Episode 64: Yag Laser for Floaters, Journal Club

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Drs. Yasha Modi, M. Ali Khan, and Ajay Kuriyan join Jay to discuss multiple recent publications in JAMA Ophthalmology regarding Yag laser for visually significant vitreous floaters.

1st Article: YAG Laser Vitreolysis vs Sham YAG Vitreolysis for Symptomatic Vitreous Floaters: A Randomized Clinical Trial. 

2nd article: YAG Laser Vitreolysis—Is It as Clear as It Seems?

3rd Article: Reported complications following laser vitreolysis 

 

You can find this episode and all prior episodes on our website (Retinapodcast.com).

 

######## Thanks to @Louie Cai for Episode Production and @Mike Venincasa for Episode Outline ########

[1:20] Introduction

[2:24] Article 1: “YAG Laser Vitreolysis vs Sham YAG Vitreolysis for Symptomatic Vitreous Floaters: A Randomized Clinical Trial.”  (see link above)

SUMMARY: YAG laser group did better in terms of patients’ subjective symptoms and in objective grading of floaters, but there was no difference in VA between the two groups. It was a small study, but had promising results.

[4:15] How will this study affect your practice?

[5:37] What did this study do well? What limitations did it have?

[7:50] Article 2: “YAG Laser Vitreolysis—is it as Clear as it Seems?” (see link above)

“As with any new procedure, an open mind with a healthy dose of skepticism is necessary.” Do you think that long term, this is something that will replace vitrectomy as an option?

[10:35] Article 3: “Reported Complications Following Laser Vitreolysis.” (see link above)

FINDINGS: Complications included glaucoma; cataracts, including posterior capsule defects requiring cataract surgery; retinal tear; retinal detachment; retinal hemorrhages; scotomas; and an increased number of floaters.

[12:10] Discussion of the limitations of the reporting system used in the study.

[14:30] Discussion of the application of this study in the provider setting.

[17:05] What was something you saw at ASRS that you found interesting or applicable to your practice?

[20:00] Last Word: Any thoughts on the Kyrie Irving trade to the Celtics?

[23:58] Conclusion

 

 

 

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