Significance of Ultrasonography in Evaluation of Vitreo-retinal Pathologies

Purpose: To assess the diagnostic value of ultrasonography in the detectionof vitreo-retinal pathologies. Material and Methods: This prospective studyincluded all patients from retina department in Eye Clinic University ClinicalCenter Tuzla first time referred and examined by a single experienced vitreo-retinalsurgeon in period from January 2011. to January 2012. Complete ophthalmic examinationand ultrasonography–standardized echography were performed to allpatients for detection and confirmation of vitreo-retinal pathology. Results: Studyincluded 146 eyes from 122 patients. 58 (39,7%) eyes had poor posterior segmentvisualization, 21 (14,4%) eyes due to dense cataracts and 37 (25,3%) eyes due to differentvitreous opacities. 88 (60,3%) eyes had good or partial posterior eye segmentvisualization, where 67 (45,9%) eyes had proliferative vitreo-retinopathy and 55(37,7%) eyes had tractional retinal detachment. Most common causes for referralto vitreo-retinal surgeon were ocular complications of diabetes mellitus 94 (64,4%),ocular trauma 18 (12,3%), rhegmatogenous retinal detachment 16 (10,9%) and intraocularinflammation 9 (6,2%). Ultrasonography confirmed suspected diagnosis andoperative management plan in 120 (82,2%) eyes, sublassified previously establisheddiagnosis in 19 (13%) eyes and helped further operative planning and establishedcompletely new diagnosis and changed initial management plan in 7 (4,8%) eyes.The final clinical diagnosis confirmed the ultrasonography findings in 142 from 146(97,3%) eyes. Conclusion: Ultrasonography is useful part of ophthalmic examinationfor detection, evaluation and follow up of different vitreo-retinal pathologies.