I WANT TO SEE MY LOCAL DOCTOR FOR AN EVALUATION FIRST. WHAT SHOULD I ASK THEM?

I have not found the evaluations and/or chart notes by other doctors to be very reliable in determining whether someone is a candidate or not.
There is no standard for describing findings nor is there the expectation that he eye care provider should.

  • If your doctor CAN NOT locate the floaters, does this mean they are not there?
  • If you doctor DOES see something, is that the floater(s) responsible for your symptoms?
  • If the doctor sees something and says it’s too close to the retina…what YAG laser treatment experience to they have to judge that? Are they using specialty vitreous contact lenses, or ophthalmoscopes and non-specialty lenses that tend to compress and flatten the view and make everything look closer to the retina?

In the absence of an in-person evaluation, and at the risk of making predictions seem simplistic, the best predictor is age of the patient. Younger patients are not usually candidates for treatment. Older patients usually are – with a wide range of efficiency and efficacy depending on floater type, morphology, amount, distribution, as well as the optics of the eye (previous LASIK, PRK, RK), dilated pupil size, cataract surgery lens implant of various diameters +/- a capsulotomy, etc., etc. It is easy to understand WHAT I do, but the evaluation and actual treatment is pretty complex.

The one exceptions is this: If you have had a true posterior vitreous detachment with the presence of an isolated Weiss ring (and that assessment is accurate!!), then you will be treatable with a high degree of confidence. Short of that, I’ll see you here in my office.

-Dr. Johnson

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