Fluorescein Angiogram (FA)
Fluorescein angiography (fluorescein - the type of dye that is used; angiogram - a study of the blood vessels) is an extremely valuable test that provides information about the circulatory system and the condition of the back of the eye. FAs are useful for evaluating many eye diseases that affect the retina.
The test is performed by injecting a special dye, called fluorescein, into a vein in the arm. In just seconds, the dye travels to the blood vessels inside the eye. A camera equipped with special filters that highlight the dye is used to photograph the fluorescein as it circulates though the blood vessels in the back of the eye. If there are any circulation problems, swelling, leaking or abnormal blood vessels, the dye and its patterns will reveal these in the photographs. Your Doctor can then make a determination as to the diagnosis, and possible treatment options for the patient.
What is Fluorescein Angiography?
This is a test which allows the blood vessels at the back of the eye to be photographedas a fluorescent dye is injected into the bloodstream via your hand or arm.
Why is the procedure necessary?
- To help the doctor confirm a diagnosis.
- To provide guidelines for treatment.
- To keep a permanent record of the vessels at the back of the eye.
Your pupils will be dilated with eye drops. An injection of yellow dye is given into a vein in your arm. A series of photographs is taken as the dye enters the vessels at the back of your eye.
Are there any side-effects?
During the injection you may feel warm or experience a hot flush. This only lasts seconds then disappears. Your skin will be pale yellow and your urine colored fluorescent green. This is entirely normal and may take two days to wear off.
Can I eat or drink before the test?
Yes. It is advisable to eat a light meal before the test. If you have diabetes you must ensure you have had enough to eat.
Should I take my normal medication?
Yes, all your regular medication should be continued. You will be asked before the test what medication you are taking.
Should I inform you of my past medical history?
Yes, this is very important. Also inform us of any allergies that you may have. If you think that you may be pregnant, please inform the medical staff.
When will I get the results of the test?
You will hear from Dr. Ballon right after your test is completed. He will explain his findings.
Can I drive Home?
No. The drops and bright light from the camera will blur your vision for a short time. Please arrange for another adult to collect you from our clinic and escort you home.
Retinal Photography (Routine Photography, Without Angiography.)
For this your pupils will need to be dilated with eye drops, so you should not drive. If you do drive, staff may have to refuse to put drops in your eye and cancel the procedure.
Dilating your pupils stops you from the ability to read and lights become very bright, especially sunlight. Some people do drive, especially if they wait an hour or two after the drops are put in, so they wear off a little, but this is not ideal.
Very occasionally the drops last 3 days, but usually they last 1 hour with maximum effect, and are 80% better after 3 hours. Reading or close work may still be slightly difficult after this. Using sunglasses while your pupils are dilated is very helpful indeed.
Schedule Your Appoinment
Your Eye Appointment
What to bring with you!
Make the most of your appointment time. Your Doctor will want to review your medical history as well as address your eye care concerns. You will get more out of your appointment if you stop now and prepare.
1. Bring any eyeglasses or contact lenses you currently wear.
2. Bring a list of all current medications.
3. Bring a list of serious illnesses or surgeries in your past.
4. Bring a list of your current illnesses or report on your wellness program.
5. Bring your insurance card and referral from your primary Doctor if your insurance requires a referral. Or, if you are paying cash, bring your credit card or checkbook. Payment will be expected at the time of your appointment and on the day of surgery. You may wish to take advantage of CareCredit or ChaseHealthAdvance, and can apply on-line before your appointment.
See Better After a Cataract Surgery
Cataract patients now have an option to see at both near and far distances after cataract surgery! Individuals suffering from cataracts previously had only a mono-focal lens implant option after surgery. NEW multi-focal IOL technology can now decrease dependence on glasses after surgery. 
What Our Patient Says
“My experience at the Harman Eye Clinic resulted in excellent vision. I was not able to see the alarm clock at night and now after LASIK I can see everything. My vision is 2020 and my lifestyle has drastically improved. I have a much more active life and I never have to worry about taking my contacts in and out” 
Washington Eye Doctors | Second Opinions
If you would like to get a second opinion regarding your eye surgery options it is always better to know before surgery then to make a wrong decision. Because our practice is regarded as one of the regions TOP ophthalmology practices we take second opinions very seriously. 
