Retinal status in moderate myopia and age-related macular degeneration. Management strategies

Autor: L.K. Moshetova, I.B. Alekseev, I.V. Vorobyeva, Yu.A. Nam
Jazyk: ruština
Rok vydání: 2022
Předmět:
Zdroj: РМЖ "Клиническая офтальмология", Vol 22, Iss 2 (2022)
Druh dokumentu: article
ISSN: 2311-7729
2619-1571
Popis: L.K. Moshetova1, I.B. Alekseev1–3, I.V. Vorob’eva1,2, Yu.A. Nam3 1Russian Medical Academy of Continuous Professional Education, Moscow, Russian Federation 2S.P. Botkin City Clinical Hospital, Moscow, Russian Federation 3Treatment Rehabilitation Center of the Ministry of Economic Development, Moscow, Russian Federation Aim: to assess retinal status in comorbid ocular disorders (moderate myopia and age-related macular degeneration/AMD of various stages) using modern diagnostic tools. Patients and Methods: 48 patients (96 eyes) with moderate myopia and dry AMD were enrolled. Best-corrected visual acuity (BCVA), mean deviation/MD (characterizes mean reduction of sensitivity), pattern standard deviation/PSD (characterizes the severity of local visual field defects), central macular thickness (CMT), and axial length (AL) were measured. The macular zone was investigated by optical coherence tomography (OCT) using B scan and fundus autofluorescence (FAF) regimens. Results: in moderate myopia associated with dry AMD (AREDS categories 1,2,3), a significant reduction in the mean BCVA (20/25) was detected in 54.2% (26 patients, 52 eyes). Retinal photosensitivity indices (MD and PSD) were also significantly reduced to 2.19 dB (р Conclusion: our findings on visual field loss (MD, PSD) in AMD depending on stage and OCT findings in AMD are in line with the results of other authors. Meanwhile, we investigated a comorbid variant (AMD in association with moderate myopia), compared morphological and functional parameters, and addressed the relevance of FAF. Keywords: myopia, age-related macular degeneration, optical coherence tomography, autofluorescence. For citation: Moshetova L.K., Alekseev I.B., Vorob’eva I.V., Nam Yu.A. Retinal status in moderate myopia and age-related macular degeneration. Management strategies. Russian Journal of Clinical Ophthalmology. 2022;22(2):91–98 (in Russ.). DOI: 10.32364/2311-7729-2022-22-2-91-98.
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