Fluorescein Angiography –
Basic Angiographic Interpretation
AHPO Intermediate Level
Delegates are expected to have 12 – 18 months clinical experience of fluorescein angiography and should already have a clear understanding of fundus angiography technique, pharmacology of fluorescein sodium and the technical aspects of fluorescein angiography.
Course objective:
It is intended that the course provide the delegate with a clear understanding of angiographic principles and the anatomical concepts of fluorescein angiography; equipping them with the skills of descriptive interpretation, providing a structured method of identifying and reporting angiographic features. The delegate should be able to recognise the key angiographic features of common chorio/retinal pathologies.
Course content, learning outcomes and timetable:
8.30 – 9.10Registration & Coffee
9.10 – 9.15Introduction & Welcome
(Christopher Mody – Ophthalmic Photographer/OSP)
9.15 – 10.15Anatomical Concepts of Fluorescein Angiography
(David Clark – Consultant)
You should be able to:
- Recognise the normal chorio/retinal anatomy.
- Understand the normal chorio/retinal circulation and how it influences angiography.
- Understand how normal anatomy affects the normal fluorescein angiographic appearance.
- Appreciate how pathologies affecting macula determine FA appearance.
10.15 – 11.15Descriptive Fluorescein Interpretation
(Christopher Mody – Ophthalmic Photographer/OSP)
You will:
- Understand and recognise causes of hypo and hyper-fluorescence.
- Acquire necessary skills for descriptive interpretation of retinal photographic and angiographic images.
- Through case presentations and examples practice the skills of descriptive FA interpretation.
11.15 – 11.30Coffee
11.30 – 12.30Assessment of the Angiographic Image in Retino-vascular Disease
(John Talbot – Consultant)
You should:
- Understand the systemic causes and associated retinal circulatory changes, associated with retino-vascular disease and the angiographic appearance.
- From the angiographic appearance identify CRVO, BRVO, CRAO, BRAO & cilio retinal AO – should be able to identify retinal haemorrhage, exudate, micro infarcts, venous beading and ischaemia.
12.30 – 1.30Lunch
1.30 – 2.30Assessment of the Angiographic Image in Diabetic Retinopathy
(Christopher Brand- Consultant)
You should:
- Understand the mechanism and causes associated with retinalmicro-circulatory changes in NIDDM & IDDM.
- From their angiographic appearance identify: NVD, NVE, venous beading, micro-infarcts, IRMA, MA’s, retinal haemorrhage, macula ischaemia & confluent, peripheral ischemia and laser treatment.
2.30– 3.30Assessment of the Angiographic Image in ARMD
(Mike Briggs – Consultant)
You will:
- Recognise the pathological changes associated with ARMD and the angiographic appearance.
- From angiographic appearance identify lesion sub-types: classic, predominantly classic, minimally classic & occult.
- Identify the correct phase of an angiogram in which CNV can be accurately measured and what structures should be included within the measurement area.
3.30 – 3.45Coffee
3.45 - 4.30Fluorescein Angiography Quiz
(John Talbot – Consultant)
You will have the opportunity to practice the skill of fluorescein descriptive interpretation and diagnosis
- Clinical case evaluation and assessment of the angiographic image.
4.30 – 4.45Closing comments and feedback