[optimal] Re: fluorescein reactions? 10% vs 25%

  • From: "Tom Steele" <TSteele@xxxxxxxxxxxxxx>
  • To: <optimal@xxxxxxxxxxxxx>
  • Date: Tue, 28 May 2013 08:53:37 -0400

25% rocks, I’ve had more problems with the bulk of 10% being the cause. Plus 
with those very sensitive patients, I can inject .5 ml of 25% and get a great 
FA with the HRA.

 

Thank You,

 

Tom Steele, CRA                                                                 
                 

Midwest Eye Institute

200 West 103rd Street

Indianapolis, Indiana 46290

317.817.1018

tsteele@xxxxxxxxxxxxxx

 

 

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From: optimal-bounce@xxxxxxxxxxxxx [mailto:optimal-bounce@xxxxxxxxxxxxx] On 
Behalf Of Breit, Peter
Sent: Tuesday, May 21, 2013 11:47 AM
To: 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

 

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