Haile M, Mengistu Z
Department of Ophthalmology, Armed Forces General Hospital, Addis Ababa, Ethiopia.
East Afr Med J. 1996 Nov;73(11):703-7.
Real time B-scan ultrasonography was utilised on 318 eyes of 298 patients for evaluation of 285 (90%) eyes with opaque media; three (1%) eyes, with clear media but suspected intraocular abnormalities and for proptosis in 30 (9%) cases. Two hundred and nine (66%) eyes had one or more detectable abnormalities. The most common abnormality was retinal detachment (39%) followed by vitreous opacities (31%), eye ball size abnormalities (12%), intraocular foreign bodies (4%), posterior staphyloma (3%) and retinal detachment with vitreous opacities (2%). Twenty eight out of thirty patients evaluated for proptosis had abnormal orbital tissue patterns. Solid and cystic tissue patterns each accounted for 32% of the abnormal orbital studies followed by thyroid orbitopathy (25%), non specific (7%), and infiltrative (4%) tissue patterns. Detailed findings of B-scan ultrasonographic study is given in this paper. The paper reports further experience with the procedure in a developing country. In areas where other imaging techniques are not available the procedure is a valuable method of evaluating the eye and orbit for any detectable abnormalities and for planning management.
对298例患者的318只眼睛进行了实时B超检查，以评估285只（90%）介质混浊的眼睛；3只（1%）介质清晰但怀疑有眼内异常的眼睛，以及30例（9%）眼球突出的病例。209只（66%）眼睛有一项或多项可检测到的异常。最常见的异常是视网膜脱离（39%），其次是玻璃体混浊（31%）、眼球大小异常（12%）、眼内异物（4%）、后巩膜葡萄肿（3%）以及伴有玻璃体混浊的视网膜脱离（2%）。在评估眼球突出的30例患者中，28例有异常的眼眶组织形态。实性和囊性组织形态各占异常眼眶检查的32%，其次是甲状腺眼病（25%）、非特异性（7%）和浸润性（4%）组织形态。本文给出了B超检查的详细结果。本文报告了在一个发展中国家进行该检查的更多经验。在没有其他成像技术的地区，该检查是评估眼睛和眼眶是否存在任何可检测到的异常以及规划治疗方案的一种有价值的方法。
