Choroidal caverns in a patient with glaucoma (case study)
https://doi.org/10.53432/2078-4104-2022-21-1-37-44
Abstract
The article describes a clinical case of the formation of a choroidal cavern (CC) in a patient with glaucoma. CC are associated with degenerative diseases of the retina, which is likely associated with dysfunction of the choriocapillaries and impaired retinal supply. Most often, СС are the outcome of pachychoroidal conditions and age-related macular degeneration. Patient D., 63 years old, with previously diagnosed primary open-angled glaucoma in the right eye, complained of a gradual decrease in visual acuity in that eye for several years. According to the examination, the cause of vision acuity decrease was determined as partial atrophy of the retinal layers associated with CC in the superior nasal part of the perifovea and fovea. Presumably, based on signs of a pachychoroidal state in both eyes of the patient, the formed CC is the outcome of chronic central serous chorioretinopathy: focal thickening of the choroid, vasodilatation of the Haller's layer, thinning of the choriocapillaris layer, the presence of pachychoroidal pigment epitheliopathy in the left eye. CC is the marker of choriocapillary blood flow deficiency, which is an unfavorable prognostic factor for the development of glaucoma — proved by glaucoma optic neuropathy being more advanced in the eye with CC compared to the contralateral eye.
About the Authors
N. I. Kurysheva
Medical Biological University of Innovations and Continuing Education of the Federal Biophysical Center named after A.I. Burnazyan; Ophthalmological Center of the Federal Medical-Biological Agency, Federal Medical Biophysical Center named after A.I. Burnazyan
Russian Federation
Russian Federation
Doc. Sci. (Med.), Professor, Head of the Academic Department of Ophthalmology, Head of the Consultative and Diagnostic Department
46 Zhivopisnaya St., building 8, Moscow, 123098
15 Gamalei St., Moscow, 123098
O. A. Pererva
Medical Biological University of Innovations and Continuing Education of the Federal Biophysical Center named after A.I. Burnazyan; Ophthalmological Center of the Federal Medical-Biological Agency, Federal Medical Biophysical Center named after A.I. Burnazyan
Russian Federation
Russian Federation
Ophthalmologist, Assistant Professor at the Academic Department of Ophthalmology
46 Zhivopisnaya St., building 8, Moscow, 123098
15 Gamalei St., Moscow, 123098
V. Yu. Kim
Medical Biological University of Innovations and Continuing Education of the Federal Biophysical Center named after A.I. Burnazyan; Ophthalmological Center of the Federal Medical-Biological Agency, Federal Medical Biophysical Center named after A.I. Burnazyan
Russian Federation
Russian Federation
Ophthalmologist, Assistant Professor at the Academic Department of Ophthalmology
46 Zhivopisnaya St., building 8, Moscow, 123098
15 Gamalei St., Moscow, 123098
V. E. Kim
Medical Biological University of Innovations and Continuing Education of the Federal Biophysical Center named after A.I. Burnazyan
Russian Federation
Russian Federation
ophthalmology resident
15 Gamalei St., Moscow, 123098
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Review
For citations:
Kurysheva N.I., Pererva O.A., Kim V.Yu., Kim V.E. Choroidal caverns in a patient with glaucoma (case study). National Journal glaucoma. 2022;21(1):37-44. (In Russ.) https://doi.org/10.53432/2078-4104-2022-21-1-37-44
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