Fledelius H C
Department of Ophthalmology, Rigshospitalet, University of Copenhagen, Denmark.
Ultrasound Med Biol. 1997;23(3):365-75. doi: 10.1016/s0301-5629(96)00213-x.
The first ocular echogram was published in 1956. Since then, ophthalmic ultrasound has developed into a multifaceted diagnostic discipline, the basic methods being A-scan and B-scan, Doppler techniques and recently also three-dimensional approaches. Unique for ophthalmology is the newly invented, highly resolving equipment utilising ultrasound frequencies of 50 MHz and higher, so-called ultrasound biomicroscopy. During this development, the special ophthalmic items often kept colleagues from other fields at some distance. With a view to a fair balance between specific and more general information, the primary aim of the present overview is to provide insight for other medical branches employing diagnostic ultrasound. Regarding intraocular morphology, ultrasonic evaluation in experienced hands is superior to other imaging methods. As for orbital pathology, imaging by CT and MR appears more complete. Ultrasound is valuable, however, in particular as part of the initial clinical work-up, and for the follow-up of orbital disease. Furthermore, tissue differentiation by way of ultrasound is of great value with regard to certain entities.
首张眼部超声图于1956年发表。从那时起，眼科超声已发展成为一门多方面的诊断学科，其基本方法包括A扫描和B扫描、多普勒技术以及最近的三维成像方法。眼科特有的是新发明的、具有高分辨率的设备，它利用50兆赫及更高的超声频率，即所谓的超声生物显微镜检查。在这一发展过程中，眼科的特殊项目常常使其他领域的同事与之保持一定距离。为了在特定信息和更一般信息之间实现公平平衡，本综述的主要目的是为其他使用诊断超声的医学分支提供见解。关于眼内形态，在经验丰富的医生手中，超声评估优于其他成像方法。至于眼眶病变，CT和MR成像似乎更完整。然而，超声很有价值，特别是作为初始临床检查的一部分，以及用于眼眶疾病的随访。此外，通过超声进行组织鉴别对于某些疾病具有重要价值。
