The role of ultrasound biomicroscopy in surgical planning for limbal dermoids

Ines M. Lanzl, James J. Augsburger, Richard W. Hertle, Christopher Rapuano, Zelia Correa, Cristian Santa Cruz

Research output: Contribution to journalArticle

Abstract

Purpose. Limbal dermoids usually involve corneal stroma and more rarely might extend into the anterior chamber. Depending on the size and amount of penetration of the lesion, different therapeutic approaches are indicated. Depth information is difficult to obtain by slit-lamp examination because the structure is opaque. We investigated the use of ultrasound biomicroscopic (UBM) examination for surgical planning in limbal dermoids. Methods. The UBM (Zeiss Humphrey) with its 50-MHz probe was used for preoperative evaluation of the depth of penetration in two cases of infantile limbal dermoid. Histology specimens of the lesion corresponding to the UBM images were obtained. Results. UBM was able to distinguish normal cornea from the more sonolucent lesion. Presence or absence of Descemet's membrane could be identified. Depth of involvement of limbal dermoids could be assessed. Conclusion. UBM is able to assess depth involvement of opaque corneal lesions such as limbal dermoids. Because planning of the surgical approach in these cases is facilitated by preoperative knowledge about the depth of penetration of these opaque lesions, UBM can be regarded as a helpful tool in the clinical management.

Original languageEnglish (US)
Pages (from-to)604-606
Number of pages3
JournalCornea
Volume17
Issue number6
DOIs
StatePublished - Nov 19 1998
Externally publishedYes

Fingerprint

Acoustic Microscopy
Dermoid Cyst
Descemet Membrane
Corneal Stroma
Anterior Chamber
Cornea
Histology

Keywords

  • Child
  • Choristoma
  • Corneal diseases
  • Keratoplasty
  • Limbal dermoid
  • Surgical management
  • Ultrasound biomicroscopy

ASJC Scopus subject areas

  • Ophthalmology

Cite this

Lanzl, I. M., Augsburger, J. J., Hertle, R. W., Rapuano, C., Correa, Z., & Santa Cruz, C. (1998). The role of ultrasound biomicroscopy in surgical planning for limbal dermoids. Cornea, 17(6), 604-606. https://doi.org/10.1097/00003226-199811000-00006

The role of ultrasound biomicroscopy in surgical planning for limbal dermoids. / Lanzl, Ines M.; Augsburger, James J.; Hertle, Richard W.; Rapuano, Christopher; Correa, Zelia; Santa Cruz, Cristian.

In: Cornea, Vol. 17, No. 6, 19.11.1998, p. 604-606.

Research output: Contribution to journalArticle

Lanzl, IM, Augsburger, JJ, Hertle, RW, Rapuano, C, Correa, Z & Santa Cruz, C 1998, 'The role of ultrasound biomicroscopy in surgical planning for limbal dermoids', Cornea, vol. 17, no. 6, pp. 604-606. https://doi.org/10.1097/00003226-199811000-00006
Lanzl, Ines M. ; Augsburger, James J. ; Hertle, Richard W. ; Rapuano, Christopher ; Correa, Zelia ; Santa Cruz, Cristian. / The role of ultrasound biomicroscopy in surgical planning for limbal dermoids. In: Cornea. 1998 ; Vol. 17, No. 6. pp. 604-606.
@article{c19c7134b7644208aa33368fdafd17ee,
title = "The role of ultrasound biomicroscopy in surgical planning for limbal dermoids",
abstract = "Purpose. Limbal dermoids usually involve corneal stroma and more rarely might extend into the anterior chamber. Depending on the size and amount of penetration of the lesion, different therapeutic approaches are indicated. Depth information is difficult to obtain by slit-lamp examination because the structure is opaque. We investigated the use of ultrasound biomicroscopic (UBM) examination for surgical planning in limbal dermoids. Methods. The UBM (Zeiss Humphrey) with its 50-MHz probe was used for preoperative evaluation of the depth of penetration in two cases of infantile limbal dermoid. Histology specimens of the lesion corresponding to the UBM images were obtained. Results. UBM was able to distinguish normal cornea from the more sonolucent lesion. Presence or absence of Descemet's membrane could be identified. Depth of involvement of limbal dermoids could be assessed. Conclusion. UBM is able to assess depth involvement of opaque corneal lesions such as limbal dermoids. Because planning of the surgical approach in these cases is facilitated by preoperative knowledge about the depth of penetration of these opaque lesions, UBM can be regarded as a helpful tool in the clinical management.",
keywords = "Child, Choristoma, Corneal diseases, Keratoplasty, Limbal dermoid, Surgical management, Ultrasound biomicroscopy",
author = "Lanzl, {Ines M.} and Augsburger, {James J.} and Hertle, {Richard W.} and Christopher Rapuano and Zelia Correa and {Santa Cruz}, Cristian",
year = "1998",
month = "11",
day = "19",
doi = "10.1097/00003226-199811000-00006",
language = "English (US)",
volume = "17",
pages = "604--606",
journal = "Cornea",
issn = "0277-3740",
publisher = "Lippincott Williams and Wilkins",
number = "6",

}

TY - JOUR

T1 - The role of ultrasound biomicroscopy in surgical planning for limbal dermoids

AU - Lanzl, Ines M.

AU - Augsburger, James J.

AU - Hertle, Richard W.

AU - Rapuano, Christopher

AU - Correa, Zelia

AU - Santa Cruz, Cristian

PY - 1998/11/19

Y1 - 1998/11/19

N2 - Purpose. Limbal dermoids usually involve corneal stroma and more rarely might extend into the anterior chamber. Depending on the size and amount of penetration of the lesion, different therapeutic approaches are indicated. Depth information is difficult to obtain by slit-lamp examination because the structure is opaque. We investigated the use of ultrasound biomicroscopic (UBM) examination for surgical planning in limbal dermoids. Methods. The UBM (Zeiss Humphrey) with its 50-MHz probe was used for preoperative evaluation of the depth of penetration in two cases of infantile limbal dermoid. Histology specimens of the lesion corresponding to the UBM images were obtained. Results. UBM was able to distinguish normal cornea from the more sonolucent lesion. Presence or absence of Descemet's membrane could be identified. Depth of involvement of limbal dermoids could be assessed. Conclusion. UBM is able to assess depth involvement of opaque corneal lesions such as limbal dermoids. Because planning of the surgical approach in these cases is facilitated by preoperative knowledge about the depth of penetration of these opaque lesions, UBM can be regarded as a helpful tool in the clinical management.

AB - Purpose. Limbal dermoids usually involve corneal stroma and more rarely might extend into the anterior chamber. Depending on the size and amount of penetration of the lesion, different therapeutic approaches are indicated. Depth information is difficult to obtain by slit-lamp examination because the structure is opaque. We investigated the use of ultrasound biomicroscopic (UBM) examination for surgical planning in limbal dermoids. Methods. The UBM (Zeiss Humphrey) with its 50-MHz probe was used for preoperative evaluation of the depth of penetration in two cases of infantile limbal dermoid. Histology specimens of the lesion corresponding to the UBM images were obtained. Results. UBM was able to distinguish normal cornea from the more sonolucent lesion. Presence or absence of Descemet's membrane could be identified. Depth of involvement of limbal dermoids could be assessed. Conclusion. UBM is able to assess depth involvement of opaque corneal lesions such as limbal dermoids. Because planning of the surgical approach in these cases is facilitated by preoperative knowledge about the depth of penetration of these opaque lesions, UBM can be regarded as a helpful tool in the clinical management.

KW - Child

KW - Choristoma

KW - Corneal diseases

KW - Keratoplasty

KW - Limbal dermoid

KW - Surgical management

KW - Ultrasound biomicroscopy

UR - http://www.scopus.com/inward/record.url?scp=0031789772&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0031789772&partnerID=8YFLogxK

U2 - 10.1097/00003226-199811000-00006

DO - 10.1097/00003226-199811000-00006

M3 - Article

C2 - 9820939

AN - SCOPUS:0031789772

VL - 17

SP - 604

EP - 606

JO - Cornea

JF - Cornea

SN - 0277-3740

IS - 6

ER -