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How we should monitor a child patient and adolescent with diabetic retinopathy: case report of 20-years-old female patient and angio OCT


Authors: Mária Molnárová 1,2;  Miroslava Zelníková 1,2
Authors‘ workplace: Očná klinika Jesseniovej LF UK a UNM, Martin 1;  VIKOM s. r. o. – 1. žilinské očné centrum, Žilina 2
Published in: Forum Diab 2017; 6(1): 43-48
Category: Case Report

Overview

We are presenting modern principles of diagnostics and non-invasive monitoring of diabetic retinopathy on a case report of 20-years-old female patient with a 16 years history of type 1 diabetes mellitus. Beside good history and clinical examination the most important part lies on the imaging diagnostic methods. Fluorecein angiography (FAG) to display two-dimensional retinal vascular system and optical coherence tomography (OCT) for retinal examination in cross section. Angio OCT is a new non-invasive imaging examination method of retinal vascular plexuses and choroideal vasculature. Angio OCT provides three-dimensional views of retinal and choroidal vasculature. While FAG is an invasive examination method with all the risks of invasive examination methods. Is time-consuming, costly and contraindicated in pregnant women and patients with severe nephropathy. Angio OCT is noninvasive, reliable, fast, easy to operate, at any time repeatable and safe imaging examination method.

Key words:
angio OCT, diagnostics, retinal examination, imaging examination method

Received:
1. 2. 2017

Accepted:
13. 3. 2017


Sources

1. Bressler SB. Diabetes control and complications trial: an ophthalmologist’s understanding. Retina Today [online] 2009; Suppl. Dostupné z WWW: <http://retinatoday.com/2009/01/supplement/0109_supp_5.php/>.

2. Bandello F. Fluorescein angiography in laser treatment of diabetic macular edema. Ophthalmology 2001; 108(2): 236–237.

3. Lumbroso B, Huang D, Jia Y et al. Clinical Guide to Angio-OCT: Non Invasive, Dyeless OCT Angiography. Jaypee Brothers Medical Pub; New Delhi 2014. ISBN:978–93–5152–399-A.

4. de Carlo TE, Romano A, Waheed NK et al. A review of optical coherence tomography angiography (OCTA). Int J Retina Vitreous 2015; 1: 5. Dostupné z DOI: <http://dx.doi.org/10.1186/s40942–015–0005–8>.

5. Choi W, Mohler KJ, Potsaid B et al. Choriocapillaris and Choroidal Microvasculature Imaging with Ultrahigh Speed OCT Angiography. PLoS One 2013; 8(12): e81499. Dostupné z DOI: <http://dx.doi.org/10.1371/journal.pone.0081499>.

Labels
Diabetology Endocrinology Internal medicine
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