Reading Ffa In Diabetics 11 April 2010 by Dr. Anand Sudhalkar Vadodara

How do I read FFA in a diabetic patient?,[object Object],Dr. AnandSudhalkar,[object Object],11April 2010,[object Object],At Dr. T. V. Patel eye institute, Salatwada, Baroda.,[object Object],www.sudhalkareyehospital.com,[object Object],1,[object Object]
Why FFA?,[object Object],www.sudhalkareyehospital.com,[object Object],2,[object Object]
What does it offer?,[object Object],[object Object]
Study the integrity of  BRB
www.sudhalkareyehospital.com
3,[object Object]
Predict the Prognosis.
Plan Follow-ups and Documentationwww.sudhalkareyehospital.com,[object Object],4,[object Object]
Prerquisites,[object Object],Detailed History : Systemic and Ocular,[object Object],Complete Ophthalmic workup with BCVA,[object Object],Thorough Indirect Ophthalmoscopy,[object Object],Colour vision, Amsler test, OCT,[object Object], FFA with a purpose,[object Object],www.sudhalkareyehospital.com,[object Object],5,[object Object]
Case 1,[object Object],[object Object]
Recent Pseudophakia LE 1 monthDimness of vision LE. 1 month post IOL
RE CAT -3.0 90*=6/36
LE IOL -2.0 90*=6/60
Fundus: BDR
Urea 60 S. Creat. 3.5www.sudhalkareyehospital.com,[object Object],6,[object Object]
www.sudhalkareyehospital.com,[object Object],7,[object Object]
LE POST IOL Surgery,[object Object],www.sudhalkareyehospital.com,[object Object],8,[object Object]
www.sudhalkareyehospital.com,[object Object],9,[object Object],Case 2. ,[object Object],M/62, (7491 Mohan Joshi), NIDDM 7 years, ,[object Object],Dimness 3 months,[object Object],RE +1.0=6/36,  LE +1.0=6/36,[object Object],Imm. Cat BE,           ,[object Object],Fundus:   Severe NPDR RE,   PDR LE,[object Object],Hb A1C 7.5,                S. Creat. 0.74,[object Object]
www.sudhalkareyehospital.com,[object Object],10,[object Object]
www.sudhalkareyehospital.com,[object Object],11,[object Object]
www.sudhalkareyehospital.com,[object Object],FFA further sequence,[object Object],12,[object Object], PDR,[object Object]
Case 3. Chandwani 42758,[object Object],M/50yrs, NIDDM 5 yrs. ,[object Object],Dimness one year in BE,  sudden loss RE 15 days,[object Object],RE: FC inferiorly,[object Object],LE: 6/36,[object Object],Phakic BE,[object Object],Fundus: PDR BE, VH RE,[object Object],Hb A1C: 11.2 Sr. Creat 1.4, Urine Alb 4+,[object Object],www.sudhalkareyehospital.com,[object Object],13,[object Object]
PDR RE,[object Object],www.sudhalkareyehospital.com,[object Object],14,[object Object]
PDR LE + FAZ enlargement,[object Object],www.sudhalkareyehospital.com,[object Object],15,[object Object],Capillary dropouts, Enlarged FAZ,[object Object]
Case 4.,[object Object],M/57 yrs, NIDDM 7 yrs,[object Object],Sudden Loss LE 2 days,[object Object],RE: -2.0=6/60, Cataract++,[object Object],LE: 6/60 uncorrected VH++,[object Object],  RE Advanced Cataract, LE PDR+VH,[object Object],Hb A1c 8.5,[object Object],www.sudhalkareyehospital.com,[object Object],16,[object Object],Janak Desai,[object Object]
www.sudhalkareyehospital.com,[object Object],17,[object Object],Cataract RE,[object Object],FFA for “invisible” NVE,[object Object]
www.sudhalkareyehospital.com,[object Object],18,[object Object],NVD,High risk PDR,[object Object],LE,[object Object]
Case 5KantabenChauhan 43245,[object Object],F/55yrs. NIDDM 6 yrs (28-Apr-04),[object Object],Routine test for glasses.,[object Object],RE +1.0= 6/9, LE +1.0= 6/9 ,[object Object],IOP: RE 17, LE 16,[object Object],Next visit 9-Oct-07, RE 6/9, LE 6/9, ,[object Object],IOP RE: 23, LE 18, ,[object Object],Cupping RE> LE, disc hemorrhage+ ,[object Object],www.sudhalkareyehospital.com,[object Object],19,[object Object]
Case 8 cont. ,[object Object],www.sudhalkareyehospital.com,[object Object],20,[object Object]
Case 8 cont 27-Nov 07,[object Object],www.sudhalkareyehospital.com,[object Object],21,[object Object]
Case 5 Cont. Year later RE,[object Object],www.sudhalkareyehospital.com,[object Object],22,[object Object],RE: +1.5=6/12,[object Object]
LE,[object Object],CSME,[object Object],Focal Leak,,[object Object],www.sudhalkareyehospital.com,[object Object],Focal laser,[object Object],23,[object Object],LE: +1.0=6/12,[object Object]
 Case 6.Vithalgaikwad 7463,[object Object],M/76yrs. NIDDM 6 yrs,[object Object],Dimness 3months PCIOL BE,[object Object],RE FC PCO++,[object Object],LE +1.0=6/36,[object Object],Sr. Creat. 1.09, HbA1C 6.5,[object Object],www.sudhalkareyehospital.com,[object Object],24,[object Object]
RE,[object Object],www.sudhalkareyehospital.com,[object Object],25,[object Object],Focal Laser before Yag,[object Object]
www.sudhalkareyehospital.com,[object Object],FFA to locate Leaking Microaneurysms in PDR+CSME,[object Object],26,[object Object]
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Reading Ffa In Diabetics 11 April 2010 by Dr. Anand Sudhalkar Vadodara

Notas do Editor

  1. Not a routine test in all diabetics. Used as an added tool to clarify the clinical picture.
  2. Major reasons for FFA
  3. Pertinent background information is a prerequisite.