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Vitreous Surgery: Preoperative Evaluation and Prognostic Value of Ultrasonic Display of Vitreous Hemorrhage

Vitreous Surgery: Preoperative Evaluation and Prognostic Value of Ultrasonic Display of Vitreous... Abstract Recent progress in vitreous surgical techniques affords patients with intravitreal hemorrhages a chance for improved vision. However, careful selection of those cases which will be most benefited and their preoperative evaluation for choice of surgical procedure are crucial. One hundred patients with vitreous hemorrhages were examined ultrasonically, to show the extent and nature of intraocular changes. The ultrasonic patterns were classified according to the cause (spontaneous or traumatic), location (anterior or posterior), and density of the hemorrhage, and the presence of membranes. Patients had follow-up for at least one year to determine those ultrasonic patterns that predicted the potential benefit from surgery. These data indicated that hemorrhage in the solid anterior vitreous, moderate density of the hemorrhage, or the presence of membranes proved the most reliable predictors. References 1. Coleman DJ: Ultrasound in vitreous surgery . Trans Am Acad Ophthalmol Otolaryngol 76:467-479, 1972. 2. Coleman DJ: Reliability of ocular and orbital diagnosis with B-scan ultrasound . Am J Ophthalmol 73:501-516, 1972. 3. Oksala A, Lehtinen A: Experimental researches on vitreous hemorrhage and on the echogram emitted by them . Acta Ophthalmol 37:17-25, 1959.Crossref 4. Rousselie F, Clay C, Karantinos D: hémorragies dans le vitre et échographie A . Arch Ophtal 31:399-412, 1971. 5. Coleman DJ: Ultrasonic localization of traumatic retinal tears. Read before the Association for Research in Vision and Ophthalmology, Sarasota, Fla, 1973. 6. Coleman DJ, et al: Ultrasonic diagnosis of tumors of the choroid . Arch Ophthalmol 91:344-354, 1974.Crossref 7. Coleman DJ, Jack RL, Franzen LA: Ultrasonography in ocular trauma . Am J Ophthalmol 75:279-288, 1973. 8. Machemer R: A new concept for vitreous surgery: II. Surgical technique and complications . Am J Ophthalmol 74:1022-1033, 1972. 9. Coleman DJ: A diamond knife for vitreous surgery . Trans Am Acad Ophthalmol Otolaryngol 76:522-523, 1972. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Ophthalmology American Medical Association

Vitreous Surgery: Preoperative Evaluation and Prognostic Value of Ultrasonic Display of Vitreous Hemorrhage

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References (11)

Publisher
American Medical Association
Copyright
Copyright © 1974 American Medical Association. All Rights Reserved.
ISSN
0003-9950
eISSN
1538-3687
DOI
10.1001/archopht.1974.01010010387003
Publisher site
See Article on Publisher Site

Abstract

Abstract Recent progress in vitreous surgical techniques affords patients with intravitreal hemorrhages a chance for improved vision. However, careful selection of those cases which will be most benefited and their preoperative evaluation for choice of surgical procedure are crucial. One hundred patients with vitreous hemorrhages were examined ultrasonically, to show the extent and nature of intraocular changes. The ultrasonic patterns were classified according to the cause (spontaneous or traumatic), location (anterior or posterior), and density of the hemorrhage, and the presence of membranes. Patients had follow-up for at least one year to determine those ultrasonic patterns that predicted the potential benefit from surgery. These data indicated that hemorrhage in the solid anterior vitreous, moderate density of the hemorrhage, or the presence of membranes proved the most reliable predictors. References 1. Coleman DJ: Ultrasound in vitreous surgery . Trans Am Acad Ophthalmol Otolaryngol 76:467-479, 1972. 2. Coleman DJ: Reliability of ocular and orbital diagnosis with B-scan ultrasound . Am J Ophthalmol 73:501-516, 1972. 3. Oksala A, Lehtinen A: Experimental researches on vitreous hemorrhage and on the echogram emitted by them . Acta Ophthalmol 37:17-25, 1959.Crossref 4. Rousselie F, Clay C, Karantinos D: hémorragies dans le vitre et échographie A . Arch Ophtal 31:399-412, 1971. 5. Coleman DJ: Ultrasonic localization of traumatic retinal tears. Read before the Association for Research in Vision and Ophthalmology, Sarasota, Fla, 1973. 6. Coleman DJ, et al: Ultrasonic diagnosis of tumors of the choroid . Arch Ophthalmol 91:344-354, 1974.Crossref 7. Coleman DJ, Jack RL, Franzen LA: Ultrasonography in ocular trauma . Am J Ophthalmol 75:279-288, 1973. 8. Machemer R: A new concept for vitreous surgery: II. Surgical technique and complications . Am J Ophthalmol 74:1022-1033, 1972. 9. Coleman DJ: A diamond knife for vitreous surgery . Trans Am Acad Ophthalmol Otolaryngol 76:522-523, 1972.

Journal

Archives of OphthalmologyAmerican Medical Association

Published: Nov 1, 1974

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