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

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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.


1. DiBernardo C, Schachat AP, Fekrat S. Ophthalmic Ultrasound: A Diagnostic Atlas. New York: Thiemes Medical Publishers, Inc; Sec ed. 2006.

2. Mundt GH, Hughes WF. Ultrasonics in ocular diagnosis. Am J Ophthalmol. 1956; 41: 488-498.

3. Baum G, Greenwood I. The application of ultrasonic locating techniques to ophthalmology-part 2. Ultrasonic visualization of soft tissues. Arch Ophthalmol. 1958; 60: 263–279.

4. Ossoinig KC, Byrne SF, Weyer NJ. Standardized echography. Part II: Performance of standardized echography by the technician. Int Ophthalmol Clin. 1979; 19(4): 283-285.

5. Coleman DJ, Silverman RH, Chabi A, Rondeau MJ, Shung KK, et al. High-resolution ultrasonic imaging of the posterior segment. Ophthalmology. 2004; 111(7): 1344-1351.

6. Scott IU, Smiddy WE, Feuer WJ, Ehlies FJ. The impact of echography on evaluation and management of posterior segment disorders. Am J Ophthalmol. 2004; 137(1): 24-29.

7. Ahmed J, Shaikh FF, Rizwan A, Memon MF. Evaluation of vitro-retinal pathologies using B-scan ultrasound. Pak J Ophthalmol. 2009; 25: 4.

8. Sen KK, Parihar JKS, Saini M, Moorthy RS. Conventional B-mode ultrasonography for evaluation of retinal disorders. MJAFI. 2003; 59: 310-312.

9. Bedi DG, Gombos DS, Ng CS, Singh S. Sonography of the eye. AJR Am J Roentgenol. 2006; 187(4): 1061-1072.

10. Aironi VD, Gandage SG. Pictorial essay: B-scan ultrasonography in ocular abnormalities. Indian J Radiol Imaging. 2009; 19(2): 109-115.

11. Cabric E, Salihefendic N, Zildzic M, Licanin Z, Smajlovic F. Early ultrasonographic diagnosis of retinal detachment: multidisciplinary approach and benefit. Med Arh. 2010; 64(1): 41-43.

12. Haddad RI, Khatatbeh AE, Athamneh FS, Khasawneh MS. The Role of B-scan ultrasonography in the pre-operative assessment of the posterior eye segment in patients with dense cataract. Middle East J of Int Med. 2011; 5(3): 13-16.

13. Salman A, Parmar P, Vanila CG, Thomas PA, Jesudasan CA. Is ultrasonography essential before surgery in eyes with advanced cataracts. J Postgrad Med. 2006; 52(1):19-22.

14. Anteby II, Blumenthal EZ, Zamir E, Waindim P The role of preoperative ultrasonography for patients with dense cataract: a retrospective study of 509 cases. Ophthalmic Surg Lasers. 1998; 29(2): 114-118.

15. Nzeh DA, Owoeye JF, Ademola-Popoola DS, Uyanne I. Sonographic evaluation of ocular trauma in Ilorin, Nigeria. Eur J Ophthalmol. 2006; 16(3): 453-457.

16. Qureshi MA, Laghari K. Role of B-scan ultrasonography in pre-operative cataract patients. Int J Health Sci. 2010; 4(1): 31-37.

17. Rezende FA, Kapusta MA, Burnier MN Jr, Costa RA, Scott IU. Preoperative B-scan ultrasonography of the vitreoretinal interface in phakic patients undergoing rhegmatogenous retinal detachment repair and its prognostic significance. Graefes Arch Clin Exp Ophthalmol. 2007; 245(9): 1295-1301.

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