[Ultrasound biomicroscopy in eyelid lesions - a clinical study on 30 patients].
BACKGROUND
The value of ultrasound biomicroscopy in the diagnosis of eyelid lesions is not well known.


METHODS
For the examination of eyelid lesions, we used an ultrasound biomicroscope (Humphrey, Zeiss, Oberkochen) with high-frequency transducers (30 and 50 MHz). Between November 1998 and December 1999, 30 patients with eyelid lesions, range 8 to 86 years, were available for this study.


RESULTS
Histological examination of the excised tissue displayed the presence of chalazion (9/30), basal cell carcinoma (7/30), seborrhoic keratosis (4/30), a granulomatous process (4/30), cysts (2/30), an epidermoid cyst (1/30), a nevus (1/30), a pilomatrixoma (1/30), and a comedo (1/30). With ultrasound biomicroscopy we were able to demonstrate a cyst or a cystic tumour in six patients (20 %); i. e. two patients with a cyst of the eyelid, two patients with chalazion, one patient with a granulomatous process and one patient with an epidermoid cyst. In the patients with solid tumours of the eyelid, final diagnosis with ultrasound biomicroscopy only is not possible.


CONCLUSIONS
For evaluation of cystic or solid eyelid lesions, ultrasound biomicroscopy may be an additional diagnostic tool, e. g. for assessment of the margins of the tumour. However, up to now it is not possible to differentiate tumours if only ultrasound biomicroscopic findings are available.
Buchwald
Hans-Jürgen
HJ
Universitäts-Augenklinik Ulm, Germany.
Spraul
Christoph W
CW
Kampmeier
Jürgen
J
Lang
Gerhard K
GK
D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D002648:Child; D003560:Cysts / Q000000981:diagnostic imaging / Q000473:pathology; D003937:Diagnosis, Differential; D005141:Eyelid Diseases / Q000000981:diagnostic imaging / Q000473:pathology; D005142:Eyelid Neoplasms / Q000000981:diagnostic imaging* / Q000473:pathology; D005143:Eyelids / Q000000981:diagnostic imaging / Q000473:pathology; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D012680:Sensitivity and Specificity; D014463:Ultrasonography