you you you you How do you get rid of eye floaters? Well in this video, we are going to be going over more in depth into eye floaters and how do you treat eye floaters. we’re gonna go over three eye floaters treatments so hey guys my name is dr. Joe Allen here I am the host of dr. eye health the channel helps you with the eyes vision and finding the best vision products so thank you for joining me if you are new here to the channel please go ahead and subscribe make sure that you don’t miss any of my other future videos and again thank you so much for joining us here again I’m dr. Joseph Allen I actually want to give you a little bit of history of Who I am and so and where I went to school and all that I actually got finished my pre-med bachelor’s degree at Saint John’s University here in Minnesota after that I went and got my doctorate of optometry that the Rosenberg school of optometry in San Antonio Texas I graduated magna cum laude and salutatorian then I finished my residency in ocular disease and vision rehabilitation and low vision through the Minneapolis VA Medical Center here again in Minneapolis now so again floaters is a big topic I actually practice and I’m probably in a basica spry vut I have I would also say I’m in private practice here in Minnesota basically full-time and floaters or something we see pretty much every day so I worked this morning and had at least two or three people complaining of floaters I even had a you even had a pediatric patient today who had floaters and so we’ll go over a little bit more into that thank you guys so much for joining us in the chat if you are either watching us here live on through the chat thank you guys for joining me or catching us on the replay this is gonna be really fun so let’s go over floaters now if you’re watching this and you already have some floaters guess what floaters eye floaters is the actual term we actually have the actual term for floaters which is just floaters that’s that’s as creative as they got when they came up with this term so these are the little spots that you see in your vision and they’re kind of like these little black spots right there’s these little spots that float around and if you look from side to side you sometimes will see it either as a gnat almost like a bug floating around some people actually think that there’s a bug in their vision and they’ll try to grasp at it or it’ll look like a piece of hair fiber floating around or me sometimes even as big and big enough it looked like a cobweb or something like that so yeah they can become really annoying for some people but here’s a good question for you guys anyone in the chat right now or if you’re catching this on the replay comment in the section below how long have you had floaters have they been going on for two days six months at five years ten years me personally I’ve had floaters for almost eight to ten years so I first started and floater getting floaters in my early 20s and honestly I feel like they’re getting worse and shout out you know shout out to be if anybody’s having problems they feel like they’re floaters getting worse so first let’s go over exactly what floaters are a little bit more in depth so a floater is first to understand it there’s a gel inside the eye that we call the vitreous humor now that means if you did a cross section of the eye here the most of the eyes shape is made by the basically the volume of this gel inside the eye now we say it’s a gel however it is kind of the consistency of uncooked egg whites if you could imagine that if you’re cooking an egg sometime if you were to kind of feel that egg white that’s what it feels like when it’s uncooked now this gel is actually mostly consistent of water but 98 to 99 percent of water it means maids up that makes up this gel the other percentages comes up from collagen specifically type 2 collagen and type 9 college and along with a couple other substances called vit Rosen and hyaluronic acid now these different substances again they make up most of this gel inside the eye and I’ve had a lot of people ask me okay I get kind of I see these spots they’re little clumps of collagen and water floating around in my eye but what really causes it so I kind of want to go more in depth on that that’s a good question a lot of people have asked me so this gel inside the eye again it’s supposed to take up the shape of the eye it’s mostly their present from birth and what happens is I do kind of this diagram for you guys I’m going to share it with you here so the gel actually forms and then it actually starts to break down with age and I know that’s kind of a easy to easy to explain by saying oh it’s just due to age well there’s actually a lot more factors to it so with age it is true that they get worse as you get older the earliest report or earliest case of floaters that I was able to find in the literature was in an autopsy study of a four year old so it’s sad that a four year old passed away but in autopsy they found that they had floaters so even at that young of age you can have floaters these eye floaters as we get older around the age of sixteen to eighteen almost the early 20s the eye continues to grow so around about 20s yeah actually the gel already starts to transform into a liquid so by the time you’re almost twenty years old almost twenty percent of the gel inside your eye has turned into and separate it into more of a liquid then it just continues to get worse as you get older so that’s why a lot of people who are coming into our to the clinic who are noticing floaters more often are usually in their 50s 60s or above but again why is this happening as we get older so there’s a couple of different reasons but a lot of it has to do with cellular turnover so the gel inside the eye does not turn over very quickly and so it’s basically metabolism your metabolism in the gel inside the eye is very very slow as compared to the rest of the body and so it doesn’t regenerate basically there’s a couple other factors the build-up of cellular waste from the retina from the lens and the muscles inside the eye kind of contribute to it alongside inflammation so if you have any sort of a inflammatory event inside the eye if you’ve had an eye rightous if you’ve had any sort of trauma to the eye maybe you’ve had a uveitis some sort of surgery on the eye that all causes inflammation and that can contribute to it then you have actually light exposure to light like UV light from the Sun if you’re not a big sunglasses where or even now there’s kind of more theories that perhaps that blue light cuz a lot of the blue light that you see and it’s a big thing in the media right now but a lot of blue light you sees from the Sun and so again that high-energy light passes through your eye and hits this gel and it could be contributing to the development of these floaters now again like gonna go back to that a little slide I had for you guys so basically this gel the collagen is in a uniform fashion and then the hyaluronic acid separates along with the water and collagen type 9 that’s more of the watery type of collagen and then all that’s kind of left is collagen type 2 and collagen type to actually bundles together you get these bundles of collagen they’re tart for the formation of floaters so type to college and basically bunches up together and that’s what you’re seeing it kind of floats in that gel the liquid that’s left and it cast a shadow onto the retina and you’re seeing the out-of-focus shadow of those little floaters drifting back and forth so that’s basically what what floaters are now it’s get a little bit different for everybody but I’ll kind of show you what I see when it comes down to actually what I see when I’m looking at stuff so I notice floaters more on a white background on the computer screen and on a blue sky that’s what I noticed them the most and if you’re again if you’re in the chat or if you catch on the replate let us know what when do you see floaters the most okay now this is kind of a diagram of what I see so when I look at my computer I see these little spots but not just the little spots and this is actually I don’t see the circle object I drew here but a lot of people do and if you see a little big round circle in your vision let me know so that lawns that a big circle that I do there is significant because a lot of people especially again as we get older will notice a large circle in your vision and that actually is called a Weiss ring and I’ll explain what that is so the other part of the natural evolution of floaters is the gel inside the eye has an outer layer called the vitreous cortex and this vitreous cortex is actually in touch with the rest of the eye it actually touches the aura sirata it touches the retina the macula which you get your central vision from and then you touches the optic nerve it actually attaches very tightly to the to VIN the back of the eye and that’s what we have circled in the in the dark circle here now that dark circle around the optic nerve that gel touch –is the optic nerve and then that gel naturally starts to separate from the back of the eye it peels away and it’s it’s very tightly adhered to around the optic nerve finally when it fully releases from the back of the eye it plugs away from the optic nerve and because the nerve is a circle you get that little ring and again we actually see that in the eye sometimes and we call that a Weiss ring so that’s kind of what people will see in their vision and it can be really annoying so you can sometimes see a circle sometimes it’ll fold on itself and look like a see I’ve had people say I see like this comma crescent shape in my vision and yeah that that’s often times that Weiss ring and in the clinic we call that a P V D for posterior vitreous detachment and it’s very common again but that’s that’s that’s when that gel completely separates from the back of the eye now I just wanted to kind of say hey to everybody in the chat thank you so much for joining us I see a lot of people talking about floaters and kind of cluster headaches Thank You Todd you know computer usage contributing to floaters that’s kind of a tough question again not nothing I would say that’s proven because it’s still very new and I don’t think they’ve had any big studies nothing that I’ve read theoretically they’re having more kind of that idea that you know light penetrating into the eye causes more metabolism to kind of have to turn over especially from sunlight the blue light you get from Sun very high-energy potentially contributing to that but again theoretically you know there’s a lot of issues with blue light come from computer screens yes but it’s very low energy compared to how much energy you get from the Sun so maybe maybe not and then Joshua here Joshua Barclay I hope I said that last name right but Joshua was just asking if I trekked imme safe so that’s a very good question we’re gonna get in that very soon but first if you guys are catching us here either in the chat if you catch on just on the replay give me a like button that’s gonna tell me that you guys actually like this content it’s gonna tell YouTube that I should keep making this sort of content providing this sort of education for you guys also again someone else mention that they notice like kaleidoscopes or maybe like headaches things like that so there’s actually a lot of different causes or different symptoms of floaters more than just spots floating in your vision a lot of things can kind of give that a sense of spots in your vision and one of those things can be what’s called a migraine with aura but that’s more of like these strobe lights these lights flashing in your eyes and I have another video on that and I’ll actually come back and put a link to that here in the YouTube Karp above and well is in the description below for you guys if you guys haven’t saved that or heard anything about that before I have another video on that so just to kind of before we kind of transition I want to answer one other quick question Matthew Hall had a question about isn’t the Sun yellow light actually the Sun is actually gives off a white light I know a lot of times we always draw the Sun as being yellow but the actual light coming off of the Sun is white but within that white is all different spectrums of light from the electromagnetic spectrum including high frequency blue light or a very powerful blue light so let’s actually go over the treatments for floaters let’s go over that so you know what honest the thing and that gets people get frustrated with seeing their eye doctor because when you go in to see her eye doctor often times we just we just watch we just watch we say we observe we wait for them to get better on their own and the reason for that is because the rate of improvement for floaters on their own is very very good 95% of all floaters will naturally improve on their own within six months and that happens through a process called neuro adaptation so once you’ve recognized the floaters and you give them some time you’ve recognized that hey these are kind of a normal thing for me the brain will start getting used to it and within the first six months again 95% of all people will say I don’t even notice the floaters anymore so that’s why doctors in general they they don’t really recommend procedures or you know they wait they only recommend it for people who have a really more severe issues with them so that’s why we kind of wait but what if you do what if you have them what if you have the floaters and you can’t stand it what if you just like you’re so frustrated by the floaters you can’t drive you can’t get to work you can’t enjoy your daily living activities if you’re a big reader and you just can’t read because that floaters getting right in the way every time you can’t tell is that the B R and s I can’t tell you know like that if you’re having that issue you got to think there’s got to be some solution what can we do and doctors have asked that question to themselves what can we do so the first thing that’s been out for a long time is called a vet rectum e specifically a pars plana vitrectomy and that’s literally where we remove the gel inside the eye and so when it’s done for floaters we there’s actually what’s called a floater only vite rectum e an fov that’s what you’ll see in a lot of literature and that’s where we again suck out the gel from inside the eye in the operating room and it’s it actually is a little bit more of an involved surgery it does take a little bit of time and in school they basically kind of taught us that you know this is an option however it’s at high risk there’s high risk of all these other complications and problems and so you know despite hearing that in school over time and actually just a recent publication in 2017 they reported that 92% of vite rectum ease are considered successful that might rectum mean 92 percent of the people who had a floaters only vite rectum e were successful and they were happy with their outcome and there was very little to no complications or really risk of it at all and so they also reported so they also reported a couple of things because with any surgery there’s always the risk for things like infection and what’s called an end ophthal – well maybe I’ll do another video in the future of what end up the – is but it’s like the worst infection you can imagine for the eye and about only 2% of all floaters only Vectrex Amis have been reported to have have had and end up the – so 2% it’s a really low percentage of chance of having an infection but then what we learned in school is that you’re at a higher risk of having a retinal detachment during that surgery that’s what we taught in school but again this most recent publication in 2017 and I’ll hook it up in the description below once I’m done posting this video is that too point only 2.1% caused a retinal detachment so that’s again really low-risk so a lot I think a lot more times people are being more open a lot of surgeons may be more open to doing a floaters only vite rectum II if you are really bothered by the floaters but there’s a lot more of the things that they kind of want to consider about that so another kind of good question I just saw here hon can you get floaters if you get shampoo in your eyes you know No and you may see visual floaters from spots from your vision getting blurry you could maybe cause yourself a corneal burn you know depending on what’s kind of in what kind of whatever is in your shampoo but no they should not be a direct link to causing floaters not that I’m aware of anyways now the other real treatment this is kind of the kind of it’s kind of a hot topic now in in eye care is something called YAG vitreolysis so that uses a YAG laser to basically break up or lyse the gel the vitreous inside the eye so this is oftentimes kind of compared to having like the asteroids video game so your surgeon actually will have you sit behind a laser and it’ll have you they’ll dilate your eyes really big so they have a good view of the floaters inside the eye and they can use a little laser and zap perfectly that floater and vaporize it and over time they do multi a can do anyone for money they can do a couple hundreds of shots of this laser and just vaporize this floater completely and oftentimes this procedure takes more than one procedure takes more than just one visit but it’s becoming more popular it’s actually been out for a long time actually found out from a couple other resources that this has been going on for like thirty years they’ve been doing this for a while but a lot of doctors didn’t do it it was kind of like a cowboy thing to do if you’re kind of gutsy as a surgeon you want to give this a try without having a lot of big studies well now a lot more studies have come out and one of the major studies actually came out 2017 again this was from dr.
Singh and he reported the same 92 percent success rate that depends a little bit on the surgeon but 92 percent success with this vitriol Isis and he reported over a thousand 270 some procedures and they with that proved mounted procedures they only had a couple of complications they hit the lens inside the eye twice because they have to shoot through the lens and if the too far forward or too far back you can hit the lens it’s kind of interesting because the power of the laser it actually it actually hit the gel inside the eye and then there’s an energy blast forward toward the surgeon so out of your eye the energy blast from where the laser hits blasts forward it’s kind of like a plasma jump that comes forward and that little plasma jump can actually hit the lens and cause some problems so that’s happened twice in that study and then seven people had pressure spikes and only one person had a retinal team so they actually bleeding in the back of the eye and I’ve talked to another surgeon that was presenting on this not too long ago and he said that he’s caused like one or two heme but they all heal up on their own so it’s really not that big of a concern so this is becoming more popular because of how safe it is and how quickly it can be done and how easily it can be done you don’t have to go through a major surgery for 3-4 hours and you just sit behind a little slit lamp a little microscope and they shoot a laser that you for a couple of times and so it’s it’s excellent so you may be thinking hey this is great dr.
Helen where do I sign up where do I get this done and you know it’s kind of tough because not every surgeons doing it so you may have to kind of research wherever you’re at if there’s a doctor in the area doing YAG vitriolysis you can certainly talk to your primary care I doctor whether it’s an ophthalmologist or optometrist in your area do you know who’s doing this here in Minnesota I know other ladies to different surgeons who are doing it I know another surgeon who’s just buying the equipment and he’s gonna be start doing it real soon so if you’re thinking about this let’s go through the candidacy are you a good candidate for this procedure so big things for you to think about is one how stable are your floaters again how long have you had them have you had them more than six months are they stable are they improving or are they getting worse you know so they have to be stable floaters you have to have no flashes so flashes of light or sometimes it can occur when that gel again separates in the back of the eye and you get that posterior vitreous detachment that PVD that gel can sometimes tug on the retina just a little bit and if that happens it potentially may cause a whole terr or in a worst case scenario it can actually pull the retina off completely and we call that a retinal detachment and that’s an ocular emergency and so if you’re having those big flashes of light blink spots in your vision if you’re watching this minute you’ll stop the video and call your eye doctor right now we want you to get seen okay but flashes again if you’re considering the YAG Vitreolysis you can’t have any flashes so no flashes stable floaters and in during the during the examination your doctor will make sure that there’s no holes or tears or defects in the far edges of your retina because they don’t want to put you at an increased risk because there’s gonna be putting those energy inside the eye with the laser and the shockwave from that maybe put you at higher risk of having a retinal tear detachment so they don’t want that to happen so again no untreated peripheral holes or tears and if they notice a hole or tear they they’ll go ahead and seal it and perhaps in the future they’ll consider having the vitriolysis later the other things to consider is a cataract if you have a very thick cataract or lens opacity then it’s not gonna be the best for you to have that done just because the cataract is in the way and the surgeons not can be able to see through it and then if they can’t see through it they can’t see the floater correctly and so they could miss and they don’t want to do that so you can’t have too much of cataracts and you can’t have much for a lens opacity so if you’ve already had cataract surgery and you just have an implant the the PC IOL the inter ocular implant that they put inside the eye if you’ve already had that and it’s clear then you’re still a good candidate for the procedure so keep that in mind too otherwise think about your activities of daily living or what we call ADL’s are they really affected that much where you need this procedure so again there’s risk of complication with everything so if these floaters are really bad you just can’t stand it any more than yeah maybe this is a great option for you but otherwise you know if it’s something you’re like yeah you know I notice them once in awhile but doesn’t really bother me and maybe it’s not not the best choice otherwise you know just to kind of give you a few if you’re really thinking about this is anybody is there anybody watching right now in the chat or catching on the replay that’s seriously thinking about having like material Isis go ahead and comment and let me know because it’s it’s pretty interesting so one of the surgeons that I’ve worked with what he likes to do is he likes to not only evaluate with the patient he looks inside the dilates the eye looks inside make sure he knows exactly where the floaters are he draws what he sees inside the eye he draws exactly where the floaters are and then he asks the patient to do the same thing and then they compare they make sure that the floaters at the doctor sin is the same floaters at the patients seeing and I think that’s great because then they know for sure hey we’re looking at the same thing they’re looking at the main cause and then they go ahead and talk about doing the procedure so that’s great so that that laws are really the three medical treatments for floaters now there’s a lot of what scares me is that there are a lot of things online I’ve read and skum to cross other YouTube videos which claimed a lot of kind of crazy stuff on how to get rid of your floaters and yeah nothing in textbooks of ophthalmology or anything like that no I’ve tried to research and find like oh is there any sort of any sort of logic behind some of these treatments and you know they kind of for me they scare me and they scare other eye doctors that people are kind of sharing this and I know people they kind of have these hopes but a lot of people just don’t understand really what floaters are what’s causing them so again thank you guys so much for watching I’ve got some time for questions here let’s see if so I see Sylvia it asks is it expensive so you know any sort of surgery on the eye can be a little expensive depends where you live and what the surgeon is kind of asking for if you have insurance floaters is kind of tough to get insurance to pay for unless it’s proven that is significantly affecting your activities a day of living obviously it’s affecting your ability to work then yeah the insurance may be able to cover that I can’t guarantee you’ll have that but a lot a lot of surgical centers will fight for you to get that coverage because they want you to get back to work right you need to make a living so the big thing with floaters and the price again you know the price can be all over the place but I would expect at least maybe if you’re paying cash expect anywhere from one at least $1000 at least in the US but I I I honestly don’t know who’s paying what cash price would be you’ll have to call around in your in your area let’s see looking for other questions can floaters look like streaks yes so as the floaters developed if they’re just small little floaters they could actually have kind of a hair like appearance some people even say they look like parasites they can I guess if you’re really looking at them but you know usually parasites can occur in the eye but extremely rare and it’s usually in like jungle tropical areas but that is usually no you’re not going to see it like that can i sup laments help minimize floaters so nothing that is public like wide-scale accepted as supplements for getting rid of floaters there are some different companies that kind of claim that but as far as what I’ve been able to research because I was kind of curious myself and I was other side other people talking about supplements for it there is some logic about basically again the whole metabolism issue developing within the gel itself that if you have higher amounts of antioxidants whether you’re ingesting those using them as an eye drop that it would prevent potentially helped reduce the amount of floaters but again once these collagen fibers develop you basically need to find a way to dissolve the collagen the type 2 collagen from clumping up and I think once you’ve developed the floaters the any sort of antioxidants or vitamins are probably not going to untangle that so perhaps they’ll help prevent the floaters from developing in the first place but again nothing that’s proven or widely accepted in ophthalmology can you be born with floaters sure I could imagine that yeah most of the time again age 4 is the earliest report so some degree of the primary vitreous perhaps can actually develop them even when you’re born but the thing is that when you’re born and your vision is developing as an infant again you’re not just born with vision your vision develops so you’d actually get used to where the floaters are at and your brain probably with neuro-adaptive faster so you bobble you not even be consciously aware of it – maybe you’re much older are you Quan great question are you most likely to get flows if you are nearsighted yeah if you’re near side to do gonna have a higher risk of developing floaters and part of that is because the eye continues to grow especially through adolescence and into kind of like your late teens early 20s so the eye actually grows longer not a huge amount it’s actually kind of a weird it’s a funny fact that it’s not true I’ve actually been to like Body Worlds and things like that when I was a medical student and they would say like it would say like did you know that the eye does not grow after birth and that’s completely wrong I don’t know who wrote that but the eye does grow not very much but in the eye care world just one millimeter change in the length of the eye equals about 3 diopters of a prescription change and so if you are let’s say 9 diopters myopic your nearsighted by 9 diopters that’s 3 millimeters longer so that means the gel doesn’t grow and change with the eye shape but the eye does and so that’s 3 millimeters different so that gel is more likely to separate from the back of the eye and that does accelerate the deformation of those floaters the vitreous detachment another kind of random factoid when you start developing floaters you actually have a higher risk of developing a cataract sooner – can they make you go blind well floaters in general shouldn’t make you go blind but the posterior vitreous detachment if that leads to a retinal detachment that can potentially cause blindness and that’s one of the biggest concerns that we have is when people start seeing floaters and there’s a sudden change that they don’t get into the clinic right away to get it evaluated and they let it go to flog and then they have a tear that eventually becomes a full detachment and sometimes you know a lot of times we can repair it that’s the great news about modern technology we can repair a lot of detachments but it’s it’s never really perfect so again if you’re having those flashes if you’re having big spots in your vision like a curtain coming down from the ceiling or rising up from the lor you definitely want to call the doctor get seen just make sure everything’s okay that peace of minds couldn’t go a long way impatience about age so this is great I see doll in another OD and now this is great they have another doctors here he’s saying he found what’s called an erm so an epi retinal membrane that’s what the ER M stands for and he said with associated Weiss ring on a 23 year old male and yes if I found them in young patients about that age well you know if they have a posterior vitreous detachment then of course they can have the Weiss ring and you really can have them yeah you can have them pretty young it’s not very common I mean usually it’s like what we see people in their 50s and Beyond usually having it but yeah if the person is really nearsighted maybe they’ve had trauma they’ve been jostled around just the fluid dynamics of the gel inside the eye sloshing around can kind of predispose for more of these Vitter’s detachments yes Matt all I do have floaters but again back to that kind of thing that Don was talking about the ERM then epiretinal membrane can actually form due to some changes with the gel inside the eye again these vitreous floaters so as that gel separates in the back of the eye during that posterior vitreous detachment it’s believed that it causes these little micro tears like really small tears in the retina that we can’t really even visually perceive and when these old tears form basically think of it like a scar tissue that’s quartz that fart kind of forms between the little scratch the little tear and then that scar tissue tissue actually bunches up it kind of bunches up like a a bunch of stuff like a scar yeah and then we call that an epi retinal membrane and then eventually can lead to what’s called a macular pucker which can cause some other problems but that can distort vision so that’s something that Dahlan was talking about there so thank you guys so much for checking out the video I hope you found some good information I know we got a lot of good questions coming in I’m hoping that we’ll be able to eventually have more videos and more live streams just like this including the full Q&A video in the future otherwise I wanted to give a big you know again thank you guys so much for kind of help you know helping build my channel be part of this community I love answering questions I love being a good resource for you guys and I’m so happy that people are finding good value in this information that they want to learn about the eyes and vision and I want to kind of give you guys a question of the day did you find this video helpful did you find this topic helpful did you learn something more about the treatments is there something more about the treatments for the eye floaters that we didn’t cover go ahead and comment in this video love to hear from you guys otherwise again this is dr.
Joe Alan hear from dr. eye health channel helps with the eyes vision and finding the best vision products if you’d like to catch other cool videos I will have some other videos coming out here you can click up here to the top to check out new videos and we’ll have some more videos coming up in the future so go ahead check those out too otherwise please be sure to subscribe and we’ll talk to you soon you.
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