY ARE SO FEW OTHER DOCTORS TREATING EYE FLOATERS?: www.thefloaterdoctor.com/why-so-few-doctors-treating

Do you have experience in treating floaters that are located in the periphery of the vitreous?

@Thefloaterdoctor1

5 ай бұрын

Yes. Central, peripheral, mid-peripheral. The more important consideration is that they are far enough away from the retina to safely treat.

Very impressive. What happens if you miss with the laser, can it damage the optic nerve? Or any other part of the eye? Thank you.

@Thefloaterdoctor1

5 ай бұрын

The laser is focused, and only delivers energy to a specific point in space, not along a linear pathway. If I were to miss, while working in a safe region, no energy should continue along to the retina. I have to keep my focus a safe distance from the lens and retina.

@PBAB17

5 ай бұрын

@@Thefloaterdoctor1 So it would be like if you set the laser to go only I don't know 2 cm it would not go 2 1/2 cm that kind thing?

@jamesharlanjohnson6882

5 ай бұрын

@@PBAB17 It is way way more accurate and restrictive than that. The energy is contained within a fraction of a millimeter of the focal point.

@PBAB17

5 ай бұрын

@@jamesharlanjohnson6882 That sounds awesome. I don't know if anybody here in Connecticut that does specialized work like that. Looks like I'll be driving down to Texas! Much obliged sir.

I think its more of having an Ophthalmologist do it right, or dont. I had a pvd and a big clump of floaters in 1 eye. I had a bad experience with a dr in central Florida who advertised laser floater removal. In his office it seemed like he had taken care of it but it seemed like he had done maybe 25-35 shots. Once the dilation wore off i didnt see a difference. I ended up doing an FOV and couldnt be happier on the outcome. If I were closer I would have travelled to see Dr Johnson.

@Thefloaterdoctor1

5 ай бұрын

It is not unusual for my treatments to be 600-1100 shots, then repeat on day 2 and 3. Sometimes they just need a lot of treatment. I am glad the vitrectomy worked out well for you.

I had two PVDs within the last year which resulted in several floaters of both the string shaped and round shaped translucent smear variety. Despite post PVD FOV being lower risk than FOV w/o PVD, I was not ready for a vitrectomy. Doctor Johnson treated me within the last few weeks and my experience was very good. He is an expert. I achieved a moderate improvement with the stringy type of floaters and will return later this year for additional work. In hindsight after 1year with floaters, I have come to the conclusion that it is beneficial to give yourself time to mentally acclimate (as much as possible) to your floaters for several months (unless functionally debilitating) and then to set modest expectations for improvement before going in for laser treatment. Also, treatment is sometimes a "two steps forward, one step back" process and so several treatments could be necessary. Nonetheless, some floaters may just not be easily seen by the doctor or too close to lens/retina and therefore not treated. That can be frustrating.

@Thefloaterdoctor1

5 ай бұрын

Thanks for sharing your experience. I am sure it will help someone in the research/due diligence stage of their floater journey.

Hi Doc, Can i use 0.01 % atropine drops that is give to children for myopia?

@Thefloaterdoctor1

5 ай бұрын

It is the same stuff. It is available in India labelled for pediatric use. Same Same.

It would be interesting to study the effects of floater reformation after your standard treatment. Perhaps there is a medication that could be taken prior to treatment that may reduce floater reformation? Hyaluronic acid supplement? It may be interesting to consider if there is a faster way to provide the treatment. Lasers are extremely fast. With automation, it might be possible to apply thousands of pulses, pre-programmed, to eliminate a floater before the "bubbles" and vitreous fluid move the remnants around the eye. Consulting with the laser provider or a programmer might show a path to automate the laser's "blast radius" thereby allowing you to automatically eliminate an isolated floater in what would seem to be a single pulse. I could imagine an computer imaging system that: first images the floater, calculates a "solution", and then, when you press "go", eliminates the whole floater in a microsecond or less. This doesn't solve the reformation issue, but it would save a lot of your time during each treatment. Love what you are doing, keep up the great work!

@Thefloaterdoctor1

5 ай бұрын

I like the idea, but these little guys move fast and so it will be difficult to imagine 'pr3e-programming' a treatment like they do for LASIK. I agree though, that some automation and improvements are definitely possible even with existing technology.

So do floaters cause any health effects besides being really annoying to your vision?

@Thefloaterdoctor1

3 ай бұрын

Not the typical floaters. Floaters can also (rarely) be a sign of a retina hole or tear, or inflammation, infection, etc. which is why it is good advice to get an exam at the first sign of any significant changes to vision.

@SapphireEmperor

3 ай бұрын

@@Thefloaterdoctor1 Is it normal for them to have the color yellow?

Does that floater cause blurry in vision? Does it damage the retina?

@Thefloaterdoctor1

3 ай бұрын

Absolutely. Large and diffuse clouds or sheet-like membranes can diffusely affect vision. The hallmark trait of eye floaters is movement and shifting around in your visual field. If there is NO movement, then it might be optical or retina in origin.

@falconeer1808

3 ай бұрын

Its has movement goes along with my vision, thanks for the info

Pls.....😢 Reply Doc... After using nepafenac drops... My vision goes blurry... Even after mins of closing my eyes .. it comes to normal only after 2 to 3 mins of opening my eyes

@Thefloaterdoctor1

5 ай бұрын

I can't answer everyone's general ophthalmology question. Between email, youtube comments, reddit, facebook, IG.. from all over the world. I can't keep up.

I had a horrendous experience with this doctor. Huge mistake to trust him. Now my flotears are much worse.

@Thefloaterdoctor1

5 ай бұрын

I'll bet there is an interesting story to that. Sorry to hear.

@area49g12

5 ай бұрын

This is probably the most experienced and professional Dr in the field doing this procedure. If you check reviews from patients they’re overwhelmingly positive. He clearly states results are not 100% and the goal is improvement, not perfection and that the opportunity for further improvement is always available. Elaborate on specifics leading to your negative experience.

@saludconsciente5671

4 ай бұрын

@@area49g12 That's what I thought. I was wrong. I can't recommend him at all. All of his experience didn't mean anything in my case. I could not believe how someone with so much experience could do such terrible job. Live and learn, I guess.