Wondering if anyone has had an FOV, Floaters Only Vitrectomy

Posted by susan2018 @susan2018, Mar 6, 2019

I am wondering if anyone has had an FOV, Floaters Only Vitrectomy, and would be willing to share their experiences. For at least two years I was plagued with the constant irritating presence of gauzy, wispy, moving clumps that would obscure my vision and make reading and driving a tiring challenge. Prior to this I had had cataract surgery and a lens exchange surgery. Many, many follow up appointments and a second opinion did not pinpoint a reason for my continuing complaints. Although I did not complain of dry eyes, I was led to believe that was my issue and was treated with Xiidra and then Restasis and then even both at the same time, with no improvement in my symptoms. Finally a follow up appointment with a new ophthalmologist in the practice and my description of what I was seeing led to a diagnosis of a degenerating vitreous and a referral to a vitreal surgeon. Last week I had a vitrectomy to remove the vitreous. Despite the after effects of the surgery, the next day when the eye patch and bandages came off, I could immediately tell that my vision in that eye had cleared. It has been such a relief! I am hoping my recovery is uneventful and am now anticipating following up with the surgeon to schedule the procedure on my other eye. Has anyone experienced a situation similar to mine? Why would my problem not be recognized and diagnosed sooner? I have wondered if I simply was not able to describe my symptoms well enough or if ophthalmologists tend not to recognize or acknowledge how debilitating the condition can be. I understand that over time and with age the vitreous does degenerate for all people. Do only a few people experience what I did during that process or are there many people experiencing it’s deleterious effects on their vision and are just living with it, or as in my case, are not able to get a diagnosis from their eye care providers? I should add that I am in my early 70s and was extremely nearsighted my entire life. Anyone out there experience what I did?

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I live in the Netherlands and I think I know the best eye surgeon for removing floaters only! My 2 eyes had massive floaters after catharact surgery! I went crazy. I saw elephants clouds you name it. Al grey and like shadows. It was horrendous. Dr Eric Lindstedt is really the most relaxed doctor for you all to do that surgery. Local anesthesia and within 20 minutes all the horrible vitreous was disappeared!! At the end he puts antibiotic so no chance for endophtalmitis . Wonderful. Don’ t hesitate. It will be one of the happiest days when you realize all the garbage has gone!

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Dear Susan,

I really like your experience and I am happy that everything was ok with your procedure. How are you now? is everything ok with your vision?

I am a 28 year old (non-american), I am in perfect health but being myopic it's been a few years that I struggle with vitreum floaters. In very busy times, I forgot about them and my life seems perfect. In other moments or when there is a lot of light, I see them a lot and they really disturb my vision.

I am researching about doing a vitreum operation in the U.S. to solve my problem. May I ask you where you undergone the operation? Please, I am very interested.

Thank you very very much

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@anita1954

I live in the Netherlands and I think I know the best eye surgeon for removing floaters only! My 2 eyes had massive floaters after catharact surgery! I went crazy. I saw elephants clouds you name it. Al grey and like shadows. It was horrendous. Dr Eric Lindstedt is really the most relaxed doctor for you all to do that surgery. Local anesthesia and within 20 minutes all the horrible vitreous was disappeared!! At the end he puts antibiotic so no chance for endophtalmitis . Wonderful. Don’ t hesitate. It will be one of the happiest days when you realize all the garbage has gone!

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Dear Anita, how are you? Can I ask you how I can contact Dr Landtstedt? His webpage is completely in dutch, and I only speak english. Thank you very much!

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My eye doctor said I had high pressure in my eyes. He did an iridotomy. After that my eye doctor said I am also a candidate for cataract surgery. I was 61 at the time. After the cataract surgery, I started seeing little spots and then it became worse and worse and worse and now I have a lot of floaters spiders, bacteria looking things but yet I have 2020 vision.

I am contemplating a vitrectomy, but I am very scared, can anyone tell me if they had any negative outcomes from the vitrectomy. I am also nervous about the healing process. I read a lot of things that said something about a gas bubble that you have to keep your head a certain way for two weeks. Any feedback would be wonderful thank.

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@bobbyo

Hi, I am scheduled for a Floaters Only Vitrectomy (FOV) and a concurrent Capsulotomy for Posterior Capsular Opacity (PCO) on my left eye on December 3rd. As I understand it, PCOs are very common in post cataract patients and capsulotomy is a simple YAG laser procedure. I was encouraged to go forward with the FOV by Dr. Sebag, on-line articles and my ophthalmologist/vitreo-retinal specialist. The surgery has been described as 99 percent effective and this runs similar to cataract surgery success profile. Also, the fact that I will have capsulotomy FIRST should afford me excellent chance of -0- floaters after the FOV.

Of course, I am very thankful to you for starting and expanding this discussion group. Your reports have been very helpful in my decision. I am very hopeful of a positive surgery result and I will be in touch. Happy Thanksgiving

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Can anybody tell me what a vitrectomy, mechanical pars plana approach means?

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Can you please tell me what the difference is between FOV Vitrectomy or a regular vitrectomy? Do they both remove the vitreous fluid?

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@glennmillerhypnosis

Can you please tell me what the difference is between FOV Vitrectomy or a regular vitrectomy? Do they both remove the vitreous fluid?

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FOV is an acronym for Floaters Only Vitrectomy. The procedure is a vitrectomy done for the sole purpose of removing the aggravating floaters from your field of vision and, thereby, improving your vision and life quality. Yes, the vitreous is removed (about 95 percent of it, anyway) and replaced with a saline solution. “Regular” vitrectomies are done in many other cicumstances than “floaters only.” For example, they are done for more emergent situations, like when someone has a detached retina, and the person is at risk of complete loss of sight.

Pars plana is the part of your eye where the surgeon enters the eye with ports and surgical instruments.

Of course, I am NOT a doctor and am just relating experiences the best I can. If you can, read all you can online or ask your ophthalmologist questions. I’ve had fair success (not perfect!) with FOVs and have documented those in detail in this discussion group over last 3 years. Good luck!

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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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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.

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@timbeaux

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.

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I’ll jump in once more. My surgeon has done many FOVs over many years and describes the risk as, almost, nil. A few surgeons, including mine, compare it to the risk of cataract surgery. ANY surgery has some risk, even if it is less than 1%.

I’ve had an FOV done on each eye and results are ok but not perfect. I have far fewer floaters than previously.

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Hello everyone--The blurring I am having after cataract surgery LAST January is confusing to describe--I get a flash blur when I move my eye....So one dr. says my my lens has a moving wobble, another says it could be a large floater....?????? I don't see anything "floating" around, only get this moment blur when I move my eye....
Can this description be a FLOATER??? So upset as to whom to believe and what to do. This is terribly uncomfortable and distracting. (another dr. says my brain with get used to it!) HELP

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