Badania angiograficzne dna oka w diagnostyce chorób zapalnych tylnego odcinka gałki ocznej
Fundus Angiographic Examination in the Inflammatory Diseases in the Posterior Segment of the Eye Diagnostics
Barbara Terelak-Borys, Irmina Jankowska-Lech, Iwona Grabska-Liberek
Klinika Okulistyki Centrum Medycznego Kształcenia Podyplomowego w Warszawie Kierownik: dr hab. n. med. Iwona Grabska-Liberek
Summary: Background and aim: Inflammatory intrabulbar diseases often represent difficult diagnostic problem. The aim of the study is to present importance of fundus angiographic examinations in some inflammatory processes affecting the posterior segment of the eye. Patients and methods: Three patients with inflammation in the posterior segment of the eye underwent fundus angiographic examination using HRA (Heidelberg Retina Angiography) system for simultaneous fluoresceine (FA) and indocyanine green angiography (ICGA). Basal diagnostics consisted of: chest X-ray examination, CBC, blood serological tests for: toxoplasmosis, toxocarosis, borreliosis, syphilis and histopathological examination in one case. In these patients diagnosis of ocular toxoplasmosis, borreliosis and multisystem sarcoidosis was established. Results: FA and ICGA performed in patients with inflammation in the posterior segment of the eye confirmed clinically detectable presence of inflammatory infiltrations in the retina and choroid in the course of toxoplasmosis, borreliosis and sarcoidosis. Optic neuritis and diffuse retinal vasculitis was clearly seen in FA examination in patient with borreliosis. Moreover, in the course of sarcoidosis, FA revealed retinal vasculitis and cystoid macular oedema not visible clinically. In case of toxoplasmosis ICGA was necessary to differentiate inflammatory infiltration from choroidal neovascular membrane. Conclusion: Fundus eye angiography is an important supplement for clinical evaluation in patients suffering from inflammatory diseases in the posterior segment of the eye, useful to complete the diagnosis and differentiate ocular pathological changes in cases with aetiology particularly difficult to establish.
Keywords: eye fundus angiography, fluorescein angiography, indocyanine green angiography, inflammatory diseases of posterior segment of the eye, toxoplasmosis, borreliosis, sarcoidosis.