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NR. 4/2004
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Metody nieinwazyjnej
oceny i rejestracji ciała szklistego.
Część I. Badanie przedmiotowe i dokumentacja fotograficzna
Non-invasive methods of evaluation and registration of vitreous
body. Part I. Clinical examination and photographic registration
Joanna Ciszewska1, Jan
Kasprzak1, Ewa Karwacka1, Dariusz Litwin2,
Dariusz Kęcik1, Andrzej Jankowski1
1Katedra i Klinika Okulistyki I Wydziału Lekarskiego
Akademii Medycznej w Warszawie
Kierownik: prof. ndzw. dr hab. med. Dariusz Kęcik
2Instytut Optyki Stosowanej w Warszawie
Dyrektor: dr Marek Daszkiewicz |
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| Summary: |
The vitreous body is a
structure which can create some difficulties in accurate
diagnosis. There are several non-invasive methods of
vitreous body examination which are complementary to
each other. The past history is the first very important
data (onset of the disease, character, visual acuity
outcome) permits to orientate the clinical evaluation.
The use of optical methods in the examination of
vitreous body (slit-lamp, indirect ophthalmoscopy with
biomicroscopy and condensing lenses, biomicroscopy and
triple mirror) lead to more objective evaluation of
partient’s complains. The role of ultrasounds and
optical laser interferometry (ptical coherence
tomography – OCT) in vitreous body examination is widely
discussed in part II. The registration of observed
findings can be managed by patient himself using Litwin
method. The pathological structures found during
clinical examinations (i. e. slit-lamp, indirect
ophthalmoscopy) have to be registrated too. The
photographic methods presented here like photographic
version of slit-lamp and fundus camera can documentate
the images seen during rutine evaluation of vitreous
body. The accurate registration of pathologic findings
permiting the observation and comparison of the images
from different methods of examination, helps in right
diagnosis, evaluation of natural history or effects of
used therapy. |
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| Key words: |
vitreous body, slit-lamp
examination, photography. |
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