Laser for floaters?

Discussion in 'Laser Eye Surgery' started by The Real Bev, Jan 31, 2007.

  1. The Real Bev

    The Real Bev Guest

    The Real Bev, Jan 31, 2007
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  2. If it worked that well, I think most retinologists would jump at the
    idea of doing it. It would be a real money maker, for sure.
    William Stacy, O.D., Jan 31, 2007
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  3. The Real Bev

    p.clarkii Guest

    I've heard of the procedure which is done by only a couple of MD's. I
    would be worried about complications (macular edema, etc) since I
    believe the laser is a YAG and usually the most visually troublesome
    floaters are posterior in the eye near the retina.

    but who knows-- maybe time will show that its really safe this line of
    thinking is being too paranoid.
    p.clarkii, Jan 31, 2007

  4. This is a very simple procedure. Most everyone has a YAG laser just sitting
    there in their office for treating posterior capsule opacification. Just the
    fact that only 2 MD's do it (or at least advertise it) should tell you that
    it is certainly not a widely accepted procedure. Otherwise, everyone would
    do it to make a buck and try to keep patients happy.

    You should read the website of Dr. Karikoff (sp?), the one who claims to
    have "invented" this procedure, which was then taken up by the other person.
    It is one of the most overblown and egotistic pieces of writing I have ever
    seen. I chuckle when I read it. I knew John Karikoff when I was a Georgetown
    University eye resident back in the early 80's.
    David Robins, MD, Jan 31, 2007
  5. The Real Bev

    LarryDoc Guest

    Many procedures work well and are not routinely done, just as some that
    are not so successful are done too often. And, of course, profit it the
    most likely motivator.

    The risk factors often cited, retina pathology and increased vitreous
    opacities and strands are the deal killers for many docs. I don't think
    there is a large enough test group to validate either of those issues
    but from what I've read they may indeed be a non-issues.

    Personally, I think that if someone's vision or lifestyle is compromised
    by floaters, laser (as opposed to vitrectomy) should be a discussed
    option. Risk/benefit thing. I just don't think there are that many
    people who fit into that category to make it $$$$$. And if we did the
    less serious ones and screw up, then there ARE issues.

    Perhaps when the LASIK market dries up, LAFF (laser assisted floater
    fixer) will be the next big thing.

    LarryDoc, Jan 31, 2007
  6. The Real Bev

    Irv Arons Guest

    I recall discussing this with Dr. Geller at least 15 years ago -- I
    was considering writing it up for Ocular Surgery News -- I was then
    writing the Technology Update column. For whatever reason, perhaps
    because no one else was doing it, I never did write up my conversation
    with Dr. Geller.

    As Dr. Robins said, for most people, they learn to live with floaters.
    And, for those that cannot, perhaps they might go see either Geller or
    the other guy.

    Irv Arons
    Irv Arons, Feb 11, 2007
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