Is Fluorescein Angiography Better that RetCam Imaging for ROP?

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A picture of an injured babyThe American Association of Pediatric Ophthalmology and Strabismus (AAPOS) met this month in California for its annual conference. At the conference, many doctors presented their findings on bettering the treatment  and measures taken to prevent blindness in premature babies affected by retinopathy of prematurity (ROP).

One study, presented by pediatric ophthalmologist Luxme Hariharan, focused on the possible benefits a new procedure may have for screening and monitoring ROP progression in infants. Photographs taken with fluorescein angiography would supplement traditional “fundography” systems, such as RetCam images, but would not replace the need for good clinical exams.

The study found that while some pictures of the retina taken with a RetCam are “hazy and [do] not show the distinct nature of the enhanced vasculature,” images taken using fluorescein angiography were able to show even the slightest of ROP blood vessel changes. This procedure involves injecting newborns with fluorescein dye before taking the images. However, doctors may find the administering the fluorescein angiography procedure has a bit of a learning curve.

Children’s Hospital of Philadelphia doctor Graham E. Quinn, who commented on the use of fluorescein angiography in a Medscape Medical News article, commented that “good imaging [using fluorescein angiography] is a skill that must be practiced many times” and that the procedure itself is “not an easy thing; it’s a bit intimidating.”

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Author: Andrew

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