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An 84-year-old man presented with decreased right-eye visual acuity. Upon initial examination, the rightand left-eye visual acuities were 0.03 and 1.2, respectively; moreover, the right- and left-eye intraocular pressure was 12 mmHg and 13 mmHg, respectively. Examination revealed a shallow anterior chamber of the right eye, anterior chamber inflammation, vitreous opacity, and marked retinochoroidal detachment. Optical coherence tomography (OCT) revealed retinal detachment (RD) and choroidal folds; moreover, B-scan ultrasonography (B-scan) showed RD as well as thickened sclera with fluid in Tenon's space. Fluorescent fundus angiography revealed hyperfluorescence in the optic disc and vascular hyperpermeability in the right eye. The left eye lacked extra-ocular symptoms or abnormalities. The right ocular axis measured 23.4 mm with no apparent subretinal fluid migration due to positional changes. Accordingly, the patient was diagnosed with panuveitis associated with posterior scleritis and immediately started on 40 mg prednisolone, which improved his symptoms. However, at 3 post-treatment months, choroidal folds were observed and was restarted on 20 mg prednisolone. The choroidal folds subsequently disappeared, with a current visual acuity of 0.3 in the right eye and no recurrence. Our findings indicated the utility of accurate diagnosis of posterior scleritis by B-scan and prompt systemic steroid administration. [ABSTRACT FROM AUTHOR]

IntroductionAn intraretinal macrocyst is a cavity located in the outer plexiform layer of the retina. It is commonly filled with liquid or blood. To date, few case reports of intraretinal macrocysts with crystalline content and retinal detachment have been published.Case presentationA 44-year-old woman with no history of other diseases complained of decreased vision in her right eye that had persisted for 20 days. The best corrected visual acuity of the right eye was hand motion. Comprehensive ophthalmic examinations were performed, including a vision test, slit lamp fundus examination, ocular B-scan ultrasound, and orbital magnetic resonance imaging. We performed vitrectomy and retinotomy to sufficiently remove the macrocyst and relieve retinal traction. We then reattached the retina and filled it with silicone oil. During the surgery, we found that the cyst had crystalline content, which has not been previously reported, to the best of our knowledge. Finally, the pathological results confirmed a final diagnosis of intraretinal macrocyst. Six months later, we performed a second operation to remove the silicone oil and implant an intraocular lens. After both surgeries, the best corrected visual acuity of the patient's right eye was restored to 20/200, and the retina had repositioned.ConclusionIntraretinal macrocysts are very rare. Both orbital magnetic resonance imaging and ocular B-scan ultrasound are essential for their diagnosis. Our results indicated that vitrectomy was the best way to remove the cyst and reattach the retina.

Context: B-scan ultrasonography is a diagnostic tool available for use in dense cataracts that gives vital information on vitreous, retina, choroid, and sclera. Aims: This study was planned to determine the abnormalities of the posterior segment in the presence of dense cataracts using B-scan ultrasonography and to determine the sensitivity and specificity of it. Settings and Design: Observational study design. Subjects and Methods: This observational study was done in patients with dense cataracts of any age. All the study participants underwent anterior segment evaluation, vision assessment, and posterior segment evaluation using B-scan ultrasonography. After cataract surgery, fundus evaluation of these patients was done. Pearson Chi-square test was used for assessing sensitivity and specificity of B-scan ultrasonography. Results: A total of 184 eyes of 161 patients were analyzed. The mean age of the study group was 59.17 ± 10.65 years. Majority of the participants (76.4%) were from rural areas. Out of 161 participants, 23 had bilateral dense cataracts. Preoperative B-scan ultrasonography assessment in 184 eyes showed posterior vitreous detachment (n = 40), retinal detachment (n = 2), vitreous hemorrhage, posterior staphyloma, and asteroid hyalosis (n = 1 each). Sensitivity and specificity of B-scan were analyzed in 173 eyes. Pearson Chi-square test showed the sensitivity of B-scan ultrasonography to be 64.2%, specificity of 100%, positive predictive value of 100%, and negative predictive value of 81.5%. Conclusions: The study showed that B-scan is a good tool for diagnosing posterior segment pathologies in patients with dense cataracts.

Purpose: To report a case of a 42-year-old male with proliferative diabetic retinopathy (PDR) complicated by tractional retinal detachments (TRD) bilaterally with a rare finding on B-scan ultrasonography. Observations: On B-scan ultrasound, a total combined rhegmatogenous-TRD was observed, accompanied by extensive retinal macrocysts that appeared nearly confluent for 360°. Conclusions and Importance: Retinal macrocysts are rare but important clinical entities that help drive management, as their presence typically suggests a chronic retinal detachment.

Background: Ultrasonography (US) is a valuable diagnostic modality for detecting posterior segment eye diseases (PSEDs) in patients with cataractous eyes. This imaging modality can better facilitate planning surgery and predicting prognosis. The purpose of this study was to determine the role of B-scan US in evaluating posterior segment abnormalities of eyes in cataract patients pre-operatively to limit complications and visual impairment. Methods and Results: A prospective, cross‑sectional study to assess cataracts by US, as well as to detect posterior segment abnormalities of eyes in cataract patients, was conducted in Sudan at Albasar International Foundation (Makah Eye Complex in Omdurman) between December 2018 and December 2019. All patients (n=380; 48% males and 52% females; a mean age of 63±12.57 years) with non-visualization of the fundus, regardless of age and gender, were involved and were assumed to have orbital pathologies. Patients with high-risk extrusion of intraocular contents and a previous history of ocular surgery were excluded from the present study. All patients with dense cataracts were evaluated using standard US machines (Echoscan US-4000; NIDEK CO., LTD.) equipped with a real-time high-frequency probe. The typical age of the patients complaining of cataracts was between 61 and 70 years, which constituted 35% of cases, followed by age >70 years, which constituted 24.2% of cases. About 47.63% patients had ocular pathology in the posterior segment of the eye. The most common PSEDs were vitreous abnormalities (46.2%). Among vitreous abnormalities, most abnormal eyes had vitreous changes (36.1%), followed by VD (3.7%); 1.3% of patients had retinal detachment. Conclusion: Ocular US should be the first screening modality in the evaluation of posterior segment pathologies in cataractous eyes and should be performed in cataract patients pre-operatively for better surgical planning and predicting post-operative visual prognosis.

An accurate and rapid detection of back-fat thickness was essential to the precise feeding of the breeding pigs. However, the current manual analysis of backfat thickness cannot fully meet the large-scale production. In this study, a more accurate and stable determination of backfat thickness was developed with an automatic tool in pig breeding. The back-fat thickness was measured from the B-scan ultrasonography (B-Scan) image of pigs, where a Fully Convolutional Networks (FCN) model was trained for this task. The best performance of the model was achieved at the 20 literation with the batch size of 32, the learning rate of 0.005, and the optimizer of Adam. A prediction validation was conducted with the testing dataset, slaughtering measured dataset, and a separate human labelled dataset. The testing dataset was then segmented for the basic model performance with the FCN for the back-fat thickness. The measurement between the prediction and expert labelled (ground truth) was not statistically significant (P>0.05), where the correlation coefficient was 0.92 (P<0.01), indicating the reliable measurement of back-fat thickness for the targeted breeds using the FCN model. The slaughtering measured dataset was obtained from five selected pigs, which were the relatively close weight and body characteristics inspected by the expert group. The measuring points were chosen and marked on and near the standard B-scan measurement points, where the 5 points along the head to tail on each side were equally distanced. The B-Scan images of the measurement points were firstly taken for every pig to measure the back-fact thickness using the conventional inspection and the prediction model. Then, the direct measurements were taken with a vernier calliper on the chosen measurement points after slaughtering these selected pigs. Further analysis was made after the conventional inspection, prediction model, and direct measurement after slaughtering. It was found that there were smaller values in the conventional and prediction model than that in the direct measurement, where the minimum was found in the prediction model. The correlation coefficient between the three methods was all above 0.92 (P<0.01). Moreover, the conventional and prediction model was not statistically significant (P>0.05), with a correlation coefficient of 0.97 (P<0.01). It infers that the prediction model was much more accurate, compared with the conventional, indicating a reliable alternative way for the back-fat measurement. Furthermore, the separate human labelling dataset included the measurements on the same set of B-Scan images from four groups of six people, indicating the different levels of professional knowledge and experience. Specifically, the Expert Group (EG) involved experts combined with depth breeding knowledge and at least five years of field experience. The Professional Group (PG) were the licensed professionals on sites with the relatively focused on practice which carried hundreds of measurements. The Student Group (SG) were the undergraduates and postgraduates who majored in animal husbandry with less hands-on experience. The Novice Group (NG) were people not familiar with the industry, who only went through a quick lesson. The results between each group were not statistically significant (P>0.05), the same as every group and the prediction model. However, the standard deviation of in-group data varied notably, where the minimum was the expert group of 0.17 mm and the maximum was the novice group of 1.67 mm. In comparison, the prediction model presented a result free of human factors. Consequently, an FCN model was trained and implemented to semantic segment the B-scan images, with emphasis on some of the popular breeds in the industry, such as Large White, Landrace, and Duroc. The prediction was compared with the conventional inspection and direct measurements after slaughtering, indicating that the measured back-fat thickness from a B-Scan image using the FCN prediction model provided practically accurate, quick, and stable values. This finding can potentially provide production benefits, in order to significantly reduce the knowledge and experience requirements, as well as the workload and the training cost of staff. [ABSTRACT FROM AUTHOR]

IntroductionUveal melanoma (UM) is the most common intraocular malignancy in adults. Plaque brachytherapy remains the dominant eyeball-conserving therapy for UM. Tumor regression in UM after plaque brachytherapy has been reported as a valuable prognostic factor. The present study aimed to develop an accurate machine-learning model to predict the 4-year risk of metastasis and death in UM based on ocular ultrasound data.Material and MethodsA total of 454 patients with UM were enrolled in this retrospective, single-center study. All patients were followed up for at least 4 years after plaque brachytherapy and underwent ophthalmologic evaluations before the therapy. B-scan ultrasonography was used to measure the basal diameters and thickness of tumors preoperatively and postoperatively. Random Forest (RF) algorithm was used to construct two prediction models: whether a patient will survive for more than 4 years and whether the tumor will develop metastasis within 4 years after treatment.ResultsOur predictive model achieved an area under the receiver operating characteristic curve (AUC) of 0.708 for predicting death using only a one-time follow-up record. Including the data from two additional follow-ups increased the AUC of the model to 0.883. We attained AUCs of 0.730 and 0.846 with data from one and three-time follow-up, respectively, for predicting metastasis. The model found that the amount of postoperative follow-up data significantly improved death and metastasis prediction accuracy. Furthermore, we divided tumor treatment response into four patterns. The D(decrease)/S(stable) patterns are associated with a significantly better prognosis than the I(increase)/O(other) patterns.ConclusionsThe present study developed an RF model to predict the risk of metastasis and death from UM within 4 years based on ultrasound follow-up records following plaque brachytherapy. We intend to further validate our model in prospective datasets, enabling us to implement timely and efficient treatments.

Purpose: To present a case of posterior lenticular surface neovascularization in the absence of any ocular or systemic pathology. Observations: A 29-year-old asymptomatic male was detected with the right eye (OD) posterior lenticular surface neovascularization extending for six-clock hours in the temporal portion along with the presence of mild posterior capsular haze. His best-corrected visual acuity was 20/25 in OD and 20/20 in the left eye (OS). No additional abnormality was identified in the remainder of the OD anterior segment and the fundus respectively. OS evaluation was unremarkable. OD imaging including B-scan ultrasonography and ultrasound biomicroscopy (UBM) were essentially normal. The anterior segment optical coherence tomography (AS-OCT) thickened lens capsule with a dense hyperreflective layer adhered to its posterior surface and separating from the capsule in the periphery. Few hyperreflective dots were visible posterior to the ciliary body although no CB thickening was noted. No systemic abnormality was detected. The patient is being managed conservatively and has shown no signs of progression of the neovascularization over six months. Conclusions and importance: This is the first reported case of an isolated idiopathic posterior lenticular surface neovascularization occurring in an otherwise healthy patient. Although an unspecified breach in the posterior capsule or undetermined cyclitis can trigger such neovascularization, further histopathological studies of the capsular biopsy and ciliary body can provide better insight into its etiopathogenesis. Additionally, considering the asymptomatic nature of the condition, these patients can be observed and closely monitored.

We report three cases of posterior scleritis (PS) to analyze the clinical profile and ultrasonographic and fluorescein angiography features of this rare disorder. Fundus findings included serous retinal detachment (RD), disc edema, disc hyperemia, corkscrewed retinal vessel, and retinal folds. Ultrasonography revealed a variable degree of thickening of the posterior eye wall (choroid and sclera). Fluorescein angiography revealed persistent dye leakage from the disc and early pinpoint areas of hyperfluorescence with pooling of dye in late frames of an angiogram. Optical coherence tomography showed serous macular detachment in all cases at the time of presentation. The purpose of this manuscript was to describe three cases of PS associated with optic neuropathy and exudative RD previously misdiagnosed with a range of conditions. This case study also demonstrates the importance of B-scan ultrasonography and fluorescein angiography for the appropriate diagnosis of PS and also the effectiveness of systemic corticosteroid therapy.

Abstract Background Ultrasonograpic retrobulbar optic nerve sheath diameter (ONSD) measurement is considered to be an alternative noninvasive method to estimate intracranial pressure,but the further validation is urgently needed. The aim of the current study was to investigate the association of the ultrasonographic ONSD and intracranial pressure (ICP) in patients. Methods One hundred and ten patients whose intracranial pressure measured via lumbar puncture were enrolled in the study. Their retrobulbar ONSD with B-scan ultrasound was determined just before lumber puncture. The correlation between the ICP and the body mass index (BMI), ONSD or age was established respectively with the Pearson correlation coefficient analysis. The discriminant analysis was used to obtain a discriminant formula for predicting ICP with the ONSD、BMI、gender and age. Another 20 patients were recruited for further validation the efficiency of this discriminant equation. Results The mean ICP was 215.3 ± 81.2 mmH2O. ONSD was 5.70 ± 0.80 mm in the right eye and 5.80 ± 0.77 mm in the left eye. A significant correlation was found between ICP and BMI (r = 0.554, p

A 23-year male with complaint of diminution of vision in left eye was referred to us as a suspect case of inflammatory choroidal mass/melanoma. Examination revealed a total retinal detachment with a reddish brown lesion in the superior hemi-fundus. B-scan ultrasonography demonstrated the 'mass' to be intra-retinal without choroidal involvement. A diagnosis of haemorrhagic intraretinal macrocyst (HIM) was made. We report this case to highlight the importance of correctly diagnosing an HIM and utilizing ultrasound to rule out choroidal pathologies, especially melanoma. This is essential as the management and prognosis of the two disorders is entirely different.

Scleritis is a rare and potentially sight-threatening inflammatory disorder affecting the sclera. While anterior scleritis is the more commonly encountered subtype, posterior scleritis represents a larger portion of cases in the pediatric population. Diagnosing posterior scleritis can be challenging due to the overlap with other more common ocular conditions, particularly in the pediatric age group. In this case report, we present a unique case of posterior scleritis in a 12-year-old girl. The patient initially presented with severe right-sided headache and eye pain, which was initially misdiagnosed as atypical optic neuritis. However, subsequent magnetic resonance imaging and ocular ultrasound confirmed the diagnosis of posterior scleritis. This case highlights the significance of recognizing pain as a key symptom and the value of early ultrasound evaluation in diagnosing posterior scleritis in the pediatric population., Competing Interests: Human subjects: Consent was obtained or waived by all participants in this study. Conflicts of interest: In compliance with the ICMJE uniform disclosure form, all authors declare the following: Payment/services info: All authors have declared that no financial support was received from any organization for the submitted work. Financial relationships: All authors have declared that they have no financial relationships at present or within the previous three years with any organizations that might have an interest in the submitted work. Other relationships: All authors have declared that there are no other relationships or activities that could appear to have influenced the submitted work., (Copyright © 2024, Alsatrawi et al.)

The current study aimed to reveal a novel method for constructing a portal vein thrombosis (PVT) model in rats and to evaluate the inhibitory role of recombinant P-selectin glycoprotein ligand immunoglobulin G (rPSGL-Ig) on the formation of PVT. The PVT model was constructed in rats through intermittent portal vein obstruction (IPVO) combined with endangium destruction. A total of 4 mg/kg rPSGL-Ig was intraperitoneally pre-injected into rats 1 h prior to model construction. Changes in the thrombus size and vessel diameter were observed by B-scan ultrasonography. Histopathological changes in the portal vein, central hepatic vein and vasa intestini tenuis were observed using hematoxylin and eosin staining. Additionally, histopathological changes in the portal vein were observed by transmission electron microscopy. A total of 8 mg/kg rPSGL-Ig or 2×104 U/kg urokinase were used to compare the thrombolytic effects and thrombus sizes. The PVT model was successfully constructed in rats, and exhibited a significantly greater thrombus size and vessel diameter compared with the control group (P<0.05). Intervention with rPSGL-Ig significantly inhibited the formation of PVT, and resulted in a significantly lower thrombus size and vessel diameter compared with the model group (P<0.05). Additionally, histopathological changes in the portal vein, central hepatic vein and vasa intestini tenuis in PVT rats were considerably reversed following the intervention with rPSGL-Ig. rPSGL-Ig demonstrated a lower thrombolytic effect compared with that of URO. IPVO combined with endangium destruction effectively constructed a PVT model in rats. rPSGL-Ig effectively prevented PVT in rats. rPSGL-Ig may be used in future studies for the treatment of patients with PVT. [ABSTRACT FROM AUTHOR]

With the introduction and development of new diagnostic techniques, the relevance of drusen of the optic nerve diagnostics is increasing. Existing imaging techniques alone or in their various combinations cannot allow to confirm optic nerve drusen in all clinical cases. The diagnosis of optic nerve drusen causes some difficulties because of absence of clear diagnostic standards and classification. Since the advent of new ophthalmological methods of structural and topographic visual analysis evaluation, such as spectral-domain optical coherence tomography, Heidelberg retina tomography, videooculography, B-scan ultrasonography of the orbits and optic nerve, fluorescent angiography of the retina, computed tomography and magnetic resonance imaging of the brain and orbits, the diagnostics of optic nerve drusen becomes more informative. In this article we review the main current imaging techniques in the diagnostics of the optic nerve drusen.

Posterior scleritis is rare in both the adult and pediatric age groups. Increased awareness and availability of advanced diagnostic facilities aid in early diagnosis and management. Visual recovery is possible with systemic steroids and immunosuppression. We report the case of a 12-year-old male child who presented with poor vision in his right eye and was found to have retinal striae and disc edema due to posterior scleritis.

Purpose: To explore the characteristics of vitreoretinal lymphoma (VRL) in B-scan ultrasonography., Design: Single-center case-control study., Participants: A total of 106 eyes of 56 patients with biopsy-proven VRL and 86 eyes of 59 patients with uveitis were included., Methods: B-scan ultrasonography of the included eyes was performed. Evaluated were the ultrasonographic signs as well as a special pattern termed centrifugal condensation, which refers to the peripherally hyperreflective appearance of the vitreous haze in ultrasonography., Main Outcome Measures: Posterior vitreous detachment, vitreoretinal adhesion, location of vitreous haze, thickening or occupying lesions of the retina, retinal detachment, and centrifugal condensation pattern of vitreous haze were evaluated through B-scan ultrasonography. The incidences of these signs were compared between the 2 groups; odds ratios (ORs) were calculated., Results: The incidence of vitreoretinal adhesion in patients with VRL (6/106) was lower than in patients with uveitis (20/86; P = 0.001; OR: 0.195; 95% confidence interval [CI]: 0.073-0.522). The incidence of retinal thickening or occupying lesions in patients with VRL (21/106) was higher than that in patients with uveitis (1/86; P = 0.005; OR: 19.068; 95% CI: 2.455-148.265). The incidences of posterior vitreous detachment and retinal detachment were not significantly different between the 2 groups (P = 0.453 and P = 0.310, respectively). The centrifugal condensation pattern was more likely to be observed in patients with VRL (49/106) than in patients with uveitis (13/86; P < 0.001; OR: 4.831; 95% CI: 2.416-9.660)., Conclusions: B-scan ultrasonography might help to provide clues for the suspicion of VRL. Thickening or occupying lesions of the retina and centrifugal condensation pattern of vitreous haze might be suggestive of VRL., Financial Disclosure(s): Proprietary or commercial disclosure may be found in the Footnotes and Disclosures at the end of this article., (Copyright © 2023 American Academy of Ophthalmology. Published by Elsevier Inc. All rights reserved.)

Free-floating intraocular cysts can be divided into those occurring in the anterior chamber, those occurring in the retrolental space, and those occurring in the vitreous cavity. The origin of vitreous cysts may be associated with remnants of the hyaloid system (congenital), or can result from trauma or ocular disease. The aim of this study was to assess the impact of free-floating vitreous cyst on the macula using optical coherence tomography, ultrasonography, and fluorescein angiography. A 58-year-old female patient presented for eye examination complaining of annoying movable floaters with glare and difficultly in close works. Ophthalmoscopic examination through the dilated fundus revealed posterior vitreous detachment, unremarkable peripheral retinal degenerations with no abnormalities at the optic disc, the macula or papillomacular bundle, and the anterior segment and pupillary reaction were free. This case report represents a case of free-floating vitreous cyst that has been advised for follow-up until it becomes visually significant, requiring interference either with argon laser cystotomy or aspiration through pars plana vitrectomy.

Background: The purpose of this study was to evaluate the extension and traction effects of posterior vitreous detachment (PVD) complicated with retinal tears using spectral domain optical coherence tomography (OCT) and B-scan ultrasonography. Methods: Complete ophthalmological examination, B-scan ultrasonography and spectral domain OCT were performed in patients with acute PVD and retinal tears. Vitreous detachment was classified as complete or incomplete, based on extent of posterior pole or peripheral vitreous detachment. Retinal tear location and persistent traction on the retinal flap was evaluated with B-scan ultrasonography and OCT. Categorical data were evaluated with Fisher's exact test. Statistical significance was considered as P < 0.05. Results: Twenty-six eyes of 25 patients were assessed. Four eyes (15 %) presented complete PVD with detachment at the posterior pole and periphery. 22 eyes (85 %) presented incomplete PVD with detachment in the periphery. Twenty eyes presented retinal tears in the superior quadrants with respect to only 6 in the inferior quadrants (p = 0.006). There was a higher incidence of retinal tears in the pre with respect to post-equatorial areas (19 vs 7 eyes, p = 0.019). B-scan ultrasonography and OCT revealed persistent traction on the retinal tear flap in 19 and 15 eyes, respectively. Conclusions: In acute PVD, retinal tears are prevalently associated with peripheral vitreous detachment. The impact of complete or incomplete PVD can be of clinical value when evaluating patients with retinal tears. [ABSTRACT FROM AUTHOR]

A 23-year male with complaint of diminution of vision in left eye was referred to us as a suspect case of inflammatory choroidal mass/melanoma. Examination revealed a total retinal detachment with a reddish brown lesion in the superior hemi-fundus. B-scan ultrasonography demonstrated the 'mass' to be intra-retinal without choroidal involvement. A diagnosis of haemorrhagic intraretinal macrocyst (HIM) was made. We report this case to highlight the importance of correctly diagnosing an HIM and utilizing ultrasound to rule out choroidal pathologies, especially melanoma. This is essential as the management and prognosis of the two disorders is entirely different. [ABSTRACT FROM AUTHOR]

The association of macular detachment with posttraumatic macular hole is a known but rare occurrence. Spontaneously occurring resolution of the detachment and closure of the macular hole has been reported only once in the literature. We describe a similar rare event in a young male, the documentation of which was done serially by microperimetry (MP) and optical coherence tomography (OCT). A 17-year-old male presented with a decrease in vision following a closed globe injury to the left eye. A coexisting macular hole and macular detachment were detected in the affected eye. Serial follow-up with OCT and MP documented complete resolution of the macular hole and the macular detachment within 1 week of presentation. The case highlights that spontaneous resolution of traumatic macular hole and related macular detachment may occur and a waiting period is advisable before undertaking any corrective surgical procedure. The pathophysiologic mechanisms of causation and the resolution of posttraumatic macular hole-related retinal detachment are discussed.

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.

Posterior scleritis is rare in both the adult and pediatric age groups. Increased awareness and availability of advanced diagnostic facilities aid in early diagnosis and management. Visual recovery is possible with systemic steroids and immunosuppression. We report the case of a 12-year-old male child who presented with poor vision in his right eye and was found to have retinal striae and disc edema due to posterior scleritis. [ABSTRACT FROM AUTHOR]

Background: The accurate localization of intraocular foreign bodies (IOFBs) is very important for the management of ocular trauma patients. B-scan ultrasonography is usually used to detect IOFBs in the posterior segment. Here, we report three cases with IOFBs in the anterior segment near the posterior lens capsule, which were accurately localized by B-scan ultrasonography under dynamic transversal scanning. Case presentation: All three patients had a history of ocular trauma, and their clinical symptoms were compatible with the persistence of IOFBs. It was difficult to get a direct visualization of IOFBs with slit-lamp biomicroscopy because of opacities of the cornea and traumatic cataract. A computed tomography scan detected IOFBs in the anterior segment, but could not determine the exact location. Ultrasound biomicroscopy was performed but failed to show any IOFBs owing to the limited depth of penetration. B-scan ultrasonography was further applied but also failed to show any intraocular foreign bodies using axial scanning, a routine procedure of B-scan ultrasonography examination. However, using dynamic transversal scanning of B-scan ultrasonography, the accurate location of IOFBs was eventually shown to be embedded in the posterior lens cortex in case 1, adjacent to the posterior lens capsule in case 2, and located in the anterior vitreous close to the posterior lens capsule in case 3. Different surgical procedures were designed according to localization by B-scan ultrasonography, and all IOFBs were successfully removed. Conclusion: B-scan ultrasonography is a simple and effective imaging modality in the localization of IOFBs in traumatic cataract. Transversal scanning is more suitable than axial scanning to detect IOFBs in the anterior segment near the posterior lens capsule. [ABSTRACT FROM AUTHOR]

While the primary method for evaluating diabetic retinopathy involves direct and indirect ophthalmoscopy, various imaging modalities are of significant utility in the screening, evaluation, diagnosis, and treatment of different presentations and manifestations of this disease. This manuscript is a review of the important imaging modalities that are used in diabetic retinopathy, including color fundus photography, fluorescein angiography, B-scan ultrasonography, and optical coherence tomography. The article will provide an overview of these different imaging techniques and how they can be most effectively used in current practice. [ABSTRACT FROM AUTHOR]

Purpose: to compare the reliability of axial eye length (AEL) measurement in silicone oil-filled phakic eyes by conventional B-scan ultrasonography through the eyelid, after a correcting factor, to partial coherence interferometry (PCI) measurement. Methods: a prospective and comparative study was performed at Al-Zahraa University Hospital clinic from (January 2016 - December 2016). In total 13 phakic eyes of 13 patients who underwent vitrectomy and silicone oil filling were enrolled into the study. AEL was measured by B-scan and compared to measurement by PCI. Results & Conclusions: there was no significant difference in AEL measurement by either B-scan ultrasonography through the eyelid, after a correcting factor, and PCI. [ABSTRACT FROM AUTHOR]

Ultrasonography is the only practical method for obtaining images of the posterior segment of the eye when the light-conducting media are opaque. In this study, 182 dogs with ocular abnormalities presented to the Department of Veterinary Surgery and Radiology from December 2008-August 2010 were included. All the animals were subjected to detailed ophthalmic examination and B-scan ultrasonography of the eyes with a 7.5-18 MHz linear probe. Ultrasonography revealed thin hyperechoic lines of the lens indicating early cataract changes in 40 cases. In 10 cases, thin hyperechoic rims around the lens suggestive of cortical cataract were evident. In 82 cases, the entire lens was echogenically consistent with complete cataract (nuclear cataract). In 3 cases the capsule appeared wrinkled, suggesting morgagnian cataract. To obtain images from the posterior segment of the eye, a 7.5-12 MHz linear probe was used. In two cases, there was sub-luxation of the lens, while in 14 cases, retinal detachment was observed. Complicated retinal detachments had occurred in four cases. Posterior vitreal degeneration was seen in 15 dogs. Ultrasonography revealed vitreal hemorrhage in 10 cases and asteroid hyalosis and optic nerve avulsion in one case each. [ABSTRACT FROM AUTHOR]

Objective: Branch retinal vein occlusion (BRVO) typically occurs at an arteriovenous (AV) crossing site. Although the pathogenesis is unclear, vitreovascular traction might have a significant role in some BRVO cases. The purpose of present study was to determine the incidence of vitreoretinal traction at the obstruction site in patients diagnosed with BRVO. Methods: In this prospective observational case-control study, 32 consecutive BRVO patients were studied with spectral-domain optical coherence tomography (SD-OCT) to detect the presence of vitreovascular traction or vitreous adherence at the occlusion site. Results: SD-OCT directed to the occlusion site revealed a vitreovascular traction at this point in eight eyes (25 %). Fourteen eyes (43.75 %) were associated with an adherence of posterior hyaloids without signs of retinal traction, whereas ten eyes (31.25 %) had neither vitreoretinal adherence nor vitreous traction. Regarding either the same vessel segment of the fellow eye, none of the cases revealed vitreovascular traction in the correspondent AV crossing site; 12 cases (37.5 %) presented vitreoretinal adherence; and the remaining 20 cases (62.5 %) showed neither traction nor adhesion. Thus, vitreovascular traction in the occlusion site was significantly associated with BRVO ( p = 0.024, chi-squared test). B-scan ultrasonography showed that the posterior vitreous cortex remains more frequently attached in eyes with BRVO compared to unaffected fellow eyes ( p = 0.041, chi-squared test). Conclusions: A common firm vitreous adhesion at the obstruction site is reported herein, pointing out the possible role of vitreovascular traction in the etiology of some cases of BRVO. Likewise, although not all BRVO cases can be explained by this pathogenic mechanism, an attached posterior vitreous cortex might be a cofactor in the origin of this entity. [ABSTRACT FROM AUTHOR]