Denice,
I am unaware of the IIH testing, more than drusen. Prior to communication
with the physician, I want the Ateam's advice.
Understood re. either modality of FA being unnecessary for drusen, but is
it useful for IIH detection?
Thanks.
Stuart Alfred / 317-517-9455 / stuart.alfred@xxxxxxxxx
Board of Education - OPS {Equipment Chair} - www.opsweb.org
On Wed, Oct 10, 2018 at 2:10 PM CPMC Ophthalmic Diagnostic Center <
cpmceyelab@xxxxxxxxxxxxxxxx> wrote:
Why are we doing FA on ON Drusen
The definitive pathognomonic testing would be FAF and US in that combo
Often, there are not enough fluorophores for FAF to smoke them out
Sometimes, with US, they are not large enough for the 150 micron resolution
Combo of both works wonders
( reference my OPS talk “Imaging for ONH Drusen, and Histopathology of the
Human Eye; Hogan )
Here, unless there is something about the history I am missing, we would
NOT do an FA
Denice
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 7:04 AM
*To:* CPMC Ophthalmic Diagnostic Center <cpmceyelab@xxxxxxxxxxxxxxxx>
*Subject:* FW: [**External**] [optimal] More pediatric angiography
questions
------------------------------
*From:* optimal-bounce@freelists.orgOn Behalf OfStuart Alfred
*Sent:* Wednesday, October 10, 2018 7:02:08 AM (UTC-08:00) Pacific Time
(US & Canada)
*To:* OPTIMAL
*Subject:* [**External**] [optimal] More pediatric angiography questions
*WARNING: *This email originated outside of the Sutter Health email
system!
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ID or Password.
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
Board of Education - OPS {Equipment Chair} - www.opsweb.org
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