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NR. 2/2008
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Badania
angiograficzne dna oka w diagnostyce chorób zapalnych tylnego
odcinka gałki ocznej
Fundus Angiographic Examination in the Inflammatory Diseases in
the Posterior Segment of the Eye Diagnostics
Barbara Terelak-Borys, Irmina
Jankowska-Lech, Iwona Grabska-Liberek
Klinika Okulistyki Centrum Medycznego Kształcenia Podyplomowego
w Warszawie
Kierownik: dr hab. n. med. Iwona Grabska-Liberek |
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| Summary: |
Background and aim:
Inflammatory intrabulbar diseases often represent
difficult diagnostic problem. The aim of the study is to
present importance of fundus angiographic examinations
in some inflammatory processes affecting the posterior
segment of the eye.
Patients and methods: Three patients with inflammation
in the posterior segment of the eye underwent fundus
angiographic examination using HRA (Heidelberg Retina
Angiography) system for simultaneous fluoresceine (FA)
and indocyanine green angiography (ICGA). Basal
diagnostics consisted of: chest X-ray examination, CBC,
blood serological tests for: toxoplasmosis, toxocarosis,
borreliosis, syphilis and histopathological examination
in one case. In these patients diagnosis of ocular
toxoplasmosis, borreliosis and multisystem sarcoidosis
was established.
Results: FA and ICGA performed in patients with
inflammation in the posterior segment of the eye
confirmed clinically detectable presence of inflammatory
infiltrations in the retina and choroid in the course of
toxoplasmosis, borreliosis and sarcoidosis. Optic
neuritis and diffuse retinal vasculitis was clearly seen
in FA examination in patient with borreliosis. Moreover,
in the course of sarcoidosis, FA revealed retinal
vasculitis and cystoid macular oedema not visible
clinically. In case of toxoplasmosis ICGA was necessary
to differentiate inflammatory infiltration from
choroidal neovascular membrane.
Conclusion: Fundus eye angiography is an important
supplement for clinical evaluation in patients suffering
from inflammatory diseases in the posterior segment of
the eye, useful to complete the diagnosis and
differentiate ocular pathological changes in cases with
aetiology particularly difficult to establish. |
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| Key words: |
eye fundus angiography,
fluorescein angiography, indocyanine green angiography,
inflammatory diseases of posterior segment of the eye,
toxoplasmosis, borreliosis, sarcoidosis. |
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