Abstract
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.
Highlights
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)
Magnetic resonance imaging of the orbits is recommended
Differential diagnosis of SM and CH is extremely important for the correct choice of treatment tactics
Summary
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). Они могут отличаться от нормальной окружающей хориоидеи, но их наружная граница может быть визуализирована только при толщине опухоли до 0,9 мм [2, 10, 17]. Обследованы пациенты, направленные на консультацию с диагнозом: подозрение на новообразование хориоидеи, с локализацией процесса в центральной зоне, куполообразной деформацией пигментного эпителия в области макулы, различными признаками активности процесса. Часто при обоих патологиях и длительно существующих ОНЭ можно наблюдать «гравитационные дорожки» атрофии пигментного эпителия, участки его гиперплазии.
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