中间葡萄膜炎的超声生物显微镜成像
Ultrasound biomicroscopic imaging in intermediate uveitis.
作者信息
Häring G, Nölle B, Wiechens B
机构信息
Department of Ophthalmology, Christian-Albrechts-University, Kiel, Germany.
出版信息
Br J Ophthalmol. 1998 Jun;82(6):625-9. doi: 10.1136/bjo.82.6.625.
BACKGROUND
Clinical examination of the region of the eye mainly affected in patients with intermediate uveitis is difficult and often hampered by media opacities. In that perspective ultrasound biomicroscopy (UBM) promises to be a valuable additional diagnostic tool.
METHODS
UBM was performed at a sound frequency of 50 MHz on 26 eyes of 13 patients with intermediate uveitis in order to determine configuration of pars plana, peripheral retina, and vitreous. Findings of ophthalmoscopy with scleral indentation and UBM were compared.
RESULTS
In 18 of 26 eyes pathological structures such as membraneous or fluffy vitreous condensations were identified by UBM. Among these UBM revealed pathological findings which were not visible on funduscopy in nine eyes. Most importantly, vitreoretinal adhesions with traction on the retina were imaged in four eyes. However, in three eyes vitreous opacities being visible on funduscopy were not identified by UBM.
CONCLUSION
UBM seems to be a valuable diagnostic technique for the evaluation of patients with intermediate uveitis. Longitudinal studies will have to determine the relevance of UBM findings for the individual clinical course and their influence on therapeutic decisions.
背景
对中间葡萄膜炎患者主要受累眼部区域进行临床检查较为困难，且常因介质混浊而受阻。从这个角度来看，超声生物显微镜检查（UBM）有望成为一种有价值的辅助诊断工具。
方法
对13例中间葡萄膜炎患者的26只眼进行了频率为50MHz的UBM检查，以确定睫状体扁平部、周边视网膜和玻璃体的形态。将巩膜压陷眼底镜检查结果与UBM检查结果进行比较。
结果
在26只眼中，有18只眼通过UBM发现了如膜状或絮状玻璃体混浊等病理结构。其中，有9只眼的UBM显示出眼底镜检查无法看到的病理结果。最重要的是，有4只眼成像显示玻璃体视网膜粘连并伴有视网膜牵拉。然而，有3只眼在眼底镜检查中可见的玻璃体混浊未被UBM发现。
结论
UBM似乎是评估中间葡萄膜炎患者的一种有价值的诊断技术。纵向研究将必须确定UBM检查结果与个体临床病程的相关性及其对治疗决策的影响。
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