Purchase this article with an account.
David Arturo Ancona Lezama, Tania Moron Vidal, Luvia Rodriguez Quiñones, Maria Ana Martinez-Castellanos; ROLE OF FLUORESCEIN ANGIOGRAPHY IN THE DIFFERENTIAL DIAGNOSIS OF INTRARETINAL OR SUBRETINAL HEMORRHAGES IN CHILDREN.. Invest. Ophthalmol. Vis. Sci. 2014;55(13):267.
Download citation file:
© ARVO (1962-2015); The Authors (2016-present)
To determine the importance of fluorescein angiography (FA) in clinical practice.
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.
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.
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.
This PDF is available to Subscribers Only