Significance of Ultrasonography in Evaluation of Vitreo-retinal Pathologies
Jasmin Zvornicanin, Vahid Jusufovic, Emir Cabric, Zlatko Musanovic, Edita Zvornicanin, Allen Popovic-Beganovic
Med Arh. 2012; 66(5): 318-320
Purpose: To assess the diagnostic value of ultrasonography in the detection of vitreo-retinal pathologies. Material and Methods: This prospective study included all patients from retina department in Eye Clinic University Clinical Center Tuzla first time referred and examined by a single experienced vitreo-retinal surgeon in period from January 2011. to January 2012. Complete ophthalmic examination and ultrasonography–standardized echography were performed to all patients for detection and confirmation of vitreo-retinal pathology. Results: Study included 146 eyes from 122 patients. 58 (39,7%) eyes had poor posterior segment visualization, 21 (14,4%) eyes due to dense cataracts and 37 (25,3%) eyes due to different vitreous opacities. 88 (60,3%) eyes had good or partial posterior eye segment visualization, where 67 (45,9%) eyes had proliferative vitreo-retinopathy and 55 (37,7%) eyes had tractional retinal detachment. Most common causes for referral to vitreo-retinal surgeon were ocular complications of diabetes mellitus 94 (64,4%), ocular trauma 18 (12,3%), rhegmatogenous retinal detachment 16 (10,9%) and intraocular inflammation 9 (6,2%). Ultrasonography confirmed suspected diagnosis and operative management plan in 120 (82,2%) eyes, sublassified previously established diagnosis in 19 (13%) eyes and helped further operative planning and established completely new diagnosis and changed initial management plan in 7 (4,8%) eyes. The final clinical diagnosis confirmed the ultrasonography findings in 142 from 146 (97,3%) eyes. Conclusion: Ultrasonography is useful part of ophthalmic examination for detection, evaluation and follow up of different vitreo-retinal pathologies.
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