EYE%20FLOATERS - PowerPoint PPT Presentation
Title: EYE%20FLOATERS
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EYE FLOATERS
- ALTERNATIVE TREATMENTS
- AND
- PREVENTION
SCOTT GELLER, M.D. FORT MYERS, FLORIDA
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EYE FLOATERS
- DEGENERATION OF THE VITREOUS BODY
- ONE OF THE MOST COMMON EYE FINDINGS ABOVE AGE 40
- TECHNICALLY CALLED VITREOUS FLOATERS
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EYE ANATOMY
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WHAT IS THE VITREOUS?
- A COLLOIDAL GEL THAT OCCUPIES 85 OF THE EYES
TOTAL VOLUME - 99 WATER
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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
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NORMAL VITREOUS
- OPTICALLY CLEAR COMPLEX STRUCTURE OF
POLYMORPHOUS NATURE - PSEUDO MEMBRANES AND PSEUDO FIBERS APPEARING
AS MOVING FOLDS AND PLEATS
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VITREOUS FUNCTION
- SERVES AS A MEDIUM TO MAINTAIN THE PATH OF LIGHT
BETWEEN THE LENS AND THE RETINA - FREE FROM DIFFUSING AND ABSORBING ELEMENTS
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VITREOUS REACTIONSMERELY DEGENERATIVE
- LIQUEFACTION
- OPACIFICATION
- SHRINKAGE
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LIQUEFACTION(SYNERESIS)
- CONVERSION OF GEL INTO A SOL
- ASSOCIATED WITH OPACITIES FORMED BY COLLOIDAL
MICELLAE - COLLAPSE OF COLLAGEN FRAMEWORK
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VITREOUS SYNERESIS
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FIBRILLAR DEGENERATIVE CLUMPS
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FLOATERS
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ASTEROID FLOATERS
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POSTERIOR VITREOUS DETACHMENT
- COMMON AFTER AGE 40
- COLLAPSE OF VITREOUS FRAMEWORK
- CONDENSATION OF VITREOUS OPACITIES
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CAN VITREOUS DEGENERATION BE PREVENTED/RETARDED?
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MOLECULAR BONDS OF THE CLEAR VITREOUS FRAMEWORK
CANNOT BE RESTORED AFTER VITREOUS COLLAPSE
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VITAMINS
- FREE RADICAL DETOXIFIERS MAY RETARD THE
DENATURATION OF PROTEIN
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AREDS STUDY
- ONLY SCIENTIFIC EVIDENCE AT THIS TIME SHOWING
FREE RADICAL DETOXIFICATION CAN RETARD EYE
DISEASE - CURRENT STUDIES ONLY RELATED TO MACULAR
DEGENERATION
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BROKEN MOLECULAR BONDS
- DENATURED PROTEIN CANNOT BE RESTORED TO ITS
ORIGINAL STATE
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VITRECTOMY
- TOTAL SURGICAL REMOVAL OF VITREOUS GEL
- RADICAL SURGICAL SOLUTION WITH SECONDARY
COMPLICATIONS
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LASER SURGERY
- RARELY USED ALTERNATIVE
- TREATMENT
- UNKNOWN TO MANY
- OPTHAMOLOGISTS
- OFFICE PROCEDURE
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NEODYMIUM-YAG LASER
- INFRARED SPECTRUM
- FOCUSED BEAM
- ENERGY 4 - 6 MILLI JOULES
- 200 - 600 SHOTS TOTAL
- 1 - 3 TREATMENTS
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TREATMENT GOALS
- BREAK SUPPORTING STRANDS
- DISRUPT HYALINE OPACITIES
- AND RINGS
- TEASE APART FIBRILLAR DEGENERATIVE CLUMPS
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SUCCESS RATE
- 90 - 95 - WEISS RINGS AND HYALINE OPACITIES
- 80 - 90 - MID VITREOUS CLUMPS
- 50 - 60 - YOUNGER PATIENTS WITH VITREOUS
SYNERESIS
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COMPLICATIONS
- ELEVATED INTRAOCULAR PRESSURE
- CHROIDAL MICRO HEMORHAGE
- RETINAL DETACHMENT
- CATARACT
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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
