Hi Katie,
Could you post an EDI slice/image/scan that seems to demonstrate drusen?
Stuart Alfred / 317-517-9455 / stuart.alfred@xxxxxxxxx
Board of Education - OPS {Equipment Chair} - www.opsweb.org
On Wed, Oct 10, 2018 at 1:07 PM Katie Lachut <katie.lachut@xxxxxxxxx> wrote:
I usually do a dense cube scan with EDI over the optic nerve followed by
an AF image.
*Katie Lachut *| (315)806-9733 |
https://www.flickr.com/photos/katielachut
Ophthalmic Photographer with VCU Health System | RIT 2013
On Wed, Oct 10, 2018 at 1:05 PM Stuart Alfred <stuart.alfred@xxxxxxxxx>
wrote:
I was texted by my BOE team to consider EDI scans for Drusen too! All
worthy considerations. Keep up coming. !st patient is tomorrow at 1pm.
Stuart Alfred / 317-517-9455 / stuart.alfred@xxxxxxxxx
Board of Education - OPS {Equipment Chair} - www.opsweb.org
On Wed, Oct 10, 2018 at 1:01 PM Bennett, Timothy <
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] *On Behalf Of *Stuart Alfred
*Sent:* Wednesday, October 10, 2018 10:02 AM
*To:* OPTIMAL <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
Board of Education - OPS {Equipment Chair} - www.opsweb.org
