OCT-Angiography for the Diagnosis and Monitoring of Best’s Disease
Best’s disease is a relatively rare form of macular dystrophy, characterized by bilateral staged course. The cases of the choroidal neovascular membrane (XNM) formation in the course of the disease development are described, however the true frequency of this complication and the management of such...
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| Format: | Article |
| Language: | Russian |
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Ophthalmology Publishing Group
2019-04-01
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| Series: | Oftalʹmologiâ |
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| Online Access: | https://www.ophthalmojournal.com/opht/article/view/902 |
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| author | L. A. Katargina E. V. Denisova N. N. Arestova T. B. Kruglova N. A. Osipova O. V. Novikova |
| author_facet | L. A. Katargina E. V. Denisova N. N. Arestova T. B. Kruglova N. A. Osipova O. V. Novikova |
| author_sort | L. A. Katargina |
| collection | DOAJ |
| description | Best’s disease is a relatively rare form of macular dystrophy, characterized by bilateral staged course. The cases of the choroidal neovascular membrane (XNM) formation in the course of the disease development are described, however the true frequency of this complication and the management of such patients are not determined. In recent years, a new promising method of examination — OCT — angiography (OCTA) — has been actively introduced into clinical practice. Non-invasive character and contactlessness of OKTA open wide possibilities of its application in various pathologies, in particular, in pediatric ophthalmology. The purpose of this work was to assess the prospects for using OCTA in the diagnosis and monitoring of Best’s disease. Patients and methods. The data of the standard complex ophthalmological examination and OCTA of the posterior pole of the eye were analyzed in 5 patients with Best’s disease — 4 children aged 5 to 12 years and the 25-year-old woman observed for this disease from childhood. Results. In all patients, the disease was bilateral. In 1 of 9 eyes (1 out of 10 eyes was excluded from the analysis due to the presence of retinal detachment at the time of examination) the disease was at the vitelliform stage, in 2 — at the pseudohypopyon, in 5 — at the vitelliruptive stage, in 1 — at the atrophic stage. Visual acuity at the time of the examination was from 0.02 to 1.0. Clinically, the presence of CNM could be assumed in 4 eyes. According to OCTA CNM was detected in 7 cases, in 3 of them signs of membrane activity were noted. Сonclusion. OCTA provide detection that the formation of СNM in the Best’s disease occured already at the pseudohypopyon stage and in half of cases was not accompanied by the development of clinical symptoms. The study allows to assess the localization, size and activity of the membrane, which is necessary for monitoring and determining the tactics of treatment of this complication. Carrying out further research will determine the true frequency, risk factors for development and features of CNM in Best’s disease, which will allow developing optimal tactics for conducting such patients. |
| format | Article |
| id | doaj-art-cfc12b8edfa24f64aed83af849ea155c |
| institution | Matheson Library |
| issn | 1816-5095 2500-0845 |
| language | Russian |
| publishDate | 2019-04-01 |
| publisher | Ophthalmology Publishing Group |
| record_format | Article |
| series | Oftalʹmologiâ |
| spelling | doaj-art-cfc12b8edfa24f64aed83af849ea155c2025-08-04T14:32:21ZrusOphthalmology Publishing GroupOftalʹmologiâ1816-50952500-08452019-04-01161S798410.18008/1816-5095-2019-1S-79-84518OCT-Angiography for the Diagnosis and Monitoring of Best’s DiseaseL. A. Katargina0E. V. Denisova1N. N. Arestova2T. B. Kruglova3N. A. Osipova4O. V. Novikova5The Helmholtz Moscow Research Institute of Eye DiseasesThe Helmholtz Moscow Research Institute of Eye DiseasesThe Helmholtz Moscow Research Institute of Eye DiseasesThe Helmholtz Moscow Research Institute of Eye DiseasesThe Helmholtz Moscow Research Institute of Eye DiseasesThe Helmholtz Moscow Research Institute of Eye DiseasesBest’s disease is a relatively rare form of macular dystrophy, characterized by bilateral staged course. The cases of the choroidal neovascular membrane (XNM) formation in the course of the disease development are described, however the true frequency of this complication and the management of such patients are not determined. In recent years, a new promising method of examination — OCT — angiography (OCTA) — has been actively introduced into clinical practice. Non-invasive character and contactlessness of OKTA open wide possibilities of its application in various pathologies, in particular, in pediatric ophthalmology. The purpose of this work was to assess the prospects for using OCTA in the diagnosis and monitoring of Best’s disease. Patients and methods. The data of the standard complex ophthalmological examination and OCTA of the posterior pole of the eye were analyzed in 5 patients with Best’s disease — 4 children aged 5 to 12 years and the 25-year-old woman observed for this disease from childhood. Results. In all patients, the disease was bilateral. In 1 of 9 eyes (1 out of 10 eyes was excluded from the analysis due to the presence of retinal detachment at the time of examination) the disease was at the vitelliform stage, in 2 — at the pseudohypopyon, in 5 — at the vitelliruptive stage, in 1 — at the atrophic stage. Visual acuity at the time of the examination was from 0.02 to 1.0. Clinically, the presence of CNM could be assumed in 4 eyes. According to OCTA CNM was detected in 7 cases, in 3 of them signs of membrane activity were noted. Сonclusion. OCTA provide detection that the formation of СNM in the Best’s disease occured already at the pseudohypopyon stage and in half of cases was not accompanied by the development of clinical symptoms. The study allows to assess the localization, size and activity of the membrane, which is necessary for monitoring and determining the tactics of treatment of this complication. Carrying out further research will determine the true frequency, risk factors for development and features of CNM in Best’s disease, which will allow developing optimal tactics for conducting such patients.https://www.ophthalmojournal.com/opht/article/view/902best’s diseasechoroidal neovascular membraneoct-angiography |
| spellingShingle | L. A. Katargina E. V. Denisova N. N. Arestova T. B. Kruglova N. A. Osipova O. V. Novikova OCT-Angiography for the Diagnosis and Monitoring of Best’s Disease Oftalʹmologiâ best’s disease choroidal neovascular membrane oct-angiography |
| title | OCT-Angiography for the Diagnosis and Monitoring of Best’s Disease |
| title_full | OCT-Angiography for the Diagnosis and Monitoring of Best’s Disease |
| title_fullStr | OCT-Angiography for the Diagnosis and Monitoring of Best’s Disease |
| title_full_unstemmed | OCT-Angiography for the Diagnosis and Monitoring of Best’s Disease |
| title_short | OCT-Angiography for the Diagnosis and Monitoring of Best’s Disease |
| title_sort | oct angiography for the diagnosis and monitoring of best s disease |
| topic | best’s disease choroidal neovascular membrane oct-angiography |
| url | https://www.ophthalmojournal.com/opht/article/view/902 |
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