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Fetal interlens distance: normal values during pregnancy.

Z Kivilevitch1, L J Salomon, B Benoit

  • 1Maccabi Health Services, Women's Medical Center, Ultrasound Unit, Beer Sheva, Israel.

Ultrasound in Obstetrics & Gynecology : the Official Journal of the International Society of Ultrasound in Obstetrics and Gynecology
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Summary

Interlens distance (ILD) in fetuses strongly correlates with gestational age and fetal growth parameters. This measurement can help assess fetal orbit and eyeball development, aiding in detecting craniofacial abnormalities.

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Area of Science:

  • Fetal medicine
  • Medical imaging
  • Ophthalmology

Background:

  • Accurate fetal biometry is crucial for monitoring pregnancy.
  • Interlens distance (ILD) and biorbital diameter (BOD) are key indicators of fetal orbital development.

Purpose of the Study:

  • Establish normal ranges for fetal interlens distance (ILD) throughout gestation.
  • Assess the correlation between ILD and fetal growth parameters, including orbital dimensions.

Main Methods:

  • A cross-sectional study involving 450 normal singleton fetuses from 12 to 37 weeks of gestation.
  • Measured ILD and biorbital diameter (BOD) using an oblique anterior coronal section.
  • Analyzed correlations between ILD, gestational age (GA), and other biometric parameters (BPD, HC, FL, AC).

Main Results:

  • ILD showed a high positive correlation with gestational age (r² = 0.969) and all measured fetal biometric parameters.
  • The biorbital diameter to interlens distance ratio remained constant throughout pregnancy.
  • No significant gender-based differences were observed for ILD or GA.

Conclusions:

  • Fetal ILD measurements correlate closely with eyeball and surrounding bony structure growth.
  • ILD can be used interchangeably with BOD for assessing fetal orbit and eyeball development.
  • ILD serves as a valuable complementary tool for detecting craniofacial and nervous system malformations.