Vitreous laser absorption following fluorescein angiography in diabetic patients.
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 lambda > 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.
Azzolini
C
C
Department of Ophthalmology and Visual Sciences, University of Milan, Italy.
Fantaguzzi
S
S
Brancato
R
R
Docchio
F
F
Bandello
F
F
Guarisco
L
L
D000042:Absorption; D000328:Adult; D000368:Aged; D003930:Diabetic Retinopathy / Q000378:metabolism* / Q000601:surgery; D005260:Female; D019793:Fluorescein; D005451:Fluorescein Angiography; D005452:Fluoresceins / Q000378:metabolism*; D005456:Fluorescent Dyes / Q000378:metabolism*; D015590:Fluorophotometry; D006801:Humans; D017075:Laser Coagulation; D008297:Male; D008875:Middle Aged; D014822:Vitreous Body / Q000378:metabolism*
D005452:Fluoresceins; D005456:Fluorescent Dyes; D019793:Fluorescein