Ultrasound biomicroscopy in the clinical evaluation of ab externo holmium:YAG laser sclerostomies.
High-frequency ultrasound biomicroscopy (UBM) has extensive powers of resolution. This makes it possible to explore and study some areas of the anterior segment with a clarity close to that of histologic preparations. High-frequency UBM was used in the clinical evaluation of 10 glaucomatous eyes subjected to ab externo holmium:yttrium-aluminum-garnet (Ho:YAG) laser sclerostomy. The anatomic characteristics of the fistular paths were viewed and compared with echographic images. The authors demonstrated that in the 5 cases where the filtering bleb, fistular path, and internal ostium were present, there was a reduction of intraocular pressure. UBM is a high-definition diagnostic instrument in the follow-up of fistular paths and filtering blebs after Ho:YAG laser sclerostomy, making it possible to reoperate at an early stage before the onset of clinical manifestations.
Mannino
G
G
University of Rome La Sapienza, Institute of Ophthalmology, Italy.
De Bella
F
F
Bozzoni Pantaleoni
F
F
Pescosolido
N
N
Balacco Gabrieli
C
C
D000328:Adult; D000368:Aged; D003228:Conjunctiva / Q000000981:diagnostic imaging; D003315:Cornea / Q000000981:diagnostic imaging* / Q000601:surgery; D005260:Female; D005402:Fistula / Q000000981:diagnostic imaging / Q000209:etiology; D005901:Glaucoma / Q000000981:diagnostic imaging / Q000601:surgery*; D006801:Humans; D007429:Intraocular Pressure; D007498:Iris / Q000000981:diagnostic imaging; D007499:Iris Diseases / Q000000981:diagnostic imaging / Q000209:etiology; D053685:Laser Therapy; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications; D012590:Sclera / Q000000981:diagnostic imaging* / Q000601:surgery; D015422:Scleral Diseases / Q000000981:diagnostic imaging / Q000209:etiology; D012599:Sclerostomy; D014463:Ultrasonography