Diagnosis of Traumatic Cyclodialysis by Ultrasound Biomicroscopy
| Autor: | Jeffrey M. Liebmann, Celso Tello, Foster Fs, Easterbrook M, Charles J. Pavlin, R. Ritch, Ronald C. Gentile |
|---|---|
| Rok vydání: | 1996 |
| Předmět: |
medicine.medical_specialty
genetic structures medicine.diagnostic_test business.industry Ultrasound Ultrasound biomicroscopy Scleral spur medicine.disease eye diseases Eye injuries Ciliary body medicine.anatomical_structure Ophthalmology Gonioscopy medicine sense organs business Hyphema Shallow anterior chamber |
| Zdroj: | Ophthalmic Surgery, Lasers and Imaging Retina. 27:97-99 |
| ISSN: | 2325-8179 2325-8160 |
| DOI: | 10.3928/1542-8877-19960201-03 |
| Popis: | * BACKGROUND AND OBJECTIVE: To evaluate the ability of high-frequency ultrasound biomicroscopy to diagnose traumatic cyclodialyses not evident on clinical examination. * PATIENTS AND METHODS: Six eyes of six patients with posttraumatic hypotony and/or shallow anterior chamber and suspected cyclodialysis clefts were examined with slit-lamp biomicroscopy, gonioscopy, B-scan ultrasonography, and ultrasound biomicroscopy. Ultrasound biomicroscopy provided high resolution of cross-sectional images of the anterior chamber angle, posterior chamber, and anterior uveal tissue. * RESULTS: Ultrasound biomicroscopy confirmed the disinsertion of the ciliary body from the scleral spur and associated ciliary body detachment in all eyes. Gonioscopy failed to demonstrate a cyclodialysis cleft in five eyes because of hyphema (two eyes) and abnormal iris architecture (related to trauma) precluding visualization of the angle recess (three eyes). Using information from ultrasound biomicroscopy imaging, one patient underwent a ciliary body reattachment procedure and repair of the cyclodialysis cleft. * CONCLUSION: Ultrasound biomicroscopy is a noninvasive method that can accurately diagnose the presence of traumatic cyclodialyses and can aid in surgical management. It is particularly useful in the presence of hazy media, hypotony, and/or abnormal anterior segment anatomy. [Ophthalmic Surg Lasers 1996;27:97-105.] |
| Databáze: | OpenAIRE |
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