Episode 64: Yag Laser for Floaters, Journal Club


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:

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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