MODERN APPROACHES TO DIAGNOSTICS AND TREATMENT OF RETINAL VEIN OCCLUSION
Pavel Lvovich VOLODIN, Elena Vladimirovna IVANOVA, Yuliya Igorevna KUKHARSKAYA
The S. Fyodorov Eye Microsurgery Federal State Institution of Minzdrav of Russia
Keywords: окклюзия ретинальных вен, макулярный отек, оптическая когерентная томография в ангиорежиме, лазерное лечение, retinal vein occlusion, macular edema, optical coherence tomography angiography, laser treatment
Abstract
Retinal vein occlusion is the one of the most common diseases, which amounts to 60 % of all acute vascular ocular pathology, and takes second place in the severity of retinal lesions and prognosis after diabetic retinopathy. It causes the visual disability in 15 % of cases. The main reason for the decrease vision in patients with occlusion of the central retinal vein and its branches is the development of macular edema, the degree of intensity of which depends mainly on the level and severity of the retinal vascular bed lesion. The article provides a review on the current aspects of retinal vein occlusion etiology and pathogenesis, and novel methods of diagnostics. The implementation into practice of highly precise non-invasive diagnostic method - optical coherence tomography angiography was a significant progress in clinical and diagnostic studies of macular edema as a result of retinal vein occlusions. The necessity of multimodal approach to management of patients with retinal vein occlusion for improvement of the treatment clinical and functional results is emphasized. The modern techniques for the treatment of retinal vein occlusion, their advantages and disadvantages are described; data on the anatomical and functional results of the use of these techniques are given. Actual approaches to treatment are divided into laser and pharmacological methods. The prospects of further improvement and development of combined treatment for retinal vein occlusion are considered.
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