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NR 10-12/2007

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Zastosowanie
optycznej tomografii koherentnej w rozpoznawaniu dystrofii
żółtkowatej plamki dorosłych
Optical coherence tomography
in diagnosing adult-onset vitelliform macular dystrophy
Edward Wylęgała, Anita Lysek-Boroń,
Sławomir J. Teper, Jarosław Piłat, Jolanta Łogiewa-Toborek,
Dorota Tarnawska
Z Oddziału Okulistycznego Okręgowego Szpitala Kolejowego w
Katowicach
Ordynator: dr hab. n. med. Edward Wylęgała |
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| Summary: |
Purpose: To assess
usefulness of optical coherence tomography (OCT) in
adult-onset vitelliform macular dystrophy (AVMD)
diagnosis.
To assess retinal pathological changes during all stages
of the disease.
Material and methods: Retrospective case-series
report. 16 patients (9 men, 7 women, mean age 60.25),
with vitelliform macular dystrophy, who underwent
ophthalmic examination including optical coherence
tomography (OCT Stratus III, Zeiss Meditec, CA, USA) in
2005 and 2006. Retinal Thickness Map and Fast Retinal
Thickness Map Acquisition Protocols were used during OCT
scanning. Patients were evaluated with ETDRS charts,
biomicroscopy, fluorescein angiography and
electrophysiological exams.
Results: 7 patients (44%) were referred to our
outpatient clinic with diagnosis of macular hole, 7
patients (44%) with diagnosis of AMD. In 2 patients Best
disease was suspected. Diagnosis of AVMD was possible to
establish in all patients including medical history,
fundus photography and OCT.
Conclusions: OCT enables retinal morphology
assessment and can be treated as the basis of
adult-onset vitelliform macular dystrophy early
evaluation, diagnosis differentiation and monitoring
progression. |
| Słowa kluczowe: |
zwyrodnienie żółtkowate
plamki dorosłych, optyczna tomografia koherentna. |
| Key words: |
Adult-onset vitelliform
macular dystrophy, AVMD, optical coherence tomography,
OCT. |
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