Big Algorithm: Types of Eye Floaters, Age Demographics, Treatment Options

Published 2023-10-29
This long form video covers A LOT of information you won't find anywhere else. First a breakdown of what is and isn't a floater and an easy way to determine that (and how to communicate it to your eye doctor: "It moves"), types of floaters as exogenous vs. endogenous, and the very important age demographic considerations that will likely determine which of the four treatment options might be available to you.
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The Floater Doctor, James H. Johnson M.D. is Medical Director of the only medical practice in the world specializing in, and exclusively treating eye floaters, the bothersome spots, shadows, and clouds that affect your vision. Although common, especially changes such as posterior vitreous detachment (PVDs) as we age, these vitreous eye floaters are rarely offered treatment by your local and well qualified eye care providers, even at top specialty institutions. Dr. Johnson uses a specialized FDA-approved YAG laser to vaporize and destroy the proteins in the vitreous that are responsible for your spots, shadows, and moving blurred areas in your vision. He has been doing so since 2007 making him one of, if not the most experienced in this very specialty niche area in ophthalmology, a pioneer in this field.

Links you may be interested in:
► MAIN WEBSITE INTRO: www.TheFloaterDoctor.com/practice-intro
► FAQs: www.thefloaterdoctor.com/faqs
► TREATMENT OPTIONS: www.TheFloaterDoctor.com/treatment-options
► THE YAG LASER: : www.TheFloaterDoctor.com/the-yag-laser
► WHY AREN'T MORE DOCTORS TREATING EYE FLOATERS www.thefloaterdoctor.com/why-so-few-doctors-treati…
►CHOOSE YOUR DOCTOR CAREFULLY www.thefloaterdoctor.com/choose-carefully
►YOUNGER PERSON WITH FLOATER? www.thefloaterdoctor.com/younger-patient
►THE EVALUATION AND TREATMENT VISIT | WHAT TO EXPECT: www.thefloaterdoctor.com/evaluation-consult-appt
►LOW DOSE ATROPINE: www.thefloaterdoctor.com/pupil-dilating-agents



MEDICAL ADVICE DISCLAIMER: All content in this video and description including: information, opinions, content, references and links is for informational purposes only. The Author does not provide any medical advice on the Site. Accessing, viewing, reading or otherwise using this content does NOT create a physician-patient relationship between you and it’s author. Providing personal or medical information to the Dr. Johnson does not create a physician-patient relationship between you and the Dr. Johnson. Nothing contained in this video or it’s description is intended to establish a physician-patient relationship, to replace the services of a trained physician or healthcare professional, or otherwise to be a substitute for professional medical advice, diagnosis, or treatment. You should consult a licensed physician or appropriately credentialed healthcare worker in your community in all matters relating to your health.

All Comments (21)
  • I’m an optometrist in San Antonio and I’ve mentioned your practice to many of my patients who have problems with floaters. Glad you’re in Texas now! Thank you! Michael Cerean, O.D.
  • @rtjfamily
    Really amazing to have someone so interested and involved in the space.
  • @mcknz75
    Very grateful for the improvement I have seen after visiting you earlier this year for a pesky blob. I was in that mid-30's youngish crowd at onset. 48 now.
  • @09Mask
    Phenomenal presentation. I truly appreciate how you focus on the impact and daily experience of the patient. It's difficult for those who don't experience these to appreciate the way these affect daily, seemingly simple activities.
  • @PaulTheadra
    I have PTSD, the floaters have become fear inducing when it feels like someone has snuck up on me. The floaters have only gotten worse in the last 3 months. My PCP says it's part of growing older. Thank you for the breakdown and pathology.
  • @ytaifriend
    Appreciate the clear decision-making pathway for floaters treatments. Having a doctor like you is fantastic—talented and dedicated to your expertise. The local doctor I tried was disappointing. You're undoubtedly among the best in treating floaters. Eagerly anticipating becoming your patient, I'm willing to travel for both the treatment and the chance to talk about all of this, doubts, expectation, etc. I enjoy to be part of this process apart from merengly just be treated...
  • @michaelwang3243
    Really appreciate the world have someone like you really understand the patient. Got some transparent floaters since I was a kid but just found them in blue bright sky, but saw more of them in front of my monitor several weeks ago and I'm just almost 25 only, It is frustrated this happened to me cuz its ruined all the joy that I have (video games, movie, anime, don't have any hobby except those). Can't imagine those who have more serious symptoms than me, how they survive. But the most irony thing is, the promotion of SMILE or lassik for myopia is every where, which something that a gasses can fix it perfectly, and for floater patient, nobody give a shit. Not to mention there are many people complains that SMILE cause floater and other problem. Hope better treatments come to floaters patient one day
  • Hi doctor Great video explaining this problem in the best way 👏🏻 My right eye have developed an eye floaters within less than 3 months especially the last month the number of floaters have increased ( almost X5 )including few significant floaters can be seen all time in day light or a lightened room I have seen a doctor 2 months ago but my eyes were fine + 2 years ago i started seeing a very thin shadow in my both eyes in the extreme corners but it did not get worse Based on your experience what is my problem ( most likely )
  • @dann6108
    it started when i was 15 years old and there is this one eye floater in my left eye that followed my eye and it annoys me i even notice it when my eyes are closed when im outside. its been since august when i noticed it i thought it would be gone by now in november.
  • @astrostar49
    Hey doc. Thanks for the insightful, and informative videos. I see you are located in Arlington, Texas now. I'm an American living in Hong Kong. Ever handle any international patients that want to decide to come all the way over? I'm 36, and just got a sweeping floater starting a month ago. It really bothers me as I work at a desk most days for hours on white paper (I'm an artist). Visited a local ophthalmologist, but he essentially said my eyes were fine, and not to worry about the floaters. Don't think he really understood my concern level though, especially since my current livelihood is on the line. I'm in the process of trying to really focus on my diet+fitness level more, but if I ever need to see you from this far away can we talk about it in depth? This is starting to really drive me nutty, and I'm nervous for the future. Thanks again.
  • @huntercoleman460
    Hello doctor. I’m 23 years old and have been dealing with floaters for nearly a year now. They’re translucent threads. I mean I saw them as a kid but they would disappear after a few minutes. Basically I stood up one time, had kind of like a firefly show with lights buzzing around, and I’ve had floaters ever since. I went to an eye doctor and they saw no signs of a retinal tear. I think I may be a candidate for your low does atropine drops since when I had my eyes dilated, I didn’t see my floaters. I know I’m unlikely a candidate for the laser because of my age but I have some questions like is it true that floaters will drift away from my field of vision as I get older and have you told other eye doctors about how helpful your drops have been? Also I kind of came up with an idea. Now I’m not in the medical field but it’s a thought like you know how you blow air into say a fish tank, it moves things around to different place. How about creating a tube to insert into the eye and try to blow the floaters away from the retina to a place they’re less noticeable and bothersome?
  • Thanks so much Doc for this... what are your "off the record" hypotheses for why floaters appear in the first place?
  • @gerardmoran
    If I was a candidate for laser vitreolysis (which I believe I might be. 35M, PVD), and wanted you specifically to do it, what is the estimated waiting list time I could expect to be treated?. Thanks for the thorough video!
  • Hey doc! Are there any treatment for the eye floaters that are in the center of the vision? I’m 20 and I have this annoying floater that looks like a “Y” and it’s bothersome to the point where I hate going outdoors because of these annoying pests 😢 I even think about vitrectomy surgery because I can’t take it anymore with these annoying floaters are killing me mentally and emotionally, It has ruined me in many different ways
  • hi doctor, im 28,I have noticed a significant increase in floaters in my vision, which first occurred two weeks after a long flight (11+2 hours). The same thing happened the second time I took a long flight. I am wondering if there could be any impact from the flights causing this issue?
  • @focus0000000
    thank you for such an amazing presentation doctor, i have a question, is there anything i can do to prevent the development of more floaters or more severe types of floaters? i only have a young person floaters thus far, they already affect my mental health substantially tbh, very afraid of it getting even worse. i sit a lot in front of a computer monitor, maybe i should go outside more in the sun or idk, i heard floaters get worse with myopia, i have -1.0D on both eyes 32yo, thanks again! edit: does wearing sunglasses help in preventing any of it in some way or it doesnt really matter? is there a cause for floaters or any candidates out there?
  • Aslam o alaekom doc, i wanted to ask about flickering in vision. It usually happens after waking up for some minutes or going from pitch black after sitting for some time to light. And i first noticed this 1 year and about 2 months ago it didn't get worse.( Edit: some amount of flickering is happening almost all the time since day before tomorrow although i just woke up and it is very little compared to before i am sick for past couple of days maybe thats why Also i have some eye floaters from birth possibly genetic my whole family has it but they have increased in number a little bit.if i close my eyes 90% and look broght sunny sky I can see some kind of flowing liquid