The options of ultrasound biomicroscopy in the diagnosis of post-traumatic pathology of the anterior segment of the eyeball

Abstract

BACKGROUND: In the literature, there are scarce publications on the use of ultrasound biomicroscopy in patients with post-traumatic changes in the anterior segment of the eyeball. AIM: The aim of this study is to study the anatomical and topographic features of post-traumatic conditions of the anterior segment of the eyeball, to determine the criteria for the progression of the disease, to evaluate the possibilities of using the data obtained to determine the tactics of surgical treatment and of individual approach to the choice of implantable optical and diaphragmatic implants. MATERIALS AND METHODS: The study is based on the analysis of the results of ultrasound biomicroscopy of 360 patients with the sequelae of traumatic injuries of the anterior segment of the eyeball. The patients were divided into groups depending on the nature and degree of damage to the iris. The IA group combined clinical cases where the iris defect was less than 30%; the IB group more than 30%. RESULTS: Using ultrasound biomicroscopy, not only the zones of interest were visualized, but the anatomical relationship between the morphological structures of the anterior eye segment and the ciliary body was determined in vivo, their acoustic density was evaluated, and the necessary linear parameters of the eye were measured in the case of ordering and subsequent implantation of intraocular products. CONCLUSIONS: Ultrasound biomicroscopy should be considered as an integral part of the diagnostic examination of patients at the stage of preparation for opto-reconstructive procedure.