I agree with Darrin everyone will have a different answer.
It has to do with more than just dye % and temp and speed of
injection. The photographer can also have some effect setting the
patient at ease.
Sent from my Verizon Wireless BlackBerry
-----Original Message-----
From: "Darrin Landry, CRA, OCT-C" <Darrin@xxxxxxxxxxxxxxxx>
Sender: optimal-bounce@xxxxxxxxxxxxx
Date: Tue, 21 May 2013 10:00:22
To: <optimal@xxxxxxxxxxxxx>
Reply-To: optimal@xxxxxxxxxxxxx
Subject: [optimal] Re: fluorescein reactions? 10% vs 25%
In my experience, if you ask 5 ophthalmic photographers, you will get
5 different answers, and 5 ways to do it correctly.
Darrin Landry, CRA, OCT-C
Bryson Taylor Inc.
Ophthalmic Consultants and Training
www.brysontaylor.com
phone 207-838-0961
fax 207-809-4550
www.brysontaylorpublishing.com
----------------------------------------
From: "Breit, Peter" <BreitP@xxxxxxxx>
Sent: Tuesday, May 21, 2013 12:58 PM
To: "optimal@xxxxxxxxxxxxx" <optimal@xxxxxxxxxxxxx>
Subject: [optimal] fluorescein reactions? 10% vs 25%
I use AKORN 25% and have no problems with nausea unless the room is
very warm and the patient is African-American or Indian. Dark or
light FlSd makes no difference.
10% slower injection I use only very occasionally when I have to
shoot lots of peripheral shoots (BDR) on both eyes.
If you inject 5cc very fast you will get nausea almost every time,
just my opinion after my 45 years of experience with this stuff.
Time to retire ..
Thank you friends
Peter
Peter L. Breit, CRA.
Director Ophthalmic Services
The Lankenau Hospital & Bryn Mawr Hospital
484-476-3338
484-476-8206 fax
484-437-3262 mobile
page 3707
----------------------------------------
From: optimal-bounce@xxxxxxxxxxxxx
[mailto:optimal-bounce@xxxxxxxxxxxxx] On Behalf Of CPMC Ophthalmic
Diagnostic Center
Sent: Friday, May 17, 2013 4:45 PM
To: optimal@xxxxxxxxxxxxx
Subject: [optimal] Re: fluorescein reactions?
Anecdotally, our incident of reaction is too low to statistically
track. We almost never see nausea either.
Personally, I'm convinced it speaks to volume of solution, and/or
good patient management.
Denice
Denice Barsness, CRA, COMT, ROUB, CDOS, FOPS
Ophthalmic Diagnostic Center
CPMC Department of Ophthalmology
2100 Webster Street Suite 212
San Francisco CA 94115
(415) 600-3937 FAX (415) 600-6563
From: optimal-bounce@xxxxxxxxxxxxx
[mailto:optimal-bounce@xxxxxxxxxxxxx] On Behalf Of
copcphotography@xxxxxxxxxxxxxxxxx
Sent: Friday, May 17, 2013 12:46 PM
To: optimal@xxxxxxxxxxxxx
Subject: [optimal] fluorescein reactions?
just an unscientific survey please
which has less reactions? 10% or 25% fluorescein?
I'm guessing that I have about one patient everyother year will have
more than just nausea. And its been about four years since I've
called an ambulance for a reaction.
And only a few per year that will be more than just nauseated, but
full out vomiting. (those aren't fun)
Just curious.
Lori
Lori Guerette, CRA COA
Consulting Ophthalmologists, PC
704 Hebron Ave, Ste 200
Glastonbury , CT 06030
860-678-0202
860-304-4703
copcphotography@xxxxxxxxxxxxxxxxx
justhitanykey@xxxxxxxxxxx
