NICE has been notified about this procedure and it is part of its work programme. The Interventional Procedures Advisory Committee (IPAC) will consider this procedure and NICE will issue an interventional procedures consultation document about its safety and efficacy for 4 weeks’ public consultation. IPAC will then review the consultation document in the light of comments received and produce a final interventional procedures document, which will be considered by NICE before guidance is issued to the NHS in England, Wales, Scotland and Northern Ireland.
Status In progress
Process IP
ID number 1860
Description This procedure aims to improve vision and reduce symptoms by removing or reducing the size of floaters. The pupil is dilated and anaesthetic eye drops are administered. After placing a specialised contact lens on the cornea, a laser microscope is used to focus on the front surface of the floater. The laser then creates short bursts of energy (nanosecond pulses) which evaporate the collagen and hyaluronic acid molecule within the floater, converting them into a gas, which then dissolves into the vitreous. It usually starts with a low level of energy that is titrated up to an adequate level of evaporation. Laser application ceases after vaporising all visually significant floaters. This procedure is done as an outpatient and each treatment session usually takes 20 to 30 minutes. Depending on the characteristics and numbers of floaters, more than 1 session may be needed.

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For further information on how we develop guidance, please see our page about NICE interventional procedures guidance