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weiss rings

Hi:  Do the weiss rings go away in time?  I did have my pvd; no retinal tears and no detachment; how often should we get our retinas checked; and when it wiggles more is it liquifying more?  Thanks for any help doctor; this is barb again.


This discussion is related to Difference bewteen Weiss Ring and pressure Phosphene.
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Avatar universal
No one is threatening you, everyone is doing their best to help.  I'm done now.
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Me too
Avatar universal
I read that post - again, I get that you're frustrated.  I would be too.

Dr. Hagan can be a little gruff when we don't listen to him, but we're very  lucky to have him here.  I've seen the kinds of questions he patiently answers, over and over and over again.  :-)  And I think he's posted that he has floaters himself, so he has personal experience.

My only advice is, as someone who has had two vitrectomies in the past year, I wouldn't rush into one.  My first vitrectomy caused a cataract and a huge epiretinal membrane.  I then had the second vitrectomy to peel the ERM and at the same time had an IOL implanted.  I had a significant refractive error in the IOL that required me to recently have PRK.  And while my vision is much better after the ERM peel (and the IOL, and the PRK), it is still distorted, somewhat fuzzy and the images are a different size from my other eye.  Now I can't see with glasses, I have to either wear a contact lens almost full time or get an IOL in the other eye, even though the cataract there wouldn't otherwise require it.  

I would try very, very hard to live with floaters before subjecting myself voluntarily to a vitrectomy.

Good luck with other treatments, I hope they work for you.  Keep us updated.
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I am not going for virectomy , or any invasive treatment. I just do not see any good doctors to give practical advice . Do you understand ???? My mother had some medication for floater and it cured her ?? O. K. ? You may believe or not. But i believe more my mother then all the doctors. Reading here only frustrates me more. I thought I will get some practical advice but all I get standard pharses and threats.
Avatar universal
Please read: "Eye Care Expert Forum Doctors Without Compassion" I agree 100% with "east coast male". It one of the sections here.  Doctors do not care about sufferers.
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I was coping with it better last year. Now is gone worse!!!!!!! So I am looking for alternative treatment. My mother had treatment for  a floter and it worked, so it is going to work for me. I trust my mother.
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So why the doctors are not giving practical advice how to cope with it ?????
What a point to have forum and discuss anything ?
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Avatar universal
Look, I've had very bad run of luck this last year with my vision, so I get the frustration.  All people are saying is, sorry it *****, but there are limited treatment options and they have serious risk, so the best option you have may be to try to calm down and live with it.  It's your choice what to do.  That's what I've done - made the best choices I can along the way given the options that are available.

Just because you and others find the symptoms intolerable doesn't mean there's much you can do about it.  Hopefully medical science will come up with a better treatment for floaters.
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Avatar universal
Neuroadaptation does work for many people, but perhaps not all.  One thing is for sure, it takes time.  I don't recall you saying how long you have suffered from floaters, but perhaps you need to give it some more time.  

Clearly, you have already researched Floaters Only Vitrectomy (FOV). It is certainly an option, but it carries very real risks including cataract development, and -- more concerning -- risk of retinal damage.  

I had a vitrectomy, not for FOV, but to remedy complications from cataract surgery.  Did it significantly reduce my floaters?  Yes.  Was it without risk? No. I subsequently had two retinal tears within 14 months.  Both events required cryopexy (freezing of the damaged retina), and pneumoretinopexy (a gas bubble injected into the eye) which required me to sit up for a week with my head at a 45 degree angle.  This was followed by laser photocoagulation (circular laser spot welding around the tear.)  Very frightening business.  Fortunately, I was lucky, I avoided a retinal detachment.  However, each tear resulted in a residual shadow in my peripheral vision.

So...you either live with it, or find a doctor who is willing to perform an FOV.  If you choose that route, consider the very real possibility of serious complications.  

Best wishes.


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3 Comments
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How we perceive floaters and Weiss Ring depends on: the position of the floaters in the eye and of the light direction. Depends on the time of the year. Winter is the worst time , because the sun rays are low.  Summer is better, is less shadows from floaters, and in the nature are deeper shadows. Also it is easer in the town where are tall buildings and there is a movement of cars, people, so the moving Weiss Ring blends with the movements in the streets. It is nothing to do with "neuroadaptation". It is the environment: the direction of light, the movement, the back ground lighting, The worst is reflected light. The other thing is the position of the Weiss Ring. If it is on the perifery it is easer to cope. I was coping well in the summer of 2014. Now the Weiss ring moved down and more to my central vision and is seen all the time. Became bigger. Also now is pulling huge cloud. Year ago, the cloud was faint , and hardly visible. So where is the the "neuroadaptation" i "improvement" ???? . Also , if you are older and live in dark house, do not work , you can cope better. And now attitude of doctors. In the english speaking world doctors are rude about peoples' suffering, ( culture of "stiff upper lip") Culture of success in USA. Doctors are and not helpful, not answering questions, and send suffering patients to psychiatrists. I found it offending.  I found it quite often of various forums. There is a professor of ophtalmology in Europe, who explains very well the various reasons of forming floaters. He has got lot of practical experience. He explains how to cope. Unfortunately he is retired. I know there is an alternative treatment in Europe I am going for it. I am not going to write here any more. I can only get depressed from reading comments here.
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Avatar universal
I don't think Dr. Hagan is suggesting that you can't see it, or that you have to suffer or be quiet.  However, just because you perceive your symptoms as intolerable doesn't mean that most people do, or that an adjustment in perception might not help you to live with them better. Given current techology's limited ability to treat floaters (and the serious risk in a floater-only vitrectomy), most folks would probably be better off learning to live in peace with them to the best of their ability.

After multiple surgeries the vision in my left eye is impaired, but unless I close my other eye and focus on it I don't notice it.  Despite the significant difference in sizes of the images from both eyes and the distortion in my left eye, my brain quickly learned to knit the two images together and toss out most of the "bad" data.  So I can attest, neuroadaptation does exist.  

Another example - I have tinnitus, so I can constantly hear a very high-pitched (and rather loud) noise in both ears.  But there's no effective treatment, and most of the time my brain just tunes it out.  If I focus on it it drives me nuts - so I try not to focus on it.  And that helps.

Good luck!

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3 Comments
Chazas thanks for the additional explanations and insights. Hopefully it 'clicks' with him.
Chazas, most people find symptoms intorable. Please read opinios, read how the doctors are answering.
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Avatar universal
Thank you very much. So, according to you, we have to suffer and be quiet. But there is an alternative treatment in continental Europe ( there is different attitude to patients) more medicines and treatments not available in the english speaking world.

Thank you very much for all your help.
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1 Comments
Best of luck
Avatar universal
And the psychologist or psychiatrist will erase my Weiss Ring with a "magic wand"  ??? Thank you. I am not going to write here any more.
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6 Comments
For anyone with a Weiss Ring wandering into this discussion thread know that Peronegro's experience and attitude are not typical. To summarize the Weiss Ring is where the vitreous attaches around the optic nerve during a posterior vitreous detachment it may pull lose and it creates a floater much larger than the typical floater. HOWEVER in many cases is sinks to the bottom of the eye and is not seen by the person or due to neuroadaptation the brain tunes it out and it fades into subconsciousness. I have had a huge Weiss ring for about 5-6 years and this happened to me. Also very frequently in my ophthalmology office I see huge Weiss rings in the eye during an exam and the patient is totally unaware of it even though its in the visual axis.  Like any physicial symptom a Weiss ring will bother people with high levels of anxiety, depression and OCD more than individuals without these problems.  JCH MD
I do not suffer from any depression, anxiety or OCD. I only describe what I see. How something what I see can fade to subconsciousness ?????
Read british site "One clear vision" what people think about the attitude of doctors.

"Floaters have seriously diminished my quality of life for more than thirty years now… I have the impression ophthalmologists collectively don’t take this problem seriously. I have encountered nothing but total indifference."
I am withdrawing from this site. Sorry.
Doctor Hagan  please read for yourself various sites, then you will see how people suffer and have nobody to turn to.  I am not going to discuss any more.
These are a series of articles on studies by ophthalmologists that discuss how serious floaters are to people. I posted them to this website and my blog in 2015: http://www.medhelp.org/user_journals/show/1648108/FLOATERS--THE-QUALITY-OF-LIFE-LATEST-INFORMATION
Avatar universal
I do not need psychologist, I know what I see. I am not the only one. Thank you for your kind advice.
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No, I know what I can see. I am not the only one. Thank you.
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Avatar universal
You cannot ignore it. It is there. It is very serious problem. There is no such a thing "neuro-adaptation" Even if for a while , you forget about it , it always comes back. My Weiss ring is pulling huge cloud with it, it is fine, but I see the eges. It is a hell. Most people with floaters and weiss ring  have clinical depression. Doctors are just trying to play it down. It has to be taken seriously by the medical profession.
It is completely life changing and you cannot work with it. It is different if you are +80 and live in Old People's Home, where is dark and not do very much, but you cannot work with it.  Please read people's comments how they suffer. All this talk, "you can tune it out" is rubbish. You cannot, it is there.
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You are wrong on so many levels. Suggest you see a psychiatrist or psychologist to deal with your anxiety, depression and OCD.  Best of luck
Avatar universal
Yes , it is a hell. The doctors are saying that: "after while you do not see it". It is complete rubbish. Tha doctors only wants us suferers to be quiet. Living with Weiss ring is a HELL.
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1 Comments
That is not the case. I have a huge Weiss Ring in my right eye and its been there for about 5 years. What physicians say is "Sometimes a Weiss ring will drop to the bottom of the eye and out of sight (mine didn't) at other times the mind learns to ignore the Weiss Ring most times (unless you go looking for it). This is what happened to mine. It's always there but most of the time it slips into being unaware of it due to neuro-adaptation.  There is no 'good option' surgery to remove (vitrectomy) is expensive, has lots of risks, causes cataracts and doesn't always work. Yag laser disrpution of the Weiss Ring often does not work, has some risks and expense and cannot be done if the Weiss Ring is near some parts of the eye.   JCH MD
Avatar universal
This has not been my experience. I am 5 months into a PV
D in right eye. Have a Weiss ring that has not faded one bit and no, my brain cannot tune it out. It is constantly bobbing in and out of central vision. Very discouraging and life altering.
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Avatar universal
Thank you Dr. Oyakawa!  I have a 3 ring weiss ring in my left eye; it is fading in color all the time; thanks for helping me out; i wish we did not have to go through this but we do.  :)
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711220 tn?1251891127
MEDICAL PROFESSIONAL
They never go away but most people do not notice them after a while.  They are more easily seen white backgrounds.
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