Eye floater surgery with floater only vitrectomy (FOV) for removal of severe symptomatic chronic vitreous eye floaters.

A middle aged woman complained of an 18 month history of blurred vision and floaters.

Pre-op visual acuity = 6/9 (20/30)
Massive vitreous floaters were visible behind an intraocular lens.
The view of the retina was obscured by the floaters located in the visual axis.

Surgery consisted of a 25 gauge sutureless Floater Only Vitrectomy (FOV).

Post-op visual acuity = 6/6 (20/20)
No residual floaters were present and the retina was easily visualised.

Management options for symptomatic floaters include:
1. Conservative observation
2. YAG laser vitreolysis
3. Floater Only Vitrectomy (FOV)

Each option has pros & cons and the treatment should be tailored to the individual patient depending upon symptoms, clinical findings and personal preference after consultation with an experienced retinal surgeon.

The advantage of Floater Only Vitrectomy is complete or nearly complete removal of floaters and excellent symptom relief.
The risks of surgery include cataract (if cataract has not previously been performed), retinal detachment, infection, intraocular haemorrhage, macular oedema.

Surgery performed in 2016 by Dr Simon Chen, Vision Eye Institute, Sydney, Australia.
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Timestamps:

00:00 Case history & video showing massive floaters
00:34 Insertion of pars plana trocars & infusion line
00:47 Intra-operative view of massive floaters
01:02 Removal of floaters with high speed vitrectomy cutting probe
01:18 Confirmation of posterior vitreous detachment (PVD)
01:29 Peripheral vitreous base shaving to prevent vitreous frill & scleral indentation to exclude any peripheral retinal tears
01:43 Comparison of pre-op & post-op appearance

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