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Vitrectomy for Vitreous Opacities (Floaters)


Removal of vitreous floaters using 25 gauge vitrectomy, This 64 year old woman had cataract surgery 7 years previously. She was followed in our practice with bothersome floaters for the past 6 years. She described sheets of gauze like floaters that would intermittently obstruct her vision. They did not clear with observation. Her left eye had vitrectomy for floaters 3 months ago and the patient was thrilled. This video is of the vitrectomy in the right eye. Floaters clear on their own almost all of the time. Even patients with persistent floaters usually adjust to them. Their is a small group of patients with sheet like floaters and veils that affect their visual function and do not clear even after waiting over a year. In this situation, it is acceptable to consider vitrectomy surgery. Vitrectomy does carry a risk of retinal detachment, infection and bleeding. So the risk of surgery has to be balanced with the potential benefit. This patient understood that and chose to have surgery and was thrilled with the result.

Channel: Science & Technology
Uploaded: May 23, 2008 at 3:16 pm
Author: scohen125

Length: 03:27
Rating: 5.00
Views: 1579

Tags: 25  floaters  gauge  incision  macula  opacities  retina  retinal  small  surgery  vitrectomy  vitreous  

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Video Comments

djedi81 (August 13, 2008 at 7:55 pm)
It varies for everyone. Floaters are generally mild, thus they get used to the few that they do have. They may go away, they may not. A few people however have a lot more than just a few floaters, and it is very distracting. Think of trying to look through a cotton shirt where ever you go. These are the people that need the surgery.
TragicallyWired (August 10, 2008 at 5:21 pm)
The video says they clear in about six months? That true? They're only temporary?
djedi81 (August 10, 2008 at 2:56 am)
It is embryonic material that wasn't removed from the eye during your gestation period. They develop into floaters at later age because the fluid in the eye is more of a solid during young age. As the eye ages, the vitreous material becomes more liquid like, and the material is more able to float around.
TragicallyWired (August 3, 2008 at 9:50 pm)
So what causes them?
tonialuvslecter (August 1, 2008 at 3:09 pm)
floaters aren't caused by looking at a screen, or squinting.
TragicallyWired (July 16, 2008 at 11:18 pm)
I'm 25 and I've developed floaters. Probably because I squint too much and I'm sat infront of this fuckin PC all the time.
Balticmania (June 25, 2008 at 8:43 pm)
I have 1 or 2 really annoying floaters and I'm only 35! They're more noticeable when I use this laptop!

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