Freyler H
Klin Monbl Augenheilkd. 1979 Mar;174(3):345-50.
Upon utilization of echography one certainly will not be able to detect retinal defects; however, other parameters of retinal detachment which by means of solely optical examination techniques may remain undiagnosed can be evaluated successfully. This concerns not only the diagnosis of retinal detachment alone but also the measurement of the height of the detachment including its possible variations, the accuracy of this method being up to 0.1 mm. This will also apply to the distinction of serous, haemorrhagic and solid detachment of the choroid, the amount of liquefaction of a subchorioidal haemorrhage as well as the assessment of the relationships between vitreous membranes and retinal detachment: this applies especially to cases with hazy media and decreased visibility of the fundus. Accordingly clinical echography may be successfully applied, prior to retinal surgery, during the operation and during the postoperative follow-up.
使用超声检查时,肯定无法检测到视网膜缺损;然而,视网膜脱离的其他参数,通过单纯的光学检查技术可能无法诊断,但可以成功评估。这不仅涉及视网膜脱离的诊断,还包括脱离高度的测量及其可能的变化,该方法的准确性可达0.1毫米。这也适用于区分脉络膜的浆液性、出血性和实性脱离、脉络膜下出血的液化量以及评估玻璃体膜与视网膜脱离之间的关系:这尤其适用于介质模糊和眼底能见度降低的病例。因此,临床超声检查可在视网膜手术前、手术期间和术后随访中成功应用。