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You are about to send an email to Chrissy, she’s my online assistant. Ask her whatever questions you may, she’ll consult me if I need to help out!
FOV to Remove Floaters
Dressler Ophthalmology Assoc. | 3930 Pender Drive | #10 | Fairfax, VA | 22030
Office of Anh Nguyen, M.D. | 431 Park Avenue | Suite 103 | Falls Church, VA | 22046
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I am a fit healthy 41 y/o male living in Michigan. I have been living with floaters in my vitreous for about 10 years. I have a computer career and it is now at the point where the floaters are greatly impacting my work….and driving. Through my exams with optometrists and ophthalmologists, I have gathered the following information. I have syneresis in both eyes. My floaters are visible to my examiner. I do not have PVD in either eye yet. My floaters do not create a very dark defined image in my vision but rather many hazy large clouds. I received YAG laser treatment for floaters in one eye by John Karickhoff in VA about 5 months ago. My condition has not improved. Dr. Karickhoff mentioned that I would not be a candidate for a vitrectomy because I had not yet had a PVD. Reading your website makes me feel a PVD is not a requirement for a safe vitrectomy. Please contact me so we can exchange some information. I would be greatly appreciative. Thanks.
Christopher,
I am not in agreement with others’ requirements for a vitrectomy – a PVD is not an absolute criteria.
You may contact Chrissy – rwongcm13@gmail.com.
Look forward to meeting you.
All the best!
Randy
Hi I developed floaters after the birth of my second child. Most of them are in my right eye. It’s hard to focus as one of them a dark one is consistly following my every movement and I can see it in all types of lighting and it casts fairly big shadows on what I am looking at. I am in need of a phone number to contact you guys and discus treatment as this bothers me a great deal and also the quote of self pay since you guys are not accepting Medicaid.
Kristina,
I will have Chrissy contact you via email?
Randy
Dr. Wong, Im a 32 year old male with what appear to me to be very large cobweb floaters in each of my eyes. Ive been told that they can not be treated by laser. I know I may be young but they really do affect my driving, and my work (which involves sitting in front a computer screen each day). I can no longer read sheet music as well since these dark spots interfere with trying to read the notes on the page. I see people usually get a floterectomy done in a single eye, but is it possible to get it done in both eyes?
James,
Quite possible to have operations in both eyes, if needed.
All the best!
Randy
How long does it take till most of the redness in the white of eye goes away after a vitrectomy? and how long till completely gone?
Phil,
Can be about 1-3 weeks – sometimes sooner (if no bleeding) and sometimes longer. There will be tiny red bumps around the conjunctival stitches (if used).
r
Hi,
I have corneal transplants in both eyes, does this increase my risk with regards to having a vitrectomy for floaters?
PC
Strictly speaking, it might increase the risk if the visualization is made more difficult through the transplants.
Randy
Hi,
Im from Asia and would like to get a check up first before undergoing FOV. I don’t have health insurance as Im not from there. How could I go about having insurance when I fly over there to have my eyes check? Could you advise me?
Also can you list me the price per eye for surgery?
Jenny,
So sorry for the delay. Please contact Chrissy, rwongcm13@gmail.com.
She can help with logistics.
Randy
Hello Dr Wong,
I was wondering if being myopic/near-sighted is a no-no when it comes to fov surgery?
Thanks for your reply.
Stefan
Stefan,
Should not be an issue at all. Best of luck.
Randy
and also the fact that my floaters are not still but very mobile following every movement of my eyes.
Stefan,
Confirms that your floaters are indeed located in your vitreous.
Randy
Hello dr. Wong. Is Floater Only Victrectomy operated in a other way than Victrectomy or Pars plana Victrectomy they call it too. I have a micro floater in very close to the retina, sits on top of it, on 11 o’clock in premacula bursa.
Should I trust to clinics that are nearest to me, that is in the balkan area. All of them are doing Victrectomy, only a few have mentioned floaters and got it on website. So I really dont know if this clinics that dont include floaters or more specifically FOV like you do, i do not know if they do the same operation.
What can you tell me about the differences?
Ales,
I can only tell you that the two are referring to the same operation. All the best!
Randy
Hello Doctor Wong,
I believe you mentioned somewhere here that there is a increased chance of Retinal Tear or Retinal Detachment post onset of a PVD. Should we wait a certain period of Time after experiencing a PVD which is associated with Bothersome Floaters before doing a Vitectomy? Thanks very much.
Doug,
I would wait several months post onset of PVD. The floaters my become less noticeable. The highest risk for developing a tear in the retina is within the first 6 weeks after initial symptoms of a PVD.
r
Dr Wong : What is your feeling regarding Lazer Vitreolysis of floaters. I
know you do not do this procedure but do you think there is a role for this treatment in certain types of Floaters–like a Solid Weiss ring.
My Right Eye has a Large Cobweb attached to a Weiss ring plus Multilpe small dot Floaters so I assume only a Vitectomy could be used for the Right eye.
However in the Left Eye I have a Solid black Weiss ring with No Cobweb or dots so I was wondering if a Lazer treatment could be used here in the Left eye.
or Do you feel the Lazer should never be used at all ?
Dr Wong : Approx what Percentage is the Risk of a Retinal Detachment when doing a Floater Only Vitrectomy in a Patient who already has had a PVD. —(It would seem like the Risk would be less than in a Patient in whom you have to Induce a PVD–Is this correct? )
Also, how Long after the Vitectomy for Floater Only do you usually see a complication of Detached Retina–does it happen right away usually or several weeks or months later? Thanks very much
Doug,
You are correct and I agree, the chance of a retinal detachment should be less in a patient with an existing PVD compared to a patient where a PVD must be induced. Length of time after is a tough question, but I would “generalize” and say 3 months. r
Dr. Wong,
I have had dozens of floaters in each eye for about 8 years and am a 28 YO Male. In my right eye, I’m not sure if I have a Weiss ring, or if floaters have just clumped together in a ring, although from the research I’ve done I feel like Weiss rings are much less transparent due to them being the entire PVD floating around. I live in Virginia and am strongly considering a FOV at one of your offices.
Please give me your opinion as to what you believe is going on in my eye? Do you think that I already have a PVD?
Thank you for your time and take care.
Respectfully,
Connor
Connor,
Based on age, unlikely you’ve got a PVD. Would be unusual. Would love the opportunity to examine you and figure out what we can do.
All the best. r
Dear Dr Wong ,
Does Visual Acuity stay about the Same after having a Vitrectomy
for Floaters only –that is , if you have no complications like infection or
retinal detachment etc—- would you expect your vision to remain about the Same even though Saline is infused during the surgery?
Thanks very much , Doug
Dear Mr Wong,
Im a 30 year old man from UK, England and have been suffering with eye floater’s since November 2015. It first happened after a security guard pointed and shined a high powered green laser pointer in my eyes while i was working for a nightclub in Phuket, Thailand all local thai people use these laser pens over there in nightclub’s. I then started to experience them and didnt think at the time it was that serious and didnt inform a manager at the work place which now i bitterly regret as it happened again with some other thai security and the floaters became worse. Now i have about 9 floaters if look up its a web of spot’s. It now bother’s me day and night and looking for help still i have been already to optician’s and several drs privatly and they said nothing can be done and a vitrectomy has risks of cataract formation after, But i have seen your work and heard of your success rate with treating floater’s with a Vitrectomy. As a UK citizen would you be able to offer treatment to someone from abroad or would you recommend anyone in the UK, England for help?
Regard’s
Alex
We often treat patients from abroad. Contact Chrissy if you are still interested – I apologize for the very long delay in responding.
Also, I am not aware that floaters can be caused by lasers.
Randy
Hello Dr. Wong,
I’m a 25 year old with floaters and I am considering getting fov with you but I live outside the US. I was wondering if it would be possible to get an online consultation with you to inquire about the operation prior to flying over to the US?
And how much would your online consultantation be?
I will be waiting your reply as soon as possible.
Best regards
I am not set up to take online consultations. Perhaps consider attending our webinars?
Randy
(Sorry for the abnormally long delay in responding.)
Hello Dr. Wong,
I am an Ob / Gyn physician working in northern California. I have undergone laser of a Weiss ring floater in my right eye in 2015, but I still have a “cloud” that obscures my vision and makes surgery more difficult. It has not descended via gravity out of my field of vision. Driving is also laborious in bright light. Do you ever come to California? Or have colleagues here that are competent in this area? Though I am willing to travel.
J. Bass M.D., F.A.C.O.G.
So sorry for this long delay in responding. Wasn’t intentional.
Even though I travel to CA frequently to visit family, I am not licensed in that state.
Don’t know anyone well in the area. Would love to see you here at any time.
Randy
Is a Vitrectomy procedure covered by Medicare? I have Medicare and Plan F supplemental? I did not see Medicare as a listed insurance under “Insurances accepted”.
As far as I know, it is covered. Please reach out to Chrissy, however, if you have questions
rwongcm13@gmail.com
Randy
PVD in right Eye 2012. Large black floater. PVD left eye 2015, with subsequent ERM surgery with vitrectomy and cataract 2017. Post surgery I have micropsia and metaphorphopsia in ERM eye. My surgeon wants to do vitrectomy & cataract surgery in the right eye, hoping to strengthen it to offset ERM outcome. Cataract is mild 2+. Would I be helped by this or would there be risks, and would it make the distortion worse.?
I would get the ERM removed sooner than later. The effects of an ERM are not always reversible even with successful surgery. Randy
Dear Dr Wong, I’ve heard great things about you. Unfortunately due to health concerns I cannot travel to you for consultation. Can you recommend colleagues in the Bay Area, CA? Thanks for your great website.
I wish you all the best and apologize for the long delay. I don’t have a colleague in that are who I know well. Randy
Hi Dr Wong,
Do you normally perform a Vitrectomy for Floaters only ( FOV ) with a Local injection anesthesia ( some type of Block ) or do you use just Sedation and some topical anesthesia ?
— Thanks very Much , Doug
Hello Doc!
I had a vitrectomy with you about 6 years ago. I had a pretty bad case and was really helped by the procedure. However, since then – I have had to undergo cataract surgery with IOL and the floaters have returned. The floaters are now clear and much larger than before, covering half of my vision. I do have glaucoma in my eyes but controlled with Combigan. My question is – do you ever perform second vitrectomies?
Thanks.
Yes. Not a problem.
r
I am a very healthy, 67 year old male living in a very active adult community in Arizona. ^ years ago I* was diagnosed with Glaucoma and have been treating my disease with Ethernet drops ever since.
My question relates to Floaters. Like many other patients on your site I have been told to simply get used to it. I have a rather large floater in my left eye that I developed about 15 months ago. Really affecting my life on so many levels. Although during bright sunshine and, of course, the cover of darkness I get some relief my floater simply drains me throughout most days.
My questions are as follows:
Does having Glaucoma increase my chances of issues from the procedure?
Can you give me some relative percentages of patients you have treated that the floater is removed versus those who encounter negative side effects?
Thanks and hoping to take a trip to Virginia!
MIke
PebbleCreek AZ
Glaucoma does not your chances of having issues from the procedure.
Stats are as follows:
1:10,000 for infection
1-2% chance of getting a tear
Cataracts can occur, especially if present at the time of the operation.
r
Hi Dr. Wong,
I’m 30 engineer. Montréal Canada.
In 2009 ( 9 years ago ) I had a big ( in my vision ) floater in my left eye.
I went to see Dr. James Johnson on the west coast for Yag Laser Treament about 6 times since. There was definitely improvement. Unfortunately, the last treatment made the floater move right in the center of my vision.
I know my floater is TINY, but its not about the size in my case. Its the POSITION and the DENSITY. I see it ALL light condition, indoor or outdoor.
It goes right in the middle on my vision when reading, working on computer, watching a movie….. right in front of the macula.
Question :
1. Would you consider doing a vitrectomy on me even if my floater would be consider VERY TINY by looking at the picture of my retina?
I’m really trying to accepting it, but I cannot, its just to dense (dark), and moving in middle. I have a LOT of floaters and I can ignore all of them…. expect that one..
Thank you for your time.
Michel
The fact that you had laser does not decrease your chances of having vitrectomy.
r
How many FOV has dr Wong performed till now.
How much time does patient have to stay in Virginia after surgery.
What is the cost of the procedure for both eyes.
Contact Chrissy: rwongcm13@gmail.com
I usually ask patients to stay 1-2 days and to make sure they have adequate follow up at their home.
r
54 yr male no pvd yet . Floaters in both eyes. Not a lot but bothersome… eye exam said only a little superficial lattice in a few places no other issue s 1520vision is there a chance for fov..
Hello Dr. Wong,
Happy New Year!
I am 42 male from Michigan with floater on my left eye. No other eye disease but nearsighted. Interested in Vitrectomy surgery, but got a few questions
1. Saw some comments saying the surgery will accelerate formation of cataract, is it true? And typically how long does it take to develop cataract after surgery?
2. How long does it take after surgery I can come back to work
3. Do you take BCBS insurance?
4. Will new floater form again after surgery?
5. For patient out of state, can you arrange evaluation and surgery back to back in 2-3 days?
Thanks and look dorward to meeting you soon!
Kevin
So sorry for the long delay.
1. May accelerate cataract. I’d vote likely given your age.
2. IMO, 2 days.
3. Please call, but pretty sure we do.
4. Usually not.
5. Nope. Wouldn’t do it. I’d like to wait 2-3 months, even for patients who come back and travel internationally.
Again, sorry for the delay. I lost a bunch of comments somehow and just found this.
r
Hi,
Can you please recommend a physician in the Dallas, TX area for treatment of floaters by vitrectomy?
Henry,
I don’t know any particular retina specialist in Dallas who performs vitrectomy for floaters. I apologize for the extremely long delay.
Randy
Hello Dr Wong,
Does Visual Acuity stay about the same after having a Vitrectomy for Floaters only procedure —that is if you do Not have a complication like infection or retinal detachment —-would you expect your vision to remain about the same even though Saline is infused during the procedure?
Thanks very much , Douglas
Sorry for super long delay. Yes. I would expect vision to remain the same, but with significantly fewer floaters.
r
Hello Dr. Wong,
Have you ever performed a FOV on someone with HPPD (Hallucinogen persisting perception disorder)? I have been diagnosed with HPPD wich increases ones awareness of floaters. However, my ophthalmologist does see the floaters when he examines my eyes and says I do have a lot for someone my age. My other symptoms are quite mild and do not bother me but the floaters in my right eye drive me crazy. Would a FOV be good solution for someone with HPPD?
Thank you.
Sorry for super long delay. I have not experience with HPPD.
Randy
Hello Dr Wong,
Have you used the new hypersonic vitrector for any of your surgeries yet? If not, do you foresee using it in the near future?
No experience and I have no idea.
r
I was wondering if you have any colleagues in Michigan that are experienced in fov?
Sorry for the delay. I simply don’t know any retina docs in Michigan.
r
54 yr male no pvd yet . Floaters in both eyes. Not a lot but bothersome… eye exam said only a little superficial lattice in a few places no other issue s 1520vision is there a chance for fov..
See other two responses – yes, we can help.
r
My name is Noah Johnson. Im 29 and have recently (2 months) become afflicted with floaters in both eyes. Ive got strands, dots, translucent worms, cobwebs, etc. I still have excellent vision besides the floaters. Ive been considering fov and am interested in finding out some information regarding the procedure. Some questions of mine. Will I develop cataracts from the procedure? Can I expect the same visual acuity to return to my eyes following the procedure? Is there any chance my floaters may disappear on their own do to the acute nature of their onset? My main concern here is loss of my lifelong “outstanding” vision. Ive had 20/11 in both eyes most of my life and I use it daily for work and hobbies alike. Ive read wuite a bit about sensory adaptstion but havent noticed anything but more prominet floaters over the past two months. Any information you can provide me would be integral in coming up with a plan for the future and my consideration of the procedure. Thanks.
Noah Johnson
Cataracts can occur, but usually don’t if none present at time of operation. I know “Internet” says otherwise. Hope you find the information you need somewhere on this site.
Randy