Our Book: Table of Contents

Name:: Laser Treatment of Eye Floaters
Author:: John R. Karickhoff, M.D.
Book Size:: 232 Pages
Illustrations:: 137
Publisher:: Washington Medical Publishing, LLC
Copyright Date:: 2005
Language:: English US
ISBN-10:: 0976897210
ISBN-13:: 978-0976897217

Overview

Introduction

Eye floaters and present treatment options

Pages: 13-17

Chapter 1: The Vitreous, Floater Formation, Floater Types, and Clinical Course

The vitreous...18
Floater formation...18
Floater types...20
Course of Floaters...22

Pages: 18-22

Chapter 2: Floater Treatment Options

Do nothing ("Learn to live with it.")...23
"Sunglasses"...23
"Herbal/medical"...24
Vitrectomy...25
Laser treatment...28
Why laser treatment is unknown...28

Pages: 18-22

Section: Clinical History and Examination for Laser Treatment

Chapter 3: Symptoms, Floater History, Justification for Treatment

Symptoms...31
Four factors in symptoms...31
Karickhoff symptom severity formula...32
Incorrect assumptions...33
Patients see what doctors can not...33
Floaters affect visual acuity...34
History...34
Justification for treatment...34

Pages: 31-34

Chapter 4: The Floater Examination

Pertinent data...36
The order...36
Karickhoff "Floater Finder"...37
Direct ophthalmoscope...37
Indirect ophthalmoscope...38
Contact lens...39
Hruby lens...39
+90 diopter hand held lens...39
Locating a floater with the Karickhoff Patient Assisted method...40
Macular test...41
Demonstrating the floater to the patient (Karickhoff method, commercial method)...42

Pages: 36-43

Chapter 5: History of Ocular YAG Lasers

Early history...44
Development of mode-locked (picosecond) YAG lasers...45
Development of Q-switched (nanosecond) YAG lasers...45

Pages: 44-47

Chapter 6: Simplified Explanation of Floater Vaporization

Using vaporization and obliteration...48
Optical breakdown and plasma formation...48
Similarity to a lightning strike...48
Conversion to a gas...49

Pages: 48-49

Chapter 7: Laser Physics of Floater Obliteration

How a laser works...50
Optical break-down in eye surgery...51
Plasma shields...52
Fundamental vs. the multimode operation...53
Continuous vs. pulsed emission...53
Nanosecond vs. picosecond lasers...54
Q-switching vs. mode-locking...54
Vaporization without burning...57

Pages: 50-59

Chapter 8: Laser Optics for Floater Treatment

Proper illumination...60
Aiming beams...61
Converging treatment beam...61

Pages: 60-61

Section: Clinical Studies of Floater Laser Treatment

Chapter 9: Informal Studies

Tsai...62
Geller...62
Delaney...62
Karickhoff...62

Pages: 62-63

Chapter 10: Our Formal Study Of 200 Consecutive Eligible Floater Cases

Done under the guidelines of the U.S. Food and Drug Administration and supervised by our hospital Institutional Review Board...64
Inclusion and exclusion criteria...65
The procedure...66
Monitoring procedures and statistical methods...66
Conclusions...68
Deficiencies of the Study...70

Pages: 64-70

Section: Benefits Risks Criteria Of Success

Chapter 11: Benefits Success And Risks Of The Procedure

92 per cent overall...71
Case selection...71
Two basic approaches to achieve success...71
Vision frequently improved one to three lines...71
Low risk procedure...71

Pages: 71-72

Section: Selecting Patients

Chapter 12: Surgical Indications And Contraindications

Indications...73
Contraindications...74
Relative contraindications (only good eye)...76

Pages: 73-76

Chapter 13: Young Patients With Floaters

Transparent threads...77
Syneresis clouds...77
Fibrin strands...77
Finding the floater...78
Karickhoff Patient Assisted Method...79

Pages: 77-79

Section: The Procedure

Chapter 14: The Procedure And Discussion Of It Before During And After

Discussing the vitreous face...80
Discussing multiple floaters...80
Discussing gas bubbles...81
Evaluation and procedure plan...81
Which eye first...81
The procedure...82
Post-operative instructions...83

Pages: 80-83

Chapter 15: How Other Eye Structures Affect The Procedure

Cornea (RK and LASIK)...84
The lens...85
Small posterior capsulotomy...85
Contracted anterior capsule...86
Cataract...86
Intraocular lens...87
Multifocal intraocular lens...87
Intraocular contact lens...88
Floaters near the lens...88
Iris...88
Floaters near the retina...89
Vitreous...89

Pages: 84-90

Chapter 16: Treatment General Concepts 20 Floater Types And Techniques

General concepts...91
Obtaining optical breakdown...94
Non-fibrous floaters...95
Fibrous floaters...96
Weiss rings...97
16 techniques for Weiss rings...104
Very small floaters...108
Fan-shaped floaters...108
Peripheral floaters...109
Syneresis floaters...110
Non-suspended syneresis floaters...110
Suspended syneresis floaters...111
Syneresis cloud hidden below...112
Weiss ring-syneresis cloud combination ("Floater Duet")...113
Tiny, white 114
Floaters from retinal cryopexy and the argon laser...114
Floaters in high myopia...115
Laser floater treatment following vitrectomy...115
Asteroid hyalosis treatment...115

Pages: 91-115

Chapter 17: Technical Difficulties

Aiming problems...116
Difficulty seeing the floater...116
Losing the floater...116
Low brow...117

Pages: 116-117

Section: Safety And Avoiding Complications

Chapter 18: The U S Food And Drug Administration And Floaters

Dr. Karickhoff's application and approval...118
FDA policy...119

Pages: 118-119

Chapter 19: Retinal Protection

Historical lack of retinal detachments...120
Eight ways the retina is protected...120

Pages: 120-121

Chapter 20: Avoiding Complications

General lack of complications...122
General rules...122
Preventing pain...123
Preventing corneal complications...123
Preventing contact lens problems...124
Preventing gonio fluid complications...125
Preventing elevated pressure...125
Preventing retinal damage...129
Preventing retinal hemorrhage...131
Preventing macular damage...134
Absence of retinal detachments...134
Preventing cataract formation...135
No accelerated vitreous degeneration...136

Pages: 122-136

Chapter 21: Follow Up Retreatment

Examination immediately after treatment...137
Examination the day after treatment...137
Re-treatments...138
Follow up examinations...138

Pages: 137-138

Section: Equipment

Chapter 22: Selection Of A Laser

Pages: 139-149

Chapter 23: Selection Of Diagnostic And Surgical Contact Lenses Designing A Surgical Contact Lens

Diagnostic contact lenses...149
Karickhoff Laser lens...149
Fundus Laser Lens...149
General concepts of treatment lenses...150
Seven treatment lenses...151
Karickhoff 21 mm. lens...151
Karickhoff Off-Axis lens...152
Peyman 12, 18, and 25 mm. lenses...153
Lasag CGV lens...154
Abraham posterior capsulotomy lens...155
Abraham iridotomy lens...156
Designing a surgical contact lens...157

Pages: 149-158

Chapter 24: Selecting Making Diluting Gonioscopic Fluid

Problems with gonioscopic fluids...159
Methylcellulose vs. Ethylcellulose...160
Gonioscopic fluid substitutes...162
Making gonioscopic fluid...162
Diluting methylcellulose...163
Air bubbles in the gonioscopic fluid...163

Pages: 159-163

Chapter 25: Other Equipment

Cameras and photographing floaters...164
Elbow support...166
Room light...167
Foot rest...167

Pages: 164-167

Chapter 26: Patient Satisfaction And 15 Memorable Cases

Pages: 168-171

Chapter 27: Future Use Of The YAG Laser In The Vitreous

Treatment of persistent vitreous hemorrhage...172
Treating macular holes and membranes...172
Treating subhyloid hemorrhage...172

Pages: 172-173

Appendix

Office work up form...174
Operative permit...175
Pre-operative instructions...176
Post-operative instructions...177
Explanation of multiple floaters...178
Summary of the world literature...179
Insurance codes...183
Karickhoff Floater Finder...184
One year follow up form...186
Karickhoff Flying Corpuscle Viewer TM (Macular function test when the macula can not be seen)...190
Karickhoff Simplified Outflow Facility Testing...194
Karickhoff Vitreous Treatment Lenses... 200
Designing the ideal laser for floater treatment...201
Dr. Karickhoff's contributions to laser treatment of floaters...205
Dr. Karickhoff's contributions to ophthalmology...207
Curriculum Vitae...210-226
About the Author...227

Pages: 174-227

Laser Treatment of Eye Floaters: Table of Contents