Ординатура / Офтальмология / Английские материалы / Ophthalmic Ultrasound A Diagnostic Atlas 2nd edition_ DiBernardo, Greenberg_2006
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146 INDEX
B
Band(s) suprachoroidal, 66f vitreous, 36f
Basic screening techniques, 3, 5f Bean-pot configuration, of optic disc, 109f Benign mixed tumor, orbital, 127f Biometry, 133–134, 134f–144f
B-scan follow-up for, 133 comparison measurements in, 133 good quality, characteristics of, 133 new technology in, 134
sound velocities in, 133 traditional, 133–134 training and skills for, 133
Blood flow, in A- and B-scans, 3 Brachytherapy, scans after, 89f, 90f
Brightness modulation, 1. See also Contact B-scan B-scan, 1, 2. See also specific disorders and findings
of anterior structures, 11
basic screening techniques of, 3, 5f in biometry follow-up, 133
of choroidal detachment, 62 comparison with fundus photography, 1 of extraocular muscles, 114 higher-resolution, 11, 18f, 19f
of optic nerve, 108f immersion technique in, 11, 12f of inferior fundus, 2
of intraocular tumors, 79 key vocabulary in, 2 kinetic properties of, 3 labeling of, 3–4
of nasal fundus, 2, 6f
of optic disc drusen, 105, 108f, 109f of optic nerve, 104, 107f
of orbit, 121 probe in, 2, 4f probe marker in, 2
of retinal detachment, 40
of retinal pigment epithelial detachment, 41 of retinal tears, 41, 42f
sound attenuation in, 2 sound beam orientation in, 2 of superior fundus, 2, 6f
of temporal fundus, 2 two-dimensional imaging in, 1 vascularity in, 3
of vitreous, 28–29
C
Calcification, sclerochoroidal, 139f Carotid-cavernous sinus fistula, 124f Cataract(s)
immersion scan of, 13f
in Marfan’s syndrome, 142f
membranous, 13f traumatic, 70
vitreous opacities with, 28 Cavernous hemangioma
large, 130f small, 129f
CB (ciliary body), 4t Choroid, 62–63, 63f–69f
A-scan of, 2
high reflectivity of, 62 hypotony of, 62
low reflectivity of, 62 thickening of, 62
in Lyme disease, 62, 63f in nanophthalmos, 62, 65f
in sympathetic ophthalmia, 62, 64f in uveal effusion, 62, 65f
in Vogt-Koyanagi-Harada (VKH) syndrome, 62, 64f Choroidal detachment(s), 62, 65f–68f
A-scan of, 62 B-scan of, 62 clot with, 67f etiology of, 62
hemorrhagic, 62, 67f, 68f with hypotony, 62, 69f “kissing,” 62, 67f localized, 66f
with metastases, 101f ophthalmoscopic diagnosis of, 62 retinal detachment with, 68f serous, 62, 65f, 66f suprachoroidal band with, 66f
Choroidal hemangioma, 3, 94f
Choroidal infiltration, orbital pseudotumor with, 131f
Choroidal melanoma, A-scan of, 3 Choroidal metastases, 92f, 101f Choroidal nevus, 93f
acoustic characteristics of, 80t Choroidal rupture, 73f
Ciliary body
CB labeling of, 4t normal, 16f
UBM image of, 20f Ciliary body mass, 17f Ciliochoroidal detachment, 62 Cleaning, of probes, 4f
Clock hours evaluation, 2, 3–4
Clot, with hemorrhagic choroidal detachment, 67f Coalescent iris cyst, UBM image of, 22f
Collar button tumors, 80t, 82f, 83f, 87f Colorectal cancer, metastases from, 102f, 103f Comet tail, with foreign body, 77f
Contact B-scan, 1, 2. See also specific disorders and findings
of anterior structures, 11
INDEX 147
basic screening techniques of, 3, 5f in biometry follow-up, 133
of choroidal detachment, 62 comparison with fundus photography, 1 of extraocular muscles, 114 higher-resolution, 11, 18f, 19f
of optic nerve, 108f immersion technique in, 11, 12f of inferior fundus, 2
of intraocular tumors, 79 key vocabulary in, 2 kinetic properties of, 3 labeling of, 3–4
of nasal fundus, 2, 6f
of optic disc drusen, 105, 108f, 109f of optic nerve, 104, 107f
of orbit, 121 probe in, 2, 4f probe marker in, 2
of retinal detachment, 40
of retinal pigment epithelial detachment, 41 of retinal tears, 41, 42f
sound attenuation in, 2 sound beam orientation in, 2 of superior fundus, 2, 6f
of temporal fundus, 2 two-dimensional imaging in, 1 vascularity in, 3
of vitreous, 28–29
Cornea, normal, UBM image of, 20f Coupling agent, 1–2, 40, 70
Cryotherapy, ultrasound-guided, for retinal tears, 41 Cupping, of optic disc
high-resolution scan of, 109f small, 109f
total, 109f
Cyclitic membrane, 17f
Cyclodialysis cleft, UBM image of, 25f Cyst(s)
anterior chamber immersion scan of, 14f UBM image of, 21f, 22f
iridociliary, UBM image of, 22f iris
coalescent, 22f peripheral, 22f
UBM imaging of, 22f microphthalmos with, 140f pars plana, UBM image of, 26f retinal, 53f, 54f
vitreous, 34f
Cystoid macular edema, 61f
D
Dacryoadenitis, 125f
Dead zone, 11
Detachment(s) choroidal, 62, 65f–68f
A-scan of, 62 B-scan of, 62 clot with, 67f etiology of, 62
hemorrhagic, 62, 67f, 68f with hypotony, 62, 69f “kissing,” 62, 67f localized, 66f
with metastases, 101f ophthalmoscopic diagnosis of, 62 retinal detachment with, 68f serous, 62, 65f, 66f suprachoroidal band with, 66f
ciliochoroidal, 62
posterior vitreous, 28–29, 32f, 33f, 35f focal adhesion with, 44f
versus retinal detachment, 28–29, 48f versus Terson’s syndrome, 41 traction retinal detachment with, 40,
45f, 46f
retinal, 40–41, 45f–53f A-scan of, 40, 45f B-scan of, 40
with choroidal detachment, 68f degrees of, 40
funnel shape of, 40
funnel shapes of, 40, 51f, 52f, 53f hemorrhage with, 58f, 59f insertion into optic disc, 40 localized, 49f, 50f
localized shallow, 49f long-standing, characteristics of, 40 macula evaluation in, 40
in Marfan’s syndrome, 142f with metastases, 102f, 103f movement of, 40
with retinal tears, 43f with retinoblastoma, 100f
in retinopathy of prematurity, 41, 54f, 55f subtotal, 52f
tent-like, 45f
topographic features of, 40 total, 40, 51f
traction, 40, 45f, 46f, 47f traction complex, 40 traction peripapillary, 46f traction tabletop, 40, 47f
versus vitreous membrane, 28–29, 48f retinal pigment epithelial, 41, 55f, 56f
A-scan of, 41 B-scan of, 41 hemorrhagic, 56f
Diffuse melanoma, 85f Dilated vertical vein, 124f
148 INDEX
Disciform process, 97f, 98f acoustic characteristics of, 80t
Dislocated lens, 71f, 72f
in Marfan’s syndrome, 142f Disorganized globe
in phthisis, 141f in trauma, 77f
Dispersed vitreous opacities, 33f Distribution of spikes, in A-scan, 1, 3 Dome-shaped tumors, 80t, 81f, 87f, 88f Drusen, optic disc, 104, 105
A-scan of, 105
B-scan of, 105, 108f, 109f
E
E (equator), 4t
EA (anterior to equator), 4t Echographer position, 1, 4f
Echography. See also specific entries standardized, 1
Elderly, choroidal detachment in, 62 Endophthalmitis, 28, 37f
EP (equator posterior), 4t Equipment set-up, 1, 4f Estimation of position, 4, 4t
Extension of tumor, extrascleral, 86f Extraocular muscles, 114, 115f–120f
A-scan of, 114, 115f, 116f B-scan of, 114
computed tomography of, 114 magnetic resonance imaging of, 114 mass lesions of, 114
in melanoma, 119f, 120f metastases to, 119f, 120f in myositis, 114, 118f normal, 115f, 116f
normal measurements of, 116f normal patterns versus disorders, 114 normal values for, 114
reflectivity of, 114
in thyroid eye disease, 114, 117f Extrascleral extension, of tumor, 86f Eyelids, ultrasound through, in trauma, 70
F
Fetal vasculature, persistent, in vitreous, 38f 50-100 MHz probe, 11, 19f. See also Ultrasound
biomicroscope
Finger of glove, for modified immersion technique, 11, 12f, 13f
Floaters, vitreous, 28
Fluid-positive 30-degree test, 104–105, 110f, 111f Fluorescein angiography, comparison with A-scan, 1 Focal adhesion, vitreoretinal, 44f
traction retinal detachment with, 40, 45f, 46f Foreign body, 70
glass, 75f
lens, immersion scan of, 14f metal, 76f
spherical, 77f Fundus
inferior, B-scan of, 2 nasal, B-scan of, 2, 6f
normal, basic screening techniques of, 3 superior, B-scan of, 2, 6f
temporal, B-scan of, 2
Fundus photography, comparison with B-scan, 1 Funnel shape, in retinal detachment, 40
closed, 40, 52f, 53f open, 40, 51f
in retinopathy of prematurity, 41, 54f, 55f in subretinal hemorrhage, 59f
G
Gain
in A-scan, 2 decreased
standardized A-scan at, 5f transverse scan at, 5f
maximum, transverse scan at, 5f Gancyclovir implant, 136f
Gas artifacts, 136f, 137f, 138f Giant retinal tear, 44f
Glass injury, 75f
Glaucoma, total cupping in, 109f Glaucoma procedure, scleral perforation
during, 74f Globe, disorganized in phthisis, 141f in trauma, 77f
Glove, finger of, for modified immersion technique, 11, 12f, 13f
Growth of tumors, 87f
H
Height of spikes, in A-scan, 1, 2, 3 Hemangioma, 94f
choroidal, 3, 94f large cavernous, 130f orbital, 129f, 130f small cavernous, 129f
Hemorrhage orbital, 126f
lymphangioma with, 126f traumatic, 77f, 78f
subhyaloid, 35f subretinal, 58f, 59f
with intraocular tumors, 79 vitreous, 29, 32f, 34f, 35f
with disciform process, 97f, 98f focal adhesion with, 44f
with intraocular tumors, 79 retinal detachment with, 59f retinal tears with, 40–41, 42f, 43f
INDEX 149
in Terson’s syndrome, 41, 50f traumatic, 70, 71f
Hemorrhagic choroidal detachment, 62, 67f, 68f Hemorrhagic retinal pigment epithelial (RPE)
detachment, 56f
Higher-resolution equipment, 11, 18f, 19f, 20f. See also Ultrasound biomicroscope
HIV infection, gancyclovir implant for, 136f Horizontal axial scan, 10f
of macula, 40
Horizontal transverse scan, 2, 6f Hyphema
immersion scan of, 14f traumatic, 70, 72f
vitreous abnormalities with, 28, 29 Hypotony, 62, 69f
I
Identification (labeling), 3–4, 4t Immersion scans, 11–12, 12f–18f of anterior chamber cyst, 14f
of anterior chamber hyphema, 14f of aphakia, 143f
A-scan, 11, 12f, 13f
for axial length measurement, 143f B-scan, 11, 12f
of cataract, 13f
of ciliary body mass, 17f of cyclitic membrane, 17f equipment for, 11, 12f
of foreign body, 14f of iris melanoma, 16f
modified, finger of glove for, 11, 12f, 13f normal, 13f
of phakia, 143f
of retroiridal membrane, 15f of traumatic iridectomy, 15f
Immersion shells, 11, 12f, 20f
Increased subarachnoid fluid (ISAF), 104 Infection(s). See also specific types
vitreous, 28, 37f, 38f Inferior fundus, B-scan of, 2 Inferior rectus muscle, 116f
metastases to, 119f
Inflammation. See also specific disorders vitreous, 28, 37f, 38f
Interferometry, 144f partial coherence, 134
Intraocular lens implant (IOL) dislocated, 72f
UBM image of, 23f, 24f Intraocular pressure (IOP)
elevated, Krupin valve for, 135f low, and choroidal hypotony, 62
Intraocular tumor(s), 79–80, 81f–103f. See also specific types
acoustic characteristics of, 79 A-scan of, 79
atypical features of, 79 basal diameter of, 79 benign mixed (orbital), 127f B-scan of, 79
collar button, 80t, 82f, 83f, 87f differentiation of, 79 dome-shaped, 80t, 81f, 87f, 88f extrascleral extension of, 86f growth of, 87f
height measurements of, 79 intrascleral invasion by, 88f lobulated, 81t, 85f, 86f ophthalmoscopy of, 79 peaked, 84f
postplaque, 89f, 90f post-treatment, 91f, 92f preplaque, 89f, 90f reflectivity of, 79, 80t structure of, 79, 80t topographic features of, 79
typical echographic features of, 79, 80t Intrascleral invasion by tumor, 88f Iridectomy, traumatic, 15f
Iridociliary cyst, UBM image of, 22f Iridodialysis, UBM image of, 24f Iris
moderately convexed, UBM image of, 21f plateau, UBM image of, 23f
Iris cyst coalescent, 22f peripheral, 22f
UBM imaging of, 22f Iris melanoma
immersion scan of, 16f UBM image of, 26f
Iris metastasis, UBM image of, 25f Iris nevus, UBM image of, 25f
Iris stump, residual, UBM image of, 21f
K
Kinetic properties, 3
“Kissing” choroidal detachments, 62, 67f Krupin valve, 135f
L
Labeling echograms, 3–4, 4t Lacrimal gland
in dacryoadenitis, 125f normal, 125f
Lacrimal gland lymphoma, 128f Lacrimal gland pseudotumor, 128f Large cavernous hemangioma, 130f Lateral rectus muscle, 116f Layered vitreous opacities, 29, 34f
150 INDEX
Length measurements, axial |
Membranous cataract, 13f |
immersion scan for, 143f |
Metallic foreign body, 76f |
interferometry for, 134, 144f |
Metastases, 92f, 93f |
normal, 143f |
acoustic characteristics of, 80t |
traditional biometry for, 133–134 |
A-scan of, 3 |
Lens. See also Cataract(s) |
choroidal, 92f, 101f |
dislocated, 71f, 72f |
from colorectal cancer, atypical, 102f, 103f |
in Marfan’s syndrome, 142f |
to extraocular muscle, 119f, 120f |
foreign body, 14f |
iris, UBM image of, 25f |
immersion scan of, 13f |
retinal, 102f, 103f |
membranous cataract, 13f |
from testicular cancer, atypical, 101f |
Lens implant |
Methylcellulose, as coupling agent, 1–2, 40, 70 |
dislocated, 72f |
Microphthalmos, with cyst, 140f |
UBM image of, 23f, 24f |
Mobility, in A- and B-scans, 3 |
Lids, ultrasound through, in trauma, 70 |
Mucocele, 132f |
Lobulated tumor, 81t, 85f, 86f |
Multiple signals, 136f |
Longitudinal scan, 2, 7f. See also specific disorders and |
Muscles, extraocular, 114, 115f–120f |
findings |
A-scan of, 114, 115f, 116f |
of anterior segment, 11 |
B-scan of, 114 |
of extraocular muscles, 114, 115f |
computed tomography of, 114 |
of macula, 40 |
magnetic resonance imaging of, 114 |
of normal fundus, 3 |
mass lesions of, 114 |
oblique, 9f |
in melanoma, 119f, 120f |
of optic nerve, 104 |
metastases to, 119f, 120f |
of orbit, 121 |
in myositis, 114, 118f |
Lyme disease, choroidal thickening in, 62, 63f |
normal, 115f, 116f |
Lymphangioma, 126f |
normal measurements of, 116f |
Lymphoid hyperplasia, 62 |
normal patterns versus disorders, 114 |
Lymphoma, 62 |
normal values for, 114 |
lacrimal gland, 128f |
reflectivity of, 114 |
M |
in thyroid eye disease, 114, 117f |
Myopia, unilateral axial, 134f |
|
Macula |
Myositis, 114, 118f |
evaluation of, 40, 60f–61f |
N |
thickening of, 60f, 61f |
|
Macular edema, cystoid, 61f |
Nanophthalmos, 62, 65f |
Marfan’s syndrome, 142f |
Nasal fundus, B-scan of, 2, 6f |
Mass(es). See Tumors, intraocular |
Near-infrared light, in partial coherence |
Mass-like lesions, A-scan of, 3 |
interferometry, 134 |
Medial rectus muscle, 116f |
Nevus |
Meduloepithelioma, UBM image of, 26f |
choroidal, 93f |
Melanocytoma, 95f |
acoustic characteristics of, 80t |
acoustic characteristics of, 80t |
iris, UBM image of, 25f |
Melanoma |
New technology in biometry, 134 |
acoustic characteristics of, 80t |
Nodular posterior scleritis, 124f |
choroidal, 3 |
O |
collar button, 80t, 82f, 83f |
|
diffuse, 85f |
O (ora), 4t |
dome-shaped, 80t, 81f |
Oblique longitudinal scan, 9f |
extraocular muscles in, 119f, 120f |
Oblique transverse scan, 2, 8f |
iris |
Off-axis scan, 16f |
immersion scan of, 16f |
Opacities of vitreous, 28, 30f |
UBM image of, 26f |
dispersed, 33f |
postplaque, 89f, 90f |
layered, 29, 34f |
preplaque, 89f, 90f |
in Marfan’s syndrome, 142f |
versus scleral buckle, 135f |
Operculum, overlying, retinal tears with, 43f |
INDEX 151
Ophthalmic ultrasound. See specific entries Ophthalmoscopy
of choroidal detachment, 62 of intraocular tumors, 79 of trauma, 70
Optical coherence tomography (OCT), of cystoid macular edema, 61f
Optic disc, insertion of retinal detachment in, 40 Optic disc cupping
high-resolution scan of, 109f small, 109f
total, 109f
Optic disc drusen, 104, 105 A-scan of, 105
B-scan of, 105, 108f, 109f Optic disc elevation, 104, 108f Optic nerve, 104–105, 106f–113f
A-scan of, 104, 106f B-scan of, 104, 107f
computed tomography of, 104 high-resolution scan of, 108f magnetic resonance imaging of, 104 normal, 106f, 107f
normal measurements of, 104 reflectivity of, 104 retrobulbar, 104
30-degree test of, 104–105, 110f, 111f Optic nerve atrophy, 112f
Optic nerve avulsion, 113f Orbit, 121, 122f–132f
A-scan of, 121, 122f B-scan of, 121 normal, 121, 122f, 123f
paraocular scan of, 121, 122f reflectivity of, 121, 122f topographic features of, 121 transocular scan of, 121, 122f
Orbital hemangioma, 129f, 130f Orbital hemorrhage, 126f
lymphangioma with, 126f traumatic, 77f, 78f
Orbital lesions, 126f Orbital lymphoma, 131f Orbital mucocele, 132f
Orbital pseudotumor, with choroidal infiltration, 131f Orbital tumor, benign mixed, 127f
Ossoinig, Karl, 1 Osteoma, 96f
acoustic characteristics of, 80t
P
P (posterior), 4t Panophthalmitis, 28, 38f
Paraocular scan, of orbit, 121, 122f Pars plana cyst, UBM image of, 26f
Partial coherence interferometry (PCI), 134
Patient positioning, 1, 4f Patient preparation, 1, 4f PE (posterior to equator), 4t Peaked tumor, 84f
Perfluorocarbon artifact, 137f
Peripapillary traction retinal detachment, 46f Peripheral iris cyst, UBM image of, 22f Persistent hyperplastic vitreous, 38f
PFC (perfluorocarbon) artifact, 137f Phakia, 133, 143f
Phlebolith, 109f Phthisis, 62, 140f, 141f
Pigment dispersion syndrome, UBM image of, 23f Plateau iris, UBM image of, 23f
Positioning
of echographer, 1, 4f of equipment, 1, 4f of patient, 1, 4f
Posterior rupture, 73f, 74f Posterior scleritis, 123f
nodular, 124f
Posterior uveal bleeding syndrome, 56f
Posterior vitreous detachment, 28–29, 32f, 33f, 35f focal adhesion with, 44f
versus retinal detachment, 28–29, 48f versus Terson’s syndrome, 41
traction retinal detachment with, 40, 45f, 46f Postplaque tumor, 89f, 90f
Post-treatment tumor, 91f, 92f Prematurity, retinopathy of, 41, 54f, 55f Preparation for scans, 1, 4f
Preplaque tumor, 89f, 90f Pre-retinal membrane, 36f Probe(s)
A-scan, 2, 4f
B-scan, 2, 4f
higher-resolution, 11, 18f, 19f, 108f care of, 4f
Proptosis, in trauma, 77f, 78f Proton beam irradiation, 91f Pseudophakia, 133, 143f Pseudotumors
lacrimal gland, 128f
orbital, with choroidal infiltration, 131f PVD. See Posterior vitreous detachment
R
Radial scan. See Longitudinal scan
Radiation therapy, for tumors, 89f, 90f, 91f, 92f Rectus muscle, 116f
melanoma of, 119f, 120f metastases to, 119f, 120f myositis of, 118f
Reflectivity
in A-scan, 1, 2, 3 of choroid, 62
152 INDEX
Reflectivity (Continued)
of extraocular muscles, 114 of intraocular tumors, 79, 80t of optic nerve, 104
of orbit, 121, 122f
Residual iris stump, UBM image of, 21f Residual silicone, 137f
Retina, 40–41, 42f–61f A-scan of, 2
Retinal cyst, 53f, 54f
Retinal detachment, 40–41, 45f–53f A-scan of, 40, 45f
B-scan of, 40
with choroidal detachment, 68f degrees of, 40
funnel shape of, 40 closed, 40, 52f, 53f open, 40, 51f
hemorrhage with, 58f, 59f insertion into optic disc, 40 localized, 49f, 50f localized shallow, 49f
long-standing, characteristics of, 40 macula evaluation in, 40
in Marfan’s syndrome, 142f with metastases, 102f, 103f movement of, 40
with retinal tears, 43f with retinoblastoma, 100f
in retinopathy of prematurity, 41, 54f, 55f subtotal, 52f
tent-like, 45f
topographic features of, 40 total, 40, 51f
traction, 40, 45f, 46f, 47f complex, 40 peripapillary, 46f tabletop, 40, 47f
versus vitreous membrane, 28–29, 48f Retinal metastases, 102f, 103f
Retinal pigment epithelial (RPE) detachment, 41, 55f, 56f A-scan of, 41
B-scan of, 41 hemorrhagic, 56f
Retinal tears, 40–41, 42f A-scan of, 41, 42f B-scan of, 41, 42f giant, 44f
with overlying operculum, 43f with retinal detachment, 43f
ultrasound-guided cryotherapy for, 41 Retinoblastoma, 99f, 100f
acoustic characteristics of, 80t Retinopathy of prematurity, 41, 54f, 55f Retinoschisis, 41, 57f, 58f
A-scan appearance of, 41
elevation of, 41
fellow eye evaluation in, 41 Retrobulbar optic nerve, 104 Retroiridal membrane, 15f
RPE detachment. See Retinal pigment epithelial detachment
Rupture(s) choroidal, 73f posterior, 73f, 74f
S
Sarcoid, 62
Sclera, A-scan of, 2 Scleral buckle, 42f, 135f Scleral fold, traumatic, 75f Scleral infolding, 142f
Scleral invasion by tumor, 88f
Scleral perforation, during glaucoma procedure, 74f Scleral shells, 11, 12f, 20f
Scleritis, posterior, 123f nodular, 124f
Sclerochoroidal calcification, 139f Screening pattern, 1
Screening techniques, basic, 3, 5f
Serous choroidal detachment, 62, 65f, 66f Silicone, residual, 137f
Silicone artifacts, 137f
Skull fracture, orbital hemorrhage in, 78f Small cavernous hemangioma, 129f Small cupping, of optic disc, 109f
Sound attenuation, in B-scan, 2 Sound beam orientation, in B-scan, 2 Sound velocities
in aphakic eye, 133 in biometry, 133 in phakic eye, 133
in pseudophakic eye, 133 Sound waves, 1
Spherical foreign body, 77f
Standardized A-scan, 1, 2–3. See also specific disorders and findings
of asteroid hyalosis, 28
basic screening techniques of, 3, 5f of choroidal detachment, 62
clock hours evaluation in, 2
comparison with fluorescein angiography, 1 at decreased gain, 5f
differentiation of tissue in, 1
of extraocular muscles, 114, 115f, 116f gain in, 2
immersion technique in, 11, 12f, 13f of intraocular tumors, 79
kinetic properties of, 3 of mass-like lesions, 3
one-dimensional imaging in, 1 of optic disc drusen, 105
INDEX 153
of optic nerve, 104, 106f of orbit, 121, 122f probe in, 2, 4f
reflectivity in (height of spikes), 1, 2, 3 of retinal detachment, 40, 45f
of retinal pigment epithelial detachment, 41 of retinal tears, 41, 42f
of retinoschisis, 41
structure (distribution of spikes) in, 1, 3 tissue sensitivity in, 2, 5f
vascularity in, 3 of vitreous, 28–29
Standardized echography, 1 Stand-off, for dead zone imaging, 11 Staphyloma, 134f
Structure
in A-scan, 1, 3
of intraocular tumors, 79, 80t Subhyaloid hemorrhage, 35f Subretinal hemorrhage, 58f, 59f
with intraocular tumors, 79 Subtotal retinal detachment, 52f Superior fundus, B-scan of, 2, 6f Superior rectus muscle, 116f
melanoma of, 119f, 120f Suprachoroidal band, 66f Suprachoroidal hemorrhage, 62 Surgeon factor (SF), 133 Sympathetic ophthalmia, 62
choroidal thickening in, 62, 64f Synechia, anterior, UBM image of, 21f
T
Tabletop traction detachment, 40, 47f Tears, retinal, 40–41, 42f
A-scan of, 41, 42f B-scan of, 41, 42f giant, 44f
with overlying operculum, 43f with retinal detachment, 43f
ultrasound-guided cryotherapy for, 41 Temporal fundus, B-scan of, 2
10 MHz probe, 11
Tenon’s capsule, in posterior scleritis, 123f, 124f Tent-like retinal detachment, 40, 45f, 46f Terson’s syndrome, 41, 50f
Testicular cancer, metastases from, 101f Thickening of choroid, 62
in Lyme disease, 62, 63f in nanophthalmos, 62, 65f
in sympathetic ophthalmia, 62, 64f in uveal effusion, 62, 65f
in Vogt-Koyanagi-Harada syndrome, 62, 64f Thickening of extraocular muscle
in metastatic carcinoma, 114, 119f in myositis, 114, 118f
in thyroid eye disease, 114, 117f Thickening of macula, 60f, 61f
30-degree test, of optic nerve, 104–105, 110f, 111f Thyroid eye disease, 114, 117f
Tissue sensitivity, in A-scan, 2, 5f Total cupping, of optic disc, 109f Total retinal detachment, 40, 51f
Traction retinal detachment, 40, 45f, 46f, 47f complex, 40
peripapillary, 46f tabletop, 40, 47f
Traditional biometry, 133–134 Transocular scan, of orbit, 121, 122f
Transverse scan, 2, 6f. See also specific disorders and findings
of anterior segment, 11 at decreased gain, 5f
of extraocular muscles, 114 horizontal, 2, 6f
labeling of, 3–4 of macula, 40
at maximum gain, 5f of normal fundus, 3 oblique, 2, 8f
of orbit, 121, 122f vertical, 2
Trauma, 70, 71f–78f disorganized globe in, 77f through-the-lid scan in, 70
Traumatic iridectomy, 15f
Tumors, intraocular, 79–80, 81f–103f. See also specific types
acoustic characteristics of, 79, 80t A-scan of, 79
atypical features of, 79 basal diameter of, 79 benign mixed (orbital), 127f B-scan of, 79
collar button, 80t, 82f, 83f, 87f differentiation of, 79 dome-shaped, 80t, 81f, 87f, 88f extrascleral extension of, 86f growth of, 87f
height measurements of, 79 intrascleral invasion by, 88f lobulated, 81t, 85f, 86f ophthalmoscopy of, 79 peaked, 84f
postplaque, 89f, 90f post-treatment, 91f, 92f preplaque, 89f, 90f reflectivity of, 79, 80t structure of, 79, 80t topographic features of, 79
typical echographic features of, 79, 80t 20 MHz probe, 11, 18f, 19f, 108f, 110f
154 INDEX
U
UBM. See Ultrasound biomicroscope Ultrasound. See specific entries
Ultrasound biomicroscope (UBM), 11, 18f angle closure in, 21f
images from
of anterior chamber cyst, 21f, 22f of cyclodialysis cleft, 25f
of intraocular lens implant, 23f, 24f of iridodialysis, 24f
of iris cyst, 22f
of iris melanoma, 26f of iris metastasis, 25f of iris nevus, 25f
of meduloepithelioma, 26f
of moderately convexed iris, 21f of normal ciliary body, 20f
of normal cornea, 20f of pars plana cyst, 26f
of pigment dispersion syndrome, 23f of plateau iris, 23f
of residual iris stump, 21f mild angle displacement in, 24f normal angle, 20f
probe placement for, 20f transducer of, 19f
Ultrasound-guided cryotherapy, for retinal tears, 41 Uveal effusion, 62, 65f
V
Valsalva maneuver, and choroidal detachment, 62 Vascularity, in A- and B-scans, 3
Vein(s)
dilated vertical, 124f vortex, ampulla of, 141f
Vertical transverse scan, 2 of macula, 40
Vertical vein, dilated, 124f Vitreoretinal adhesion, 44f
traction retinal detachment with, 40, 45f, 46f Vitreoschisis, 38f, 39f
Vitreous, 28–29, 30f–39f A-scan appearance of, 28–29 B-scan appearance of, 28–29 eye movements in scan of, 28
hemorrhage of, 29, 32f, 34f, 35f with disciform process, 97f, 98f focal adhesion with, 44f
with intraocular tumors, 79 retinal detachment with, 59f retinal tears with, 40–41, 42f, 43f in Terson’s syndrome, 41, 50f traumatic, 70, 71f
infection of, 28, 37f, 38f inflammation of, 28, 37f, 38f mobility of, 28
normal, A-scan of, 2 opacities of, 28, 30f
dispersed, 33f layered, 29, 34f
in Marfan’s syndrome, 142f persistent fetal vasculature in, 38f
posterior detachment of, 28–29, 32f, 33f, 35f focal adhesion with, 44f
versus retinal detachment, 28–29, 48f versus Terson’s syndrome, 41
traction retinal detachment with, 40, 45f, 46f Vitreous bands, 36f
Vitreous cyst, 34f Vitreous floaters, 28 Vitreous skirt, 29, 39f Vitreous track, 71f
Vogt-Koyanagi-Harada (VKH) syndrome, 62, 64f Vortex vein, ampulla of, 141f
W
Water bath technique, 11–12. See also Immersion scans
