Ultrasound biomicroscopy in the diagnosis and management of anterior segment tumors

J Am Optom Assoc. 1998 Sep;69(9):575-82.

Abstract

Background: High-frequency ultrasound biomicroscopy has allowed eye care specialists to evaluate posterior extension of anterior segment tumors. This article evaluates the role of ultrasound biomicroscopy for the diagnosis and management of anterior segment tumors.

Methods: Fourteen patients with anterior segment tumors were selected for evaluation. Each patient underwent a complete clinical examination followed by slit-lamp photography and ultrasound biomicroscopy.

Results: Unlike standard ultrasonography of anterior segment tumors, high-frequency ultrasound biomicroscopy allowed quantitative measurements of tumor size, extension within and posterior to the iris, as well as differentiation of solid and cystic lesions. These characteristics were used to differentially diagnose anterior segment tumors and document the response of iridociliary body melanomas to radiotherapy.

Conclusions: This study demonstrates how ultrasound biomicroscopy has become an effective and necessary procedure, used for both the diagnosis and management of anterior segment tumors.

Publication types

  • Comparative Study

MeSH terms

  • Adult
  • Aged
  • Aged, 80 and over
  • Anterior Eye Segment / diagnostic imaging*
  • Anterior Eye Segment / pathology
  • Brachytherapy
  • Ciliary Body / diagnostic imaging*
  • Ciliary Body / pathology
  • Cysts / diagnostic imaging*
  • Cysts / pathology
  • Cysts / radiotherapy
  • Diagnosis, Differential
  • Female
  • Follow-Up Studies
  • Humans
  • Male
  • Melanoma / diagnostic imaging*
  • Melanoma / pathology
  • Melanoma / radiotherapy
  • Middle Aged
  • Treatment Outcome
  • Ultrasonography
  • Uveal Neoplasms / diagnostic imaging*
  • Uveal Neoplasms / pathology
  • Uveal Neoplasms / radiotherapy