I've seen lower back pain during administration of Verteporfin. There was a
paper published on it in 2006:
http://www.ncbi.nlm.nih.gov/pubmed/16490525
I've never seen lower back pain with FA or ICG. Perhaps it was incidental, and
maybe patient positioning at the camera?
Darrin
Darrin A Landry, CRA, OCT-C
Ophthalmic Consultant
Bryson Taylor, Inc.
207-838-0961
www.brysontaylor.com
----------------------------------------
From: "Bennett, Timothy" <tbennett1@xxxxxxxxxxx>
Sent: Wednesday, June 01, 2016 3:49 PM
To: "optimal@xxxxxxxxxxxxx" <optimal@xxxxxxxxxxxxx>
Subject: [optimal] Re: FA/ICG Observation.
Jim,
I don't know if there are any formal reports in the literature, but I recall a
discussion on Optimal many years back of anecdotal reports of lower back pain
following FA.
I vaguely recall the consensus was that it isolated and may have been batch
related. There was speculation about some precipitated particles in the dye?
Maybe some of the other old-timers remember better than me.
Have you done a literature search?
tim
From: optimal-bounce@xxxxxxxxxxxxx [mailto:optimal-bounce@xxxxxxxxxxxxx] On ;
Behalf Of Jim Soque
Sent: Wednesday, June 01, 2016 3:30 PM
To: Joe Warnicki
Subject: [optimal] FA/ICG Observation.
Optimalers,
I had an interesting scenario that played out for a long standing patient whom
I performed an FA and ICG combined study on this afternoon, June 1, 2016.
This patient with a history of dry ARMD, and 10 year history with our office,
has a PMH of Renal Artery Stenosis, and hypertension.
The ICG test was performed first, and was photographed through the early
phases. Then, the FA portion of the test was performed, and was photographed
to only 70 seconds. The patient abruptly removed her head and cried out, 'I
have a back spasm' followed by rapid breathing, grasping for her lower back
with a free hand, and bringing the test to a stand still for approx. 7-8 mins.
The episode ended without incident, the patient recovered, I was allowed to
finish the FA/ICG test, and we walked to the examination room together.
We are just curious to see if FA or ICG dye had ever produced activity such as
this in your office before.
Thank you in advance.
Jim Soque
Island-Retina.com
