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Doctor insights on: Angiogram Retina With Fluorescein

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Dr. Shari Jackson
1 doctor shared a insight

Angiogram (Definition)

An angiogram is a picture of the inside of ones blood vessel (vein or artery) created by injecting a clear liquid (radiopaque dye) which appears to be white (or ...Read more


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Is it possible to get accurate visual field test with macular pucker decline in visual acuity, lights less bright & white computer screen looking gray?

Is it possible to get accurate visual field test with macular pucker decline in visual acuity, lights less bright & white computer screen looking gray?

Usually it is fine: You have defects in the central visual portion of your field of view - an area poorly outlined by most field testing devices. Field tests will define major defects which largely will register from the peripheral areas tested. Have you had a field tested in the past? Is there some condition being sought for with a field.? Your ophthalmologist would not order a field if he doubts the result. ...Read more

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Docs, could a retinoscope with pupil dilated identify a post vitreous detachment?

Docs, could a retinoscope with pupil dilated identify a post vitreous detachment?

Ophthalmoscope: These conditions can be identified with an ophthalmoscope (a retinoscope is used to measure eyeglass power). Dilation of the pupil is usually necessary. This requires some experience and training which ophthalmologists do have (not really a skill for optometrists). ...Read more

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Can an opthalmologist see retinal tears or vitreous detachment with ophthalmoscope?

Can an opthalmologist see retinal tears or vitreous detachment with ophthalmoscope?

Yes: An ophthalmologist, especially a retina specialist, can see these things with an ophthalmoscope and treat them as appropriate. ...Read more

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Can L-carotid artery hypoplasia cause temporary R-eye blindness? CTA, CT, MRI show only L-side abnormalities and a 3mm aneurysm

Can L-carotid artery hypoplasia cause temporary R-eye blindness? CTA, CT, MRI show only L-side abnormalities and a 3mm aneurysm

Transient vision: Given provided information it is unlikely; the specific etiology however needs delineation so pleased to follow through with your ordering physicians until the mechanism is uncovered. ...Read more

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Is b-scan (ultrasound) effective in evaluating vitreous syneresis?Doc said it's difficult to see with indirect ophthalmoscope.Only traction's visible.

Is b-scan (ultrasound) effective in evaluating vitreous syneresis?Doc said it's difficult to see with indirect ophthalmoscope.Only traction's visible.

Not very accurate: The resolution of most b-mode ultrasound is 2 mm. It can give a qualitative picture of the vitreous, attached, detached, foreign body etc. Syneresis is a quality that is better appreciated by slit lamp exam and indirect ophthalmoscopy. ...Read more

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My husband was diagnosed with amaurosis fugax. Opthlmic tests show no optic nerve damage. Carotid ultrsound and echocardiogram both neg. What next?

My husband was diagnosed with amaurosis fugax. Opthlmic tests show no optic nerve damage. Carotid ultrsound and echocardiogram both neg. What next?

Amayrosis fugax: Amaurosis fugax is transient loss of vision in one eye from circulatory issues. One of the causes is a clot from neck arteries or heart going into the eye through blood stream. There are other causes to be considered like glaucoma , vasculitis(inflammation of blood vessels especially giant cell arteritis) coagulation disorder. If all work up is negative , chance of recurrence is very low. ...Read more

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Is optos ultra-wide field retinal imaging more efficient than indirect ophthalmoscopy to see large details of the retina?

Is optos ultra-wide field retinal imaging more efficient than indirect ophthalmoscopy to see large details of the retina?

Efficiency-accuracy: Efficiency, speed, ease of use are attributes of optos, but detailed, high magnification ; dynamic indirect ophthalmoscopy by the eye md is better for careful discriminative diagnoses. Sorry, i don't want to be replaced (yet) by a camera! i've never been able to replace my careful examination of the retina with indirect ophthalmoscopy by an image, except by sd-oct which is excellent. ...Read more

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Wouldnt pars plana vitrectomy reduce the risk of retinal tears or detachments due to vitreoretinal traction for someone with lattice and vitr degen?

Wouldnt pars plana vitrectomy reduce the risk of retinal tears or detachments due to vitreoretinal traction for someone with lattice and vitr degen?

Yes, but invasive: Your risk of tears or detachment is very low unless you are having flashes and have an enlarging area of lattice containing holes. The usual treatment in this case is laser not vitrectomy as vitrectomy itself carries risk of infection. ...Read more

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Can physicians detect carotid artery thinning with an ultrasound?

Can physicians detect carotid artery thinning with an ultrasound?

Yes: Yes. Ultrasounds of the carotid arteries are very accurate. We typically look for blockages in the artery. We actually like to see "thin" (non-diseased) walls of the arteries. When we see thickened carotid artery walls in patients, this considered a marker for cardiovascular disease. (carotid intima-media thickness). ...Read more

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Blurry vision with glasses- monocular diplopia-eye redness-gradual. Doc says allergy,steroid drops did not work. had brain MRI -clear. What is it?

Blurry vision with glasses- monocular diplopia-eye redness-gradual. Doc says allergy,steroid drops did not work. had brain MRI -clear. What is it?

Number of causes: There are several causes of monocular diplopia, from lens to retinal disorders. It might be valuable for you to be referred to an ophthalmologist who can do a detailed examination of front-of-the-eye to back-of-the-eye potential issues. ...Read more

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Optic Nerve RNFL OCT shows thinning temporal- both eyes, 20/20 both eyes, IOP 17 both eyes. Retinal exam normal. Is this significant

Optic Nerve RNFL OCT shows thinning temporal- both eyes, 20/20 both eyes, IOP 17 both eyes. Retinal exam normal. Is this significant

Response: Since all you provide are some brief findings regarding your retinas, I must conclude these tests were obtained due to some neurological symptoms. These results could be part of Multiple Sclerosis, if other signs and symptoms support the diagnosis. The thinning of the RNFL is notable, and should be followed up. Would a Concierge visit allow more in depth understanding? ...Read more

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Whats safer: coronary angiogram or CT angiogram?

Whats safer: coronary angiogram or CT angiogram?

Ct vs cath: In simplest terms the ct angiogram would be safer than a coronary angiogram, however, they are usually used in different circumstances. The ct angiogram is useful as a screening tool to see if coronary disease is present. A cardiac catheterization is performed when a patient has an acute coronary syndrome or a myocardial infarction to evaluate coronary disease, or even treated. ...Read more

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When having eyes dilated for glaucoma exam can an ophthalmologist detect diabetic retinopathy?

When having eyes dilated for glaucoma exam can an ophthalmologist detect diabetic retinopathy?

Yes if present : The dilated eye exam is exactly how we inspect the retina, optic nerve , blood vessels, and other parts for diseases. So if a person has diabetes and it is affecting their retina, we will find it and if necessary treat the complications. As it turns out, not having retinopathy (a good thing) doesn't mean that you don't have diabetes. Your primary doctor determines that. ...Read more

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What is more accurate, a color carotid doppler ultrasound or a contrast carotid mra?

What is more accurate, a color carotid doppler ultrasound or a contrast carotid mra?

Carotid: A carotid doppler is a good screening procedure. A mra or cta of the carotids is more accurate but not the way to screen patients. ...Read more

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Dr. Amrita Dosanjh
3 doctors shared insights

Retina (Definition)

That lines the inner eyeball that turns light into chemical/electrical signals interpreted by brain which we ...Read more