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NR. 3(I)/2007
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Wysiękowe AMD –
choroba obojga oczu. Analiza przypadków klinicznych
Exudative AMD – Bilateral Disease. Clinical Cases Analysis
Małgorzata Figurska, Rafał Pawlik
Klinika Okulistyki Wojskowego Instytutu Medycznego w Warszawie
Kierownik: prof. dr hab. n. med. Andrzej Stankiewicz |
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| Summary: |
AMD is considered to be a
civilization-related disease with genetic predisposition,
the onset of which is provoked by environmental and
behavioral factors. With such pathogenesis one should
assume this to be a disease which affects both eyes.
Frequent symmetry of lesions in cases where both eyes
are affected prove this theory.
The major prognostic factors for the risk of visual loss
in the second eye are: age of patients (nearly 50% of
those aged over 80 years), gender (women), family
history, history of heavy smoking in the previous 25
years, long term thiazide-diuretic treatment and the
type of AMD in the first eye.
The aim of this article is to discuss the dynamics of
AMD and to present the effects of photodynamic therapy
in 3 women aged 68-73 years (average 70), in whom
exudative AMD was diagnosed in both eyes over the period
of several months. We also wish to draw attention to
risk factors of AMD and to systematize prophylactic
approach which would allow early diagnosis of this
degeneration.
Conclusions:
1. Patients with unilateral exudative AMD should be
monitored carefully - fundus examination should be
repeated every 3 months or even more frequently, Amsler
test must be done on the regular basis.
2. The evaluation of exudative AMD and response to PDT
may vary in each eye of the same patient.
3. Patients with unilateral AMD and hypertension should
avoid long-term thiazide diuretic treatment. |
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| Key words: |
bilateral exudative AMD,
photodynamic therapy, risk factors, prophylaxis. |
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