Understanding seizure risk with wide field fundus photography: Implications for screening guidelines in the era of COVID-19 and telemedicine

Purpose: To report two cases of photosensitive seizures due to fundus photography flash. Observations: Two patients with seizure history present to a retina clinic for routine follow up. While obtaining imaging, these patients experienced a seizure triggered by fundus camera flash. Conclusions: Fund...

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Main Authors: Hong-Uyen Hua, Dante J. Pieramici, Nika Bagheri
Format: Article
Language:English
Published: Elsevier 2020-09-01
Series:American Journal of Ophthalmology Case Reports
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2451993620301596
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author Hong-Uyen Hua
Dante J. Pieramici
Nika Bagheri
author_facet Hong-Uyen Hua
Dante J. Pieramici
Nika Bagheri
author_sort Hong-Uyen Hua
collection DOAJ
description Purpose: To report two cases of photosensitive seizures due to fundus photography flash. Observations: Two patients with seizure history present to a retina clinic for routine follow up. While obtaining imaging, these patients experienced a seizure triggered by fundus camera flash. Conclusions: Fundus photography is essential and ubiquitous amongst optometry and ophthalmology practices, especially in the rising era of telemedicine in the setting of the recent COVID-19 pandemic. To our knowledge, there are no other reports in the literature of seizures triggered by fundus photography flash. However, we believe this to be an under-reported phenomenon and suggest that all eye care providers screen patients for a history of seizures or epilepsy prior to fundus photography.
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spelling doaj.art-4178e31ec16a40dca9203739af73d0b52022-12-21T18:14:17ZengElsevierAmerican Journal of Ophthalmology Case Reports2451-99362020-09-0119100844Understanding seizure risk with wide field fundus photography: Implications for screening guidelines in the era of COVID-19 and telemedicineHong-Uyen Hua0Dante J. Pieramici1Nika Bagheri2Roski Eye Institute, Department of Ophthalmology, University of Southern California, Los Angeles, CA, USACalifornia Retina Consultants and Research Foundation, Santa Barbara, CA, USACalifornia Retina Consultants and Research Foundation, Santa Barbara, CA, USA; Corresponding author. California Retina Consultants and Research Foundation, 525 E Micheltorena St., Santa Barbara, CA, 93103, USA.Purpose: To report two cases of photosensitive seizures due to fundus photography flash. Observations: Two patients with seizure history present to a retina clinic for routine follow up. While obtaining imaging, these patients experienced a seizure triggered by fundus camera flash. Conclusions: Fundus photography is essential and ubiquitous amongst optometry and ophthalmology practices, especially in the rising era of telemedicine in the setting of the recent COVID-19 pandemic. To our knowledge, there are no other reports in the literature of seizures triggered by fundus photography flash. However, we believe this to be an under-reported phenomenon and suggest that all eye care providers screen patients for a history of seizures or epilepsy prior to fundus photography.http://www.sciencedirect.com/science/article/pii/S2451993620301596Fundus photographyFundus camera flashPhotic seizureWide-field fundus photographyPhotosensitive epilepsy
spellingShingle Hong-Uyen Hua
Dante J. Pieramici
Nika Bagheri
Understanding seizure risk with wide field fundus photography: Implications for screening guidelines in the era of COVID-19 and telemedicine
American Journal of Ophthalmology Case Reports
Fundus photography
Fundus camera flash
Photic seizure
Wide-field fundus photography
Photosensitive epilepsy
title Understanding seizure risk with wide field fundus photography: Implications for screening guidelines in the era of COVID-19 and telemedicine
title_full Understanding seizure risk with wide field fundus photography: Implications for screening guidelines in the era of COVID-19 and telemedicine
title_fullStr Understanding seizure risk with wide field fundus photography: Implications for screening guidelines in the era of COVID-19 and telemedicine
title_full_unstemmed Understanding seizure risk with wide field fundus photography: Implications for screening guidelines in the era of COVID-19 and telemedicine
title_short Understanding seizure risk with wide field fundus photography: Implications for screening guidelines in the era of COVID-19 and telemedicine
title_sort understanding seizure risk with wide field fundus photography implications for screening guidelines in the era of covid 19 and telemedicine
topic Fundus photography
Fundus camera flash
Photic seizure
Wide-field fundus photography
Photosensitive epilepsy
url http://www.sciencedirect.com/science/article/pii/S2451993620301596
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