Application of immersion B-scan ultrasonography in diagnosis of complex retinal detachment, persistent hyperplastic primary vitreous and intraocular tumors
AIM: To evaluate the diagnostic value of panoramic immersion B-scan ultrasonography (Pano-immersion B-scan, PIB) in complex retinal detachment (RD), persistent hyperplastic primary vitreous (PHPV) and intraocular tumors. METHODS: The clinical data of 44 patients collected from May 2012 to December 2...
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| Format: | Article |
| Language: | English |
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Press of International Journal of Ophthalmology (IJO PRESS)
2023-03-01
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| Series: | International Journal of Ophthalmology |
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| Online Access: | http://ies.ijo.cn/en_publish/2023/3/20230309.pdf |
| _version_ | 1827999833467650048 |
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| author | Qing-Hua Yang An-Qi Liu Ying-Xin Qu Hong-Tao Zhang Bing Chen Yan Li Liang Jia Li-Qiang Wang |
| author_facet | Qing-Hua Yang An-Qi Liu Ying-Xin Qu Hong-Tao Zhang Bing Chen Yan Li Liang Jia Li-Qiang Wang |
| author_sort | Qing-Hua Yang |
| collection | DOAJ |
| description | AIM: To evaluate the diagnostic value of panoramic immersion B-scan ultrasonography (Pano-immersion B-scan, PIB) in complex retinal detachment (RD), persistent hyperplastic primary vitreous (PHPV) and intraocular tumors. METHODS: The clinical data of 44 patients collected from May 2012 to December 2019 in Chinese PLA General Hospital was retrospectively studied. All of these patients underwent PIB of the eye, because it was difficult to diagnose by routine ocular fundus examination, conventional ultrasound or/and ultrasonic biomicroscope (UBM) due to opacity of refractive media, pupillary occlusion, large involvement or special location of the lesion. The imaging features of difficult cases in PIB were analyzed. The diagnosis accuracy rating of PIB were evaluated and contrasted with conventional ultrasound or UBM by the standard of intraoperative diagnosis or/and pathological results. RESULTS: According to intraoperative diagnosis or pathological results as gold standard, among the 44 cases, there were 19 cases missed diagnosis, misdiagnosed or difficult-to-diagnose by conventional ultrasound or UBM, including 4 cases of long-standing RD difficult to diagnose, 4 cases misdiagnosed, and 11 cases incompletely observed or miss diagnosed. The diagnostic accuracy rate of PIB and conventional ultrasound or UBM were 100% (44/44) and 56.82% (25/44), and the sensitivity of them were 100% and 56.82%. All the patients underwent PIB and were diagnosed as RD (15 cases), retinal and choroidal detachment (4 cases), subchoroidal hematocele (1 case), vitreous opacity and/or organic membrane formation (4 cases), PHPV (12 cases), iris and/or ciliary body tumors (3 cases), and choroidal tumors (6 cases). According to the intraoperative diagnosis or pathological results, the diagnostic coincidence rate of PIB was 100%, which was significantly higher than conventional ultrasound and UBM. CONCLUSION: PIB can help to accurately diagnose complex RD, PHPV, and intraocular masses with special location or/and excessive size. It has important diagnostic value for patients with equivocal findings at conventional ultrasound examination. |
| first_indexed | 2024-04-10T06:05:45Z |
| format | Article |
| id | doaj.art-1b7fe75fb8304c168a74609624ef592d |
| institution | Directory Open Access Journal |
| issn | 2222-3959 2227-4898 |
| language | English |
| last_indexed | 2024-04-10T06:05:45Z |
| publishDate | 2023-03-01 |
| publisher | Press of International Journal of Ophthalmology (IJO PRESS) |
| record_format | Article |
| series | International Journal of Ophthalmology |
| spelling | doaj.art-1b7fe75fb8304c168a74609624ef592d2023-03-03T03:26:29ZengPress of International Journal of Ophthalmology (IJO PRESS)International Journal of Ophthalmology2222-39592227-48982023-03-0116338839510.18240/ijo.2023.03.0920230309Application of immersion B-scan ultrasonography in diagnosis of complex retinal detachment, persistent hyperplastic primary vitreous and intraocular tumorsQing-Hua Yang0An-Qi Liu1Ying-Xin Qu2Hong-Tao Zhang3Bing Chen4Yan Li5Liang Jia6Li-Qiang Wang7Yan Li. Medical Engineering Department of Medical Supply Center, the Third Medical center of PLA General Hospital, Beijing 100039, China. 13366990165@189.cn; Liang Jia and Li-Qiang Wang. Department of Ophthalmology, the Third Medical Center of PLA General Hospital, Beijing 100039, China. tiandao328@163.com; liqiangw301@163.comSenior Department of Ophthalmology, the Third Medical Center of PLA General Hospital, Beijing 100039, ChinaDepartment of Ophthalmology, Chinese Aerospace 731 Hospital, Beijing 100074, ChinaSenior Department of Ophthalmology, the Third Medical Center of PLA General Hospital, Beijing 100039, ChinaSenior Department of Ophthalmology, the Third Medical Center of PLA General Hospital, Beijing 100039, ChinaMedical Engineering Department of Medical Supply Center, the Third Medical Center of PLA General Hospital, Beijing 100039, ChinaSenior Department of Ophthalmology, the Third Medical Center of PLA General Hospital, Beijing 100039, ChinaSenior Department of Ophthalmology, the Third Medical Center of PLA General Hospital, Beijing 100039, ChinaAIM: To evaluate the diagnostic value of panoramic immersion B-scan ultrasonography (Pano-immersion B-scan, PIB) in complex retinal detachment (RD), persistent hyperplastic primary vitreous (PHPV) and intraocular tumors. METHODS: The clinical data of 44 patients collected from May 2012 to December 2019 in Chinese PLA General Hospital was retrospectively studied. All of these patients underwent PIB of the eye, because it was difficult to diagnose by routine ocular fundus examination, conventional ultrasound or/and ultrasonic biomicroscope (UBM) due to opacity of refractive media, pupillary occlusion, large involvement or special location of the lesion. The imaging features of difficult cases in PIB were analyzed. The diagnosis accuracy rating of PIB were evaluated and contrasted with conventional ultrasound or UBM by the standard of intraoperative diagnosis or/and pathological results. RESULTS: According to intraoperative diagnosis or pathological results as gold standard, among the 44 cases, there were 19 cases missed diagnosis, misdiagnosed or difficult-to-diagnose by conventional ultrasound or UBM, including 4 cases of long-standing RD difficult to diagnose, 4 cases misdiagnosed, and 11 cases incompletely observed or miss diagnosed. The diagnostic accuracy rate of PIB and conventional ultrasound or UBM were 100% (44/44) and 56.82% (25/44), and the sensitivity of them were 100% and 56.82%. All the patients underwent PIB and were diagnosed as RD (15 cases), retinal and choroidal detachment (4 cases), subchoroidal hematocele (1 case), vitreous opacity and/or organic membrane formation (4 cases), PHPV (12 cases), iris and/or ciliary body tumors (3 cases), and choroidal tumors (6 cases). According to the intraoperative diagnosis or pathological results, the diagnostic coincidence rate of PIB was 100%, which was significantly higher than conventional ultrasound and UBM. CONCLUSION: PIB can help to accurately diagnose complex RD, PHPV, and intraocular masses with special location or/and excessive size. It has important diagnostic value for patients with equivocal findings at conventional ultrasound examination.http://ies.ijo.cn/en_publish/2023/3/20230309.pdfimmersionultrasonographypanoramicretinal detachmentpersistent hyperplastic primary vitreousintraocular tumor |
| spellingShingle | Qing-Hua Yang An-Qi Liu Ying-Xin Qu Hong-Tao Zhang Bing Chen Yan Li Liang Jia Li-Qiang Wang Application of immersion B-scan ultrasonography in diagnosis of complex retinal detachment, persistent hyperplastic primary vitreous and intraocular tumors International Journal of Ophthalmology immersion ultrasonography panoramic retinal detachment persistent hyperplastic primary vitreous intraocular tumor |
| title | Application of immersion B-scan ultrasonography in diagnosis of complex retinal detachment, persistent hyperplastic primary vitreous and intraocular tumors |
| title_full | Application of immersion B-scan ultrasonography in diagnosis of complex retinal detachment, persistent hyperplastic primary vitreous and intraocular tumors |
| title_fullStr | Application of immersion B-scan ultrasonography in diagnosis of complex retinal detachment, persistent hyperplastic primary vitreous and intraocular tumors |
| title_full_unstemmed | Application of immersion B-scan ultrasonography in diagnosis of complex retinal detachment, persistent hyperplastic primary vitreous and intraocular tumors |
| title_short | Application of immersion B-scan ultrasonography in diagnosis of complex retinal detachment, persistent hyperplastic primary vitreous and intraocular tumors |
| title_sort | application of immersion b scan ultrasonography in diagnosis of complex retinal detachment persistent hyperplastic primary vitreous and intraocular tumors |
| topic | immersion ultrasonography panoramic retinal detachment persistent hyperplastic primary vitreous intraocular tumor |
| url | http://ies.ijo.cn/en_publish/2023/3/20230309.pdf |
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