[Retrolental amyloidosis of the vitreous body (case study)].

Autor: Shaimova VA; S.M. Kirov Military Medical Academy, Saint Petersburg, Russia.; Multidisciplinary Center of Laser Medicine, Chelyabinsk, Russia.; Center Zreniya LLC, Chelyabinsk, Russia., Nosul YV; Center Zreniya LLC, Chelyabinsk, Russia.; Municipal Clinical Hospital No. 6, Chelyabinsk, Russia., Kuchkildina SK; Center Zreniya LLC, Chelyabinsk, Russia., Kulikov AN; S.M. Kirov Military Medical Academy, Saint Petersburg, Russia., Maltsev DS; S.M. Kirov Military Medical Academy, Saint Petersburg, Russia., Shaimov TB; Center Zreniya LLC, Chelyabinsk, Russia., Shaimov RB; Center Zreniya LLC, Chelyabinsk, Russia.; Municipal Clinical Hospital No. 6, Chelyabinsk, Russia., Golovneva ES; Multidisciplinary Center of Laser Medicine, Chelyabinsk, Russia.; South Ural State Medical University, Chelyabinsk, Russia., Kravchenko TG; Multidisciplinary Center of Laser Medicine, Chelyabinsk, Russia., Kholopova AY; Chelyabinsk Regional Pathoanatomical Bureau, Chelyabinsk, Russia., Ermilov VV; Volgograd State Medical University, Volgograd, Russia., Berdnikov RB; Ural State Medical University, Ekaterinburg, Russia.; Ural Scientific Research Institute of Phthisiopulmonology - branch of National Research Medical Center of Phthisiopulmonology and Infectious Diseases, Ekaterinburg, Russia.
Jazyk: English; Russian
Zdroj: Vestnik oftalmologii [Vestn Oftalmol] 2021; Vol. 137 (4), pp. 98-103.
DOI: 10.17116/oftalma202113704198
Abstrakt: Accumulations of pathological amyloid protein in the vitreous can be a pathognomonic morphological sign of systemic amyloidosis, which is characterized by deposition of insoluble fibrillar protein aggregates (amyloid) in various organs and tissues. The article describes a clinical case of a female 65-year-old patient with bilateral vitreous floaters and histologically confirmed vitreous amyloidosis on the right eye. The patient had undergone YAG laser vitreolysis of the right eye 3 years ago on the Ultra Q Reflex system («Ellex», Australia) to treat an atypical Weiss ring. Diagnosis of vitreous amyloidosis was confirmed using the following equipment: video slit lamp SL9900 («CSO», Italy), optical coherence tomography system Solix («Optovue», USA), B-scan Plus («Accutome», USA), microscope CX41RF («Olympus Corporation», Japan). Due to significant visual deterioration in the right eye, the patient underwent vitrectomy. Microscopic examination of the surgical sample showed the presence of amyloid deposits revealed by the brick-red specific staining with congo red dye and apple-green birefringence of the stained areas in polarized light.
Databáze: MEDLINE