Comparison of immersion ultrasonography, ultrasound biomicroscopy and anterior segment optical coherence tomography in the evaluation of traumatic phacoceles

Blunt ocular trauma in the elderly can result in anterior dislocation of the crystalline lens into the subconjunctival space (phacocele). Although rare, this presentation can be missed, especially if the patient presents several days after the injury and if the lid is not everted on examination. Whi...

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Main Authors: Harikrishna Vodapalli, Somasheila I Murthy, Subhadra Jalali, Mohammad Javed Ali, Padmaja Kumari Rani
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2012-01-01
Series:Indian Journal of Ophthalmology
Subjects:
Online Access:http://www.ijo.in/article.asp?issn=0301-4738;year=2012;volume=60;issue=1;spage=63;epage=65;aulast=Vodapalli
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author Harikrishna Vodapalli
Somasheila I Murthy
Subhadra Jalali
Mohammad Javed Ali
Padmaja Kumari Rani
author_facet Harikrishna Vodapalli
Somasheila I Murthy
Subhadra Jalali
Mohammad Javed Ali
Padmaja Kumari Rani
author_sort Harikrishna Vodapalli
collection DOAJ
description Blunt ocular trauma in the elderly can result in anterior dislocation of the crystalline lens into the subconjunctival space (phacocele). Although rare, this presentation can be missed, especially if the patient presents several days after the injury and if the lid is not everted on examination. While a careful clinical examination is adequate in the diagnosis, imaging techniques can be put to use for the accurate location of the associated sclera rupture. We report three cases of post-traumatic phacocele wherein ultrasound biomicroscopy (UBM) was compared to the anterior segment optical coherence tomography (AS-OCT) and B-scan ultrasonography (B-scan), in order to establish the best imaging tool for this condition. We concluded, based on image quality, that UBM could be the imaging modality of choice to aid in the diagnosis of phacocele.
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spelling doaj.art-f6bca4006d624045accbf24d11f75ced2022-12-21T21:49:28ZengWolters Kluwer Medknow PublicationsIndian Journal of Ophthalmology0301-47381998-36892012-01-01601636510.4103/0301-4738.91352Comparison of immersion ultrasonography, ultrasound biomicroscopy and anterior segment optical coherence tomography in the evaluation of traumatic phacocelesHarikrishna VodapalliSomasheila I MurthySubhadra JalaliMohammad Javed AliPadmaja Kumari RaniBlunt ocular trauma in the elderly can result in anterior dislocation of the crystalline lens into the subconjunctival space (phacocele). Although rare, this presentation can be missed, especially if the patient presents several days after the injury and if the lid is not everted on examination. While a careful clinical examination is adequate in the diagnosis, imaging techniques can be put to use for the accurate location of the associated sclera rupture. We report three cases of post-traumatic phacocele wherein ultrasound biomicroscopy (UBM) was compared to the anterior segment optical coherence tomography (AS-OCT) and B-scan ultrasonography (B-scan), in order to establish the best imaging tool for this condition. We concluded, based on image quality, that UBM could be the imaging modality of choice to aid in the diagnosis of phacocele.http://www.ijo.in/article.asp?issn=0301-4738;year=2012;volume=60;issue=1;spage=63;epage=65;aulast=VodapalliBand-shaped keratopathycorneal dystrophyphototherapeutic keratectomyphototherapeutic keratectomy with amniotic membrane graftsscarand Salzmann nodular degenerationKaplan Meier survival analysismultivariate Cox Proportional Hazard Regression analysisoptical penetrating keratoplastiesMyopiaphakic refractive intraocular lensrefractive surgery23-Gauge vitrectomyrhegmatogenous retinal detachmentsutureless vitrectomyDeep anterior lamellar keratoplastyendothelial cell densitykeratoconuspenetrating keratoplastyAnterior chamber contaminationcataract surgeryconjunctival floradiabeticsCardiovascular diseasediabetesdiabetic retinopathyframingham risk scoreCentral macular thicknessmultifocal electroretinogramnormative databaseoptical coherence tomographyMacular microholemicroperimetryspectral domain optical coherence tomographyAge-related macular degenerationchoroidal neovascularizationphotodynamic therapyvitreous tractionDescemet membrane endothelial keratoplasty with a stromal rimendothelial keratoplastyposterior lamellar keratoplastyposterior polymorphous corneal dystrophyIndocyanine green angiogramintravitreal bevacizumablaser photocoagulationperipheral hemorrhagic exudative chorioretinopathypolypoidal choroidal vasculopathyAnterior segment optical coherence tomographyB-scan ultrasonographyphacoceleultrasound biomicroscopy
spellingShingle Harikrishna Vodapalli
Somasheila I Murthy
Subhadra Jalali
Mohammad Javed Ali
Padmaja Kumari Rani
Comparison of immersion ultrasonography, ultrasound biomicroscopy and anterior segment optical coherence tomography in the evaluation of traumatic phacoceles
Indian Journal of Ophthalmology
Band-shaped keratopathy
corneal dystrophy
phototherapeutic keratectomy
phototherapeutic keratectomy with amniotic membrane grafts
scar
and Salzmann nodular degeneration
Kaplan Meier survival analysis
multivariate Cox Proportional Hazard Regression analysis
optical penetrating keratoplasties
Myopia
phakic refractive intraocular lens
refractive surgery
23-Gauge vitrectomy
rhegmatogenous retinal detachment
sutureless vitrectomy
Deep anterior lamellar keratoplasty
endothelial cell density
keratoconus
penetrating keratoplasty
Anterior chamber contamination
cataract surgery
conjunctival flora
diabetics
Cardiovascular disease
diabetes
diabetic retinopathy
framingham risk score
Central macular thickness
multifocal electroretinogram
normative database
optical coherence tomography
Macular microhole
microperimetry
spectral domain optical coherence tomography
Age-related macular degeneration
choroidal neovascularization
photodynamic therapy
vitreous traction
Descemet membrane endothelial keratoplasty with a stromal rim
endothelial keratoplasty
posterior lamellar keratoplasty
posterior polymorphous corneal dystrophy
Indocyanine green angiogram
intravitreal bevacizumab
laser photocoagulation
peripheral hemorrhagic exudative chorioretinopathy
polypoidal choroidal vasculopathy
Anterior segment optical coherence tomography
B-scan ultrasonography
phacocele
ultrasound biomicroscopy
title Comparison of immersion ultrasonography, ultrasound biomicroscopy and anterior segment optical coherence tomography in the evaluation of traumatic phacoceles
title_full Comparison of immersion ultrasonography, ultrasound biomicroscopy and anterior segment optical coherence tomography in the evaluation of traumatic phacoceles
title_fullStr Comparison of immersion ultrasonography, ultrasound biomicroscopy and anterior segment optical coherence tomography in the evaluation of traumatic phacoceles
title_full_unstemmed Comparison of immersion ultrasonography, ultrasound biomicroscopy and anterior segment optical coherence tomography in the evaluation of traumatic phacoceles
title_short Comparison of immersion ultrasonography, ultrasound biomicroscopy and anterior segment optical coherence tomography in the evaluation of traumatic phacoceles
title_sort comparison of immersion ultrasonography ultrasound biomicroscopy and anterior segment optical coherence tomography in the evaluation of traumatic phacoceles
topic Band-shaped keratopathy
corneal dystrophy
phototherapeutic keratectomy
phototherapeutic keratectomy with amniotic membrane grafts
scar
and Salzmann nodular degeneration
Kaplan Meier survival analysis
multivariate Cox Proportional Hazard Regression analysis
optical penetrating keratoplasties
Myopia
phakic refractive intraocular lens
refractive surgery
23-Gauge vitrectomy
rhegmatogenous retinal detachment
sutureless vitrectomy
Deep anterior lamellar keratoplasty
endothelial cell density
keratoconus
penetrating keratoplasty
Anterior chamber contamination
cataract surgery
conjunctival flora
diabetics
Cardiovascular disease
diabetes
diabetic retinopathy
framingham risk score
Central macular thickness
multifocal electroretinogram
normative database
optical coherence tomography
Macular microhole
microperimetry
spectral domain optical coherence tomography
Age-related macular degeneration
choroidal neovascularization
photodynamic therapy
vitreous traction
Descemet membrane endothelial keratoplasty with a stromal rim
endothelial keratoplasty
posterior lamellar keratoplasty
posterior polymorphous corneal dystrophy
Indocyanine green angiogram
intravitreal bevacizumab
laser photocoagulation
peripheral hemorrhagic exudative chorioretinopathy
polypoidal choroidal vasculopathy
Anterior segment optical coherence tomography
B-scan ultrasonography
phacocele
ultrasound biomicroscopy
url http://www.ijo.in/article.asp?issn=0301-4738;year=2012;volume=60;issue=1;spage=63;epage=65;aulast=Vodapalli
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