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Choroidal metastases. Echographic experience from 42 patients.
P Perri1, M Chiarelli, P Monari
1University Eye Clinic of Ferrara, Italy.
Acta Ophthalmologica. Supplement
|January 1, 1992
Summary
Ocular metastases, often from breast cancer, can be diagnosed using ultrasound. Echography aids in identifying choroidal tumors and guides treatment, often avoiding eye removal.
Area of Science:
- Ophthalmology
- Medical Imaging
- Oncology
Background:
- Ocular metastases represent a significant clinical challenge.
- Early and accurate diagnosis is crucial for patient management.
- Ultrasound (echography) is a valuable tool in evaluating eye conditions.
Purpose of the Study:
- To evaluate the echographic characteristics of ocular metastases.
- To assess the role of ultrasound in diagnosing choroidal metastases.
- To determine the importance of ultrasonic follow-up in managing ocular metastases.
Main Methods:
- Retrospective analysis of 42 patients with ocular metastases over 18 years.
- Echographic evaluation (B-scan and A-scan) of affected eyes.
- Correlation of imaging findings with primary tumor types.
Main Results:
- Breast carcinoma was the most common primary tumor (25/42 patients).
- Choroidal metastases typically appeared flat-infiltrating or dome-shaped on B-scan.
- A-scan generally showed high or medium reflectivity, with atypical cases noted.
Conclusions:
- Echography is effective in characterizing ocular metastases, particularly choroidal lesions.
- Ultrasound findings can aid in differentiating metastases from other ocular pathologies.
- Regular ultrasonic evaluation and follow-up are essential for optimal management and can often prevent enucleation.