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Chapter-03 Techniques and Pitfalls of Fundus Fluorescence Angiography

BOOK TITLE: Fundus Fluorescein and Indocyanine Green Angiography

Author
1. Chopdar Amresh
ISBN
9788180619649
DOI
10.5005/jp/books/10320_3
Edition
1/e
Publishing Year
2007
Pages
12
Author Affiliations
1. East Surrey Hospital, Redhill, Surrey, UK, Surrey and Sussex NHS Trust, East Surrey Hospital, Redhill, Surrey, UK
Chapter keywords

Abstract

A full medical history including enquiry for any allergy, in particular to iodine or any radio-opaque substance, should be made before considering fluorescein or indocyanine green angiography. The pupils must be fully dilated with cycloplegics to avoid contraction due to bright flashlights. A 5 ml amount of 20% fluorescein is drawn into a 5 ml syringe. Most people use the whole 5 ml but 2.5 ml can also give good result. A dose of 25 mgs of Indocyanine green in 2.5 ml is adequate for obtaining a good quality contrast angiogram. After taking the colour and red free photographs proceed for first Indocyanine green angiography then Fluorescein angiography in order to prevent staining of the retinal pathology. Remember to use appropriate filters for each of the recording. The pupil must remain fully dilated throughout the period of angiography. An orange halo around the periphery indicates the camera being further away from the eye, whereas a blue halo indicates too close to the eye. If the patient blinks during photography, usually the upper half of the fundus picture shows ghosting and is shadowy. Clear ocular media is essential to obtain good quality picture.

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