Shannon Wong, MD Podcast 1 with Jose Martinez, MD - Eye Floaters and their treatment.
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- เผยแพร่เมื่อ 24 ก.ค. 2024
- Vitreous floaters or Eye floaters are an extremely common condition that affects vision for most people. Two ophthalmologists - Shannon Wong, MD and Retina surgeon/specialist Jose Martinez, MD discuss how floaters form and how they are treated.
Vitreous floaters are very common and in most instances are left alone. When patients are very bothered by the floaters, there are two surgical treatments available - Yag laser vitreolysis and Pars Plana Vitrectomy. - วิทยาศาสตร์และเทคโนโลยี
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Thanks Doctors.. I had bad floaters over a decade waiting for them to go away naturally but they never did .. it was like looking through a glass smeared with Vaseline and hairy floaters .. I ended up having a victrectomy removing the fluid .. it was a success and I can see normally now . The down side is you end up with a cataract . I had that repaired twelve months later . Both surgeries were a success with no issues post surgery !
When did you had your victrectomy ?
@@azizurrahmanmanvi1075 that was carried out in April of 2020 .. a year almost to the day the cataract was removed and now have the symphony lens ! That was May of 2021 !
I had vitrectomy surgery at October 2019, since then I don’t have lens in my eye as it was damaged and was removed with previous cataract surgery. My vision is blurry and I can say that I see like 20%-25%, I hope when they implement a lens I can see normally, in the meanwhile lately I receive a tiny black dot very usual but very rarely I see two black dots. I’m worried if this can lead to a second retinal detachment 🥺
What is your age?
What is your age btw
18:30 - 19:05 makes me very happy. Glad that the specialists are finally realising how debilitating this condition really is.
Wonderful idea. Love this format. Thank you Dr.
Vision is one of those things that is tremendously important in one’s life.
Bravo, a truly professional college level discussion on the topic of floaters. I'm having my fourth procedure on my left eye this week and your podcast has given me a hopeful outcome on my left eye. From California, thank you for educating those of us out here that need more doctors such as yourself and Doctor Jose Martinez. I definitely plan on sharing your podcast with colleagues and Friends.
Incredible podcast! Thank you for starting this!
We need a new SAFE treatment to get ride of these eye floaters!!!
Vitrectomy is extremely safe: 2% retinal detachment risk, 3% of these cannot be corrected: 2% x 3% = 0.06% risk (1 in 1700). Risk of infection even lower. I've heard similar numbers from other surgeons.
94% success rate with vitrectomy sounds extremely safe as far as procedures go
It's fair to say the opthalmology world are starting to realize how debilitating they are. There's been many suicides and high profile deaths directly related to them now ; German pilot death in 2014. It's definitely an issue I'm glad to see getting highlighted!
My Dear Dr. WONG, Absolutely the best video I have seen from over thousands. I will look forward to each publication, and refer your video to my family and friends; You are my go to doctor.
Thanks so much for explaining this... I had cataract surgery a year ago and just went to the doctors after getting more floaters the day before. I found out that I have PVD... I’m hoping my floaters will start to disappear.. they are so annoying...
You helped me doc. Thank you.
Great description and informative source for this common thing. I’m 28 years old, after I got eye injury and I had ruptured cornea so there was a cornea surgery and after while was retinal detachment. So after these surgery after 2 years approximately and I experienced a black tiny dots in my vision, it’s mostly one dot but very rarely appears two dots. I didn’t have this before so I’m considering what this can lead to as well as the doctor didn’t implement a lens to the eye, whether can cause that to happen? What I’m supposed to do further and how to treat? I appreciate it your response
Great podcast by the way, thank you for discussing this subject :)
Thank you for Helping Floaters Problem - to strong it destroys Life :-(
Yes, floaters are significant!
It sounds like people with intact lenses face a dilemma: vitrectomy accelerates lens degradation and therefore the timing of cataract surgery, yet cataract surgery itself often generates new floaters. However, if the vitrectomy has removed the vitreous fluid and the vitreous membrane is pulled off of the retina during the procedure, would this not remove the tissues which form the raw materials of post-cataract floaters?
Is yag worth the risk after cataract surgery?
I have a very big blob ,when I look downward?
Wow! I can’t thank you enough!
I did a google search and came across Ultrasound-based vitrectomy, which is much less invasive. Is this something that is becoming more popular and where can I go to find a specialist who performs this type of vitrectomy? I recently had cataract surgery and developed a Postural Vitreous Detachment and retina tear. My floaters are like a white haze. It feels like I am wearing glasses that have a very dirty lens or that I have eye gunk in one eye that never goes away. It is driving me crazy. I am nervous about a regular vitrectomy considering so much went wrong with my cataract surgery.
I find the floaters only bother me when I am looking at things from a distance floaters don't affect me when I am doing close up reading or working.
Thanks doctor..good information..on floats..I have them.. trying to get users to them..
This video didn’t solve shit btw.. you guys need to do your research about how many videos on youtube there are about this and the people coming here to get answers have seen them all already. And all the videos already posted on youtube get to your hopeless point of “if you just ignore them they will go away” in a lot quicker than 20 minutes of mundane conversation that listening to is actually worse than floaters. I developed tons of floaters in both eyes after lasik 4 years ago and they by no means have “gone away.” The eye surgeon told me that they have no correlation but as soon as I started doing countless months of research I’m starting to find out that this is bullshit. The suction cup used to hold the eye during the laser cutting can cause the virtuous to detach causing floaters. How bout give us the % of people who have had a FOV who have actually developed cataracts instead of “they will most likely get them.” How about at your eye conferences you bring it up a little bit more if you’re getting a patient every 15 minutes complaining about them. Many times since then i have felt suicidal because doing things i used to enjoy outside have been ruined because it’s like living life in a dirty fish bowl. Wake the f*uck up if your gonna pretend to care on some educational podcast
Dear Sir can you advise what is the SAFEST Anaesthetic that can be used in Cataract surgery when a patient has Atrial fibrillation with Arythmia and have had a Cardiac Arrest five years ago ?
Is it something to worry about? I have a floating eye problem that I am afraid of losing my sight.
Good day I am a diabetic and would like to have the medication to help prevent my vision loss from happening how can I contact you about getting the treatment
What would you consider *"significant amount of floaters"?*
Floaters in eyes without any surgery is first stage of retina detachment ? Plzzz reply i m worry about this sir plzzz
black floaters and the next day I noticed the cloud floaters. Can an eye exam cause cloud floaters?
Believe me, the eye floaters that I have never go away they are truly massive and block the retinas so how on earth can the brain ignore them. The brain will fail to do so. You need eye surgery it is the only way.
Excellent commentary. I have had floaters for decades, and am now in my mid-70's. You do learn to "live with them" or, more likely, just ignore them. It is, however, great to know that there is an approach to reduce or fix the problem. What is interesting, is the potential and liklihood for more floaters after cataract surgery. I have not yet had such surgery, but my wife is about to undergo the process. Is there any approach which can help her to minimize her future floater development (she has never had them).
Your videos are superb, and I am so impressed, that we are considering moving to Austin, to take advantage of your practice. Well, at least maybe taking a few flights there!
Look forward to future PodCasts!
I still often think I see a bug or roach on the floor after having floaters for six years.
Thanks for the comment old timer. It's really helpful reading your comments on floaters. I had floaters when I was a kid and my wife does too, we are 35 years old. I got anxious only after reading about floaters and I can only see them in contrast situations and brain tend to ignore them. But it never bothered us. Even on a sunny day. I only know there is a floater if my brain focuses on it.
Now let me share my 2 cents. My 90 year old grandmother doesn't have floaters and she had cataract surgery 12 years ago in both eyes. My 73 year old mother has cataract and miraculously one eye got cleared up don't know the reason and the other eye has the cataract to the side which doesn't bother her vision, so no surgery. Reading internet comments really made me anxious but I have life examples in my own family. My 75 year old dad got his cataract surgery in one eye and no floaters at all. There are floaters for them if they observe else they don't exist. My 73 year old uncle has cataracts in his eyes who is also a retired pathology prof by profession. They have no discomfort of any sort. They are my inspiration. They all do pranayama and they take a good diet with moderate excercise.
I had a cornea transplant and cataract surgery. I know there are side effects. However, I had a cornea become swollen because o fketaloric eye drops. Had to go to emergency room in a super large city, but no ophthalmologist there to see me. I waited 10 hours see a resident who wasn't familiar with my condition. She was talking to a supervisor over the phone and also to doctors from the VA and other private hospitals. No opthamoligist or cornea specialist! I did see her supervisor he was not according to specialist. She was very helpful and said there was pigment behind the lens and the cornea had a woman fold. The third day I saw the surgeon and he said he would inject Cortisone and put a contact lens on my eye the next day, he did not inject cortisone or put the contact lens on my eye. I I feel like I should have questioned the eye drop because it made my right cornea swell up but other surgeons and residents said that was impossible for the eye drop to do that. I'm using voice so if this doesn't make sense. My right eye turned out great after cataract surgery and they were going to do the quarter transplant on that eye to see how it healed. However another surgeon wanted to work on my good eye and do the Cataract and the cornea surgery at the same time. I feel like I'm looking through a dirty bowl and at night I see Comet Trails going out to the right and triangles triangular lights going out to the left and the daytime it looks like I'm looking through a dirty glass bowl. Hopefully they can fix this. I'm upset cuz I didn't go to a private practice and went to a teaching Hospital.
Outstanding and strong work! I've linked this to questions coming up on twitter. Is the treatment of floaters reimburse by Medicare or private insurance?
floater treatment is billable to private medical insurance and medicare.
@@ShannonWongMD Do you know the procedure coding?
And indications?
Shannon Wong does blood sugar levels or nutrition have any association to eye floaters?
Blood sugar and nutrition do not affect the development of floaters.
Is there any literature about them "diminishing with time"
Their there forever.
I am 2 mons post op cataract surgery and now have developed a floater ( I think it’s one) that has decided to stay in the center of my eye. Other floaters have come and gone in my right eye but the one in my left of annoying. They are thread like membranes. Please advise
This is scary I'm getting cataract surgery in A few weeks I have floaters from trauma to the eye 😳😳
Hope you're doing well now.
Well done. I’d like to hear more about dry eye complications fo,lowing PanOptix IOLs. I have still fluctuating visions in February following December cataract surgery and PanOptix,, using liquid tears multiple t8mes a day with not full relief. That case you read, mentioned like vasel8ne smeared over vision, exactly what I’m feel8ng like bu5 minimal to no floaters.. next appoint,ent with ophthalmologist not until April, so looking at solutions. How common is this to PanOptix or IOLs in general?
Dry eye is more and more common as we age. Cataract surgery makes eyes more dry for about 3 months. Thankfully beyond 3 months after cataract surgery, the eye returns to it's pre-surgical level of dry eye. If you live long-enough, you will have dry eye.
Thank you, it will be 3 months on March 3 and 20.
50% of patients I treat are post cataract surgery...if it is like a "windshield wiper" it is a fibrillar mass behind the implant. It is a common complication. You can see similar patients here: th-cam.com/users/scottgellermdfeatured
I’m 19 and I have eye floaters, I got eye floaters when I was just 18. A lot of younger people are getting them now and I hope there will be a more safer cure for eye floaters. But thank you for the video 😊 it was very informative
Hey there 🖐 I hope the safe cure will be avaiable very soon... I'm a floater sufferer too and I'm young too, only 20 years old, I've been having floaters also for a year, I was 19... please join "Eye Floater Action Group" on Facebook, it's a group of floaters sufferers trying to raise awareness of our problem and help organize research to address the floater issue...🙏 Let's all unite to make pressure over the pharmaceutical companies, we need a drug for floaters! It's 2020
Angela Miceli okay I’ll join :) thank you for telling me about this! Well get a safer cure soon!!!!
Dear sweet sis do u see flashes or stars in ur vision? Pls reply dear ?
@@shiktatalukdar7837 no, I don’t have any of those symptoms I’m now 20 and haven’t gotten any new floaters thank god, but new I don’t get any flashes or stars
@@shiktatalukdar7837 if you have that then you should go to the doctor, it might be a tear
So is it smarter to do a vitrectomy before a lens replacement surgery?
In the setting of floaters present at th team of lens surgery, most surgeons would advocate treating the lens first. Floaters can be influenced by the lens surgery itself. If after lens surgery, the floaters are intolerable, then vitrectomy is the treatment of choice in my opinion.
@@ShannonWongMD interesting, so floaters don't impact finding the correct prescription/lens power? I appreciate your reply Dr. Wong.
Thank you for this informative vdo. Am glad to know that I am one in 50% of the people who developed floaters after 1.5 months of cataract surgery with iol implant. I think it is pvd and I am contemplating vitrectomy as they are bothering me a lot. Happen in both eyes 1 month apart too.
Unfortunately, I also had floaters after cataract surgery, which were not present before surgery
@@user-lw8xg6vl6k I already had a vitrectomy to take the floaters out. Perefectly happy now.
@@mystyle666
Which year are you doing this surgery ?
My friend iam still have those floaters
@@omarabdiyahye7417 I had it done in Feb 2022.
@@mystyle666 how is your vision?
Good!
FLOATERS DO NOT GO AWAY. we would all like to believe they do, but there is no event in the eye that causes them to disappear. Usually people neuro-adapt; but in my case I’ve had them for 10 years and they slowly get worse. One item they didn’t talk about is the necessity of inducing a posterior vitreous detachment during surgery. That is extremely necessary. If not you are likely to get more floaters and experience other problems such as frill
What is frill? Ty
Dr. Wong: I am 68 y.o. with degrading vision (20/50) in one eye due partially to mild cataract but mostly to weiss ring from PVD about 20 years ago that will not move from central vision. Can lens replacement be dealt with at same time with vitrectomy?
What does PVD means? I had a vitrectomy surgery 2 years ago so since that I have no lens in my eye yet so my vision is blurry and I really want to hear someone’s experience from it. I really appreciate your response, have a nice day sir
@@smasherviolentwind5763 Sorry, PVD means "Posterior Vitreous Detachment," a common aging problem. I've had it in both eyes, generated tons of floaters. Most of which I've grudgingly accepted or my brain has tuned-out, but one-or-more have settled in a bad spot where visual acuity is reduced and I'd like to be rid of it. I was thinking, "wouldn't it be nice to vacuum out all the floaters with a vitrectomy and get a replacement lens at the same time." But, I don't know if both can be performed in one surgery.
In the setting of visually significant cataract and visually significant floater (PVD), I'd recommend cataract surgery 1st, then vitrectomy after cataract surgery if the floater continued to be bothersome.
@@ShannonWongMD Thanks Dr. Wong, and thanks for all the valuable literacy you freely provide with podcasts, etc.
I work very closely with a retina specialist and we prefer to do cataract surgery prior to doing a vitrectomy for any reason. Cataract surgery has a little higher risk of complications if done after a vitrectomy.
I’ve had tons of floaters all my life and it’s been frustrating. Really wish there was a safe cure.
Vitrectomy is extremely safe: 2% retinal detachment risk, 3% of these cannot be corrected: 2% x 3% = 0.06% risk (1 in 1700).
What about use of oral Bromelain to reduce floaters?
I asked an opthamologist about this last summer when my left eye vitreous separation happened and he said bromelain or pineapple to dissipate the collagen in floaters is poppycock....but I'm not satisfied with his dismissal because there is usually a natural remedy for most ailments or physiological problems. Now one tear later and right eye vitreous with floaters. So, I am going to give bromelain and pineapple a try for several months or more just to see.
@@Yojimb001 how's your floaters now, after pineapple therapy??
@@Yojimb001 how's the result?
@@vidhi_vlogs8635 I don't know why, but your coining of the term "pineapple therapy" made me chuckle. :)
I am a 72 year old USMC Vietnam combat veteran. I was born with floaters and my whole life so far I have been searching for any relief from floaters but with zero success. In the past I have had retinal repairs and because of that no help has been possible. I did a few years ago find a doctor in Florida that said he has done thousands of laser floaters surgery with persons having difficult situations and was successful with them. Now that I’m getting the end of my life I have given up on real help. I live on Medicare now so doing the procedure is out of reach for me.
Jimmy
Are you still see the floaters my dear?
What replaces the vitreous humor if its removed with floaters.
Saline initially, then aqueous fluid within hours.
Help me....get out floaters
I had symphony lenses implants for cataract surgery. Approximately 6 months later I had floaters and YAG was the answer. On one eye, it took a while to get floaters back and the other eye the floaters occurred almost immediately. I was angry because I was led to believe that the YAG procedure would clean up the lens. No possibility of blurry vision after was discussed. When I saw the ophthalmologist about it, he checked for damage. There was none. He said that the floaters are normal and to live with them and see him again in 6 months. I wish I heard this podcast before the YAG so I could ask the ophthalmologist questions and not be so quick to accept the procedure for both eyes.
I have floaters flashesh visual snow. I see stars in my vision. Pls help
I have
@@readystudy3675 how do u cope with it ?
Does pineapple help reduce floaters??
Not really. I have floaters and pineapple don't really help. Water and resting your eyes from over straining them from the blue light helps.
I See so much Floaters....Life sucks... 😞
At this point I'd say it's destroyed my life. I've attempted suicide twice as my quality of life was reduced so drastically. When you have optoms disregarding such a problem you become hopeless.
Have you met with a retina specialist discuss having a vitrectomy to remove your floaters?
@@ShannonWongMD Yes. I'll be getting a vitrectomy soon I just hope my clear vision returns. Slightly concerned about the chances of a thrill or left over debris but I've been told I can get it washed out. I just wish people knew how truly devastating floaters can be so they can hurry along less invasive treatments - the gold nano treatment Felix sauvage has been trailing looks very promising but is years off unfortunately.
@@Wesker-bg1rn How hard was it to find a retina specialist who is sympathetic to floater sufferers?... I saw a doctor not too long ago who basically dismissed me and said to get used to it. I'm on the hunt for a specialist who will help me but idk how many are out there.
@@knucklehoagies Depends what country you're in and how much they are affecting your life. Thing is opthalmologists think in terms of visual acuity ( 20/20 20/40 etc) and dismiss visual function. The reality is though, if you had a Lamborghini (20/20 vision) but the wheels were square you wouldn't for a second consider that to be ok.
I think this is the point where you get a vitrectomy. It's difficult to quantify for those without them just how badly they effect your life. Especially in younger people as you want to be out there doing stuff and active.
Can sleep and not drinking enough water be a reason.
No.
@@ShannonWongMD Stress n Lack of Sleep Certainly Make Floaters More Obvious
I had my first cataract surgery done 2 days ago to my righteye. . I have many floaters in both eyes, but most are in my right eye. Yesterday I noticed a dark grey spot in the middle of my focus. The eye-doctor said it is a floater that got stuck to the back of my lens. It is going to be removed by YAG in 8 weeks time. Hopefully it helps. Not happy at all. Ugh.
Have you got it removed by YAG?
Have you done it?
im 24. i have one big black floater and several small ones (~1mm). i work as an illustrator and they ruin my work. i dont understand why they develop. i eat lots of vegetables and fish. i dont smoke nor drink. i hope there'll be a proper cure for them one day...
I’ve never heard anyone report that their brain adjusted to severe floaters. They say the same thing about sciatica and most conditions they have no solution to. I think it does more harm than good for people who are suffering daily.
Hello, Doctor James Johnson "The Floater Doctor" says that floaters do not go away and that he has been treating floaters with laser treatments for 16 years and that is his specialty and the only thing that he does in his practice! He is also has a youtube channel and talks about this very subject. He to is in Texas! Look him up when you can his take on floaters is very interesting.
I saw 1 floater as I was in the park jogging, 2 weeks after cataract surgery. I think mine eventually went away
Stop capping
Join the subreddit \eyefloaters
Teens here with floaters mark your attendance.🙋
Less than 1% really!!! Imagen something floating right in front of your eyes ! And you feel like throwing up everyday !!
I hate it!!!!!!
Has anyone tried eating pineapple or taken bromelain ?
TH-cam has videos with doctors recommending bromelain for floaters.
I wish in future there will be a safe cure for eye floaters. Other than vitrectomy....we want something like eye drops which can atleast help to reduce floaters 😌
😉
They all happy go lucky laughing an shit, ain’t shit funny about floaters
I had like 4 migraine with aura around 15 months ago but then no more untill around a month ago i got another . I then started noticing alot of floaters not sure if theve been there before but i doubt it seemed like a onset of them , got my eyes dialated today and checked was told my eyes are fine 3d scan of eyes showed me my macula optic nerve and retina. Done some other test on me too for migraines and was satisfied nothing to do with my eyes