Module 25 

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Module 25:

Fluorescein Angiography, Part 1

OVERVIEW

Estimated study time:  One hour.

Program Level:  Basic 

Target Audience:  OMPs with little or no knowledge of fluorescein angiography, and more experienced OMPs wanting review.

Pre-requisites:  Familiarity with retinal anatomy and physiology is helpful.  A basic knowledge of general photography is helpful.

Date of original release:  March 7, 2004

Section 1:

Description of content:  This section discusses preparation for the fluorescein angiography procedure, including: 

• characteristics of fluorescein dye

• adverse reactions

• dye preparation

• patient preparation

• the consent form

• camera set-up

Instructional  objectives:  Upon completion of  this section,  the student should be able to:

• identify characteristics of sodium fluorescein

• recognize common adverse reactions to fluorescein angiography

• explain an appropriate response to a given adverse reaction

• list steps needed for dye preparation

• recognize the attributes of a camera system capable of fluorescein angiography

Section 2:

Description of content:  This section discusses the steps necessary to insure a successful FA procedure with a film based or a digitally based system. 

Instructional objectives:  Upon completion of this section,  the student should be able to:

• discuss the need for a check-list system of preparation

• list check-points necessary for a successful film based procedure

• list check-points necessary for a successful digitally based procedure

Section 2:

Description of content:  This section discusses setting up and administering a fluorescein injection, including:

• the procedure

• extravasation

• avoiding an arterial injection

• what if I can't get a vein?

• oral administration of fluorescein

Instructional objectives:  Upon completion of this section,  the student should be able to:

• list steps needed to inject fluorescein in a vein

• recognize characteristics of extravasation

• identify an arterial connection and discuss proper procedure

• discuss procedure for venapuncture failures

• discuss FA procedure modification needed for the oral administration of the dye

About the Authors: 

Felix N. Sabates, MD, is Chairman of the Department of Ophthalmology at the University of Missouri-Kansas City School of Medicine.  He has been a practicing retina specialist for many years. 

Gary Gallimore is a certified ophthalmic technologist who assists with research at the Eye Foundation of Kansas City and works for a large multi-specialty ophthalmology practice in the metro area of Kansas City.   He has taught CE courses for many years on all subjects of ophthalmic technology.  He served as co-author for this module.

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