Also known as floater laser removal, laser vitreolysis is a non-invasive, pain-free procedure that can eliminate the visual disturbance caused by floaters. It is performed in your ophthalmologist’s office and typically takes 20-60 minutes per treatment session. On average, patients will require two treatment sessions to achieve a satisfactory result.
The goal of vitreolysis is to achieve a “functional improvement”. That is, to allow you to return to “normal” day-to-day activities without the hindrance of floaters.
How does vitreolysis work?
Vitreolysis involves the application of nanosecond pulses of low-energy laser light to evaporate the vitreous opacities and to sever the vitreous strands. During this process, the laser energy evaporates the collagen and hyaluronin molecules to form a gas. The end result is that the floater is removed and/or reduced to a size that no longer impedes vision.
What happens during the procedure?
Vitreolysis is performed as an outpatient procedure; you do not have to stay overnight in a hospital. Immediately prior to treatment, your ophthalmologist will administer eye drops to prepare the eye and to provide mild anesthesia. A contact lens will then be placed on your eye, with the laser light delivered through a specially designed microscope.
During treatment, you will likely observe small, dark specks/shadows – signaling that the floaters are being evaporated into small gas bubbles. These gas bubbles quickly dissolve and reabsorb into the vitreous humor.
Once the treatment is complete, your ophthalmologist may treat your eyes with anti-inflammatory drops. It is important to note that most patients will need to undergo two treatment sessions, sometimes three, in order to achieve a satisfactory result. As there is no inflammation post-treatment, these sessions can be performed on consecutive days.
What to expect after treatment?
You may observe small, dark specks in your lower field of vision immediately following treatment, but these small gas bubbles will quickly dissolve and will not impede vision.
It is also important to note that some patients may experience mild discomfort, redness or temporarily blurred vision directly following treatment.
Complications and side effects
Reported side effects and complications associated with vitreolysis are rare. Side effects may include cataract and intraocular pressure (IOP) spike.
Who will benefit from vitreolysis?
While some floaters can be effectively treated, several floater types are difficult to treat and/or less likely to regress than others. To that end, it is necessary to first undergo an ophthalmic examination in order to determine your eligibility for vitreolysis treatment.
Generally-speaking, if you suffer from persistent moving shadows in your vision due to vitreal condensations, fibers, strands, and/or clouds, you are a good candidate for vitreolysis.
A number of factors, such as age, onset of symptoms and floater characteristics, will also determine whether vitreolysis is your best treatment option.
|Age||In most cases, younger patients (< 45 years) suffer from microscopic floaters located close to the retina (1-2mm) and are not considered to be good candidates for vitreolysis treatment.|
|Onset of Symptoms||If your floater symptoms came on very quickly then they may be associated with a posterior vitreous detachment (PVD), the characteristics of which can be effectively treated with vitreolysis.|
|Floater Characteristics||Large floaters with a soft border, situated away from the retina, are ideally suited to treatment with vitreolysis.|
Vitreolysis Educational Brochure
Vitreolysis Educational Video
It’s Clear Skies Ahead
Video Interview with Con Moshegov, MD (Australia)
Also known as floater laser treatment, vitreolysis is a pain-free procedure that can eliminate the visual disturbance caused by floaters. It is performed in your ophthalmologist’s office and typically takes 20-60 minutes per treatment session. Watch this video interview with vitreolysis expert Dr. Con Moshegov, to learn more.
Don’t Let Eye Floaters Cloud Your Vision
Video Interview with Paul Singh, MD (USA)
If you suffer from vitreous strands and opacities (commonly referred to as “eye floaters”), then you are already familiar with the frustrating visual disturbance caused by these cobweb and cloud-like shadows. Vitreolysis is a non-invasive, pain-free procedure that can eliminate the visual disturbance caused by floaters. Watch the video interview with Dr. Paul Singh, MD, to learn more.