Anafilaxia com convulsões após angiografia com fluoresceína em paciente ambulatorial

Abstract

Fluorescein is associated with minor adverse effects during retinal angiography, and most of these effects are not severe and not related to immunological mechanism. However, on rare occasions, anaphylatoid reaction can occur, and fatalities involving fluorescein have been described. Life threatening complications after intravenous injection of sodium fluorescein require immediate intervention. Trainings for professionals are needed to standardize treatment for this event.Keywords: Anaphylaxis; Seizures/chemically induced; Fluorescein angiography/adverse effects; Fluoresceins/administration & dosage; Retinal diseases; Injections, intravenous; Case reports RESUMO A fluoresceína endovenosa é associada a pequenos efeitos adversos durante a angiografia da retina, a maioria deles sem gravidade e não relacionada a mecanismos imunológicos. Entretanto, em raras ocasiões, pode ocorrer reação anafilactoide; fatalidades envolvendo o uso de fluoresceína têm sido descritas. Complicações graves após injeção endovenosa de fluoresceína requerem ação imediata da equipe envolvida, assim como treinamento regular para padronizar o tratamento.

Parafoveal Nonperfusion Analysis in Diabetic Retinopathy Using Optical Coherence Tomography Angiography

“…Additionally, IVFA is limited in its image quality and resolution of the fine foveal vasculature, 30 , 33 – 35 can obscure capillary details secondary to dye leakage, 36 , 37 and is an invasive procedure that is associated with a variety of side effects. 38 – 40 …”