Reliability of ocular ultrasonography findings for pre-surgical evaluation in various vitreo-retinal disorders

Swapnil Parchand, Ramandeep Singh, Swapnil Bhalekar
Seminars in Ophthalmology 2014, 29 (4): 236-41

OBJECTIVE: To find the reliability of ocular ultrasonography (USG) for pre-surgical evaluation in various vitreo-retinal conditions.

METHOD: In a retrospective study, a chart review of patients who underwent preoperative USG for various vitreoretinal conditions was done. We correlated findings of preoperative USG with intraoperative findings.

RESULTS: 131 of 130 patients were included. Various ocular pathologies included trauma, diabetic vitreous hemorrhage, endophthalmitis, and other causes of vitreous hemorrhage. We found overall sensitivity and specificity of 92.31% and 98.31% for identification of rhegmatogenous retinal detachment, and 96.2% and 100% for posterior vitreous detachment, respectively, whereas it was 100% for vitreous hemorrhage, preretinal bleed, and vitreous exudates. In eyes with trauma, sensitivity and specificity of USG for identifying the status of retina was least (90.9% and 97.7%).

CONCLUSION: Our study highlighted that the reliability of USG findings was least in cases of trauma, hence requiring special care while reporting.

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