May 2004
Volume 45, Issue 13
Free
ARVO Annual Meeting Abstract  |   May 2004
Ultrasound biomicroscopy in Intraocular Inflammation.
Author Affiliations & Notes
  • M.H. Soni
    Ophthalmology, Sankara Nethralaya, Chennai, India
  • M.P. Bhende
    Ophthalmology, Sankara Nethralaya, Chennai, India
  • J. Biswas
    Ophthalmology, Sankara Nethralaya, Chennai, India
  • Footnotes
    Commercial Relationships  M.H. Soni, None; M.P. Bhende, None; J. Biswas, None.
  • Footnotes
    Support  none
Investigative Ophthalmology & Visual Science May 2004, Vol.45, 2417. doi:
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      M.H. Soni, M.P. Bhende, J. Biswas; Ultrasound biomicroscopy in Intraocular Inflammation. . Invest. Ophthalmol. Vis. Sci. 2004;45(13):2417.

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      © ARVO (1962-2015); The Authors (2016-present)

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Abstract

Abstract: : Purpose:To report the role of Ultrasoundbiomicroscopy (UBM) in intraocular inflammation – a study of 233 eyes. Methods:233 eyes with intraocular inflammation with small pupil and complicated cataract were evaluated by UBM. The clinical diagnosis was compared with the UBM features. Results:UBM was performed in 233 cases, which included, anterior uveitis (116), healed anterior uveitis (38), intermediate uveitis (33), IOL induced uveitis (7), panuveitis (15), VKH (5), Sympathetic Ophthalmitis (1), Others (18). The findings observed were thickening of ciliary body (24), detachment of ciliary body (1), membranes over parsplana (105), exudates over parsplana (19), haptics in ciliary body (7), iris chafing (4), others (74), caterpillar hair (1). Out of 116 cases of anterior uveitis, 62 cases had associated pars planitis. Twelve cases with pseudophakia were finally diagnosed as IOL induced uveitis. Out of 38 cases of healed uveitis, 16 had active pars planitis and 2 were finally diagnosed as IOL induced uveitis. Conclusions:Ultrasound biomicroscopy is an excellent investigative tool in uveitis with small pupil and complicated cataract. It is useful in cases of intermediate uveitis to delineate exudates and membrane over the pars plana region; which helps in decision making for cataract surgery, and evaluation of therapy. In IOL induced uveitis, UBM confirms the position of the IOL haptics and structural damage, if any, caused by IOL. The decision of medical management or surgical removal of IOL was made on the basis of UBM features. It provides valuable information in diagnosis of uveitis of uncertain aetiology like, metastatic tumour in iris or ciliary body causing masquerading syndromes, VKH, Sympathetic Ophthalmia.

Keywords: imaging/image analysis: clinical • imaging methods (CT, FA, ICG, MRI, OCT, RTA, SLO, ultrasound) • inflammation 
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