This is definitely a fascinoma! Especially in a kiddie.
Not typical in any way, certainly. Looks like peripapillary SRN... but not the
right appearance for polypoidal. Is there something like a streak or a rupture
of Bruch in that area?
Wow. Is this ND a retinologist or neuroop?
Interesting, Stuart
Sent from my iPhone
On Oct 24, 2018, at 2:05 PM, Stuart Alfred
<stuart.alfred@xxxxxxxxx<mailto:stuart.alfred@xxxxxxxxx>> wrote:
Stuart Alfred / 317-517-9455 /
stuart.alfred@xxxxxxxxx<mailto:stuart.alfred@xxxxxxxxx>
Board of Education - OPS {Equipment Chair} -
www.opsweb.org<http://www.opsweb.org>
Hi OPTIMAL,
Apologies on the delay in sharing some of these. I have simply not had the
chance.
I've attached a sample of the right eye testing I performed. Interested in
any responses.
The second potential IIH (drusen and or IIH) patient comes in on the 30th. The
MD requested IV vs. oral.
Stu
On Wed, Oct 10, 2018 at 5:08 PM Bennett, Timothy
<tbennett1@xxxxxxxxxxxxxxxxxxxxxxx<mailto:tbennett1@xxxxxxxxxxxxxxxxxxxxxxx>>
wrote:
You aren’t alone Stu….. ;-)
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 3:58 PM
To: OPTIMAL <optimal@xxxxxxxxxxxxx<mailto:optimal@xxxxxxxxxxxxx>>
Subject: [optimal] Re: More pediatric angiography questions
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<http://www.opsweb.org>
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<http://www.opsweb.org>
<Cxxxxxx33_Hxxxxxx.jpg>
<CxxxxxxxxHxxxxxxx_001.jpg>
<edi slice horz over drusen od.jpg>
<CxxxxxxxxHxxxxxxx_007.jpg>
<CxxxxxxxxHxxxxxxx_016.jpg>
<CxxxxxxxxHxxxxxxx_003.jpg>
<TM onh od.jpg>
