Ratner Children's Eye Center at the Shiley Eye Institute, University of California, San Diego, California, USA.
Maternal Fetal Care and Genetics Center, University of California, San Diego, California, USA; Department of Radiology, University of California, San Diego, California, USA.
Surv Ophthalmol. 2018 Nov-Dec;63(6):745-753. doi: 10.1016/j.survophthal.2018.04.006. Epub 2018 Apr 27.
Technological progress in medicine has provided earlier diagnosis, even into the prenatal period. We address ultrasonographic imaging of the prenatal eye and orbit. During development of these structures, multiple pathologies and diseases can arise. Orbital anomalies can be detected prenatally using ultrasound or magnetic resonance imaging. Some of these include congenital cataracts, hypertelorism, hypotelorism, dacryocystocele, microphthalmia, anophthalmia, orbital tumors/masses, and septo-optic dysplasia. We describe characteristic ultrasound findings of these diseases. Prenatal ocular and orbital diagnosis is best facilitated by a team approach between ophthalmology, radiology, obstetrics, neonatology, and genetic counselors to optimize diagnostic accuracy, familial expectations, and early treatment.
医学技术的进步提供了更早的诊断，甚至可以在产前进行。我们探讨了产前眼部和眼眶的超声成像。在这些结构的发育过程中，可能会出现多种病理和疾病。眼眶异常可以通过超声或磁共振成像在产前检测到。其中一些包括先天性白内障、内眦赘皮、外眦赘皮、泪囊囊肿、小眼球、无眼球、眼眶肿瘤/肿块和视隔发育不良。我们描述了这些疾病的典型超声表现。眼科、放射科、产科、新生儿科和遗传咨询师之间的团队合作可以最好地促进产前眼部和眼眶的诊断，以优化诊断准确性、家庭期望和早期治疗。
