Suplement
do nr. 1/2003
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Trudności diagnostyczne u pacjentów z
podejrzeniem zwyrodnienia plamki związanego z wiekiem
Diagnostic problems in patients suspected of age-related macular degeneration
Magdalena Ulińska, Sława Kwiecień
Katedra i Klinika Okulistyki II Wydziału Lekarskiego
Akademii Medycznej w Warszawie
Samodzielny Publiczny Kliniczny Szpital Okulistyczny w Warszawie
Kierownik: prof. dr hab. n. med. Jerzy Szaflik |
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| Summary: |
Age-related macular degeneration (AMD) is the most common
disease of the central retina. Sometimes it is a reason of a rapid and severe loss of
visual acuity determining the most frequent cause of legal blindness in adults over 50
years of age.
There are also some other reasons of central vision loss, such as retinal dystrophies,
other kinds of degeneration or vascular changes.
All mentioned diseases give similar symptoms. Patients complain of some kind of distortion
and dark spot in the centre of the visual field. Findings in retinal examination are as
following: drusen, displacement of pigment, atrophy of pigment epithelium, sometimes even
geographic atrophy, hard exudates, classic, occult or mixed neovascular membrane,
hemorrhages, pigment epithelium detachment, detachment of the neurosensory layer of
retina, fibrotic scar.
Sometimes there are some problems with an exact interpretation of visible changes which
leads to diagnostic mistakes. We would like to present the most common of them. |
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| Key words: |
subfoveal neovascularization, fluorescein angiography. |
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