The role of ultrasound biomicroscopy in ocular trauma

V. A. Deramo, G. K. Shah, C. R. Baumal, M. S. Fineman, Z. M. Correa, W. E. Benson, C. J. Rapuano, E. J. Cohen, J. J. Augburger, B. G. Haik

Research output: Contribution to journalArticlepeer-review

Abstract

Purpose: To demonstrate the usefulness of ultrasound biomicroscopy UBM) in detecting and localizing small ocular foreign bodies. Methods: This is a retrospective study of the records of 555 consecutive patients evaluated by UBM by the Visual Physiology Unit of the Wills Eye Hospital from August 1994 to November 1997. Results: In 9 patients, a foreign body was identified. In 6 patients, the history suggested the presence of a foreign body, but one could not be detected by clinical examination. In 2 patients, the referring physicians requested UBM to determine whether or how deep a known foreign body had penetrated the globe. In 1 patient, the foreign body was not suspected clinically. In regard to other diagnostic techniques, CT failed to identify the foreign body in 1 patient. In another, contact B-scan ultrasonography failed. In a third, both CT and contact B-scan ultrasonography failed. The foreign body was intracorneal in 2 eyes, subconjunctival in 2, intrascleral in 3, and intraocular in 2. Six were nonmetallic. Two were metallic. In one case, the foreign body was lost and its composition is unknown. In 5 cases, the UBM findings altered the patient's management. Conclusions: UBM is a valuable adjunct in the evaluation of small, anteriorly located foreign body that may not be detectable by other methods. UBM may be especially useful for finding nonmetallic foreign bodies.

Original languageEnglish (US)
Pages (from-to)355-367
Number of pages13
JournalTransactions of the American Ophthalmological Society
Volume96
StatePublished - Dec 1 1998
Externally publishedYes

ASJC Scopus subject areas

  • Ophthalmology

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