SOME ASPECTS OF SCANNING LASER OPHTHALMOSCOPY IN THE DIAGNOSTICS OF OPHTHALMOPATHOLOGY

Abstract

The exact diagnosis of the fundus pathology requires the most modern equipment use. This is mandatory for the selection of the most complete therapy and monitoring of ongoing treatment. At present, the method of scanning laser ophthalmoscopy is widely spread. However, for the earliest detection of the smallest pathological changes, data of the normal ocular fundus state using a scanning laser ophthalmoscope is necessary. Thus, the purpose of our research becomes relevant. Purpose: to give a characteristic of the fundus in patients without concomitant pathology with using various modes of a scanning laser ophthalmoscope. Patients and methods. 116 people (232 eyes) at the age from 17 to 71 years (mean age 32.5±12 years) were examined. The patients were divided into two groups. Group I: 81 patients (162 eyes) with different ophthalmopathology. Group II: 35 people (70 eyes) — practically healthy and did not have an anamnesis of consulting an ophthalmologist. Diagnosis of the patients’ fundus was performed using a scanning laser ophthalmoscopy with retro-mode imaging and autofluorescence registration. Results. After the conducted research features and regularities of the reflectivity distribution of laser beams from the fundus structures are revealed. Also a characteristic of various anatomical formations and zones of the fundus in the normal conditions is given when examined by a scanning laser ophthalmoscope. An algorithm for examining patients and analyzing the images was developed. Conclusion. The use of scanning laser ophthalmoscopy made possible to take a fresh look at the algorithms of diagnosing patients with fundus pathology. Understanding the normal conditions ofundus allowed an earlier detection of the smallest pathological changes in the retina.