THREE-DIMENSIONAL ULTRASOUND EXAMINATION IN OPHTHALMOLOGY – INITIAL EXPERIENCE IN VARIOUS EYE DISEASE
Abstract
Background. The use of three-dimensional (3D) ultrasonography in ophthalmology presents in our country a new clinical investigation, which give us a new ultrasound diagnostic possibilities in this field. The aim of this contribution was to present the use of 3D ultrasound examination in various ocular diseases and to find out advantages and disadvantages of this method in comparison with standard ultrasonography.
Patients and methods. Twelve patients hospitalized at Department of Ophthalmology in Teaching Hospital Maribor were selected for 3D ultrasound examination in addition to 2D ultrasonography between December 2002 and March 2003. The examination was performed in patient with chorioidal melanoma, exudative maculopathy, subchorioidal haemorrhage, retinal detachment, phthysis of the eye after injury, optic nerve trauma, retrobulbar neuritis, in 2 patients with vitreous haemorrhages, in 2 patients with uveitis and in 2 patients with retinal detachment.
Results. In all patients after standardized ultrasonography (2D), which already confirmed or determined the diagnosis, 3D ultrasonography was performed. In patients with exudative maculopathy and retinal detachment we found no advantages with this method. The same findings were also in patient with optic nerve disease and optic nerve trauma. In patient with vitreous haemorrhage and in patient with subhorioidal haemorrhage the changes were more evident with 3D ultrasonography. The real advantage of 3D ultrasonography was in patient with choroidal melanoma, where measurements of tumor heigh, volume and determination of tumor localisation were more accurate.
Conclusions. 3D ultrasonography allows the precise assessment of three-dimensional structures. Our experiences with 3D ultrasonography in ophthalmology suggest advantages of this method for measurement of lenght, area and volume of ocular tumors, particularly malignant melanoma and for evaluation of structure, lenght and volume of traumatized eye, such is phthysis. A further study with larger number of patients is necessary to confirm our findings.
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References
Mundt GH, Hughes WS. Ultrasonics in ocular diagnosis. Am J Ophthalmol 1956; 41: 488–8.
Ossoinig KC. Echography of the eye. In: Arger PH. Regiology of the orbit. New York: Wiley & Sons, 1976.
Guthoff R. Ultraschall in der ophthalmolgischen Diagnostik. Ein Leitfaden für die Praxis. Stuttgart: Enke, 1988.
Downey DB, Nicolle DA, Levin MF, Fenster A. Three-dimensional ultrasound imaging of the eye. Eye 1996; 10: 75–81.
Coleman DJ, Silverman RH, Rondeau MJ, Lizzi FL. New perspectives: 3-D volume rendering of ocular tumors. Acta Ophthalmol 1992; 70: Suppl 204: 22–2.
Jensen PK. Ultrasonographic three-dimensional scanning for determination of intraocular tumor volume. Acta Ophthalmol 1992; 70: Suppl 204: 23–5.
Jensen PK, Hansen MK. Ultraonographic three-dimensional scanning for determination of intraocular tumor volume. Acta Ophthalmol 1991; 69: 178–86.
Fisher Y, Hanutsaha P, Tong S, Fenster A, Mazarin G, Mandava N. Threedimensional ophthalmic contact B-scan ultrasonography of posterior segment. Retina 1998; 18: 251–6.
Cusumano A, Coleman DJ, Silverman Rh et al. Three-dimensional ultrasound imaging – clinical applications. Ophthalmology 1998; 105: 300–6.
Finger PT, Romero JM, Rosen RB, Iezzi R, Emery R, Berson A. Threedimensional ultrasonography of chorioidal malanoma: localization of radioactive eye plaques, Arch ophthalmol 1008; 116: 305–12.
Romero JM, Finger PT, Iezzi R, Rosen RB, Cocker RS. Three-dimensional ultrasonography of chorioidal melanoma: extrascleral extension. Am J Ophthalmol 1998; 126: 842–4.
Pavlin CJ, Sherar MD, Foster FS. Subsurface ultrasound microscopic imaging of the intact eye. Ophthalmology 1990; 97: 244–50.
Pavlin CJ, Harasiewicz K, Sherar MD, Foster FS. Clinical use of ultrasound biomicroscopy. Ophthalmology 1991; 98: 287–95.
Iezzi R, Rosen RB, Tello C, Liebmann J, Walsh JB, Ritch R. Personal computerbased 3-dimensional ultrasound biomicroscopy of the anterior segment. Arch Ophthalmol 1996; 114: 520–4.
Coleman DJ. Evaluation of ciliary body detachment in hypotony. Retina 1995; 15: 312–8.
Silvermann RH, Rondeau MU, Lizzi FL, Coleman DJ. Three-dimensional high-frequency ultrasonic parameter imaging of anterior segment pathology. Ophthalmology 1995; 192: 837–43.
Shammas HJ. Ophthalmic ultrasonography and biometry. St. Louis, Toronto: Mosby Company, 1984.
Silvermann RH, Coleman DJ, Rondeau MJ, Woods SM, Lizzi FL. Measurement of ocular tumor volumes from serial, cross-sectional ultrasound scans. Retina 1993; 13: 69–74.
Delcker A, Martin T, Tegeler C. Magnetic sensor data acquisition for threedimensional ultrasound of the orbit. Eye 1998; 12: 725–8.
Guthoff R. Modellmessungen zur Volumenbestimmung des malignen Aderhautmelanoms. Graefes Arch Klin Exp Ophthalmol 1980; 214: 139–46.
Grasbon T, Schriever JP, Hoops JP, Mueller. AJ. 3D-Ultraschall. Erste Erfahrungen bei verschiedenen Augenerkrankungen. Ophthalmologe 2001; 98: 88–93.
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