Treatment FAQ

how effective is yag laser treatment for floaters

by Jeanette Bechtelar Published 2 years ago Updated 2 years ago
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FORT MYERS, Fla. — Nd:YAG laser

Nd:YAG laser

Nd:YAG is a crystal that is used as a lasing medium for solid-state lasers. The dopant, triply ionized neodymium, Nd(III), typically replaces a small fraction of the yttrium ions in the host crystal structure of the yttrium aluminum garnet, since the two ions are of similar size. It is the neodymium i…

treatment for symptomatic vitreous floaters was efficacious in a retrospective study done here. “Laser treatment in my hands was efficacious at a rate of about 85%. Phakic and pseudophakic eyes can be treated with equal success,” said Scott Geller, MD, in practice here.

After a mean follow-up period of 14.7 months, the symptomatic relief following YAG laser treatment was described as “moderate” (30–50% benefit) in 35.8% of cases and “significant” (50–70% benefit) in only 2.5% cases. Almost 54% of patients experienced no relief, while 7.7% felt worse.Feb 21, 2020

Full Answer

Can LASIK get rid of floaters?

Yes. Eye floaters do not affect LASIK. However, LASIK is not a treatment for floaters, and if you have floaters you are likely to have them for the rest of your life. Ultimately, the appropriateness of LASIK varies by individual; call to schedule a free consultation and discuss with an eye care….

Can laser eye surgery fix floaters?

Laser treatment for floaters, or YAG (yttrium-aluminum-garnet) laser vitreolysis is a procedure in which a laser targets floaters with pinpoint accuracy. These clumps are then broken up or dissolved by the laser. This new treatment for eye floaters now provides immediate relief from floaters without the risks associated with surgery.

What are the causes of floaters after laser eye treatment?

What Are the Causes of Floaters After Laser Eye Treatment?

  • Capsule Fragments. The natural lens inside the eye turns cloudy with age, and when the cloudiness disrupts vision, an eye surgeon may recommend surgical removal of the cloudy lens, called ...
  • Laser Effects. ...
  • Bleeding. ...

What is the best treatment for Eye floaters?

These help:

  • Eating antioxidant-rich foods
  • Drinking antioxidant-rich juices
  • Taking supplements with Taurine (be careful!)
  • Taking Omega-3 fatty acids
  • Taking serrapeptase enzyme

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Can YAG laser remove floaters?

In today's YAG laser vitreolysis, your surgeon can precisely visualize floaters in relation to your retina and natural lens (or crystalline lens if you have had cataract surgery). This enables precise targeting of the laser beam to break up or vaporize floaters impairing your visual function.

How successful is laser for eye floaters?

Our experience is extensive and mirrors published studies that find, on average, most patients can expect a 60% to 90% improvement in the size, severity and frequency of floaters. On average people require 1.5 laser treatment sessions which depends on the size of your initial floater.

Can laser treatment get rid of floaters?

An ophthalmologist aims a special laser at the floaters in the vitreous, which may break them up and make them less noticeable. Some people who have this treatment report improved vision; others notice little or no difference. Risks of laser therapy include damage to your retina if the laser is aimed incorrectly.

When does vision improve after YAG laser?

Post-YAG Laser Capsulotomy Most patients notice improved vision within 1-2 days. Normal activities can be resumed very soon after the procedure. Sometimes the doctor will prescribe eye drops as part of this treatment. In addition, patients may find that they need a prescription change for their glasses.

How long does YAG laser take to work?

You should notice significant vision improvement within one day of the procedure. This is a one-time procedure that you will not have to repeat. The reason for this is that the laser eliminates the centralized zone of the capsule located behind your intraocular lens that has created a cloudy posterior.

Can YAG laser be done twice?

In short, the answer is yes, but it's not quite that simple. Each case is unique and when dealing with something as important as eyesight, maximum care must be taken to ensure that patients are suitable for treatment.

How do you dissolve eye floaters naturally?

There is no natural treatment available that can make them dissolve. If you ignore them, however, eye floaters will most likely settle out of your field of vision and go away on their own within a few weeks or months.

Can large eye floaters be removed?

Vitrectomy A vitrectomy is an invasive surgery that can remove eye floaters from your line of vision. Within this procedure, your eye doctor will remove the vitreous through a small incision. The vitreous is a clear, gel-like substance that keeps the shape of your eye round.

How do you get rid of floaters fast?

If the floaters are a major nuisance or severely hinder your vision, the best way to get rid of them is through either vitrectomy or the use of lasers. A vitrectomy is a procedure in which your doctor will remove the gel-like substance (vitreous) that keeps the shape of your eye round.

How long do floaters last after YAG laser capsulotomy?

It is normal to have floaters for 3 weeks after laser. The retina of the eye may be VERY OCCASIONALLY affected by the laser causing a more serious problem (see above ). You should have your eyes checked each year by your optometrist after this treatment, for glaucoma and other problems.

How do you know if you need YAG surgery?

Indications. The most common reason for performing an Nd:YAG laser capsulotomy is when significant fibrosis, wrinkling, or opacification of the posterior capsule occurs. When PCO causes decreased vision, glare, or difficulties with visual function, a laser capsulotomy is indicated.

How common is YAG surgery?

The incidence of Nd:YAG capsulotomy ranged between 2.4–12.6% at 3 years and 5.8–19.3% at 5 years post-cataract surgery. Similarly, the incidence of PCO ranged between 4.7–18.6% at 3 years and 7.1–22.6% at 5 years.

What are the advantages of YAG laser?

YAG laser obliteration of vitreous floaters has these advantages: 1 It is much safer and less expensive than vitrectomy; 2 It has a Current Procedural Terminology code and is reimbursed by all insurance companies, including Medicare; 3 It is equally appropriate for general ophthalmologists and retinal specialists; 4 It removes the floater, not the vitreous; 5 It is a 20-minute office procedure using topical anesthesia; 6 There are no restrictions on activities, and patient has full recovery within 24 hours; 7 It is effective in 92% of cases; 8 It had zero significant complications in our Institutional Review Board/Food and Drug Administration supervised 200-patient study; 9 The eye is not opened (no cataract formation, retinal detachments, infections or bleeding); 10 It uses equipment to which ophthalmologists already have easy access.

What is a YAG laser?

A YAG laser is suitable for floater treatment if — when using a flat-faced contact lens — there is full illumination and clear viewing of the optic nerve while the aiming beams are also on the optic nerve.

What are the two main classes of floaters that are treated?

The two main classes of floaters that are treated are those that attached to the posterior vitreous face after a PVD and those that are within the vitreous as a result of vitreous degeneration.

What is PVD in floater clouds?

There are three basic treatment techniques: complete vaporization of soft floaters caused by a posterior vitreous detachment (PVD), relocation of floater clouds suspended in the visual axis and thinning of floater clouds not in the visual axis.

What fluid is needed for punctate keratopathy?

A gonio fluid mixture of 2.5% methylcellulose (40% by volume) and Dacriose (60% by volume) is also necessary. If the methylcellulose is not diluted, superficial punctate keratopathy with pain and slightly blurred vision for 2 days will occur in about 5% of cases.

What happens when a laser shot is weak?

Weak shots only cause fragmentation of the floater, not vaporization.

Can floaters be ignored?

Every doctor has seen patients who can ignore even a large floater in the anterior vitreous. But floaters in the mid- and posterior vitreous cast a distinct shadow on the retina that rarely can be ignored. These moving objects can bother patients greatly and ruin the quality of life.

What is a YAG laser?

A YAG laser capsulotomy is a short outpatient procedure available at Diagnostic Eye Center. Once you arrive, your eyes get dilated.

What is a yag laser capsulotomy?

A YAG laser capsulotomy is the only way to treat posterior capsule opacification. Live your life again after a YAG laser capsulotomy. YAG laser capsulotomy is a quick (5-10 minute) outpatient procedure that results in an almost immediate improvement of vision.

How long does it take for a yag laser to heal?

You will have a follow up with your doctor within two to three weeks of your YAG Laser Capsulotomy to ensure that your eye is healing well. People sometimes wonder if a YAG laser capsulotomy can increase the impact of flashes and floaters on vision. Keep reading to learn more about YAG Laser Capsulotomy and floaters!

How long does it take for vision to improve after YAG laser?

Your eye doctor at Diagnostic Eye Center will advise you if there are any activities that should be avoided during the initial time period following your procedure. Within a day or two after YAG laser capsulotomy, your vision will begin to improve.

What is the name of the lens that is inserted in the eye after cataract surgery?

In the place of the natural lens of the eye, an intraocular lens (IOL) was instead inserted.

What is a floater in the eye?

Floaters are small specks or lines that can develop in your vision. They are small clumps of gel or cells inside the vitreous. The vitreous is a gel-like substance that fills the interior of the eye. When you see floaters and flashes, they are shadows of the cells being cast on the retina.

Is it dangerous to see floaters after a YAG?

Floaters aren’t dangerous, but seeing an increase in them can be annoying. After YAG laser capsulotomy, it is not uncommon to experience more floaters than normal. During a YAG laser capsulotomy, the clouded capsule of the eye is broken up to allow light to pass through.

If eye floaters are affecting your vision, effective treatments are now available to give you relief

Eye floaters cause visual disturbances and can become so bothersome that they require treatment from an eye doctor.

Treatment for eye floaters

Eye floaters can be just irritating shadows in your vision or caused by serious retinal diseases.

What is a YAG laser vitreolysis procedure?

YAG laser vitreolysis, commonly called vitreolysis, is a non-invasive, highly effective, pain-free laser procedure that has shown to reduce or even eliminate eye floaters.

When to treat eye floaters

If eye floaters are affecting your ability to perform routine activities, such as reading, driving, or watching TV, and are truly impacting your quality of life, speak to your doctor about treating them.

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Advantages

  • YAG laser obliteration of vitreous floaters has these advantages: 1. It is much safer and less expensive than vitrectomy; 2. It has a Current Procedural Terminology code and is reimbursed by all insurance companies, including Medicare; 3. It is equally appropriate for general ophthalmologists and retinal specialists; 4. It removes the floater, not ...
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Misconceptions

  • When doctors first learn of this procedure, they almost always have four misconceptions. First, they mistakenly believe that vitreous opacities are not visually significant. Every doctor has seen patients who can ignore even a large floater in the anterior vitreous. But floaters in the mid- and posterior vitreous cast a distinct shadow on the retina that rarely can be ignored. These moving …
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Formal Study

  • In 2002, I submitted an extensive application to the FDA to get approval to use a YAG laser in our study of the efficacy and safety of laser treatment of floaters. The FDA ruled that our study of laser treatment of vitreous opacities was a nonsignificant risk device study, and they ruled for the first time that a YAG laser could be used without special approval. With those rulings, our local h…
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Equipment

  • Several items are needed to perform this procedure. A YAG laser is suitable for floater treatment if — when using a flat-faced contact lens — there is full illumination and clear viewing of the optic nerve while the aiming beams are also on the optic nerve. If your laser does not meet this test, you can usually still treat floaters in the anterior to mid vitreous, but farther back in the vitreous, the il…
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Treatment Techniques

  • There are three basic treatment techniques: complete vaporization of soft floaters caused by a posterior vitreous detachment (PVD), relocation of floater clouds suspended in the visual axis and thinning of floater clouds not in the visual axis.
See more on healio.com

Floater Types

  • The two main classes of floaters that are treated are those that attached to the posterior vitreous face after a PVD and those that are within the vitreous as a result of vitreous degeneration. The floaters that are pulled off the internal limiting membrane by a PVD (Weiss rings and other hyaline floaters) (Figure 1a and 1b) are quite soft and easily vaporized, require the most skill to treat and…
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