In my humble opinion OCT lends little for ONH Drusen.
D.
Denice Barsness, CRA, COMT, CDOS, FOPS
CPMC Dept of Ophthalmology/ The Eye Institute
Ophthalmic Diagnostic Services
711 Van Ness Avenue Suite 250
San Francisco CA 94109
415-600-5781
FAX 415-558-7011
From: Barsness, Denice
Sent: Wednesday, October 10, 2018 1:00 PM
To: CPMC Ophthalmic Diagnostic Center <cpmceyelab@xxxxxxxxxxxxxxxx>
Subject: FW: [**External**] [optimal] Re: More pediatric angiography questions
________________________________
From: optimal-bounce@freelists.orgOn<mailto:optimal-bounce@freelists.orgOn>
Behalf OfStuart Alfred
Sent: Wednesday, October 10, 2018 12:57:54 PM (UTC-08:00) Pacific Time (US &
Canada)
To: OPTIMAL
Subject: [**External**] [optimal] Re: More pediatric angiography questions
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Tim,
Yes, I'm over thinking it.
Stuart Alfred / 317-517-9455 /
stuart.alfred@xxxxxxxxx<mailto:stuart.alfred@xxxxxxxxx>
Board of Education - OPS {Equipment Chair} -
www.opsweb.org<https://na01.safelinks.protection.outlook.com/?url=http%3A%2F%2Fwww.opsweb.org&data=02%7C01%7Cbarsned%40sutterhealth.org%7C39c5fe6ff1514d204c6c08d62eeace65%7Caef453eadaa243e0be62818066e9ff63%7C0%7C0%7C636747983365909860&sdata=cGhyTcGFOBrC29BVHa2RYjzP1J1cgnGT2%2B6EGL%2FEb%2FQ%3D&reserved=0>
On Wed, Oct 10, 2018 at 1:01 PM Bennett, Timothy
<tbennett1@xxxxxxxxxxxxxxxxxxxxxxx<mailto:tbennett1@xxxxxxxxxxxxxxxxxxxxxxx>>
wrote:
Why not start with autofluorescence? That's what our docs do here. That usually
answers the question. On rare occasions they may also order a B-scan.
I haven't done an FA for disc drusen for ages.
tim
From: optimal-bounce@xxxxxxxxxxxxx<mailto:optimal-bounce@xxxxxxxxxxxxx>
[mailto:optimal-bounce@xxxxxxxxxxxxx<mailto:optimal-bounce@xxxxxxxxxxxxx>] On
Behalf Of Stuart Alfred
Sent: Wednesday, October 10, 2018 10:02 AM
To: OPTIMAL <optimal@xxxxxxxxxxxxx<mailto:optimal@xxxxxxxxxxxxx>>
Subject: [optimal] More pediatric angiography questions
My satellite office is being sought out by the Riley Hospital ophthalmology
team for help with pt. testing. This is a personal accomplishment for me.
Really proud, and humbled.
Two upcoming visits:
14 year old. Weight: 100lb Working diagnosis: IIH, ON drusen
13 year old. Weight: 100lb Working Dx: ON drusen
My prescription of testing OU [stricly Spectralis FA &/ or Cirrus 5000] would
involve:
Fasting 2 hours prior
Spectralis OCT ON - ONH button [73 sec., 60ym] art at 9
ON photos - IR 30degree, RF//BR 30 deg., FAF 30 & 20 degrees
FA oral, using 10% AK-FLUOR
convert weight for admin. using referenced calculations. i.e. 2 vials 10%
5mL, into 3.5 oz. apple juice.
start timer upon pat. consuming. At 2 minutes start FA using 30 degree lens,
laser at 95% sensitivity. Acquire images every 3 minutes until 15 min. So OU
at 2, 5, 8, 11, 14mins.
Any advice OPTIMAL? Please!
I don't see any reason to choose IV over oral.?
Thanks,
Stuart Alfred / 317-517-9455 /
stuart.alfred@xxxxxxxxx<mailto:stuart.alfred@xxxxxxxxx>
Board of Education - OPS {Equipment Chair} -
www.opsweb.org<https://na01.safelinks.protection.outlook.com/?url=http%3A%2F%2Fwww.opsweb.org&data=02%7C01%7Cbarsned%40sutterhealth.org%7C39c5fe6ff1514d204c6c08d62eeace65%7Caef453eadaa243e0be62818066e9ff63%7C0%7C0%7C636747983365919874&sdata=VafqRnyrZ2XdLN3S0UMRfrWYfuqyg5LM30%2FtCoRpxp4%3D&reserved=0>
