YAG vitreolysis is a laser treatment aimed at breaking up bothersome vitreous opacities, often called floaters, to make them less noticeable. It is reserved for carefully selected patients.
Who might be considered
Most floaters are best managed with reassurance, but some people have large, persistent opacities that significantly disturb everyday vision.
- Stable floaters present for months rather than new, changing symptoms
- Clear evidence that the opacity is safely away from the retina and lens
- No active inflammation, bleeding, or uncontrolled eye disease
- Realistic expectations that symptoms may improve rather than disappear
Benefits and limitations
The laser aims to break floaters into smaller pieces or move them out of the line of sight. Outcomes can vary, and risks must be weighed against potential benefit.
- Some patients report meaningful reduction in floater disturbance
- Risks include pressure rise, lens damage, or retinal injury, although uncommon
- Multiple sessions may be needed, and complete clearing is not guaranteed
- Vitrectomy surgery remains an alternative for severe, disabling floaters
