* Our center has checked this out extensively * There are no contraindications to sodium fluorescein for kidney dialysis or transplant patients. * Codicil of NOT using their dialysis shunt for injection * Time the FA on the upswing of their dialysis appointments- they retain fluid. Do on the morning of their dialysis appointment. Visa vi our Nephrology department clearance. Have not bothered to do a lit search. D. Denice Barsness, CRA, COMT, ROUB, FOPS Ophthalmic Diagnostic Center CPMC Department of Ophthalmology 2100 Webster Street Suite 212 (415) 600-3937 FAX (415) 600-6563 From: optimal-bounce@xxxxxxxxxxxxx [mailto:optimal-bounce@xxxxxxxxxxxxx] On Behalf Of Barbara McCalley Sent: Thursday, February 03, 2011 3:11 PM To: optimal@xxxxxxxxxxxxx Subject: [optimal] FW: Fluorescein angiography contraindication Optimal folks - I need your help. I received the email below and I'm not sure where to direct her for the information she needs. I have included Debbie's contact information so if you would like to contact her directly, please feel free. Thanks, Barb McCalley ops@xxxxxxxxxx ________________________________ From: Allen, Debbie - Eye Care Centre [dallen@xxxxxxxxxxxxxxxxxxxx] Subject: Fluorescein angiography contraindication Dear Barbara, Can anyone provide me with an article that discusses the safety of fluorescein angiography in patients with advanced kidney failure, or chronic kidney disease (CKD)? We always ask the retinal specialist to make the decision regarding such patients, but I would like to read some articles on the subject. I did find the following article http://care.diabetesjournals.org/content/32/3/e31.full on the internet (Yusuke Kameda et al. March 2009 is when the article appeared on the American Diabetes Association website) They measur3ed the estimated glomerular filtration rate (eGFR) in diabetic patients who underwent IVFA and found no significant risk of loss in kidney function but suggest further studies. What is the general consensus in regard to a patient with severe kidney failure or someone on dialysis? Thank you kindly. Debbie Debbie Allen B.Sc., COT Eye Care Centre Ottawa Hospital, Riverside Campus Tel: (613) 738-8400 ext 82468, 82478 Fax: (613) 738-8394 ________________________________