Abstract
Purpose:
To determine the importance of fluorescein angiography (FA) in clinical practice.
Methods:
An observational retrospective clinical series study, in which different diagnosis were made with the help of fluorescein angiography (FA). With the patient under local anesthesia (topical tetracain hydrochloride 1%) applied in both eyes, a blepharostat was placed bilaterally. Baseline color images were taken with RetCam 2 prior to bolus administration of 0.1mL/kg of sodium fluorescein injected intravenously.
Results:
16 eyes of 8 infant patients were studied with FA due to intraretinal and/or subretinal hemorrhages found in fundus exploration. 1 patient with hemorrhagic aggressive posterior retinopathy of prematurity (AP-ROP), 2 patients with obstetric trauma, 3 patients with trauma secondary to vigorous neonatal reanimation, 1 case of cytomegalovirus neonatal infection and 1 patient with leukemia.
Conclusions:
Some retinal diseases in children can be a challenge to diagnose due to their clinical similarities. Fluorescein angiography is a widely used study in adults but on many occasions forgotten in children, mostly due to the difficulty of the study technique. Given that the entire study must conclude prior to 3 minutes, since the anterior chamber begins to be filled with dye at this time. Our aim is to encourage the ophthalmologist and retina specialists to perform this study on a more regular basis in order to establish a quick and precise diagnosis in order to implement early treatment and achieve better prognosis.
Keywords: 552 imaging methods (CT, FA, ICG, MRI, OCT, RTA, SLO, ultrasound) •
706 retinopathy of prematurity