What is this procedure?

[collosalmockery]

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Hey guys,

Do you happen to know what is this procedure called? Is it OCT?

http://www.youtube.com/watch?v=YcHK9X0jZFY&feature=related

http://www.youtube.com/watch?v=sxroMCVgpPk&feature=related

And how can you expect one to live with that much junk of floaters? :SS

 

[collosalmockery]

No one?

I'd expect young brooding ophthalmologists in training to know this, which I am sure you do. Come on, dont be lazy in typing it up.

 

[orbitsurgMD]

No one?

I'd expect young brooding ophthalmologists in training to know this, which I am sure you do. Come on, dont be lazy in typing it up.

It is a red-free filtered trans-pupillary video (or digitally processed emulation) with a fairly large depth of field. I suspect it was taken through a non-contact posterior vitrectomy lens system and a video-coupled operating microscope.

It is not OCT. The "T" in OCT means tomography, and this is not a tomogram.

What is your interest exactly?

 

[Slide]

No one?

I'd expect young brooding ophthalmologists in training to know this, which I am sure you do. Come on, dont be lazy in typing it up.

Yes, excuse our laziness, forgive us for taking care of patients in clinic and attending lectures all day instead of satisfying your random questions you have during your classroom lectures within five hours of your posting.

 

[collosalmockery]

It is a red-free filtered trans-pupillary video (or digitally processed emulation) with a fairly large depth of field.

It is not OCT. The "T" in OCT means tomography, and this is not a tomogram.

What is your interest exactly?

Thank you.

I was just interested in it for personal reasons (trying to find solutions for my floaters). Have not seen vitreous floaters being visualized so perfectly before this.

 

[Meibomian SxN]

Thank you.

I was just interested in it for personal reasons (trying to find solutions for my floaters). Have not seen vitreous floaters being visualized so perfectly before this.

They look like a bit more than "just floaters😱"! 😱

Looks like some macula issues as well...😱

 

[MstaKing10]

don't get this guy going on his floater rampage again

 

[orbitsurgMD]

don't get this guy going on his floater rampage again

Floater monomania.

 

[collosalmockery]

don't get this guy going on his floater rampage again

yea maybe to you its a joke. Of course it would be if seen from the high pedestal you are sitting on. I wish you had to live with as severe floaters during your med school, while you were gunning for ophtho residency which you of course gunned down (congrats), just for 1 week. Then at least I could hope that maybe you would not be as apathetic and inconsiderate.

I asked a simple question about what procedure that is, which seems to comply with this forums rules, yet you had the inconsiderate attitude to shoot my question down by referring to some old "floater war."

 

[JMK2005]

yea maybe to you its a joke. Of course it would be if seen from the high pedestal you are sitting on. I wish you had to live with as severe floaters during your med school, while you were gunning for ophtho residency which you of course gunned down (congrats), just for 1 week. Then at least I could hope that maybe you would not be as apathetic and inconsiderate.

I asked a simple question about what procedure that is, which seems to comply with this forums rules, yet you had the inconsiderate attitude to shoot my question down by referring to some old "floater war."

Um, even people on the internet do not like to be called 'lazy'. Oh, awesome medical student, go see a doctor instead of asking for medical advice from us lazy doctors.

 

[collosalmockery]

Um, even people on the internet do not like to be called 'lazy'. Oh, awesome medical student, go see a doctor instead of asking for medical advice from us lazy doctors.

I did not ask for a medical advice. I simply asked what this procedure was.

And I did not know that if I used the word "lazy" without actually meaning it (I would not be asking folks here if I truly thought they were lazy), it would hurt your fragile ego. Oops.

 

[JMK2005]

I did not ask for a medical advice. I simply asked what this procedure was.

And I did not know that if I used the word "lazy" without actually meaning it (I would not be asking folks here if I truly thought they were lazy), it would hurt your fragile ego. Oops.

I think your line of question is borderline medical advice. "I have this friend with floaters...."

Re-read your first and second post. You come off as a jerk demanding answers, assuming people on here have answers but are just lazy and ignoring you, after 5 hours! 😱 You need to chill.

Ok, I'm coming off my high pedestal. Hoping I don't fall and hurt my fragile ego.

But really, if you have floaters that bad, you should get a dilated eye exam to make sure they are just floaters and not other serious stuff.

 

[WhatNEyeTem]

yea maybe to you its a joke. Of course it would be if seen from the high pedestal you are sitting on. I wish you had to live with as severe floaters during your med school, while you were gunning for ophtho residency which you of course gunned down (congrats), just for 1 week. Then at least I could hope that maybe you would not be as apathetic and inconsiderate.

I asked a simple question about what procedure that is, which seems to comply with this forums rules, yet you had the inconsiderate attitude to shoot my question down by referring to some old "floater war."

Get your FOV... just read this first:

http://www.ncbi.nlm.nih.gov/pubmed/16765671

 

[Shnurek]

Can you just laser them so you don't have to perform an invasive vitrectomy? How credible is this?
http://www.youtube.com/watch?v=0lq1rGrFNHs&feature=related

http://vitreousfloatersolutions.com/page_yaglaser/ConeProfile.jpg

 

[Mirror Form]

There is definitely some element of OCD or anxiety in people who obsess over floaters. You should probably go see a pyschiatrist before getting a vitrectomy.

 

[InterviewMe]

Enucleation is the only definitive treatment for floaters that I'm aware of.

 

[Shnurek]

👍👍

 

[collosalmockery]

Can you just laser them so you don't have to perform an invasive vitrectomy? How credible is this?
http://www.youtube.com/watch?v=0lq1rGrFNHs&feature=related

http://vitreousfloatersolutions.com/page_yaglaser/ConeProfile.jpg

Shnurek, the laser procedures are performed by 3 doctors in the US. They are not standardized and the success outcome is very variable, depending on the eye, nature of floaters, their location etc etc. It is a less invasive procedure but the outcomes are also not so stellar.

If floater only vitrectomy is a sure way ticket to blindness, why does Dr. Wong (among many others at Jules Stein, VMR etc), a board certified retinal specialist, offer it so easily? Is he in it for money? Or he is simply a douche bag with a mission to fry people's retinas? Your guess.

http://www.retinaeyedoctor.com/2011/09/floater-only-vitrectomy-removes-floaters/

 

[collosalmockery]

There is definitely some element of OCD or anxiety in people who obsess over floaters. You should probably go see a pyschiatrist before getting a vitrectomy.

I wish that were true. If anxiety while looking through gunk and tar filled eye globe is due to OCD or other psychiatric issues then I have no more words left to say anything.

 

[collosalmockery]

Enucleation is the only definitive treatment for floaters that I'm aware of.

or maybe euthanasia? So no more complaints from the patient and no more pestering to the doctor about floaters while he/she sleeps 6 feet under.

 

[JMK2005]

Shnurek, the laser procedures are performed by 3 doctors in the US. They are not standardized and the success outcome is very variable, depending on the eye, nature of floaters, their location etc etc. It is a less invasive procedure but the outcomes are also not so stellar.

If floater only vitrectomy is a sure way ticket to blindness, why does Dr. Wong (among many others at Jules Stein, VMR etc), a board certified retinal specialist, offer it so easily? Is he in it for money? Or he is simply a douche bag with a mission to fry people's retinas? Your guess.

http://www.retinaeyedoctor.com/2011/09/floater-only-vitrectomy-removes-floaters/

Traditional teaching is that you don't do vitrectomy for floaters. It'll be hard to change opinion. It sounds like you got really bad floaters. Maybe the benefits outweigh the risks in your case. I hope you've gotten an eye exam by now.

If not, then either the floaters are not that bad or you don't think it is very serious.

 

[Shnurek]

Shnurek, the laser procedures are performed by 3 doctors in the US. They are not standardized and the success outcome is very variable, depending on the eye, nature of floaters, their location etc etc. It is a less invasive procedure but the outcomes are also not so stellar.

If floater only vitrectomy is a sure way ticket to blindness, why does Dr. Wong (among many others at Jules Stein, VMR etc), a board certified retinal specialist, offer it so easily? Is he in it for money? Or he is simply a douche bag with a mission to fry people's retinas? Your guess.

http://www.retinaeyedoctor.com/2011/09/floater-only-vitrectomy-removes-floaters/

I'd try the laser procedure first and see how that comes out.

PS - its funny how the opto student cares more than you guys ("just go to a psychiatrist" - what kind of a person are you?), medicine is changing fast so those 60 year old docs "traditionally" teaching you may not be enough for modern medicine.

 

[Slide]

Here's a new concept you may have not considered: go see an ophthalmologist and get a second opinion if you want. No one is trying to stop you here. There's no point debating what you need or don't need without any history or physical exam. Also, the purpose of this forum is not medical advice. OP appears more and more to be looking for free medical advice over the internet.

 

[Slide]

PS - its funny how the opto student cares more than you guys ("just go to a psychiatrist" - what kind of a person are you?), medicine is changing fast so those 60 year old docs "traditionally" teaching you may not be enough for modern medicine.

Nice try with the troll bait.

 

[Shnurek]

Nice try with the troll bait.

You know me 😛

 

[collosalmockery]

Here's a new concept you may have not considered: go see an ophthalmologist and get a second opinion if you want. No one is trying to stop you here. There's no point debating what you need or don't need without any history or physical exam. Also, the purpose of this forum is not medical advice. OP appears more and more to be looking for free medical advice over the internet.

lol, honestly I am not looking for any medical advice on forums. I just wanted to get the discussion going among med students, residents etc. That's all.

 

[Mirror Form]

I wish that were true. If anxiety while looking through gunk and tar filled eye globe is due to OCD or other psychiatric issues then I have no more words left to say anything.

When did these floaters first appear? Normal people who can see 20/20 adapt to floaters. OCD people obsess over them.

Most ophthalmologists are constantly hearing 65 year old patients with an acute PVD telling us how horrible their floaters are and how they'll do anything to get rid of them and how they can't see anything. However, by 3 months s/p PVD, most people are just subconsiously ignoring the floaters and have pretty much forgotten that they're there. Of course if you spend all of your free time obsessing over them . . .