EYE FLOATERS

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

2. 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

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

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

5. 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

6. 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

7. 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

8. VITREOUS REACTIONSMERELY DEGENERATIVE • LIQUEFACTION • OPACIFICATION • SHRINKAGE Scott Geller, M.D. Fort Myers, Florida

9. 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

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

11. VITREOUS SYNERESIS Scott Geller, M.D. Fort Myers, Florida

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

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

14. ASTEROID FLOATERS Scott Geller, M.D. Fort Myers, Florida

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

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

17. CAN VITREOUS DEGENERATION BE PREVENTED/RETARDED? Scott Geller, M.D. Fort Myers, Florida

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

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

20. 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

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

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

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

24. 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

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

26. 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

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

28. 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