[optimal] Re: More pediatric angiography questions

From: Sandor Ferenczy <sandorferenczy@xxxxxxxxx>
To: optimal@xxxxxxxxxxxxx
Date: Wed, 10 Oct 2018 13:29:24 -0400

Our go to is ultrasound.
Autofluorescence is second, but if they are buried deep, FAF wont show.
For OCT, they have to be really shallow to show, 3 mm imaging depth helps
somewhat with this.

Attached an image of two patients with bilateral. FAF "works" for one, not
for the other. the shallow one got good OCT too.

-sandor

[image: disc_drusen.jpg]

On Wed, Oct 10, 2018 at 10:03 AM Stuart Alfred <stuart.alfred@xxxxxxxxx>
wrote:

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

References:
- [optimal] More pediatric angiography questions
  - From: Stuart Alfred

[optimal] Re: More pediatric angiography questions

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