Oh, this I have to see. Hopefully, breast milk not in vivo..... or maybe? Denice Barsness, CRA, COMT, ROUB, CDOS, FOPS Ophthalmic Diagnostic Center CPMC Department of Ophthalmology 2100 Webster Street Suite 212 San Francisco CA 94115 (415) 600-3937 FAX (415) 600-6563 From: optimal-bounce@xxxxxxxxxxxxx [mailto:optimal-bounce@xxxxxxxxxxxxx] On Behalf Of Cynthia VandenHoven Sent: Friday, October 25, 2013 8:44 AM To: optimal@xxxxxxxxxxxxx Subject: [optimal] Re: nursing and FA Ethan asked "...has anyone tried illuminating Fluorescein-laden breast milk with 500 nm light ? You could try doing this for milk expressed at certain intervals after IVFA, to try and get a ballpark for the safety margin." Sounds like a Scientific Session study to me! Cynthia On Fri, Oct 25, 2013 at 4:41 AM, Ethan Priel <prieleye@xxxxxxxxxxxxxxxx<mailto:prieleye@xxxxxxxxxxxxxxxx>> wrote: Paula, has anyone tried illuminating Fluorescein-laden breast milk with 500 nm light ? You could try doing this for milk expressed at certain intervals after IVFA, to try and get a ballpark for the safety margin. Just sayin', Ethan From: optimal-bounce@xxxxxxxxxxxxx<mailto:optimal-bounce@xxxxxxxxxxxxx> [mailto:optimal-bounce@xxxxxxxxxxxxx<mailto:optimal-bounce@xxxxxxxxxxxxx>] On Behalf Of Paula Morris Sent: 22 October, 2013 23:09 To: optimal@xxxxxxxxxxxxx<mailto:optimal@xxxxxxxxxxxxx> Subject: [optimal] Re: nursing and FA 12 to 18 hours is probably all. How old is the infant and does it have a healthy weight for its age? Your pt should express after the FSA, and discard that milk. To be safe, she could discard the next, but after that, there should be little Fluorescein in the breast milk. We have done FSA procedures before on infants that are premature - small amounts of Fluorescein shouldn't have a big impact on a baby - unless they have serious allergy issues. And of course, a hospitalized infant should not be exposed to light therapy for at least 12 hours after significant exposure to fluorescein. We have followed this procedure for years and have not heard of any negative repercussions. Paula From: optimal-bounce@xxxxxxxxxxxxx<mailto:optimal-bounce@xxxxxxxxxxxxx> [mailto:optimal-bounce@xxxxxxxxxxxxx] On Behalf Of Darrin Landry, CRA, OCT-C Sent: Tuesday, October 22, 2013 3:00 PM To: optimal@xxxxxxxxxxxxx<mailto:optimal@xxxxxxxxxxxxx> Subject: [optimal] nursing and FA As my grandaughter is graduating high school this year, it has been a long time since I've had to deal with nursing infants. Having said that, we have a severe PDR patient who is nursing, and really needs a fluorescein (per MD). Does anyone have a protocol for how long the infant should not be nursed after the angiogram? The plan is to have the patient pump and stock up, but for how many days? Any help is appreciated!!! 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/> -- Cynthia VandenHoven Hospital for Sick Children Department of Ophthalmology and Vision Sciences 416-813-6523 cynthia.vandenhoven@xxxxxxxxxxx<mailto:cynthia.vandenhoven@xxxxxxxxxxx> cynthia.vandenhoven@xxxxxxxxx<mailto:cynthia.vandenhoven@xxxxxxxxx>