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"There's No Such Thing"
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Re: "There's No Such Thing"
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GotFloaters
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Sep 23 08 5:56 PM
Hello again. I'll jump right into the fray. I will be the first to say that Laser Treatment has it's limitations. Believe me, I would much rather do a LASIK procedure than the two or two and a half floater patients that it will take to earn the same amount of money. LASIK is fairly automated and is associated with a more predictable expected result. That said, I also find the laser treatment for floaters very gratifying for many reasons. A big part the satisfaction lies if the fact that so few of us are performing the procedure with any regularity. Although Dr. K and Dr. G are years ahead of me, the Floater treatment has become a big part of my practice. (I wish the LASIK was growing as fast as the Floater Treatments).
Patient satisfaction and self-assessed improvement is a subjective thing. After one or a few treatment I will ask my patients: "If you started out with 100% of your floaters, where are you now?" I think it is fair to say at the low end 60% and with the more ideal single isolated Weiss ring maybe 90-95+ percent improved. Honestly, there were a few patients, that after a couple treatments we elected not to proceed. Not because of complications, but it just didn't seem to improve. The patient was extremely anxious and high-strung and I didn't think we were emotionally equipped to continue multiple treatments with the very dense floaters that he had. In retrospect, he was probably a better candidate for a vitrectomy, which is what he eventually decided to pursue. That's part of my learning curve, which to evaluate the psychological profile of the patient along with the anatomical (size, density, etc. of the floaters).
Getting to mickozee's question about unlimited treatment, can every floater condition be treated? I will answer NO. Although you could theoretically keep chipping away at them , I don't know what the long term effects would be of the continued energy discharge in the eye. I think some people are better suited for a vitrectomy. There is a place for the laser, the vitrectomy, and sometimes the better choice is to do nothing. A good surgeon not only knows HOW to do a procedure, but also knows when NOT to do something. I hope that answers your question.
Regards, Dr. Johnson
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