helmholtzeyeinstituteРоссийский офтальмологический журналRussian Ophthalmological Journal2072-00762587-5760Real time Publishers10.21516/2072-0076-2020-13-2-88-98helmholtzeyeinstitute-430Research ArticleОБЗОРЫ ЛИТЕРАТУРЫREVIEWSНачальная меланома хориоидеи и псевдомеланомы: методы дифференциальной диагностики (обзор литературы). Часть 2Small choroidal melanoma and pseudomelanomas: methods of differential diagnostics (literature review). Part 2МякошинаЕ. Б.MyakoshinaE. B.

Елена Борисовна Мякошина – канд. мед. наук, научный сотрудник отдела офтальмоонкологии и радиологии

ул. Садовая-Черногрязская, д.14/19, Москва, 105062

Elena B. Myakoshina – Cand. of Med. Sci., researcher ophthalmooncology and radiology department

14/19, Sadovaya-Chernogryazskaya St., Moscow, 105062

myakoshina@mail.ruФГБУ «НМИЦ глазных болезней им. Гельмгольца» Минздрава РоссииРоссияHelmholtz National Medical Research Center of Eye DiseasesRussian Federation2020270520201328898Copyright © Мякошина Е.Б., 20202020Мякошина Е.Б.Myakoshina E.B.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://roj.igb.ru/jour/article/view/430

В первой части обзора литературы [РОЖ, 2019; 12 (4): 99–108] приведено описание офтальмоскопической картины начальной меланомы хориоидеи (МХ) и псевдомеланом. В данной (второй) части обзора описаны признаки, характерные для начальной МХ и псевдомеланом, выявленные с помощью флюоресцентной ангиографии и аутофлюоресценции. Представлены характерные особенности флюоресценции и аутофлюоресценции каждого изучаемого заболевания глазного дна: начальной МХ, невуса хориоидеи, отграниченной гемангиомы хориоидеи, меланоцитомы, метастатической карциномы хориоидеи, врожденной гипертрофии ретинального пигментного эпителия, поздней стадии возрастной макулярной дегенерации, задних очаговых ретинохориоидитов, организованного субретинального кровоизлияния, гемангиомы сетчатки. Обращено внимание на сходство ангиографических и наблюдаемых при аутофлюоресценции симптомов анализируемых заболеваний и необходимость разработки новых дифференциально-диагностических критериев.

The first part of the literature review described the ophthalmoscopic picture of the small choroidal melanoma and pseudomelanomas [ROJ, 2019; 12 (4): 99–108]. This is the second part of the review, which describes the features characteristic of small uveal melanoma and pseudomelanomas, revealed by fluorescence angiography and autofluorescence. Typical properties of fluorescence and autofluorescence are presented for every disease of the eye fundus studied: small choroidal melanoma, choroidal nevus, circumscribed choroidal hemangioma, melanocytoma, choroidal metastatic carcinoma, congenital hypertrophy of the retinal pigment epithelium, late-stage age-related macular degeneration, focal retinochoroiditis of the posterior pole, organized subretinal hemorrhage, retinal hemangioma. The attention was focused on the similarity of angiographic and autofluorescence symptoms of the diseases under study. The need for new differential diagnostic criteria was emphasized.

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The authors declare that there are no conflicts of interest present.