Clinical Ophthalmic Echography: A Case Study Approach

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With 308 case studies, coupled with more than 370 ultrasound images, Roger P. Harrie’s Clinical Ophthalmic Echography is an indispensable practical guide on how to use ultrasound quickly and reliably to identify eye disorders. This manual serves not only as an excellent procedural review, but also as a great "how-to" for clinicians new to ultrasound.

Chapters cover an array of ocular and orbital problems with which a patient may present, including vitreo-retinal disease, anterior segment problems, vascular lesions, and swollen discs. Dr. Harrie draws upon his broad experience in the ophthalmologic field and imparts his expertise in chapters that range from the evaluation of the painful eye, to basic principles of ultrasound, to echography in developing countries. The varied case studies contained within the chapters include a spectrum of patients across ages and clinical conditions. The studies illuminate the accuracy with which echography both images intraocular and orbital structures and gives valuable information on the status of the lens, vitreous, retina, choroid, sclera, and orbital structures. The book also illustrates how ultrasound is used for diagnostic purposes when pathology is clinically visible, such as differentiating iris and ciliary body lesions, ruling out choroidal and retinal detachments, differentiating intraocular tumors, evaluating serous versus hemorrhagic choroidal detachments, and determining the cause of the proptotic eye. Throughout, the book emphasizes that echography is a cost effective and practical extension of the clinician’s diagnostic capability. An extensive display of A-scan images illustrates the valuable addition this modality provides to the more familiar B-scan pictures.

With its case-based approach, concise procedural instruction, and extensive references, this practical manual will prove invaluable in the busy clinical setting.

Author(s): Roger P. Harrie MD (auth.)
Edition: 1
Publisher: Springer New York
Year: 2009

Language: English
Pages: 501
Tags: Ophthalmology; Diagnostic Radiology; Ultrasound

Front Matter....Pages i-xi
Front Matter....Pages 1-1
Optic Nerve Drusen....Pages 3-4
Intumescent Lens and Angle Closure....Pages 5-6
Ciliary Body Melanoma and Sector Cataract....Pages 7-7
Small Ciliary Body Melanoma....Pages 9-9
Iris Bombe Around Intraocular Lens Implant....Pages 11-11
Choroidal Melanoma....Pages 13-13
Small Choroidal Melanoma....Pages 15-17
Posterior Vitreous Detachment and Retinal Tear....Pages 19-19
Vitreous Syneresis....Pages 21-21
Shallow Retinal Detachment....Pages 23-23
Dacryoadenitis....Pages 25-26
Optic Nerve Drusen....Pages 27-28
Optic Nerve Druse and Disc Hemorrhage....Pages 29-29
Central Retinal Artery Embolus....Pages 31-31
Retionoblastoma with Fine Calcification....Pages 33-33
Extraocular Muscles in Graves’ Disease....Pages 35-35
Orbital Myositis....Pages 37-37
Idiopathic Choroidal Folds....Pages 39-39
Choroidal Folds and Orbital Lymphoma....Pages 41-41
Cavernous Hemangioma....Pages 43-43
Front Matter....Pages 1-1
Pleomorphic Adenoma of Lacrimal Gland....Pages 45-45
Infantile Hemangioma....Pages 47-47
Infantile Hemangioma....Pages 49-49
Front Matter....Pages 51-58
Choroidal Melanoma....Pages 59-60
Retinoblastoma....Pages 61-63
Shallow Retinal Detachment....Pages 65-65
Pleomorphic Adenoma of Lacrimal Gland....Pages 67-75
Subretinal Hemorrhage....Pages 77-78
Posterior Scleritis....Pages 79-79
Lymphoma of Extraocular Muscle....Pages 81-85
Optic Nerves in Pseudotumor Cerebri....Pages 87-87
Lymphoma of the Optic Nerves....Pages 89-91
Front Matter....Pages 93-93
Retinal Tack....Pages 95-97
Mild Sinusitis....Pages 99-100
Optic Nerves in Pseudotumor Cerebri....Pages 101-102
Sinus Polyp....Pages 103-104
Moderate Sinusitis....Pages 105-105
Ethmoid Sinusitis....Pages 107-107
Sinus Melanoma....Pages 109-110
Frontal Ethmoidal Mucocele....Pages 111-112
Front Matter....Pages 93-93
Foreign Body in Nasolacrimal Duct....Pages 113-114
Dacryoadenitis....Pages 115-115
Dacryoadenitis....Pages 117-117
Dacryoadenitis and Rheumatoid Arthritis....Pages 119-119
Dacryoadenitis and Sarcoidosis....Pages 121-121
Pleomorphic Adenoma of Lacrimal Gland....Pages 123-124
Pleomorphic Adenoma of Lacrimal Gland....Pages 125-125
Adenocystic Carcinoma of Lacrimal Gland....Pages 127-127
Superior Oblique Tendonitis....Pages 129-130
Orbital Myositis....Pages 131-131
Low-Grade Orbital Myositis....Pages 133-133
Orbital Myositis and Sinusitis....Pages 135-135
Eosinophilic Myositis....Pages 137-137
Orbital Myositis and Scleritis....Pages 139-139
Posterior Scleritis....Pages 141-141
Benign Reactive Lymphoid Hyperplasia....Pages 143-143
Orbital Large Cell Lymphoma....Pages 145-145
Choroiditis and Vogt–Koyanagi–Harada Syndrome....Pages 147-147
Myositis and Graves’ Disease....Pages 149-149
Myositis and Graves’ Disease....Pages 151-152
Front Matter....Pages 93-93
Retrobulbar Neuritis....Pages 153-153
Sacroid Optic Neuritis....Pages 155-155
Subperiosteal Abscess....Pages 157-157
Subperiosteal Hemorrhage....Pages 159-159
Bleed into Lymphangioma....Pages 161-161
Orbital Metastasis....Pages 163-163
Sinus Carcinoma....Pages 165-165
Cavernous Hemangioma....Pages 167-167
Orbital Rhabdomyosarcoma....Pages 169-169
Front Matter....Pages 171-171
Phthisis Bulbi....Pages 173-174
Optic Nerve Glioma....Pages 175-175
Chiasmal Glioma....Pages 177-178
Intumescent Lens....Pages 179-179
Accommodative Spasm....Pages 181-182
Retinoblastoma....Pages 183-183
Posterior Vitreous Detachment with Retinal Tear....Pages 185-185
Ruptured Globe....Pages 187-187
Subperiosteal Hemorrhage....Pages 189-189
Microophthalmos with Cyst....Pages 191-191
Topamax-Induced Angle Closure....Pages 193-193
Front Matter....Pages 171-171
Ruptured Globe....Pages 195-195
Cyclitic Membrane....Pages 197-197
Ciliary Body Melanoma....Pages 199-199
Choroidal Melanoma....Pages 201-202
Choroidal Melanoma....Pages 203-203
Ciliary Body Melanoma....Pages 205-205
Choroidal Melanoma....Pages 207-207
Posterior Vitreous Detachment....Pages 209-209
Vitreous Traction....Pages 211-211
Retinal Tear....Pages 213-213
Retinal Tear with Subretinal Fluid....Pages 215-215
Choroidal Melanoma....Pages 217-217
Ocular Toxoplasmosis....Pages 219-220
Noncalcified Retinoblastoma....Pages 221-221
Ocular Large Cell Lymphoma....Pages 223-224
Endophthalmitis....Pages 225-225
Chronic Endophthalmitis....Pages 227-227
Retinal Macroaneurysm....Pages 229-229
Vitreous Hemorrhage....Pages 231-231
Malignant Melanoma of the Ciliary Body with Lens Displacement....Pages 233-233
Front Matter....Pages 171-171
Ciliary Body Cyst....Pages 235-236
Dislocated Intraocular Lens Implant....Pages 237-237
Ciliary Body Melanoma....Pages 239-240
Shallow Retinal Detachment....Pages 241-241
Shallow Retinal Detachment....Pages 243-243
Macular Traction....Pages 245-245
Diffuse Choroidal Melanoma....Pages 247-247
Sympathetic Ophthalmia....Pages 249-250
Central Retinal Artery Embolus....Pages 251-251
Optic Nerve Sheath Meningioma....Pages 253-253
Optic Nerve Sheath Hemorrhage....Pages 255-256
Optic Nerves in Pseudotumor Cerebri....Pages 257-258
Front Matter....Pages 259-259
Optic Nerve Glioma....Pages 261-262
Levator/Superior Rectus Complex in Graves’ Disease....Pages 263-263
Noncongestive Graves’ Disease....Pages 265-266
Cavernous Hemangioma....Pages 267-268
Hemangiopericytoma....Pages 269-269
Mucocele....Pages 271-272
Dacryoadenitis to Acute Sinusitis....Pages 273-273
Pleomorphic Adenoma of Lacrimal Gland....Pages 275-275
Front Matter....Pages 259-259
Dacryoadenitis....Pages 277-277
Chronic Dacryoadenitis....Pages 279-279
Orbital Myositis....Pages 281-281
Adenocystic Carcinoma of the Lacrimal Gland....Pages 283-283
Sinus Squamous Cell Carcinoma....Pages 285-286
Graves’ Disease....Pages 287-287
Metastasis to Extraocular Muscle....Pages 289-289
Lymphoma of Extraocular Muscle....Pages 291-291
Superior Ophthalmic Vein in Carotid Cavernous Fistula....Pages 293-293
Superior Ophthalmic Vein in Dural Sinus Fistula....Pages 295-295
Optic Nerve Sheath Meningioma....Pages 297-298
Optic Nerve Sheath Meningioma....Pages 299-299
Optic Nerve Sheath Hygroma....Pages 301-301
Orbital Hematic Cyst....Pages 303-303
Cavernous Hemangioma....Pages 305-306
Orbital Lymphangioma....Pages 307-308
Graves’ Orbitopathy....Pages 309-309
Increased Orbital Fat in Graves’ Disease....Pages 311-312
T Sign in Retrobular Neuritis....Pages 313-313
Tolosa-Hunt Syndrome....Pages 315-316
Front Matter....Pages 259-259
Orbital Infantile Hemangioma....Pages 317-317
Orbital Infantile Hemangioma....Pages 319-319
Orbital Varix....Pages 321-321
Orbital Arteriovenous Malformation....Pages 323-323
Lymphoma of Eyelid....Pages 325-325
Dacriocystocele....Pages 327-327
Hemangiopericytoma of Lacrimal Sac....Pages 329-329
Orbital Meningioma....Pages 331-331
Eyelid Thickness....Pages 333-333
Front Matter....Pages 335-338
Choroidal Melanoma Treated with Radioactive Plaque....Pages 339-340
Pseudomelanoma....Pages 341-342
Conversion of Nevus to Melanoma....Pages 343-343
Nevus Transforming to Melanoma....Pages 345-346
Choroidal Melanoma with Extrascleral Extension....Pages 347-348
Choroidal Melanoma with Optic Nerve Invasion....Pages 349-349
Diffuse Choroidal Melanoma....Pages 351-352
Metastasis to Choroid....Pages 353-354
Metastasis to Choroid....Pages 355-356
Subretinal Hemorrhage....Pages 357-358
Subretinal Disciform Scar....Pages 359-360
Front Matter....Pages 335-338
Choroidal Hemangioma....Pages 361-361
Metastasis to Choroid....Pages 363-363
Optic Nerve Lymphoma....Pages 365-366
Ocular Lymphoma....Pages 367-367
Posterior Scleritis....Pages 369-369
Retinoblastoma in an Adult....Pages 371-372
Retinoblastoma....Pages 373-373
Retinoblastoma with Fine Calcification....Pages 375-375
Retinoblastoma....Pages 377-377
Infiltrating Retinoblastoma....Pages 379-380
Medulloepithelioma....Pages 381-381
Coat’s Disease....Pages 383-383
Persistent Hyperplastic Primary Vitreous....Pages 385-385
Optic Nerve Coloboma....Pages 387-388
Choroidal Osteoma....Pages 389-390
Optic Nerve Drusen....Pages 391-392
Idiopathic Choroidal Calcification....Pages 393-394
Conjunctival Melanoma....Pages 395-396
Ring Melanoma....Pages 397-398
Ciliary Body Melanoma....Pages 399-400
Front Matter....Pages 335-338
Iris Cysts....Pages 401-401
Iris Cyst with Angle Closure....Pages 403-403
Epithelial Cyst of Posterior Capsule....Pages 405-406
Pseudomelanoma and Cataract....Pages 407-408
Pseudomelanoma and Dislocated Lens....Pages 409-409
Front Matter....Pages 411-411
‘T’ Retinal Detachment....Pages 413-413
Retinopathy of Prematurity and Retinal Detachment....Pages 415-415
Macular Detachment....Pages 417-417
Advanced Persistent Hyperplastic Primary Vitreous....Pages 419-419
Dislocated Lens....Pages 421-421
Intraocular Foreign Body....Pages 423-423
Foreign Body in Anterior Chamber....Pages 425-425
Lens in Anterior Chamber....Pages 427-428
Disrupted Lens Capsule....Pages 429-429
Ruptured Globe....Pages 431-431
Intumescent Lens and Angle Closure....Pages 433-433
Vitreous Hemorrhage....Pages 435-435
Advanced Optic Nerve Cupping....Pages 437-437
Retinoblastoma....Pages 439-440
Persistent Hyperplastic Primary Vitreous....Pages 441-441
Front Matter....Pages 411-411
Graves’ Disease....Pages 443-443
Orbital Pseudotumor....Pages 445-445
Orbital Myositis....Pages 447-447
Orbital Lymphangioma....Pages 449-449
Mucocele....Pages 451-451
Sinusitis....Pages 453-453
Subperiosteal Abscess....Pages 455-455
Lipodermoid....Pages 457-457
Front Matter....Pages 459-459
Orbital Imaging....Pages 459-472
Back Matter....Pages 473-490