[optimal] Re: More pediatric angiography questions

From: "George Henry, CRA, PBT" <ghenry@xxxxxxxxxxxxxx>
To: <optimal@xxxxxxxxxxxxx>
Date: Wed, 10 Oct 2018 13:39:41 -0500

I, too, will weigh in as questioning the benefit of FA for ON drusen.  Dense
cube with EDI, FAF, and B-scan are the standard.

For IIH, it *might* be helpful, but I would definitely go with IV
fluorescein over oral.

George E. Henry, CRA, PBT (ASCP)

Wheaton Eye Clinic, Ltd.

2015 N. Main St.

Wheaton, IL   60187

630.588.3615

  _____

From: optimal-bounce@xxxxxxxxxxxxx [mailto:optimal-bounce@xxxxxxxxxxxxx] On
Behalf Of Bennett, Timothy
Sent: Wednesday, October 10, 2018 12:01 PM
To: optimal@xxxxxxxxxxxxx
Subject: [optimal] Re: More pediatric angiography questions

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

References:
- [optimal] More pediatric angiography questions
  - From: Stuart Alfred
- [optimal] Re: More pediatric angiography questions
  - From: Bennett, Timothy

[optimal] Re: More pediatric angiography questions

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