Author/Editor		Kraut, Aleksandra
Title		Zgodnje odkrivanje in zdravljenje horoidalne neovaskularizacije pri starostni degeneraciji makule: vloga splošnega zdravnika in oftalmologa
Translated title		Early detection and management of choroidal neovascularisation in age-related macular degeneration: the role of primary care physician and ophthalmologist
Type		članek
Source		Zdrav Vestn
Vol. and No.		Letnik 73, št. 5
Publication year		2004
Volume		str. 371-4
Language		slo
Abstract		Background. Choroidal neovascularisation (CNV) secondary to age-related macular degeneration (ARMD) is a serious condition which, if unrecognised and untreated, can result in the rapid deterioration of vision. Early detection and prompt referral to ophthalmologist and then to retinal specialist may reduce the high risk of severe vision loss. Conclusions. Patients over GS years who present to a primary care physician with a sudden blurred central vision or distorted near vision should be referred to an ophthalmologist as soon as posible. ARMD patients with clinical picture of CNV would be send forward to urgent fluorescein angiography, to provide the information about location, size and composition of CNV, and to present treatment possibilities. Laser photocoagulation or photodynamic therapy (PDT) with verteporfin may prevent further severe visual loss.
Summary		Izhodišča. Horoidalna neovaskularizacija (choroidal neovascularisation = CNV) pri starostni degeneraciji makule (SDM) je nevaren zaplet bolezni, ki lahko pripe je, če je nerazpoznan in nezdravljen, v neuadno poslabšanje vida. Zgodnje odkritje in takojšnja napotitev k oftalmologu in nato k specialistu za bolezni mrežnice lahko zniža visoko tveganje za hudo izgubo vida. Zaključki. Splošni zdravnik naj bolnike, starejše od 65 let, ki iščejo pomoč zaradi nenadoma nastalega motnega centralnega vida ali popačene slike pri bližinskem gledanju, takoj napoti k oftalmologu. Bolnike s klinično sliko sveže CNV pri SDM napotimo na nujno fluoresceinsko angiografijo, ki prikaže lokacijo, velikost in sestavo CNV in nakaže možnosti zdravljenja. Laserska fotokoagulacija ali fotodinamično zdravljenje (photodynamic therapy = PDT) lahko preprečita nadaljnjo hudo izgubo vida.
Descriptors		MACULAR DEGENERATION CHOROID NEOVASCULARIZATION, PATHOLOGIC PHOTOCHEMOTHERAPY FLUORESCEIN ANGIOGRAPHY