Home Home
Floaters, FDA:
Floater Types-Success Floater Types-Success
F.D.A. and Floaters F.D.A. and Floaters
Cost and Candidate:
Cost and Insurance Cost and Insurance
Candidate? Candidate?
Young Patients Young Patients
Laser Treatment:
Our Procedure Our Procedure
Before/After Photos Before/After Photos
Science Background Science Background
Patient Testimonials Patient Testimonials
Our Contributions Our Contributions
Why Few Doctors Why Few Doctors
Benefits and Risks Benefits and Risks
Our Floater Study Our Floater Study
Protecting the retina Protecting the retina
Operative Permit Operative Permit
Our Equipment:
Our Laser Our Laser
Our Contact Lenses Our Contact Lenses
Other Treatment:
Vitrectomy Vitrectomy
More Information:
Our Book Our Book
Eleven Most Interesting Cases Eleven Most Interesting Cases
World literature listing World literature listing
Links Links
Seeing Dr. Karickhoff:
Exam. In Your City Exam. In Your City
You In Our Office You In Our Office
International Patients International Patients
Map, Airports, Airlines, Train, Motels, Subway Map, Airports, Airlines, Train, Motels, Subway
Fun In Falls Church Fun In Falls Church
Seeing Washington Seeing Washington
Your Surgeon:
Know Dr. Karickhoff - Beyond Floaters Know Dr. Karickhoff - Beyond Floaters
Audio Greeting from Dr. Karickhoff Audio Greeting from Dr. Karickhoff
Our Goals Our Goals
Our Laser Experience Our Laser Experience
Our Gallery Our Gallery
Our Firsts Our Firsts
Ocular Innovation:
Why Innovate? Why Innovate?
Dr. K's Unique Career in Innovation, Photos & his Curriculum Vitae Dr. K's Unique Career in Innovation, Photos & his Curriculum Vitae
Dr. K's Video On Innovation Basics Dr. K's Video On Innovation Basics
Ocular Innovation Awards Ocular Innovation Awards
Dr. K. on Advanced Innovation Tasks (for doctors) Dr. K. on Advanced Innovation Tasks (for doctors)
Contact Us Contact Us

            In 1990 a carpenter complained of something blocking the vision of his right eye.  Examination revealed a long floater tightly suspended across his central vision by a thin vitreous strand coming from 12 o’clock.  The logical approach would be to cut the suspending strand. 


            Cutting the strand with intraocular scissors could be done, but the chance of a complication would be high.  Although I had never tried to cut a suspensory strand with a YAG laser which is normally used for opening membranes after cataract surgery, it could be tried.  It would be my first laser treatment of a floater.  So, using the laser, I very carefully focused on the suspensory strand and fired the laser once.  I relaxed a few seconds.  In preparing for the second shot, I looked and looked but could not find the floater.  I assumed that for some unknown reason the optics were poor.  I was embarrassed to tell the patient we could not proceed because I had “lost” the floater.  I ended the procedure convinced that I could not have cured the situation with one shot,  and I had to find the floater tomorrow.

            The next morning the patient said the floater was entirely gone and his vision had returned to 20/20.  I did a lengthy examination of the center of his vision with different contact lenses and could not find his floater.  Thinking the floater had to be somewhere, I used the examining scope worn on my head, and the floater was found curled up like a corkscrew on the retina at the bottom of the eye, completely out of his central vision.     

            My conclusion was that, at least in this case, using the YAG laser was the easiest, fastest, and safest way to remove a floater in the line of sight.  I also learned in subsequent similar cases, to very carefully watch the floater immediately after the first shot and you will see it going toward the bottom of the eye during the next five seconds. 

            This “lost floater” encouraged me to explore further laser treatment of other floaters.

< Prev   Next >