Reliability of Ocular Ultrasonography Findings for Pre-surgical Evaluation in Various Vitreo-retinal Disorders

Parchand, Swapnil; Singh, Ramandeep; Bhalekar, Swapnil

doi:10.3109/08820538.2013.821506

Cited by 28 publications

(23 citation statements)

References 17 publications

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“…Parchand et al compared ophthalmological sonography with intraoperative findings for accurate identification of vitreoretinal pathologies in patients with various posterior segment diseases. In accordance with our results, a sensitivity and specificity of 100% for the detection of vitreous and preretinal blood was found …”

Section: Discussionsupporting

confidence: 92%

“…In accordance with our results, a sensitivity and specificity of 100% for the detection of vitreous and preretinal blood was found. 22 In contrast to PH and VH, RH was not detected reliably by ocular sonography. The subtle alterations these hemorrhages cause within the retina may account for this diagnostic insufficiency.…”

Section: Discussionmentioning

confidence: 99%

“…Neurosonography is implemented regularly in the care of patients with SAH for monitoring of cerebral vasospasms. The sonographic evaluation of vitreoretinal diseases with VH has become a well‐established tool over the past five decades . Recently, one study described its usefulness in acute SAH for the first time …”

Section: Introductionmentioning

confidence: 99%

“…The sonographic evaluation of vitreoretinal diseases with VH has become a well-established tool over the past five decades. [20][21][22][23] Recently, one study described its usefulness in acute SAH for the first time. 24 This prospective study investigates the diagnostic accuracy of ocular sonography in comparison with standard head CT for diagnosing OH in acute SAH.…”

Section: Introductionmentioning

confidence: 99%

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Terson's Syndrome: Diagnostic Comparison of Ocular Sonography and CT

Bäuerle

Gross

Egger

et al. 2015

Journal of Neuroimaging

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Section: Discussionsupporting

confidence: 92%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Terson's Syndrome: Diagnostic Comparison of Ocular Sonography and CT

Bäuerle

Gross

Egger

et al. 2015

Journal of Neuroimaging

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“…To summarize the scarce data available from animal studies and human observations careful handling of the setting is required. Globe rupture is considered to be a clear contraindication for OUS due to the risk of extrusion of ocular contents [22] – [24] .…”

Section: Discussionmentioning

confidence: 99%

Ocular Ultrasound as an Easy Applicable Tool for Detection of Terson's Syndrome after Aneurysmal Subarachnoid Hemorrhage

et al. 2014

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IntroductionIntraocular hemorrhage in patients suffering from aneurysmal subarachnoid hemorrhage is known as Terson's syndrome and is an underestimated but common pathology. We therefore designed a prospective single-blinded study to evaluate the validity of ocular ultrasound compared to the gold standard indirect funduscopy in the diagnosis of Terson's syndrome.Material and MethodsFifty-two patients (104 eyes in total) suffering from aneurysmal subarachnoid hemorrhage were enrolled in this study. Two investigators independently performed a single-blinded ocular ultrasound using a standard intensive care ultrasound system to detect an intraocular hemorrhage. Indirect funduscopy following iatrogenic mydriasis served as the gold standard for confirmation or exclusion of an intraocular hemorrhage. Statistical analyses were performed to evaluate the sensitivity and specificity, positive and negative predictive values of the method as well as the learning curve of ocular ultrasound.ResultsIndirect funduscopy detected Terson's syndrome in 11 of 52 (21.2%) respectively in 21 of 104 (20.2%) eyes in patients suffering from subarachnoid hemorrhage. Sensitivity and specificity increased with the number of ocular ultrasound examinations for both investigators, reaching 81.8% and 100% respectively. Positive and negative predictive values were different for both investigators (63.6% vs. 100% positive and 100% vs. 95.7% negative) but were both correlated to the amount of intraocular hemorrhage. A low Glasgow Coma scale (p = 0.015) and high Hunt & Hess grade (p = 0.003) was associated with a higher rate of Terson's syndrome.ConclusionsOcular ultrasound using standard ultrasound equipment has been confirmed as a reliable, easy-to-handle bedside screening tool for detecting Terson's syndrome. Nevertheless funduscopy remains the gold standard to detect Terson's syndrome.

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