Szemészet, 2007 (144. évfolyam, 1-4. szám)
2007-12-01 / 4. szám
144. évfolyam (2007) Supplementum I. The effectiveness of photodynamic therapy with verteporfin for subfoveal choroidal neovascularisation secondary to pathologic myopia Miklós Czeglédi Department of Ophthalmology, Jósa András County Hospital, Nyíregyháza Purpose: To asses the safety and effectiveness of photodynamic therapy(PDT) with verteporfin for subfoveal choroidal neovascularisation (CNV) secondary to pathologic myopia (PM) on the basis of a retrospective study. Patients and methods: PDT was used according to the guidelines of the Verteporfin in Photodynamic Therapy Study on 13 patients (13 eyes) with PM because of CNV. Measurement of best corrected visual acuity on ETDRS (Early Treatment Diabetic Retinopathy Study) chart, slit-lamp biomicroscopy and fluorescein angiography was performed before and during control visits. Control evaluation took place 1- and then 3- months after the treatment and thereafter at 3- months intervals if there were no symptoms or problems. Results: The visual acuity of the patients during the study (after a median follow-up of 15.4 months) improved by more thanl-line in 6 patients, deteriorated by more than 1-line in 3-patients, and remained stable in 4 patients on ETDRS charts. After the treatments the main visual acuity was 4/10 in the cases of patients younger than 55 years, and 4/12.6 over 55 years on ETDRS charts. In most cases the CNV size did not affect visual outcomes. There seemed to be no connection between the value of myopia and the final visual acuity. Conclusion: PDT preserves vision in patients with CNV associated with PM. Younger patients and eyes are more likely to benefit from PDT with verteporfin. Ritka kórkép - microphtalmos retinalis macularis redővel - esetismertetés Czeglédi Miklós Jósa András Megyei Kórház, Szemészeti Osztály, Nyíregyháza Eredmények: Egy 12 éves nagyfokban hypermetrop (+16,0 D) fiúgyermek esetismertetése a klinikai adatok alapján. Kis corneaátmérő (9,00 mm), sekély elülső csarnok, 19,6 mm-es axiális hossz és a macula területén áthaladó retinalis redőt találtunk. FLAG-, szemészeti ultrahang-, valamint OCT-vizsgálatot végeztünk, illetve a koponya alkata miatt kivizsgálást gyermekgyógyászaton Kenny-szindróma irányában. Eredményeinket mutatjuk be a poszteren. Esetünket érdekessége és ritkasága miatt tartottuk bemutatásra érdemesnek. Unusual case report-microphtalmos with retinal fold - case report Miklós Czeglédi Department of Ophthalmology, Jósa András County Hospital, Nyíregyháza Result: To show the case of a 12-years old boy on the basis of clinical data. A high hypermetropia was found in this case. This hypermetropia was associated with small corneal diameter (9.00 mm), shallow anterior chamber, and short axial length of eyes on ultrasound biometry. The visual acuity was 4/20, and we found retinal fold and crowded optic disc on both eyes. FLAG and OCT examination were performed. Further investigation in the direction of Kenny‘s Syndrome was initiated at the pediatric department. The result are shown on the poster.
