In patient younger than 35 years, tiny floaters near the retina can be almost impossible to find. Eventually, I did develop an invaluable method for finding these small floaters that requires the purchase of no new equipment.

In this Patient Assisted Method one shines a small beam of the slit lamp onto the retina using a flat-faced examining contact lens. Ask the patient to move their eye around and tell you when the troublesome floater is in or near the light. Then ask them to move their eye slightly while you search that area. You will see the floater go by. Follow the direction it went, and you will find it. Many good ideas in medicine are learned by serendipity. This valuable technique was learned while hunting for a small floater when the patient said, “The floater just passed through your light beam.”

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John Karickhoff, M.D. • 313 Park Avenue • Falls Church, VA 22046

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