Fluorescein angiography, a clinical
test to look at blood circulation inside the back of
the eye, aids in the diagnosis of retinal conditions
associated with diabetes, age-related macular degeneration,
and other eye abnormalities. The test can also help
follow the course of a disease and monitor its treatment.
It may be repeated on multiple occasions with no harm
to the eye or body.
Fluorescein, a harmless orange-red dye, is injected
into a vein in the arm. The dye travels through the
body to the blood vessels in the retina, the light-sensitive
nerve layer at the back of the eye. A special camera
with a green filter flashes a blue light into the eye
and takes multiple photographs of the retina. The technique
uses regular photographic film. No X-rays are involved.
If there are abnormal blood vessels, the dye leaks
into the retina or stains the blood vessels. Damage
to the lining of the retina or atypical new blood vessels
may be revealed as well. These abnormalities are determined
through a careful interpretation of the photographs
by an ophthalmologist.
The dye can discolor skin and urine until it is removed
from the body by the kidneys. There is little risk in
having fluorescein angiography, though some people may
have mild allergic reactions to the dye. Severe allergic
reactions have been reported but very rarely. Being
allergic to X-ray dyes with iodine does not mean you'll
be allergic to fluorescein. Occasionally, some of the
dye leaks out of the vein at the injection site, causing
a slight burning sensation that usually goes away quickly. |