[optimal] Re: No infiltration...no Fluorescein
- From: abul khair <khair4760@xxxxxxxxx>
- To: "optimal@xxxxxxxxxxxxx" <optimal@xxxxxxxxxxxxx>
- Date: Tue, 8 Oct 2013 12:13:29 -0700 (PDT)
I had a little question about that, If the patient had (RA&VO) retinal artery &
vain both occlusions then what?. Is it possible to see any dye in the retina?.
It is my curiosity to know.Because I have had this type of patient few days
ego,after pushing FA dye i did not see any dye in retina.
Abul Khair
senior ophthalmic photographer
Dept.of ophthalmology
BIRDEM hospital Dhaka 1000
Bangladesh.
________________________________
From: HasanOmairah <shagroon@xxxxxxxxxxx>
To: Optimal Freelist <optimal@xxxxxxxxxxxxx>
Sent: Tuesday, October 8, 2013 10:49 PM
Subject: [optimal] Re: No infiltration...no Fluorescein
It happened to
me twice so far. Both were females, diabetics, and had weight problem.
We don’t use
butterfly needles anymore –quite rarely I guess - instead a nurse inserts an
angio-cath. On both cases the line was in place and there were no sign of
leakage or extravasation. Both patients had fairly good media, with nicely
dilated
pupils, their cooperation and fixation was very good though, nevertheless No
dye was visible during any stage, and I had to check the camera in-between
phases just to make sure all are OK. I used a drop from what was left in the FA
ampule, one a small piece of tissue, and another drop from
Benoxinate/fluorescein
on another piece of tissue, had it in-front of the camera and took few shots;
still both fluoresce, therefore I knew the filter,
barrier, camera and flash are fine, the culprit was something else!
We have seen
the patients on intervals of (1wk, 1month, 3months, and 1 year) post injection,
and they didn’t complain of any pain, skin necrosis, or any other sign of
extravasation, but strangely both experienced discoloration of their urine, and
the discoloration lasted over one day, which I believe was consistent with the
dye being pushed in ok. No skin discoloration on or near the injection site, no
swelling, or anything that is abnormal!
In our practice
we use AK-Fluor - fluorescein injection 10% for so many years and we didn’t have
any problem with its stability, and both of these cases were from two different
batches. Still; normal FA’s were obtained from both batches on different
patients.
Nothing we
can think of explained why no dye was visible.
Hasan
,-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-,
, HasanOmairahAAS COT OCT-C CRA
, Department of Ophthalmology MBC (97)
, King Faisal Specialist Hospital & Research Center
, PO Box 3354
, Riyadh, 11211
, Saudi Arabia
,--------------
,Mobile-Pager within KFSH44345
, +966 11-557-6131(work)
, +966 11 442-4975 (fax)
, -=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-,
"True wisdom comes to each of us when we realize how little we understand about
life, ourselves, and the world around us" -Socrates
________________________________
Subject: [optimal] No infiltration...no Fluorescein
Date: Tue, 8 Oct 2013 09:39:57 -0400
From: slusk@xxxxxxxxxxxxx
To: optimal@xxxxxxxxxxxxx
No infiltration...no <span id="misspell-26" class="mark">Fluorescein</span>
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
Fax: (540) 362-1155
slusk@xxxxxxxxxxxxx
www.vistareye.com
The information contained in this email may contain confidential health
information that is privileged and legally protected from disclosure by
federal law, the Health Insurance Portability and Accountability Act
(HIPAA). This information is intended only for the use of the individual
or
entity named above. If you are not the intended recipient, you are hereby
notified that reading, disseminating, disclosing, distributing, copying,
acting upon or otherwise using the information contained in this
facsimile
is strictly prohibited. If you have received this information in error,
please notify the sender immediately.
Thank you.
Other related posts:
