METHOD OF DIFFERENTIAL DIAGNOSTICS OF MONOCULAR OPTICAL NEURITIS OF DEMYELINATED AND INFLAMMATORY ETIOLOGY

摘要

FIELD: medicine.;SUBSTANCE: invention relates to medicine, namely to ophthalmology and radiation diagnosis, and can be used for the differential diagnosis of monocular optical neuritis of demyelinating and inflammatory etiology. Perform spectral optical coherent tomography under programs Optic Disc Cube 200×200 and Ganglion Cell Analysis: Macular Cube 512×128. And if a patient with a new-onset monocular optic neuritis notes an increase in the thickness of the retinal nerve fiber layer (RNFL) in 1-2 quadrants of the optic nerve head (ONH) by less than 17 % compared with a paired eye, and the average thickness of the complex of retinal ganglion cells and the inner plexiform layer (RGC+IPL) is less than 82 microns, then an optical neuritis of demyelinating etiology is diagnosed. And if there is an increase in the thickness of the nerve fiber layer of the retina of RNFL in all 4 quadrants of ONH more than 17 % compared with the paired eye, and the thickness of the complex RGC+IPL is more than 82 microns, then diagnose optical neuritis of inflammatory etiology.;EFFECT: method provides timely prescription of pathogenetic directed therapy and slowing the progression of the disease through spectral optical coherent tomography.;1 cl, 2 ex