Ultrasound biomicroscopic evaluation of traumatized eyes
Keywords:Trauma, Eye, Ultrasound biomicroscopy
Background: High frequency ultrasound biomicroscopy (UBM) is a safe, non-invasive effective high-resolution technique used for in vivo imaging of the anterior ocular segment. It is of utmost use in the management of patients with ocular trauma when visualization is limited due to hazy media.
Methods: UBM was performed in 100 patients with close globe injury and 25 patients with open globe injury. Clinical and UBM findings were compared.
Results: Majority of the patients was males in the age group of 20-40 years. Workplace injuries were more common. More number of cases having angle recession, posterior capsular rupture, zonular dialysis and peripheral anterior synechiae were diagnosed by UBM.
Conclusion: UBM remains the choice of investigation for scanning the posterior chamber and posterior capsule with good axial resolution of 50 µ.
Pavlin CJ, Harasiewicz K, Sherar MD, Foster FS. Clinical use of ultrasound biomicroscopy. Ophthalmology. 1991;98(3):287-95.
Koval R, Teller J, Belkin M, Romem M, Yanko L, Savir H. The Israeli Ocular Injuries Study. A nationwide collaborative study. Arch Ophthalmol. 1988;106(6):776-80.
Mieler WF. Overview of ocular trauma. In: Albert DM, Jakobeic FA, editors. Principles and Practice of Ophthalmology. 2nd Edition. Philadelphia: WB Saunders; 1994: 6.
Liebmann JM, Ritch R, Esaki K. Ophthalmic imaging and diagnostics. Ultrasound biomicroscopy. Ophthalmol Clin North Am. 1998;11(3):421-33.
Ozdal MP, Mansour M, Deschênes J. Ultrasound biomicroscopic evaluation of the traumatized eyes. Eye (Lond). 2003;17(4):467-72.
Deramo VA, Shah GK, Baumal CR, Fineman MS, Corrêa ZM, Benson WE, et al. Ultrasound biomicroscopy as a tool for detecting and localizing occult foreign bodies after ocular trauma. Ophthalmology. 1999;106(2):301-5.