$Unique_ID{BRK02478} $Pretitle{} $Title{How Do Lasers Cure Spots Before Your Eyes?} $Subject{seeing spots floating eyes eye retinal tear detachment images light nerve impulses visual retina eyeball vitreous body collagen fibers special procedure procedures laser operation operations see spot float tears image nerves impulse vision Uveitis} $Volume{P-21} $Log{ Pathology of Uveitis*0016201.scf} Copyright (c) 1992,1993 Tribune Media Services, Inc. How Do Lasers Cure Spots Before Your Eyes? ------------------------------------------------------------------------------ QUESTION: When mother complained about suddenly seeing lots of spots floating around before her eyes, she consulted her eye doctor who rushed her off to the hospital for immediate treatment. As he described it, he used a laser to "glue" the back of her eye back in place. She is doing fine now, but can you tell us what happened? We do not live in the same town as Mother and find it difficult to get the doctor on the phone. ------------------------------------------------------------------------------ ANSWER: Your Mother's problem was a retinal tear or detachment. The retina is the tissue at the back of the eye that translates the images of light into nerve impulses. When these impulses reach the brain, they are interpreted into the visual images we see. The retina is normally attached to the wall of the eyeball, which supplies it with oxygen and nutrients through small blood vessels. In front of the retina, we find the vitreous body, which is a firm, jelly like substance that fills a large portion of the ocular globe or eyeball. As we grow older, the vitreous becomes softer and may pull away from the retina causing a break or tear to occur. When fluid from the vitreous seeps through these breaks, it can cause the retina to detach from the wall of the eye. If the delicate nerve tissue of the retina loses contact with its nourishing arteries from the wall of the eyeball, it soon dies and vision is lost. The spots or floaters were composed of collagen fibers that tie the retina to the vitreous, and are a warning sign to the doctor that a tear in the retina may have occurred. Since early repair results in the best results, rapid treatment is most advisable. The laser beam passes through the clear parts of the eye, and is focused precisely on the edge of the tear. There, its intense heat causes a small burn, leading to the formation of a scar, which seals the tear, and fastens (or "glues") the retina back to the wall. This treatment is highly effective in preventing any additional vision loss, but sometimes must be repeated to obtain maximum results. ---------------- The material contained here is "FOR INFORMATION ONLY" and should not replace the counsel and advice of your personal physician. Promptly consulting your doctor is the best path to a quick and successful resolution of any medical problem.