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Vitreous laser absorption following fluorescein angiography in diabetic patients

  • Clinical Investigation
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Abstract

• Background: Sodium fluorescein staining of the vitreous following fluorescein angiography may interact with laser photocoagulation. • Methods: We evaluated the laser absorption by fluorescein in the vitreous when photocoagulation is performed following fluorescein angiography in 15 eyes of nine diabetic patients. Axial fluorescein concentration in the vitreous was measured by a scanning vitreal fluorophotometer. The amount of light absorbed by the fluorescein within the vitreous was calculated according to the Lambert-Beer law. • Results: The mean fluorescein concentration ranged from 2.93 ng cm−3 to 105.16 ng cm−3 at 1 h after injection of fluorescein and from 8.03 to 188.56 ng cm−3 after 4 h. Maximum laser absorption at 488 nm ranged from 6.79% (after 1 h) to 14.53% (after 4 h); at 514.5 nm it ranged from 0.96% to 2.14%; at 532 nm it ranged from 0.03% to 0.07%. At λ>550 nm, laser absorption was found to be negligible. • Conclusions: In order to optimize the effect of photocoagulation, especially during long photocoagulation sessions, argon blue laser (488 nm) should be avoided following fluorescein angiography. Argon green laser (514.5 nm) should be used within 1 h after fluorescein injection. Frequency-doubled Nd:YAG laser (532 nm), krypton laser (647 nm) or semiconductor diode laser (810 nm) may be used at any time.

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Authors and Affiliations

  1. Department of Ophthalmology and Visual Sciences, Scientific Institute H.S. Raffaele, University of Milan, Via Olgettina, 60, I-20132, Milan, Italy

    Claudio Azzolini, Sergio Fantaguzzi, Rosario Brancato, Francesco Bandello & Lauretta Guarisco

  2. Department of Electronics for Automation, Faculty of Engineering, University of Brescia, Brescia, Italy

    Franco Docchio

Authors
  1. Claudio Azzolini
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  2. Sergio Fantaguzzi
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  3. Rosario Brancato
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  4. Franco Docchio
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  5. Francesco Bandello
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  6. Lauretta Guarisco
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Azzolini, C., Fantaguzzi, S., Brancato, R. et al. Vitreous laser absorption following fluorescein angiography in diabetic patients. Graefe's Arch Clin Exp Ophthalmol 234, 488–492 (1996). https://doi.org/10.1007/BF00184856

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  • DOI: https://doi.org/10.1007/BF00184856

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