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Ophthalmic Images |

An Innocuous Adverse Effect of Routine Fundus Fluorescein Angiography Online Only

Philip J. Banerjee, BMedSci, BMBS, FRCOphth1; Nigel P. Davies, MA, MBBS, PhD, FRCOphth2
[+] Author Affiliations
1Moorfields Eye Hospital, London, England
2Chelsea and Westminster Hospital, London, England
JAMA Ophthalmol. 2016;134(1):e153624. doi:10.1001/jamaophthalmol.2015.3624.
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This Ophthalmic Image describes a case of yellow forearm venous staining after fundus fluorescein angiogram.

A man in his late 80s underwent a fundus fluorescein angiogram following an ischemic branch retinal vein occlusion. Medical history included hypertension. Five milliliters of sodium fluorescein, 20%, was injected through an intravenous cannula sited in a tributary of the dorsal venous network of the hand. Shortly after injection, yellow forearm venous staining was noted distally from the injection site extending midway up the cephalic vein proximally (Figure). This was completely asymptomatic and no other unexpected adverse effects of the investigation were reported.

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Figure.

A, Marked staining of the dorsal venous network of the hand to the cephalic vein after a 5-mL injection of sodium fluorescein, 20%. No other adverse effects were noted, with complete resolution occurring within 24 hours. B, As seen under blue light.

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