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B-scan ultrasonography in ophthalmic diseases
1Department of Ophthalmology, Armed Forces General Hospital, Addis Ababa, Ethiopia.
East African Medical Journal
|November 1, 1996
Summary
Real-time B-scan ultrasonography effectively detects eye abnormalities like retinal detachment and vitreous opacities, especially in areas lacking advanced imaging. This ultrasound technique aids in diagnosing orbital conditions and planning patient management.
Area of Science:
- Ophthalmology
- Medical Imaging
- Diagnostic Ultrasound
Background:
- Opaque media and orbital abnormalities pose diagnostic challenges.
- Advanced imaging techniques may be unavailable in certain regions.
Purpose of the Study:
- To evaluate the utility of real-time B-scan ultrasonography.
- To assess its effectiveness in diagnosing intraocular and orbital abnormalities.
- To report experience in a developing country context.
Main Methods:
- Real-time B-scan ultrasonography was performed on 318 eyes from 298 patients.
- Evaluations included eyes with opaque media, suspected intraocular abnormalities, and proptosis.
- Orbital tissue patterns were analyzed for patients presenting with proptosis.
Main Results:
- 66% of evaluated eyes showed detectable abnormalities.
- Retinal detachment (39%) and vitreous opacities (31%) were the most common findings.
- Abnormal orbital tissue patterns were found in 28 of 30 patients evaluated for proptosis, with solid/cystic patterns (32% each) and thyroid orbitopathy (25%) being prevalent.
Conclusions:
- Real-time B-scan ultrasonography is a valuable tool for diagnosing eye and orbital conditions, particularly where advanced imaging is limited.
- The procedure aids in identifying various abnormalities, including retinal detachment and orbital pathologies.
- It assists in the management planning for patients with ocular and orbital diseases.