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EYE FLOATERS ALTERNATIVE TREATMENTS AND PREVENTION SCOTT GELLER, M.D. FORT MYERS, FLORIDA.

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Presentation on theme: "EYE FLOATERS ALTERNATIVE TREATMENTS AND PREVENTION SCOTT GELLER, M.D. FORT MYERS, FLORIDA."— Presentation transcript:

1 EYE FLOATERS ALTERNATIVE TREATMENTS AND PREVENTION SCOTT GELLER, M.D. FORT MYERS, FLORIDA

2 Scott Geller, M.D. Fort Myers, Florida EYE FLOATERS DEGENERATION OF THE VITREOUS BODY ONE OF THE MOST COMMON EYE FINDINGS ABOVE AGE 40 TECHNICALLY CALLED VITREOUS FLOATERS

3 Scott Geller, M.D. Fort Myers, Florida EYE ANATOMY

4 Scott Geller, M.D. Fort Myers, Florida A COLLOIDAL GEL THAT OCCUPIES 85% OF THE EYES TOTAL VOLUME 99% WATER WHAT IS THE VITREOUS?

5 Scott Geller, M.D. Fort Myers, Florida STRUCTURAL ARRANGEMENT MACRO 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

6 Scott Geller, M.D. Fort Myers, Florida NORMAL VITREOUS OPTICALLY CLEAR COMPLEX STRUCTURE OF POLYMORPHOUS NATURE PSEUDO MEMBRANES AND PSEUDO FIBERS APPEARING AS MOVING FOLDS AND PLEATS

7 Scott Geller, M.D. Fort Myers, Florida SERVES AS A MEDIUM TO MAINTAIN THE PATH OF LIGHT BETWEEN THE LENS AND THE RETINA FREE FROM DIFFUSING AND ABSORBING ELEMENTS VITREOUS FUNCTION

8 Scott Geller, M.D. Fort Myers, Florida VITREOUS REACTIONS MERELY DEGENERATIVE LIQUEFACTION OPACIFICATION SHRINKAGE

9 Scott Geller, M.D. Fort Myers, Florida LIQUEFACTION (SYNERESIS) CONVERSION OF GEL INTO A SOL ASSOCIATED WITH OPACITIES FORMED BY COLLOIDAL MICELLAE COLLAPSE OF COLLAGEN FRAMEWORK

10 Scott Geller, M.D. Fort Myers, Florida

11 VITREOUS SYNERESIS

12 Scott Geller, M.D. Fort Myers, Florida FIBRILLAR DEGENERATIVE CLUMPS

13 Scott Geller, M.D. Fort Myers, Florida FLOATERS

14 ASTEROID FLOATERS

15 Scott Geller, M.D. Fort Myers, Florida POSTERIOR VITREOUS DETACHMENT COMMON AFTER AGE 40 COLLAPSE OF VITREOUS FRAMEWORK CONDENSATION OF VITREOUS OPACITIES

16 Scott Geller, M.D. Fort Myers, Florida

17 CAN VITREOUS DEGENERATION BE PREVENTED/RETARDED?

18 Scott Geller, M.D. Fort Myers, Florida MOLECULAR BONDS OF THE CLEAR VITREOUS FRAMEWORK CANNOT BE RESTORED AFTER VITREOUS COLLAPSE

19 Scott Geller, M.D. Fort Myers, Florida VITAMINS FREE RADICAL DETOXIFIERS MAY RETARD THE DENATURATION OF PROTEIN

20 Scott Geller, M.D. Fort Myers, Florida AREDS STUDY ONLY SCIENTIFIC EVIDENCE AT THIS TIME SHOWING FREE RADICAL DETOXIFICATION CAN RETARD EYE DISEASE CURRENT STUDIES ONLY RELATED TO MACULAR DEGENERATION

21 Scott Geller, M.D. Fort Myers, Florida BROKEN MOLECULAR BONDS DENATURED PROTEIN CANNOT BE RESTORED TO ITS ORIGINAL STATE

22 Scott Geller, M.D. Fort Myers, Florida VITRECTOMY TOTAL SURGICAL REMOVAL OF VITREOUS GEL RADICAL SURGICAL SOLUTION WITH SECONDARY COMPLICATIONS

23 Scott Geller, M.D. Fort Myers, Florida LASER SURGERY RARELY USED ALTERNATIVE TREATMENT UNKNOWN TO MANY OPTHAMOLOGISTS OFFICE PROCEDURE

24 Scott Geller, M.D. Fort Myers, Florida NEODYMIUM-YAG LASER INFRARED SPECTRUM FOCUSED BEAM ENERGY 4 - 6 MILLI JOULES 200 - 600 SHOTS TOTAL 1 - 3 TREATMENTS

25 Scott Geller, M.D. Fort Myers, Florida TREATMENT GOALS BREAK SUPPORTING STRANDS DISRUPT HYALINE OPACITIES AND RINGS TEASE APART FIBRILLAR DEGENERATIVE CLUMPS

26 Scott Geller, M.D. Fort Myers, Florida SUCCESS RATE 90 - 95% - WEISS RINGS AND HYALINE OPACITIES 80 - 90% - MID VITREOUS CLUMPS 50 - 60% - YOUNGER PATIENTS WITH VITREOUS SYNERESIS

27 Scott Geller, M.D. Fort Myers, Florida COMPLICATIONS ELEVATED INTRAOCULAR PRESSURE CHROIDAL MICRO HEMORHAGE RETINAL DETACHMENT CATARACT

28 Scott Geller, M.D. Fort Myers, Florida 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


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