Stavrev Vladimir N, Sivkova Nelly P, Koleva-Georgieva Desislava N
Department of Ophthalmology, Faculty of Medicine, Medical University of Plovdiv, Plovdiv, Bulgaria.
Folia Med (Plovdiv). 2019 Jun 1;61(2):317-326. doi: 10.2478/folmed-2018-0061.
Age-related macular degeneration is a leading cause of irreversible vision loss in individuals over 55 years of age worldwide. Conventionally, it is divided into two subtypes - dry (non-neovascular) and wet (neovascular) form. Neovascular age-related macular degeneration comprises only 10-15% of all patients but is responsible for more than 80% of blindness related to the disease. It requires early diagnosis and timely treatment. Fluorescein angiography is the current 'gold standard' for diagnosing neovascular forms. However, as an invasive procedure, it may be contraindicated in some circumstances and cause serious adverse effects. Optical coherence tomography-angiography is a relatively new, non-invasive and fast imaging modality gaining popularity in the diagnosis of age-related macular degeneration, especially for the neovascular form of the disease. It enables structural and functional information of blood vessels in the retina and choroid, without the need of an intravenous dye. In this study we present and discuss 3 cases of different subtypes of choroidal neovascularization secondary to neovascular age-related macular degeneration. All of them were examined by fluorescein angiography and optical coherence tomography-angiography. The results were qualitatively analyzed.
年龄相关性黄斑变性是全球55岁以上人群不可逆视力丧失的主要原因。传统上,它分为两种亚型——干性(非新生血管性)和湿性(新生血管性)。新生血管性年龄相关性黄斑变性仅占所有患者的10%-15%,但却导致了超过80%的与该疾病相关的失明。它需要早期诊断和及时治疗。荧光素血管造影是目前诊断新生血管性类型的“金标准”。然而,作为一种侵入性检查,在某些情况下可能是禁忌的,并且会引起严重的不良反应。光学相干断层扫描血管造影是一种相对较新的、非侵入性且快速的成像方式,在年龄相关性黄斑变性的诊断中越来越受欢迎,尤其是对于该疾病的新生血管性类型。它能够提供视网膜和脉络膜血管的结构和功能信息,而无需静脉注射染料。在本研究中,我们展示并讨论了3例继发于新生血管性年龄相关性黄斑变性的不同亚型脉络膜新生血管病例。所有病例均接受了荧光素血管造影和光学相干断层扫描血管造影检查。对结果进行了定性分析。