Клиническая оценка наличия взаимосвязи между хориоидальным и ретинальным уровнем гемодинамики у молодых женщин с окклюзионными поражениями ретинальных вен

Abstract

Purpose. To study the relationship between choroidal and retinal hemodynamics of the eyes in retinal vein occlusion (RVO) in young women to determine the features of their clinical course. Material and methods. The main group included 15 women (15 eyes) with an average age of 39.7 ± 4 years (35–45 years). The control group was formed by 20 somatically healthy women of comparable age. In addition to standard examination methods, all women underwent a comprehensive study of chorioretinal hemodynamics. The linear velocity of blood flow (LVBF) in the posterior short ciliary arteries (PSCA) was evaluated using a multifunctional ultrasound diagnostic device Logiq e, General Electric, USA. Macular blood flow features were studied using an optical coherence tomograph in angiography mode (angio-OCT) RTVue-100, Optovue, Inc., USA. A comparative analysis of the studied indicators between the groups was carried out. Results. The results of the study revealed the presence of an interrelated statistically significant decrease in choroidal and retinal hemodynamics in young women with RVO relative to the group of healthy women (p < 0.001). Conclusion. Taking into account the revealed direct relationship between choroidal and retinal hemodynamics in women with acute respiratory infections, we consider it appropriate and necessary to perform a simultaneous comprehensive study of various components of the hemodynamics of the posterior segment of the eye in the presence of this pathology: LVBF in the PSCA by color Doppler mapping and macular blood flow by angio-OCT. These data can significantly expand the diagnostic capabilities of identifying the severity of the clinical course of acute respiratory infections and help predict the possible formation of neovascularization. Keywords: retinal vein occlusions; young women; chorioretinal hemodynamics; color Doppler mapping; optical coherence tomography in angiography mode