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NR 4-6/2007
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Trudności
diagnostyczne u pacjentów ze zmianami w plamce
Diagnostic difficulties in
patients with macular lesions
Sława Kwiecień, Jacek P. Szaflik, Jerzy
Szaflik
Z Katedry i Kliniki Okulistyki II Wydziału Lekarskiego Akademii
Medycznej w Warszawie
Z Samodzielnego Publicznego Klinicznego Szpitala Okulistycznego
w Warszawie
Kierownik: prof. dr hab. n. med. Jerzy Szaflik |
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| Summary: |
We present diagnostic
difficulties associated with macular lesions giving
symptoms of central visual field distortions due to
retinal and choroidal diseases different than age
related macular degeneration (AMD).
Aim: To analyze causes of methamorphfopsia similar to
that occurring in AMD.
Material and Methods: Patients presented for
Preferential Hyperacuity Perimetry (PHP) examination due
to the central visual field distortion. In cases of
abnormal PHP result, we performed visual acuity testing
and stereoscopic examination of the eye fundus. In
selected cases optical coherence tomography (OCT),
fluorescein angiography (FA) and indocyanine green
chorioangiography (ICG) were performed. Following these
examinations the decision about further management was
made.
Analyzed cases demonstrate the need to correlate the PHP
examination, which objectifies visual field distortions
symptoms with stereoscopic eye fundus examination and
additional examinations of retina and choroid including
OCT, FA and ICG. |
| Słowa kluczowe: |
dystorsje, makulopatia
celofanowa, choroba Besta, otwór plamki, torbielowaty
obrzęk plamki. |
| Key words: |
dystorsions, macular
pucker, Best disease, macular hole, cystic macular
edema. |
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