Optical coherent tomography in the diagnosis of inflammatory and ischemic optical neuropathies (clinical cases)

Optic neuropathy is a group of diseases the optic nerve. Using diagnostic techniques such as ophthalmoscopy and perimetry diagnosis are insufficient, found abnormalities not specific for either inflammation or ischemia. Establishing predominant factor in pathogenesis crucial determining method treatment.
 The aim study: to investigate features nerve damage using optical coherent tomography (OCT) acute period.
 Materials methods: two patients with visual impairment were examined.
 Result. Patient G. had concomitant rheumatoid arthritis unregulated Methotrexate therapy. OCT revealed edema fibre layer convinced predominance inflammatory (atypical neuritis). Pulse therapy corticosteroids was prescribed, which gave positive functional effect.
 A patient O. pneumonia on background Covid-19 history OST showed decrease thickness fibres lower segment, angio mode – drusen disc.
 Conclusions. Thus, use neuropathies period that under conditions lesions more characteristic an increase fibres. In ischemic neuropathy, contrary, characteristic, correlates location localization scotoma field view.
 Therefore, will help understanding forms neuropathy. This choice treatment tactics