Hilft das Ultraschallbiomikroskop (UBM) in der Diagnostik von intraskleralen Fremdkörpern?

Am, Schild; Jf, Jordan; Ts, Dietlein

doi:10.1055/s-2007-963636

Cited by 2 publications

(1 citation statement)

References 9 publications

(10 reference statements)

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“…Hierzu stehen die verschiedenen nieder-und hochfrequenten Ultraschallverfahren, das Vorderabschnitts-OCT, konfokale In-vivo-Mikroskopie, konventionelle Rçntgenaufnahmen oder die Computertomografie zur Verfügung. Auf den hohen Stellenwert der Sonografie in der ophthalmologischen Fremdkçrperdiagnostik wiesen zuletzt Schild et al 2007 in einer klinisch-experimentellen Studie hin [11]. Die Autoren evaluierten die Mçglichkeiten und Grenzen der Lokalisation von Fremdkçrpern in der Bulbuswand mittels Hochfrequenzsonografie/Ultraschallbiomikroskopie.…”

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Fremdkörpernachweis mittels Hochfrequenzsonografie bei chronischer Konjunktivitis durch Mikrotrauma

Jürgens¹,

Geitz²,

Tost³

2008

Klin Monatsbl Augenheilkd

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Conjunctivitis is a frequent disease mostly caused by infections. In the case of a single-sided manifestation and additional resistance to anti-infective therapy a widespread differential diagnosis has to be considered. The case report of a 41-year-old patient suffering from unilateral persistent conjunctivitis is presented. Initially, there was no biomicroscopic evidence for a penetrated ocular foreign body. The unilateral, chronic and sectoral conjunctivitis was resistant to topical application of antibiotics and steroids. After repeated in-depth anamnesis the patient recalled an inconsiderable trauma while he was working on a building site. High-frequency ultrasound was used to locate an intrascleral foreign body 3 mm behind the limbus corneae while slit lamp biomicroscopy and ophthalmoscopy failed to detect the foreign material. The precise localisation provided by the 20-MHz sector scanner optimised the management of operative intervention and consequently led to an uncomplicated extraction of the bulbar foreign body.

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Fremdkörpernachweis mittels Hochfrequenzsonografie bei chronischer Konjunktivitis durch Mikrotrauma

Jürgens¹,

Geitz²,

Tost³

2008

Klin Monatsbl Augenheilkd

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Management of intrascleral chestnut burr spines under ultrasound biomicroscopy guidance

Xiao

Wang

Dong

et al. 2022

Indian Journal of Ophthalmology

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Purpose: To explore the efficacy of ultrasound biomicroscopy (UBM) as a tool for detecting and localizing intrascleral chestnut burr spines. Methods: Individuals who were diagnosed with definitive or suspected intrascleral chestnut burr injuries between 2019 and 2020 were retrospectively reviewed. All patients underwent UBM to detect potential intrascleral spines. UBM imaging features were recorded and analyzed. Intrascleral spines were removed based upon UBM-guided localization. Patient clinical profiles, management, and treatment outcomes were recorded. Results: A total of 10 eyes (10 patients; 6 males, 4 females) were diagnosed with intrascleral spines over the study period, with an average patient age of 55 years (range: 39–71). Three of these 10 eyes exhibited involvement of the palpebrae and cornea, whereas three exhibited corneal involvement, and the remaining four patients exhibited only intrascleral spine injuries owing to their having undergone previous intracorneal spine extraction procedures. UBM features consistent with chestnut burr spines manifest a hyperechoic spot with a shadow. UBM enabled the precise localization of these spines and thus ensured their successful removal via a single surgery. During follow-up, two patients experienced vitreous hemorrhage due to a penetrating injury into the ciliary body that was gradually absorbed. All patients with eye irritation and red eyes progressed favorably, and no surgical complications were recorded. Conclusion: A retained scleral chestnut burr spine should be suspected if a patient complains of persistent eye irritation following intracorneal spine removal. UBM may be a valuable tool for detecting spines retained in the sclera, enabling the successful removal thereof.

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Hilft das Ultraschallbiomikroskop (UBM) in der Diagnostik von intraskleralen Fremdkörpern?

Cited by 2 publications

References 9 publications

Fremdkörpernachweis mittels Hochfrequenzsonografie bei chronischer Konjunktivitis durch Mikrotrauma

Fremdkörpernachweis mittels Hochfrequenzsonografie bei chronischer Konjunktivitis durch Mikrotrauma

Management of intrascleral chestnut burr spines under ultrasound biomicroscopy guidance

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