Module 26 

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Module 26:

Fluorescein Angiography, Part 2

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 the performance of the angiogram, including: 

• Starting the angiogram

• Early, Mid, and Late Phase Photos

  • The choroidal flush and the arterial phase

  • The venous phases

  • Universal Precaution Reminders

  • Late phase photos

• Other Considerations

• Phototoxicity

• What parts of the retina do I photograph?

• What magnification (angle) should I use?

• Document the pathology

• The doctor-patient-photographer relationship

• Documentation (printing, etc.)

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

• identify characteristics of the different phases of the angiogram

• discuss how to improve FA images

• define terminology related to fluorescein angiography

• identify characteristics of good photo documentation

• discuss the role of the photographer relative to good patient care

Section 2:

Description of content:  This section discusses the descriptive terminology used in fluorescein angiography and give examples of how to document common abnormalities, including:

• Pseudo-fluorescence and auto-fluorescence

• Hyperfluorescence

  • transmission

  • leakage

  • pooling

  • staining

• Hypofluorescence

  • block fluorescence

  • non-perfusion

   

• Age Related Macular Degeneration

• Diabetic Retinopathy

• Central Serous Choroidopathy

• Artery and Vein Occlusions

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

• define the descriptive terminology of fluorescein angiography and give examples

• discuss how to adequately document common retinal abnormalities with fluorescein angiography

About the Author: 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. 

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