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Ultrasonic Characteristics of Retinopathy of Prematurity Presenting With Leukokoria

Ultrasonic Characteristics of Retinopathy of Prematurity Presenting With Leukokoria Abstract • The B-mode ultrasonic appearance of eyes afflicted with retinopathy of prematurity exhibiting leukokoria was retrospectively investigated as an aid to increase the accuracy in assessing the patient with leukokoria. B-mode sonograms were obtained employing the immersion technique (Sonometrics 150 A/B-mode instrument). Contact A-mode confirmation was made (Kretztechnik 7200 MA instrument). Prominent B-mode characteristics included echo patterns consistent with increased corneal thickness (47%), shallow anterior chamber depth (73%), malpositioned lens (64%), cataractous lens changes (64%), fibroproliferation in the anterior vitreous (63%), total retinal detachment (53%), partial retinal detachment and/or retinal fold (30%), choroidal thickening (30%), and acoustic shadowing of orbital fat (33%). Together, these features aid in the ultrasonic differentiation from other causes of leukokoria. References 1. Howard GM, Ellsworth RM: Differential diagnosis in retinoblastoma: A statistical survey of 500 children . Am J Ophthalmol 1956;60:610. 2. Kushner BJ, Gloeckner E: Retrolental fibroplasia in full-term infants without exposure to supplemental oxygen . Am J Ophthalmol 1984; 97:148-153. 3. The Committee for the Classification of Retinopathy of Prematurity: An international classification of retinopathy of prematurity . Arch Ophthalmol 1984;102:1130-1134.Crossref 4. Hittner H, Rhodes LM, McPherson A: Anterior segment abnormalities in cicatricial retinopathy of prematurity . Ophthalmology 1979;86:803-816.Crossref 5. Sterns GK, Coleman DJ, Ellsworth RM: The ultrasonic characteristics of retinoblastoma . Am J Ophthalmol 1974;78:606-611. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Ophthalmology American Medical Association

Ultrasonic Characteristics of Retinopathy of Prematurity Presenting With Leukokoria

Archives of Ophthalmology , Volume 103 (11) – Nov 1, 1985

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Publisher
American Medical Association
Copyright
Copyright © 1985 American Medical Association. All Rights Reserved.
ISSN
0003-9950
eISSN
1538-3687
DOI
10.1001/archopht.1985.01050110084031
Publisher site
See Article on Publisher Site

Abstract

Abstract • The B-mode ultrasonic appearance of eyes afflicted with retinopathy of prematurity exhibiting leukokoria was retrospectively investigated as an aid to increase the accuracy in assessing the patient with leukokoria. B-mode sonograms were obtained employing the immersion technique (Sonometrics 150 A/B-mode instrument). Contact A-mode confirmation was made (Kretztechnik 7200 MA instrument). Prominent B-mode characteristics included echo patterns consistent with increased corneal thickness (47%), shallow anterior chamber depth (73%), malpositioned lens (64%), cataractous lens changes (64%), fibroproliferation in the anterior vitreous (63%), total retinal detachment (53%), partial retinal detachment and/or retinal fold (30%), choroidal thickening (30%), and acoustic shadowing of orbital fat (33%). Together, these features aid in the ultrasonic differentiation from other causes of leukokoria. References 1. Howard GM, Ellsworth RM: Differential diagnosis in retinoblastoma: A statistical survey of 500 children . Am J Ophthalmol 1956;60:610. 2. Kushner BJ, Gloeckner E: Retrolental fibroplasia in full-term infants without exposure to supplemental oxygen . Am J Ophthalmol 1984; 97:148-153. 3. The Committee for the Classification of Retinopathy of Prematurity: An international classification of retinopathy of prematurity . Arch Ophthalmol 1984;102:1130-1134.Crossref 4. Hittner H, Rhodes LM, McPherson A: Anterior segment abnormalities in cicatricial retinopathy of prematurity . Ophthalmology 1979;86:803-816.Crossref 5. Sterns GK, Coleman DJ, Ellsworth RM: The ultrasonic characteristics of retinoblastoma . Am J Ophthalmol 1974;78:606-611.

Journal

Archives of OphthalmologyAmerican Medical Association

Published: Nov 1, 1985

References

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