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Ординатура / Офтальмология / Английские материалы / Illustrated Tutorials in Ophthalmology Kanski, Bolton 2001

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Proliferative retinopathy

 

 

 

 

 

‘Sea-fan’ neovascularization

 

Fibrovascular proliferation

 

Fibrovascular proliferation

 

 

 

 

and bleeding

 

 

 

 

 

Non-proliferative retinopathy

 

 

 

 

 

 

 

 

 

 

 

Salmon patches (equatorial

 

Black sunbursts ( RPE

Retinal holes

haemorrhages)

 

hyperplasia )

 

 

 

 

 

 

Grading of active retinopathy of prematurity (ROP)

Zones

1

2

3

Disc

Fovea

Location - three zones centred on optic disc

Extent - number of clock hours involved

Staging of active retinopathy of prematurity

Treatment of Active Retinopathy of Prematurity

1.Modality

Cryotherapy

Laser photocoagulation

2.Indications - threshold disease

(5 contiguous or 8 non-contiguous clock hours

in zone I or zone II, associated with ‘plus’ disease)

3.Results

75% success

25% progress to detachment despite treatment

Cicatrical retinopathy of prematurity

 

 

 

Temporal vitreoretinal

Falciform retinal fold

Total retinal detachment

fibrosis and dragging of disc

 

 

 

 

 

Idiopathic juxtafoveolar retinal telangiectasia

Presents in middle or old age

 

Group 1

 

Group 2

 

Group 3

 

 

 

 

 

 

 

 

 

 

 

 

Unilateral, telangiectasia

Bilateral, symmetrical perifoveal

Bilateral, severe, perifoveal

 

telangiectasia and capillary

 

temporal to fovea

 

telangiectasia

 

 

 

 

occlusion

 

May benefit from

 

 

 

Occasionally may benefit from

 

Photocoagulation not

 

photocoagulation

 

 

photocoagulation

 

 

 

beneficial

 

 

 

 

 

Good prognosis

 

 

 

 

Guarded prognosis

 

Poor prognosis

 

 

 

 

 

 

 

 

Leber miliary aneurysms

Presents usually in early adult life

 

 

 

Temporal fusiform and

Hard exudates may

Photocoagulation may be

saccular vascular

threaten macula

beneficial

dilatation

 

 

 

 

 

FA of Leber miliary aneurysms

 

 

 

Localized dilatation

Associated non-perfusion

Leakage

 

 

 

Presentation of Coats disease

First decade, more common in boys

Always unilateral

 

 

Visual loss and strabismus

White fundus reflex (leukocoria)

 

 

Progression of Coats disease

 

 

 

 

 

 

Retinal and subretinal

Slow progresssion of exudation

Exudative retinal

 

hard exudation

 

 

 

detachment and retrolental

Overlying vascular

Severe visual loss

 

mass

 

dilatation and tortuosity

Treatment not beneficial

May mimic retinoblastoma

 

May benefit from

 

 

 

 

 

photocoagulation

 

 

 

 

 

 

 

 

 

 

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