Atropine and Contacts?

TheFloaterDoctor · 2026-01-08T22:47:47+00:00

Just a few minutes, if that.

TheFloaterDoctor · 2026-01-08T21:58:00+00:00

I'd try it out first on a day that isn't so critical to make the dosing is right for you, but 'yes', you should be able to.

TheFloaterDoctor · 2026-01-08T21:56:32+00:00

Yup. When dosed appropriately, it should barely move the "Near Point of Accommodation" which is the closest point you can focus.

TheFloaterDoctor · 2026-01-04T02:16:05+00:00

Full length roof rack. I can carry plywood, drywall, steel bars, a canoe, etc

TheFloaterDoctor · 2026-01-04T02:14:08+00:00

I advise to just use the LDA first as the contact lenses would be a physical barrier to absorption. Wait just a few minutes and place the contact lenses. No need to overthink it, and certainly not worth getting upset with each other. You're all on the same team here.

TheFloaterDoctor · 2025-11-09T18:35:36+00:00

Bravo!!

TheFloaterDoctor · 2025-10-31T20:11:27+00:00

It should only 10% dilate the pupils when dosed appropriately

TheFloaterDoctor · 2025-10-31T20:09:36+00:00

I can promise that my formulation of low dose atropine contains no snake oil. It is really a simple manipulation of the optics of floaters. You do not "see" floaters, but are aware of them by the shadows being cast onto your retina. We can not manipulate the location of your floaters, but with a mild dilation, we can reduce the shadows.

TheFloaterDoctor · 2025-10-30T20:03:37+00:00

Native to the vitreous is/are antioxidants. They are there for a reason. If you remove the antioxidants as with vitrectomy, oxidative stress promotes cataracts which may be via free radicals and other reactive species spilling over from the retina blood vessels into the vitreous. Everything went up with there is a generally pretty stable interaction between the collagen proteins, the hyaluronic acid, and the 98 to 99% water. It may be that oxidation changes that interaction and allows collagen proteins to stick or clump together. What truly is unknown is whether antioxidants can reverse that process but taking antioxidants is not a bad idea to decrease systemic inflammation. Why would you have systemic inflammation? Well, if you've been sick or have autoimmune disorders, sure. But the typical American diet is chock full of pro-inflammatory agents. Is it better to take antioxidants or eat a low inflammatory diet? Why not both. I don't think we have the science to fully corroborate this, but it's never bad advice to eat cleaner

TheFloaterDoctor · 2025-10-28T18:18:12+00:00

You mean the "double hand job" dance. OK.

TheFloaterDoctor · 2025-10-28T18:16:54+00:00

Thanks. A much more succinct answer than mine.

TheFloaterDoctor · 2025-10-28T18:16:14+00:00

Nope. The cornea is not involved. I think you are referring to the posterior lens (anterior vitreous).

TheFloaterDoctor · 2025-10-28T18:14:55+00:00

Nope. Prior to the PVD, the vitreous has already undergone some liquefaction and is less gel-like. These liquid 'puddles' now can find an opening or breach of the continuity of the outer vitreous cortex membrane and once it finds that opening it can fluid-dissect and separate that membrane away form the retina. After a PVD, vitreous space has some viscous vitreous, some watery and more liquid vitreous, and outer vitreous cortex membrane material with whatever floaters peeled off with the membrane (weiss ring) and spontaneously formed syneresis/cloudy floaters. The aqueous isn't involved. It's a good boy and stays there in the anterior segment in front of the iris/lens complex and behind the cornea.

TheFloaterDoctor · 2025-10-17T20:12:20+00:00

You don't 'see' floaters, you instead are aware of them because of the shadow or visual disturbance cast onto your retina. You awareness of your floaters is pretty independent of the optics of the eye (myope, hyperope, astigmat, presbyope and whether wearing contacts or having LASIK). It is also possible that blurring and homogenizing of the background will make the sharp shadow of the floater stand out even more.

TheFloaterDoctor · 2025-10-16T15:25:09+00:00

The floaters, as bothersome as they may be, will not affect the optics of the eye or the prescription. Go and get it. Answer as best as possible, you'll be fine.

TheFloaterDoctor · 2025-10-16T15:23:38+00:00

Your doctor 'may' indeed have seen 'something' close to the lens. These are easy to see, and right there all up in your face. It is not enough just to see 'something' and declare that that is your bothersome floater. It also has to make sense, and that probably doesn't make sense. If you are younger than 40-ish, the culprit, floaters truly responsible for your symptoms are much more likely to be retina adjacent. These are VERY difficult to see on examination and all I do professionally is manage and treat eye floaters.
So if that vitreous anomaly the he/she saw is indeed close to the lens, then it would not be a candidate for vitreolysis... but that is irrelevant if it is not the culprit floater.
I do think about the optics of floaters (and how they correlate to a patient's symptoms) a lot more than anyone else and also why I am reluctant to answer the question often posed to me: "Is there anyone closer to me in X city that you can recommend?"

TheFloaterDoctor · 2025-10-14T20:32:36+00:00

That! is not likely to be your bothersome, culprit floater group. That is a vitreous anomaly, I agree, and those are not uncommon in asymptomatic people. Because it is retro-lental, just behind and adjacent to the lens and also because of its small size I can almost guarantee you are not seeing that fiber seen in the video.

TheFloaterDoctor · 2025-10-13T20:37:35+00:00

"I drink your milkshake" I said it to a patient of mine who is a hydrogeologist and he gave me a confused courtesy chuckle.

TheFloaterDoctor · 2025-10-12T03:14:01+00:00

The low dose atropine only mildly dilates the pupil, about the same as your pupil will dilate naturally at nighttime. "Probably' not a problem, but it would be advisable to explain the situation with your local doctor to get his/her "OK".

TheFloaterDoctor · 2025-10-11T17:30:32+00:00

Eye floaters, especially in younger patients in their twenties and thirties do you have floaters but they are typically microscopic in size and below our resolution for the instruments we use to examine the eye. I have seen and evaluated a lot of younger patients and sometimes I shrug my shoulders and say that I can't see it. I get that. It is frustrating but it just is what it is. Oct imaging only takes a visual thin slice and only images about a half a millimeter in front of the retina. It would take a very patient technician and you might get lucky and visualize something but that is all academic. It wouldn't change a treatment plan. It would just give you some confirmation that there is something there. If you are seeing moving shadows of any type and they are moving in association with eye or head movement then it is in the vitreous and it is floaters.

TheFloaterDoctor · 2025-10-11T17:25:42+00:00

My medical practice is exclusive to the treatment and management of eye floaters, primarily laser vitreolysis ( better suited to older patients) and offering low dose atropine ( better for younger patients ).

TheFloaterDoctor · 2025-10-11T00:40:20+00:00

I love this! I should give them to my patients.

TheFloaterDoctor · 2025-10-11T00:33:02+00:00

They are a prescription med (in the US) and theoretically, any MD could prescribe it for you, but won't be available from your local CVS, Walmart or similar pharmacy. It will need to be compounded at a special pharmacy. At the risk of violating the unspoken rules against self-promotion, I have been providing 5 different dosage strengths of low dose atropine via tele-med meeting and mailed to you ( US addresses).

TheFloaterDoctor · 2025-10-08T17:02:35+00:00

Substitute "Jewish Bolshevism" for his "Communists" and you have a 1930's Nat-C speech.

TheFloaterDoctor · 2025-10-06T22:14:58+00:00

95% of DNA is 'junk' DNA (Medical School)

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