
Natalia Boschat
European Medical Centre, Russian FederationTitle: Changes in capillary blood flow recorded during OCT retinal angiography in patients before and after surgical treatment of carotid artery stenosis.
Abstract
The aim of this study was to investigate the sensitivity of
angiographic optical coherence tomography (a-OCT) in detecting retinal
microcirculatory changes after revascularisation surgery for carotid artery
stenosis in the immediate, mid and long-term postoperative period. This study also aimed to identify methods to
objectively record microcirculatory outcomes and complications of different
types of surgical treatment for internal carotid artery stenosis. The study shows that in most cases there is a direct correlation
between the restoration of blood flow through the internal carotid arteries and
an increase in microcirculation in the retina of both eyes - both on the side
of the operation and in the fellow eye. The study also shows that a noticeable
increase in microcirculatory perfusion on the first day after surgery is
followed by some decrease in microcirculatory parameters, but still noticeable
at 3,6,12,24 and even 36 months, indicating the long-term effectiveness of
surgery in restoring blood flow in internal carotid artery stenosis. There was
no significant difference in the results of retinal and optic nerve perfusion
after stenting, prosthesis or endarterectomy. However, this study also recommends further research into the
reliability of OCT angiography in assessing the effectiveness of reconstructive
surgery on the carotid arteries, as the results of the study are highly
dependent on the condition of the optical media of the eye and the experience
of the specialist performing the study.
Biography
Natalia Bosсhat holds a Master
of Medicine degree from the Ural State Medical University and a postgraduate
diploma in clinical research from MIPT. She has more than 25 years of medical
and research experience, more than 20 publications, more than 30 conferences, 2
patents. She is a member of a number of organisations, including the Russian
Ophthalmological Society, the European Glaucoma Society and the European
Ophthalmopaediatric Society.