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Zlobin I.V.

Irkutsk Branch of S.N. Fyodorov National Medical Research Center «MNTK «Eye Microsurgery»

Zhukova S.I.

Irkutsk Branch of S.N. Fyodorov National Medical Research Center «MNTK «Eye Microsurgery»

Yuryeva T.N.

Irkutsk Branch of S.N. Fyodorov National Medical Research Center «MNTK «Eye Microsurgery»;
Irkutsk State Medical Academy of Postgraduate Education — branch of Russian Medical Academy of Continuous Professional Education

Visualization of retinal blood flow disturbances in acute retinal ischemia syndrome

Authors:

Zlobin I.V., Zhukova S.I., Yuryeva T.N.

More about the authors

Journal: Russian Annals of Ophthalmology. 2020;136(5): 116‑122

DOI: 10.17116/oftalma2020136051116

Views: 1367

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To cite this article:

Zlobin IV, Zhukova SI, Yuryeva TN. Visualization of retinal blood flow disturbances in acute retinal ischemia syndrome. Russian Annals of Ophthalmology. 2020;136(5):116‑122. (In Russ.)
https://doi.org/10.17116/oftalma2020136051116

Подписка 2025 (Russian Annals of Ophthalmology)
 
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Vascular disorders account for a significant proportion of acute loss of vision. In recent years, scientific and technical progress in ophthalmology has provided new opportunities in the study of vascular pathology, significantly expanding the understanding of their pathogenesis. The article presents a clinical case of a patient with acute retinal ischemia syndrome who had retinal blood flow disturbances studied using optical coherence tomography (OCT) imaging. It demonstrates extensive possibilities of diagnostics of ischemic retinal lesions using OCT angiography that make this method the most informative in terms of evaluating the blood flow at different levels, independently in each vascular plexus.

Keywords:

optical coherence tomography
optical coherence tomography angiography
macular ischemia
ischemic cascade
retinal vein occlusion

Authors:

Zlobin I.V.

Irkutsk Branch of S.N. Fyodorov National Medical Research Center «MNTK «Eye Microsurgery»

Zhukova S.I.

Irkutsk Branch of S.N. Fyodorov National Medical Research Center «MNTK «Eye Microsurgery»

Yuryeva T.N.

Irkutsk Branch of S.N. Fyodorov National Medical Research Center «MNTK «Eye Microsurgery»;
Irkutsk State Medical Academy of Postgraduate Education — branch of Russian Medical Academy of Continuous Professional Education

Received:

21.04.2020

Accepted:

07.05.2020

List of references:

  1. Osborne NN, Casson RJ, Wood JP, Chidlow G, Graham M, Melena J. Retinal ischemia: mechanisms of damage and potential therapeutic strategies. Prog Retin Eye Res. 2004;23(1):91-147.  https://doi.org/10.1016/j.preteyeres.2003.12.001
  2. Dattilo M, Newman NJ, Biousse V. Acute retinal arterial ischemia. Ann Eye Sci. 2018;3:28.  https://doi.org/10.21037/aes.2018.05.04
  3. Biousse V, Nahab F, Newman NJ. Management of acute retinal ischemia: follow the guidelines! Ophthalmology. 2018;125(10):1597-1607. https://doi.org/10.1016/j.ophtha.2018.03.054
  4. Biousse V, Newman N. Retinal and optic nerve ischemia. Continuum (Minneap Minn). 2014;20(4 Neuroophthalmology):838-856.  https://doi.org/10.1212/01.CON.0000453315.82884.a1
  5. Feucht N, Zapp D, Reznicek L, Lohmann CP, Maier M, Mayer CS. Multimodal imaging in acute retinal ischemia: spectral domain OCT, OCT-angiography and fundus autofluorescence. Int J Ophthalmol. 2018;11(9):1521-1527. https://doi.org/10.18240/ijo.2018.09.15
  6. Campbell JP, Zhang M, Hwang TS, et al. Detailed vascular anatomy of the human retina by projection-resolved optical coherence tomography angiography. Sci Rep. 2017;7:42201. https://doi.org/10.1038/srep42201
  7. Nesper PL, Fawzi AA. Human parafoveal capillary vascular anatomy and connectivity revealed by optical coherence tomography angiography. Investigat Ophthalmol Visual Sci. 2018;59:3858-3867. https://doi.org/10.1167/iovs.18-24710
  8. Sarraf D, Rahimy E, Fawzi AA, Sohn E, et al. Paracentral acute middle maculopathy: a new variant of acute macular neuroretinopathy associated with retinal capillary ischemia. JAMA Ophthalmol. 2013;131(10):1275-1287. https://doi.org/10.1001/jamaophthalmol.2013.4056
  9. Pecen PE, Smith AG, Ehlers JP. Optical coherence tomography angiography of acute macular neuroretinopathy/paracentral acute middle maculopathy. JAMA Ophthalmology. 2015;133(12):1478-1480. https://doi.org/10.1001/jamaophthalmol.2015.4100
  10. Sridhar J, Shahlaee A, Rahimy E, et al. Optical coherence tomography angiography and en face optical coherence tomography features of paracentral acute middle maculopathy. Am J Ophthalmol. 2015;160(6):1259-1268. https://doi.org/10.1016/j.ajo.2015.09.016
  11. Zlobin IV, Zhukova SI, Shchuko AG, Iureva TN. Complex assessment of retinal ischemic damage in patients with retinal vein occlusion. Vestnik oftal’mologii. 2019;135(2):62-69. (In Russ.). https://doi.org/10.17116/oftalma201913502162
  12. Kulikov AN, Leongardt TA, Maltsev DS. Optical coherence tomography-angiography in the diagnosis of paracentral acute median maculopathy (clinical case). Vestnik oftal’mologii. 2018;134(5):72-77. (In Russ.). https://doi.org/10.17116/oftalma201813405172
  13. Lobanova MM, Golikova EL. A clinical case of acute (middle) macular neuroretinopathy. Oftal’mologicheskie vedomosti. 2016;9(3):61-67. (In Russ.). https://doi.org/10.17816/OV9361-67

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