Lattice degeneration with floaters is a common finding, and your retina specialist's approach to monitor rather than immediately laser is reasonable if there are no retinal tears or threatening features. Barrage laser is a preventive measure to reduce the risk of retinal detachment, not a treatment for floaters themselves. The distinction is important because the laser treats the peripheral retinal weakness, while floaters originate from vitreous changes. Regarding floater-only vitrectomy (FOV), this is a significant decision that requires careful risk-benefit analysis, especially for someone young with a demanding visual profession.
Next Steps
First, confirm with a detailed dilated retinal examination and OCT whether your floaters are purely vitreous opacities or if there are any other concerns like posterior vitreous detachment (PVD) or vitreous hemorrhage. If barrage laser is recommended, proceed with it to secure the peripheral retina, especially given your lattice degeneration. For the floater-only vitrectomy question, this should only be considered if floaters are severely affecting your quality of life and work productivity despite adaptation over time. FOV carries surgical risks including cataract formation, retinal detachment (0.5-2%), and infection, so it's reserved for cases where conservative management has failed and functional impairment is significant.
Health Tips
Give your visual system time to adapt, as the brain often learns to ignore floaters over 6-12 months; adjust your screen settings with reduced brightness, warmer color temperatures, and dark mode wherever possible to minimize floater visibility; take regular screen breaks using the 20-20-20 rule (every 20 minutes, look 20 feet away for 20 seconds); ensure adequate hydration as vitreous health is linked to hydration status; and track whether floaters are stable, improving, or worsening over the next few months before making any surgical decision.