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EYE FLOATERS. SCOTT GELLER, M.D. FORT MYERS, FLORIDA. ALTERNATIVE TREATMENTS AND PREVENTION . EYE FLOATERS. DEGENERATION OF THE VITREOUS BODY ONE OF THE MOST COMMON EYE FINDINGS ABOVE AGE 40 TECHNICALLY CALLED VITREOUS FLOATERS. EYE ANATOMY. WHAT IS THE VITREOUS?.

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eye floaters

EYE FLOATERS

SCOTT GELLER, M.D.

FORT MYERS, FLORIDA

ALTERNATIVE TREATMENTS

AND

PREVENTION

eye floaters2
EYE FLOATERS
  • DEGENERATION OF THE VITREOUS BODY
  • ONE OF THE MOST COMMON EYE FINDINGS ABOVE AGE 40
  • TECHNICALLY CALLED VITREOUS FLOATERS

Scott Geller, M.D. Fort Myers, Florida

eye anatomy
EYE ANATOMY

Scott Geller, M.D. Fort Myers, Florida

what is the vitreous
WHAT IS THE VITREOUS?
  • A COLLOIDAL GEL THAT OCCUPIES 85% OF THE EYES TOTAL VOLUME
  • 99% WATER

Scott Geller, M.D. Fort Myers, Florida

structural arrangement macro molecular constituents
STRUCTURAL ARRANGEMENTMACRO MOLECULAR CONSTITUENTS
  • COLLAGEN

STRUCTURE OF FIBRILLAR FRAMEWORK

  • ACID GLYCO PROTEINS
  • HYALURONIC ACID

COIL-LIKE CHAINS WITHIN COLLAGEONOUS

FRAMEWORK

  • HYALOID MEMBRANE

CONDENSATION OF COLLAGEN ENCASING THE VITREOUS BODY

Scott Geller, M.D. Fort Myers, Florida

normal vitreous
NORMAL VITREOUS

OPTICALLY CLEAR COMPLEX STRUCTURE OF POLYMORPHOUS NATURE

PSEUDO MEMBRANES AND PSEUDO FIBERS APPEARING AS MOVING FOLDS AND PLEATS

Scott Geller, M.D. Fort Myers, Florida

slide7

VITREOUS FUNCTION

  • SERVES AS A MEDIUM TO MAINTAIN THE PATH OF LIGHT BETWEEN THE LENS AND THE RETINA
  • FREE FROM DIFFUSING AND ABSORBING ELEMENTS

Scott Geller, M.D. Fort Myers, Florida

vitreous reactions merely degenerative
VITREOUS REACTIONSMERELY DEGENERATIVE
  • LIQUEFACTION
  • OPACIFICATION
  • SHRINKAGE

Scott Geller, M.D. Fort Myers, Florida

liquefaction syneresis
LIQUEFACTION(SYNERESIS)
  • CONVERSION OF GEL INTO A SOL
  • ASSOCIATED WITH OPACITIES FORMED BY COLLOIDAL MICELLAE
  • COLLAPSE OF COLLAGEN FRAMEWORK

Scott Geller, M.D. Fort Myers, Florida

slide11

VITREOUS SYNERESIS

Scott Geller, M.D. Fort Myers, Florida

slide12

FIBRILLAR DEGENERATIVE CLUMPS

Scott Geller, M.D. Fort Myers, Florida

slide13

FLOATERS

Scott Geller, M.D. Fort Myers, Florida

asteroid floaters
ASTEROID FLOATERS

Scott Geller, M.D. Fort Myers, Florida

posterior vitreous detachment
POSTERIOR VITREOUS DETACHMENT
  • COMMON AFTER AGE 40
  • COLLAPSE OF VITREOUS FRAMEWORK
  • CONDENSATION OF VITREOUS OPACITIES

Scott Geller, M.D. Fort Myers, Florida

slide17

CAN VITREOUS DEGENERATION BE PREVENTED/RETARDED?

Scott Geller, M.D. Fort Myers, Florida

slide18

MOLECULAR BONDS OF THE CLEAR VITREOUS FRAMEWORK CANNOT BE RESTORED AFTER VITREOUS COLLAPSE

Scott Geller, M.D. Fort Myers, Florida

vitamins
VITAMINS

FREE RADICAL DETOXIFIERS MAY RETARD THE DENATURATION OF PROTEIN

Scott Geller, M.D. Fort Myers, Florida

areds study
AREDS STUDY
  • ONLY SCIENTIFIC EVIDENCE AT THIS TIME SHOWING FREE RADICAL DETOXIFICATION CAN RETARD EYE DISEASE
  • CURRENT STUDIES ONLY RELATED TO MACULAR DEGENERATION

Scott Geller, M.D. Fort Myers, Florida

broken molecular bonds
BROKEN MOLECULAR BONDS
  • DENATURED PROTEIN CANNOT BE RESTORED TO ITS ORIGINAL STATE

Scott Geller, M.D. Fort Myers, Florida

vitrectomy
VITRECTOMY
  • TOTAL SURGICAL REMOVAL OF VITREOUS GEL
  • RADICAL SURGICAL SOLUTION WITH SECONDARY COMPLICATIONS

Scott Geller, M.D. Fort Myers, Florida

laser surgery
LASER SURGERY
  • RARELY USED ALTERNATIVE

TREATMENT

  • UNKNOWN TO MANY

OPTHAMOLOGISTS

  • OFFICE PROCEDURE

Scott Geller, M.D. Fort Myers, Florida

neodymium yag laser
NEODYMIUM-YAG LASER
  • INFRARED SPECTRUM
  • FOCUSED BEAM
  • ENERGY 4 - 6 MILLI JOULES
  • 200 - 600 SHOTS TOTAL
  • 1 - 3 TREATMENTS

Scott Geller, M.D. Fort Myers, Florida

treatment goals
TREATMENT GOALS
  • BREAK SUPPORTING STRANDS
  • DISRUPT HYALINE OPACITIES

AND RINGS

  • TEASE APART FIBRILLAR DEGENERATIVE CLUMPS

Scott Geller, M.D. Fort Myers, Florida

success rate
SUCCESS RATE
  • 90 - 95% - WEISS RINGS AND HYALINE OPACITIES
  • 80 - 90% - MID VITREOUS CLUMPS
  • 50 - 60% - YOUNGER PATIENTS WITH VITREOUS SYNERESIS

Scott Geller, M.D. Fort Myers, Florida

complications
COMPLICATIONS
  • ELEVATED INTRAOCULAR PRESSURE
  • CHROIDAL MICRO HEMORHAGE
  • RETINAL DETACHMENT
  • CATARACT

Scott Geller, M.D. Fort Myers, Florida

what can we conclude
WHAT CAN WE CONCLUDE
  • WE CANNOT REVERSE THE AGING PROCESS
  • NUTRITIONAL AND ENVIRONMENTAL FACTORS PLAY A LARGE PART
  • TRADITIONAL CURES ALMOST WORSE THAN THE DISEASE
  • LASER IS A VIABLE ALTERNATIVE

Scott Geller, M.D. Fort Myers, Florida