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Year 2010 Vol. 18 No 5

OPHTHALMOLOGY

MORKHAT M.V., MORKHAT V.I., MARCHENKO L.N.

DIAPHANOOPHTHALMOSCOPIC DIAGNOSTICS OF DYSTROPHIC CHANGES AT AGE-RELATED MACULAR DEGENERATION AND DEGENERATIVE MYOPIA

Objectives. To study the diagnostic value of diaphanoophthalmoscopy (DO) at atraumatic transillumination for the detection of macular changes in dry and wet age-related macular degeneration (AMD) and the degenerative myopia (DM) with determination of typical DO pictures of various manifestations of AMD and DM.
Methods. The study included 119 eyes with AMD from 61 patients and 93 eyes with the degenerative myopia from 48 patients. Retrobulbar transillumination was performed using a non-invasive transpalpebral technique. Fundus was examined by indirect diaphanoophthalmoscopy (DO) using condensing lenses +20D. The DO findings were compared with ophthalmoscopy findings and in some cases with optical coherence tomography (OCT) and fluorescein angiography (FA) findings. Typical transillumination appearance was captured with fundus camera RetCam II without flash.
Results. The fundus view in DO and ophthalmoscopy differed significantly. DO illustrated high efficacy even in cases with media opacifications and poor dilatation, providing clearly defined margins of lesions. DO helped to reveal pathology lesions, that were invisible with ophthalmoscopy. FA and OCT also revealed the presence of changes revealed at DO, thus confirming diagnostic efficacy of DO.
Conclusions. The given method can be widely used for additional visualization at AMD and DM because it is rather effective, simple, non-invasive one.

Keywords: diaphanoophthalmoscopy, retina, age-related macular degeneration, myopia
p. 112 – 124 of the original issue
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