注射荧光素进行视网膜血管造影的不良反应：4例报告

IF 0.3 4区医学

Revue Francaise d Allergologie Pub Date : 2025-08-11 DOI:10.1016/j.reval.2025.104598

N. Taouri, A. Amazouzi, N. Boutimzine, O. Cherkaoui

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引用次数: 0

摘要

荧光素视网膜血管造影是一种耐受性很好的检查；然而，各种严重程度的不良反应已被报道，从简单的恶心到过敏性休克。恶心、呕吐是荧光素注射后最常见的过敏反应。有风险的患者有时需要预先用药。一些作者建议在进行检查之前进行脱敏治疗，而另一些人则建议使用口服荧光素进行视网膜血管造影，有时使用OCT（光学相干断层扫描）或OCT- a（光学相干断层扫描血管造影）。最后，为了更安全，为检查室配备必要的工具来管理这类反应是很重要的。我们报告了4例视网膜血管造影注射荧光素后不良反应的回顾性研究。

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Les effets indésirables suite à l’injection de la fluorescéine pour la réalisation de l’angiographie rétinienne : rapport de 4 cas

Fluorescein retinal angiography is a very well tolerated test; however adverse reactions of various severity have been reported, ranging from simple nausea to anaphylactic shock. Nausea, followed by vomiting are the most common anaphylactic incident after fluorescein injection. Premedication is sometimes indicated for patients at risk. Some authors propose desensitization protocols before carrying out an examination, while others propose as an alternative a retinal angiography with oral fluorescein, and sometimes the use of OCT (optical coherence tomography), or OCT-A (optical coherence tomography angiography). Finally, for more safety, it is important to equip the examination room with the necessary tools to manage this type of reactions. We report a retrospective study of 4 cases of adverse reaction following the injection of fluorescein for retinal angiography.

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来源期刊

Revue Francaise d Allergologie Medicine-Immunology and Allergy

自引率

33.30%

发文量

349

期刊介绍： La Revue Française d''Allergologie : un véritable forum pour faire connaître des travaux originaux et permettre la diffusion de l''information auprès de toutes les spécialités concernées par les pathologies allergiques. La Revue Française d''Allergologie (8 numéros par an) est au carrefour de nombreuses spécialités - dermatologie, pédiatrie, ORL, pneumologie, ophtalmologie, médecine interne - qui, toutes, ont à traiter des maladies allergiques. Les symptômes des allergies fondés sur des mécanismes communs sont le plus souvent associés et se succèdent chez un même patient. En forte progression depuis 20 ans, les maladies allergiques sont dans l''attente de perfectionnements et d''avancées thérapeutiques qui permettront aux nombreux patients qui en sont atteints de mieux vivre avec leurs allergies. La Revue Française d''Allergologie se veut donc un véritable forum de discussions et d''échanges entre tous les spécialistes confrontés aux pathologies