NR 7-9/2005

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Badanie autofluorescencji dna oka z zastosowaniem konfokalnego skaningowego oftalmoskopu laserowego HRA (Heidelberg Retina Angiograph)

Fundus Autofluorescence examination using a confocal Scanning Laser Ophthalmoscope HRA (Heidelberg Retina Angiograph)

Joanna Dolar-Szczasny1, Jerzy Mackiewicz1, Almut Bindewald2, Frank G. Holz2, Zbigniew Zagórski1

1Z Katedry i I Kliniki Okulistyki Akademii Medycznej w Lublinie
Kierownik: prof. dr hab. n. med. Zbigniew Zagórski
2Z Kliniki Okulistycznej Uniwersytetu w Bonn
Kierownik: prof. dr hab. n. med. Frank G. Holz

Summary: Purpose: To present application of a confocal Scanning Laser Ophthalmoscope (cSLO) for fundus autofluorescence examination, as a new method of visualization of retinal pigment epithelium and its possible significance in the diagnosis of different retinal diseases.
Material and methods: Typical autofluorescence images in age-related macular degeneration (AMD), Stargardt disease, Best disease and pattern dystrophies are presented, based on the own experience and literature data. Autofluorescence images were obtained with a cSLO using an argon laser for generation of excitation light at 488 nm and a barrier filter >500 nm for the detection of the emitted signals.
Results: A variety of autofluorescence patterns, associated with the accumulation of lipofuscin in RPE cells, was found in the above entities.
Conclusions: Presented method of fundus autofluorescence examination gives new possibilities in studying the pathogenetic mechanisms in various retinal diseases and may be useful in monitoring the follow-up and the effects of the treatment.
Słowa kluczowe:  autofluorescencja, konfokalny skaningowy oftalmoskop laserowy, lipofuscyna, nabłonek barwnikowy siatkówki, zwyrodnienie plamki związane z wiekiem.
Key words: autofluorescence, confocal scanning laser ophthalmoscope, lipofuscin, retinal pigment epithelium, age-related macular degeneration.



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