J Korean Radiol Soc.  1990 Dec;26(6):1138-1143. 10.3348/jkrs.1990.26.6.1138.

Ultrasonography of ocular trauma patients

• Chang NS
• Kim JH
• Kim JC
• Park CH
• Cho JS
• Rhee BC
• Kim YB

• KMID: 2358767
• DOI: http://doi.org/10.3348/jkrs.1990.26.6.1138

Abstract

Ultrasound B-scan examination of trumatized eye is a safe, cheap & easy diagnostic method for visualization ofthe posterior pole of the eye. Ophthalmoscopic visualization of the fundus of traumatized eye can be obscured bycorneal opacity, anterior chamber hyphema, cataractous change of the lens, or hemorrhage of the vitreous.Ultrasound B-scan examination of the posterior pole is imperative in such cases to detect any intraocular damageand the presence of a foreign body. So we performed ultrasound B-scan examination of traumatized eye in seventyeight patients & analyzed those findings. All cases were confirmed by follow up examination of ophthalmoscopy & ultrasound, or surgery. The results were as follows; 1. The most common cause of the ocular injury was trafficaccidents (19 patients,24.4%), male was more commonly injured (63 patients, 80.8%), and the most common age groupwas their 4th decade. 2. Summary of sonographically detectd intraocular lesions were as follows: 1) Cornealopacity (44 patients)-hyphema 15, traumatic cataract 24, vitreous hemorrhage 31, retinal detachment 20,intraocular foreigh body 4, etc. 2) Hyphema(16 patients)-hyphema 16, vitreous hemorrhage 11, retinal detachment5,etc. 3) Traumatic cataract with no corneal or lens opacity(6 patients)-vitreous hemorrhage with or without retinaldetachment 3, normal vitreous & retina 3 4) Vitreous opacity(12 patients)-vitreous hemorrhage 12, retinaldetachment 4, intraocular forein body 3,etc. In all seventy eight patients with ocular trauma, we coulddemonstrate characteristic findings for each intraocular lesion. So we recognized the importent role and highdiagnostic accuracy of ultrasound B-scan examination for the evaluation of the posterior pole of traumatized eye.

MeSH Terms

Anterior Chamber
Cataract
Follow-Up Studies
Foreign Bodies
Hemorrhage
Humans
Hyphema
Male
Methods
Ophthalmoscopy
Retina
Retinal Detachment
Retinaldehyde
Ultrasonography*
Vitreous Hemorrhage
Retinaldehyde