UDK: 616.735
M.V. Melikhova1, M.V. Gatsu2
1ФГАУ НМИЦ МНТК «Микрохирургия глаза им. акад. С.Н. Федорова» Министерства здравоохранения Российской Федерации, Санкт-Петербургский филиал; 2ФГБОУ ВО «Северо-Западный государственный медицинский университет им. И.И. Мечникова» Министерства здравоохранени
The paper presents a comparative analysis and algorithm of clinical and instrumental diagnostics in complex differential cases with pathological changes in the macular area, such as sclerocompression maculopathy (SM) and choroidal hemangioma (CH). It was revealed that the most accessible, non-invasive and highly informative method for the differential diagnosis of SM with GC is high-resolution optical coherence tomography. In difficult diagnostic cases, magnetic resonance imaging of the orbits is recommended. As an additional method for identifying the cause of the development of complicated forms of SM and CH activity, invasive methods such as fluorescent angiography and angiography with indocyanine-green can be used. Differential diagnosis of SM and CH is extremely important for the correct choice of treatment tactics.
sclerocompression maculopathy, phenomenon of dome-shaped macula, choroidal hemangioma, optical coherence tomography, neuroepithelial detachment.
Мелихова Мария Владимировна – врач-офтальмолог Санкт-Петербургского филиала ФГАУ «МНТК «Микрохирургия глаза» им. акад. С.Н. Федорова» Министерства здравоохранения Российской Федерации, e-mail: a.m.v@bk.ru Гацу Марина Васильевна – д. м. н., доцент кафедры