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Laser vitreolysis is a possible treatment option for the removal of vitreous strands and opacities (floaters). In this procedure an ophthalmic laser (usually a yttrium aluminium garnet (YAG) laser) applies a series of nanosecond pulses of low-energy laser light to evaporate the vitreous opacities and to sever the vitreous strands. When ...
Sometimes, the best treatment for eye floaters is none at all (except some patience). "For benign causes such as a posterior vitreous detachment, floaters generally resolve on their own," Dr ...
Nd:YAG lasers are used in ophthalmology to correct posterior capsular opacification, [6] after cataract surgery, for peripheral iridotomy in patients with chronic [7] and acute angle-closure glaucoma, [8] where it has largely superseded surgical iridectomy, [9] for the treatment of vitreous eye floaters, [10] for pan-retinal photocoagulation in ...
Peripheral (posterior) vitreous detachment occurs when the gel around the eye separates from the retina. This can naturally occur with age. However, if it occurs too rapidly, it can cause photopsia which manifests in flashes and floaters in the vision. Typically, the flashes and floaters go away in a few months.
The goal of the treatment is to fix the cause of the hemorrhage as quickly as possible. Retinal tears are closed by laser treatment or cryotherapy, and detached retinas are reattached surgically. [6] Even after treatment, it can take months for the body to clear all of the blood from the vitreous. [2]
Symptoms of retinal detachment, as well as posterior vitreous detachment (which often, but not always, precedes it), may include: [3] [4] [9] [10] [12] Floaters suddenly appearing in the field of vision or a sudden increase in the number of floaters. Floaters may resemble cobwebs, specks of dust, or shapes such as ovals or circles
The American Academy of Ophthalmology practice guidelines recommend laser coagulation for people who have both mild to moderate nonproliferative diabetic retinopathy (NPDR) and clinically significant macular edema outside the fovea; treatment with anti-VEGF drugs is better than laser coagulation for clinically significant macular edema in the fovea. [1]
A 2016 Cochrane Review sought to determine the effectiveness of YAG laser iridotomy versus no laser iridotomy for pigment dispersion syndrome and pigmentary glaucoma, in 195 participants, across five studies. [5] No clear benefits in preventing loss of visual field were found for eyes treated with peripheral laser iridotomy. [5]
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