| If you are under 35 years of age, please read this :
Many patients under 35 ( especially post LASIK ) have floaters that are often untreatable by laser, usually because they are extremely close to the retina in a potential space called the 'pre-macular bursa'. And these patients had been told by their ophthalmologist that they could 'see the floater' and that the floater(s) was 'xx millimeters from the retina'.
The unfortunate fact is that these floaters are impossible to see with the usual examination methods.
The only way of examining the vitreous is with a Goldmann Examination Lens to check for floaters in the pre-macular bursa.
These floaters are particularly annoying since they are usually trapped in the central 20 degrees of the visual field, and appear quite large due to their proximity to they retina. But their actual size is often no more than 100 microns ( 0.0100mm ).
Even if your ophthalmologist says he 'sees the floater', if he hasn't used the Goldmann Lens ( it is physically placed on the surface [cornea] of the eyeball ) he is usually wrong in patients under 35. We know this from our experience with hundreds of patients who've had the same story.
What do I suggest? Before you go in for an exam, ask your ophthalmologist if he would agree to examine the vitreous with a Goldmann Lens. And ask him to call me (SG MD ) prior to the exam so I can explain exactly what he's looking for.........many ophthalmologists have never seen or paid attention to this type of micro ( but large to the patient ) floater.
We urge you to take this step, as many patients have come from all over the World, only to be disappointed after a proper evaluation by me....
SG MD june 2010
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