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High-tech solution to floaters


Monday, 20 November, 2017

High-tech solution to floaters

Patients suffering from聽annoying specks drifting through their field of vision may now have a safe, high-tech solution to their problem.

A study of patients who had laser treatment to vaporise these flecks and spots, known as floaters, has shown聽a very low complication rate. Additionally, most patients reported a significant improvement in their vision.

Dr Inder Paul Singh, an ophthalmologist with the , studied聽680 patients, who collectively underwent 1272 laser procedures for large floaters. Dr聽Singh saw these patients for anywhere from one to four years to check for complications. Only 10, or 0.8%, experienced a complication. The most common complication was an increase in intraocular pressure, which was successfully treated with an antihypertensive eyedrop.

Eye floaters聽are a general term describing the specks, threads, cobweb-like images or large clouds that can occasionally drift across the line of vision. Most floaters are bits of a protein called collagen. They鈥檙e part of a gel-like substance in the back of the聽eye聽called the vitreous. As you age, the vitreous slowly shrinks and forms opacities of varying size and shape. What you see isn鈥檛 the floater itself, but the shadow it casts onto the retina. Floaters can move as your eyes shift.

About one-quarter of people have some vitreous changes with floaters by age 60. By age 80, the number rises to about two-thirds. People are more likely to have them if they are聽near-sighted聽or have had cataract surgery. For some, floaters are a mere annoyance, but those with large floaters experience significant interference with their vision and daily functioning. A聽2013 study聽found that about one-third of patients say floaters interfere with their daily activities.

Using a laser to break up larger floaters into smaller pieces so they are less visually disabling dates back to the 1980s. But most physicians counselled against using lasers to treat floaters due to reports that the laser couldn鈥檛 properly visualise floaters, which could lead to inadvertent damage to the lens or retina, the light-sensitive part of the eye that is essential to sight.

As laser technology has advanced, newer-generation lasers have been designed to maximise visualisation of the floaters in relation to the lens and retina. Energy is delivered more efficienty to break up or even vaporise floaters. These improvements have raised the possibility that treatment of floaters could become a mainstream procedure in ophthalmology.

鈥淭he procedure and new technique is slowly growing in acceptance, and an increasing number of ophthalmologists are adopting it in Europe and the US,鈥 said Dr聽Singh. 鈥淲e have also founded the International Ophthalmic Floater Society, which is open to ophthalmologists worldwide. It鈥檚 aimed at studying the merits of this and other treatment options, sharing experiences and protocols, and raising awareness.鈥

The research was presented at the

Image credit: 漏stock.adobe.com/au/dottedyeti

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