[optimal] Re: No infiltration...no Fluorescein

  • From: "Curtis, Rhonda" <Curtis@xxxxxxxxxxxxxxxx>
  • To: "'optimal@xxxxxxxxxxxxx'" <optimal@xxxxxxxxxxxxx>
  • Date: Tue, 8 Oct 2013 16:36:37 +0000

This has happened to me several times - again we thought it was due to some a/v 
malformation.  Both patients were diabetics.

Rhonda Curtis

From: optimal-bounce@xxxxxxxxxxxxx [mailto:optimal-bounce@xxxxxxxxxxxxx] On 
Behalf Of Jocelyn Gajeway
Sent: Tuesday, October 08, 2013 9:28 AM
To: optimal@xxxxxxxxxxxxx
Subject: [optimal] Re: No infiltration...no Fluorescein

I had it happen on a diabetic patient - what appeared to be a nice antecubital 
vein, good push, no sign of infiltration, but absolutely no fill.

Repeat injection on the opposite arm, perfect transit. The fellows thought 
there was some sort of loop in the vein - a new vessel that basically went 
nowhere. Really strange.

On Tue, Oct 8, 2013 at 7:11 AM, Stuart Alfred 
<stuart.alfred@xxxxxxxxx<mailto:stuart.alfred@xxxxxxxxx>> wrote:
I have had it happen just once.  25% dye, AC injection initially I think.  
Standard push of dye and nothing.  No pain, no dye in vessels/eye.  Waited 
about ten minutes and re-injected and normal show of dye.  No explanation.  
Patient was heavy set but not significantly obese.


On Tue, Oct 8, 2013 at 9:52 AM, Darrin Landry, CRA, OCT-C 
<Darrin@xxxxxxxxxxxxxxxx<mailto:Darrin@xxxxxxxxxxxxxxxx>> wrote:

I've had that happened once- as Lori mentioned, it was due to cataract. With RF 
filters, I had a view to the retina, but with barrier and exciter filters in, 
the view was gone. The lens acted like another filter and completely blocked 
any blue or green.

That's the only time I've seen this.



Darrin

Darrin Landry, CRA, OCT-C

Consultant
Bryson Taylor Inc.
Ophthalmic Consultants and Training
www.brysontaylor.com<http://www.brysontaylor.com/>
phone 207-838-0961<tel:207-838-0961>
www.brysontaylorpublishing.com<http://www.brysontaylorpublishing.com/>

________________________________
From: 
copcphotography@xxxxxxxxxxxxxxxxx<mailto:copcphotography@xxxxxxxxxxxxxxxxx>
Sent: Tuesday, October 08, 2013 9:49 AM
To: optimal@xxxxxxxxxxxxx<mailto:optimal@xxxxxxxxxxxxx>
Subject: [optimal] Re: No infiltration...no Fluorescein


Can't say that I have.  Almost sounds like only 'red-free' filter in place, not 
FA set.  Have had a number of really dark scans, and blocked 2nd cataract 
scatter.



Lori Guerette, CRA COA

Consulting Ophthalmologists, PC

Glastonbury, CT

860-678-0202<tel:860-678-0202>


-----Original Message-----
From: "Steve Lusk" <slusk@xxxxxxxxxxxxx<mailto:slusk@xxxxxxxxxxxxx>>
Sent: Tuesday, October 8, 2013 9:39am
To: optimal@xxxxxxxxxxxxx<mailto:optimal@xxxxxxxxxxxxx>
Subject: [optimal] No infiltration...no Fluorescein


Has anyone ever experienced a phenomenon where an FA injection did not 
infiltrate, or at least we did not have any indication of infiltration, and no 
dye infuses into the retinal blood vessels? All camera functions we're verified 
and set correctly and the Color fundus and redfree images we're good.
Just curious.

Thanks


Steve Lusk, CRA
Vistar Eye Center Retina Consultants
5296 Peters Creek Road
Roanoke, VA 24019
Phone: (540) 342-3400 ext. 4731<tel:%28540%29%20342-3400%20ext.%204731>
Fax: (540) 362-1155<tel:%28540%29%20362-1155>
slusk@xxxxxxxxxxxxx<mailto:slusk@xxxxxxxxxxxxx>
www.vistareye.com<http://www.vistareye.com>

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--
Stuart Alfred, CRA, OCT-*C*
*
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528 N. Bauman St.
Indianapolis, IN 46214-3618
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