YAG LASER VITREOLYSIS FOR SYMPTOMATIC VITREOUS FLOATERS
Vitreous ﬂoater is a physically common phenomenon with aging and is related to visual impairment and decrease of quality of life. YAG vitreolysisis supposed to be an option for resolving ﬂoaters, but its clinical eﬃcacy is undeﬁned. The study included 50 patients (65 eyes) with vitreous ﬂoaters. Men were 30 people (39 eyes), women - 20 people (26 eyes). Before and after surgical treatment, all patients underwent standard ophthalmological examination: visometry, refractometry, tonometry, biomicroscopy, biomicroophthalmoscopy, and ultrasound B-scan. YAG-laser vitreolysis was performed using the “Ultra Q Reflex” laser machine. No severe YAG laser vitreolysis procedure-related complications occurred in all patients. 6 months after treatment, compared with condition before treatment, most patients reported a significant improvement in central and peripheral vision. Postoperative survey revealed that 4 eyes (6%) showed no improvement, 22 eyes (34%) showed partial success, 27 eyes (42%) showed significant success, and 12 eyes (18%) showed complete disappearance of symptoms. Thus, in 94% of cases, patients reported improvement. In ophthalmic biomicroscopy, in the majority of patients were the absence or significant decrease of vitreous floaters. B-scan showed a decrease in the number and echogenicity of floating opacities in the vitreous body. Objective improvement after 6 months after treatment was observed in 61 eyes (94%). Vitreolysis with filamentous destruction of the vitreous body is a safe and effective procedure that allows you to increase visual acuity, save patients from sometimes painful complaints, and eventually improve the quality of life.