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BRENDA YAZMIN JUAREZ DOMINGUEZ, Linda Alejandra Cernichiaro-Espinosa, Samantha Salinas Longoria, Maria Ana Martinez-Castellanos, Luvia Rodriguez Quiñones; Trans-procedure fluorescein angiography to avoid undertreatment during laser photocogulation in children with vascular pathologies. Invest. Ophthalmol. Vis. Sci. 2014;55(13):266.
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To evaluate if fluorescein angiography is a useful tool to help us recognize skip areas of treatment not seen clinically during retinal photocoagulation in children
Observational,case series. We included 8 eyes of pediatric patients with different vascular pathologies that received laser photocoagulation as a treatment. Fluorescein angiography was performed trans-procedure using a wide angle device (130 grade lens), an intravenous bolus of 0.1ml/kg saline fluorescein 20% under general anesthesia. Skip areas were classified as: Circunferential (by clock hour meridians) and radial (ridge, ora serrata or isolated patches)
We included six patients, clasified as follows: Coats disease (4 eyes), Incontinentia pigmenti (2 eyes) and Familial Exudative Vitreoretinopathy (2 eyes). Mean age was 21 months (range 1 to 61 months). Multiple skip areas were observed after laser treatment when angiography was performed, even in clinically completely treated retina. Not treated pathological retina was mostly revealed on a circumferential pattern of three or more clock-hour meridians at equatorial and far peripheral retina
Fluorescein angiography performed transprocedure identifies skip areas not clinically visible. By using this technique the treatment can finalized laser treatment in a single session of photocoagulation, thus reducing number of interventions under anesthesia
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