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Shaimova VA, Nosul YV, Kuchkildina SK, Kulikov AN, Maltsev DS, Shaimov TB, Shaimov RB, Golovneva ES, Kravchenko TG, Kholopova AY, Ermilov VV, Berdnikov RB. [Retrolental amyloidosis of the vitreous body (case study)]. Vestn Oftalmol 2021; 137:98-103. [PMID: 34410063 DOI: 10.17116/oftalma202113704198] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
Accumulations of pathological amyloid protein in the vitreous can be a pathognomonic morphological sign of systemic amyloidosis, which is characterized by deposition of insoluble fibrillar protein aggregates (amyloid) in various organs and tissues. The article describes a clinical case of a female 65-year-old patient with bilateral vitreous floaters and histologically confirmed vitreous amyloidosis on the right eye. The patient had undergone YAG laser vitreolysis of the right eye 3 years ago on the Ultra Q Reflex system («Ellex», Australia) to treat an atypical Weiss ring. Diagnosis of vitreous amyloidosis was confirmed using the following equipment: video slit lamp SL9900 («CSO», Italy), optical coherence tomography system Solix («Optovue», USA), B-scan Plus («Accutome», USA), microscope CX41RF («Olympus Corporation», Japan). Due to significant visual deterioration in the right eye, the patient underwent vitrectomy. Microscopic examination of the surgical sample showed the presence of amyloid deposits revealed by the brick-red specific staining with congo red dye and apple-green birefringence of the stained areas in polarized light.
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Affiliation(s)
- V A Shaimova
- S.M. Kirov Military Medical Academy, Saint Petersburg, Russia.,Multidisciplinary Center of Laser Medicine, Chelyabinsk, Russia.,Center Zreniya LLC, Chelyabinsk, Russia
| | - Yu V Nosul
- Center Zreniya LLC, Chelyabinsk, Russia.,Municipal Clinical Hospital No. 6, Chelyabinsk, Russia
| | | | - A N Kulikov
- S.M. Kirov Military Medical Academy, Saint Petersburg, Russia
| | - D S Maltsev
- S.M. Kirov Military Medical Academy, Saint Petersburg, Russia
| | | | - R B Shaimov
- Center Zreniya LLC, Chelyabinsk, Russia.,Municipal Clinical Hospital No. 6, Chelyabinsk, Russia
| | - E S Golovneva
- Multidisciplinary Center of Laser Medicine, Chelyabinsk, Russia.,South Ural State Medical University, Chelyabinsk, Russia
| | - T G Kravchenko
- Multidisciplinary Center of Laser Medicine, Chelyabinsk, Russia
| | - A Yu Kholopova
- Chelyabinsk Regional Pathoanatomical Bureau, Chelyabinsk, Russia
| | - V V Ermilov
- Volgograd State Medical University, Volgograd, Russia
| | - R B Berdnikov
- Ural State Medical University, Ekaterinburg, Russia.,Ural Scientific Research Institute of Phthisiopulmonology - branch of National Research Medical Center of Phthisiopulmonology and Infectious Diseases, Ekaterinburg, Russia
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