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@natesp

I'm 38 years old and have experienced floaters since age 15. I always mention it when I have my annual eye exams and am always told that my eyes are fine and that I just have to deal with it. For over 20 years, that's what I've done. However, over the past several months, I've experienced a rapid worsening of my floaters (bigger, darker, more widespread) to the point where it quickly became far more than I could simply ignore. My optometrist ruled out retinal detachment and then sent me on my way. After another few weeks of hoping that it would improve, it's instead become even worse, almost unbearable. I've been unable to focus at work where staring at the computer screen increases my awareness of floaters significantly. When in the sun or even indoors with the lights on, my vision is like a snowglobe of floaters with blotches, squiggly lines, cobwebs, etc. Some larger floaters pass directly over the center of my field of vision causing very distracting blurring. It's created so much anxiety that I do everything I can to avoid any situation that increases my awareness of the symptoms from keeping my lights off, window curtains closed, and just staring at the ground when walking around in brightly lit environments. I fear this anxiety will eventually become worse and eventually lead to depression.
I read through this entire thread and became hopeful after learning of a well-respected retinal specialist in my area, Dr. Pollack in Hinsdale, IL. I just had my appointment with him today and was very nervous going in because I felt he may be my last hope. After a thorough examination, he explained to me again that there's no retinal detachment or PVD and that he can only see very little of what appears to be floaters. I felt I had just lost the last hope that I had that when he told me, what I feared he would, that it's best to just leave it alone and try to get used to it or hope that it gets better on it's own. I appreciated his honest opinion and understand there's only so much he or anyone else can ethically recommend. He acknowledged that just because he can't see something in someone's eyes doesn't always correlate to what the patient is experiencing. Having managed the symptoms of floaters for most of my life, I can say for certain that what I'm experiencing seems to be far worse than what shows up in an examination. I've researched the available treatment options, mainly YAG Laser which is questionably effective and risky, and vitrectomy which carries its own significant risks. I'm not desperate to try a risky surgical procedure, and he warned me that while I could likely find a surgeon that would agree to do it, I should avoid going that route. However, it has left me once again being told that my eyes are healthy and that the best and possibly only way to deal with these symptoms which are now increasingly negatively affecting my quality of life, is to simply try to ignore them, which has now become impossible.
I've read about a new technique using light-induced vapor nano-bubbles possibly becoming a safe and effective treatment, but that it will possibly be up to 10 years, if ever, before that becomes available. I've also read that low-dose atropine drops can help dilate the eyes just enough to reduce the perception of floaters without causing light sensitivity. I asked the doctor about that but he said he was not experienced with that option.
I hope that awareness spreads of this condition and its potentially debilitating symptoms and that some day soon we have a better option to treat it.

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Replies to "I'm 38 years old and have experienced floaters since age 15. I always mention it when..."

@natesp

Hello,

While I have not had FOV, I did have YAG laser about a month ago for corneal scars on my right bad eye. It was successful with no side effects and took about a minute. I have floaters but not nearly as debilitating as yours. I understand why you are wary of Vitrectomy or Vitreolysis …which is also a laser treatment but longer in time and may require a couple of treatments. . In the past I have had a detached retina and two cataract surgeries so I am wary of any further surgical treatments.

I can only suggest that you wear sunglasses most of the time, even indoors. You can get different tints for indoors and outdoors. That may help some. I will also suggest that taking an eye vitamin may help and also to really increase your intake of leafy green vegetables, like kale and spinach which are so beneficial to eye health. I ignore my floaters as you have done but have never experienced them so bad that they interfere with everyday activities.

Yours is not an easy decision and I hope you come across more people on this forum who have had experience with FOV.

FL Mary

I’ve made lots of entries in this thread.

My FOV on left eye in 2020 was largely successful and I expect to have one on my right eye late this year or early 2023.

BUT, my risk profile differs in that I am 63 and had a bad cataract in my left eye. You, on the other hand, are only 35 and an FOV MAY accelerate cataract development in that eye. Do you have any other conditions with the eye other than floaters (ex. myopia)?

Watch or listen to the doctors referenced by people in this thread. As I’ve said, Dr Jerry Sebag has some on-line videos of interviews and conferences defining and measuring contrast sensitivity that are very educational.

Good Luck!

I saw Dr Pollack years ago. I thought he was very dismissive and arrogant.

There are plenty of top retinal surgeons that are routinely doing vitrectomy surgery for floaters today.

I had the surgery yesterday in Charleston. It was quick and nearly painless.

I wouldn’t give up. Vitrectomy is very safe and very effective.