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Ocular trauma: evaluation with US

M M McNicholas1, D P Brophy, W J Power

  • 1Department of Radiology, Saint Vincent's Hospital, Dublin, Ireland.

Radiology
|May 1, 1995
PubMed
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Real-time ultrasonography (US) accurately assesses eye injuries with opaque media, identifying vitreous hemorrhage, retinal detachment, and intraocular foreign bodies (IOFB). This imaging technique proves valuable for diagnosing unsuspected ocular damage in trauma patients.

Area of Science:

  • Ophthalmology
  • Medical Imaging
  • Trauma Care

Background:

  • Opaque ocular media in trauma hinders clinical examination.
  • Accurate diagnosis is crucial for effective management of eye injuries.

Purpose of the Study:

  • To evaluate the diagnostic value of real-time ultrasonography (US) for traumatized eyes with opaque ocular media.
  • To compare US with computed tomography (CT) for intraocular foreign body (IOFB) assessment.

Main Methods:

  • Prospective examination of 61 eyes in 60 patients using real-time US.
  • Correlation of US findings with clinical and surgical follow-up.
  • CT scans were performed for patients with suspected IOFBs.

Main Results:

Related Experiment Videos

  • US accurately identified various ocular pathologies, including vitreous hemorrhage, retinal detachment, and IOFBs.
  • 90% concordance between US findings and clinical/surgical outcomes.
  • US revealed unsuspected diagnoses in 4 cases, demonstrating its diagnostic utility.

    • Conclusions:

    • Real-time US is a reliable tool for assessing ocular damage in traumatized eyes with opaque media.
    • US offers advantages over CT in visualizing intraocular damage associated with IOFBs.
    • Vitreous traction bands detected by US may predict impending retinal detachment.