Federalnoe gosudarstvennoe avtonomnoe uchrezhdenie "Mezhotraslevoj nauchno-tekhnicheskij kompleks "Mikrokhirurgiya glaza" imeni akademika S.N. Fedorova" Ministerstva zdravookhraneniya Rossijskoj Feder
发明人:
Doga Aleksandr Viktorovich (RU),Дога Александр Викторович (RU),Pedanova Elena Konstantinovna (RU),Педанова Елена Константиновна (RU),Volodin Pavel Lvovich (RU),Володин Павел Львович (RU),Majorova Alek
申请号：
RU2018108123
公开号：
RU0002669862C1
申请日:
2018.03.06
申请国别(地区):
RU
年份:
2018
代理人:
摘要：
FIELD: medicine.SUBSTANCE: invention relates to medicine, namely, to ophthalmology, and is intended for the diagnosis of polypoid choroidal vasculopathy. Patient with suspected polypoid choroidal vasculopathy (PCV) is given ophthalmoscopy and, if at least one of the following is found: exudative maculopathy in the absence of noddles, serous and/or subretinal pigment epithelial haemorrhage (PEH), subretinal hemorrhage, subretinal orange-red nodules, solid exudates, additionally perform optical coherence tomography (OCT) with the module of improved visualization of the choroid. If during the OCT a thickening of the choroid is found in comparison with the age norm and at least two of the following signs: PEH with medium reflectivity content and hyporeflective lumen in the center, dome-shaped PEH, a sign of "gear", multiple PEH, then optical coherence tomography-angiography (OCT-A) is additionally performed. If at least one of the following signs is detected during OCT-A: network of abnormal vessels at the level of choriocapillaris, rounded or annular formations with increased blood flow, an angiography with an indocyanine green dye (ICGAG) is prescribed.EFFECT: method provides a reduction in the number of unreasonably conducted angiographies with the indocyanine dye green, while its accuracy remains unchanged, and the risk of a life-threatening complication, anaphylactic shock, is reduced by selecting patients with suspected PCV for ICGAG.1 cl, 4 exИзобретение относится к медицине, а именно к офтальмологии, и предназначено для диагностики полипоидной хориоидальной васкулопатии. Пациенту с подозрением на полипоидную хориоидальную васкулопатию (ПХВ) проводят офтальмоскопию и, если обнаруживают, по крайней мере, один из следующих признаков: экссудативная макулопатия при отсутствии друз, серозная и/или геморрагическая отслойка пигментного эпителия (ОПЭ), субретинальное кровоизлияние, субретинальные оранжево-красные узелки, твердые экссудаты, дополнительно проводят оптичес
