Comparison of immersion ultrasonography, ultrasound biomicroscopy and anterior segment optical coherence tomography in the evaluation of traumatic phacoceles.
Blunt ocular trauma in the elderly can result in anterior dislocation of the crystalline lens into the subconjunctival space (phacocele). Although rare, this presentation can be missed, especially if the patient presents several days after the injury and if the lid is not everted on examination. While a careful clinical examination is adequate in the diagnosis, imaging techniques can be put to use for the accurate location of the associated sclera rupture. We report three cases of post-traumatic phacocele wherein ultrasound biomicroscopy (UBM) was compared to the anterior segment optical coherence tomography (AS-OCT) and B-scan ultrasonography (B-scan), in order to establish the best imaging tool for this condition. We concluded, based on image quality, that UBM could be the imaging modality of choice to aid in the diagnosis of phacocele.
Cornea and Anterior Segment Services, LV Prasad Eye Institute, Kallam Anji Reddy Campus, Hyderabad, India.
Harikrishna
H
Vodapalli
Somasheila I
SI
Murthy
Subhadra
S
Jalali
Mohammad Javed
MJ
Ali
Padmaja Kumari
PK
Rani
D000368:Aged; D000869:Anterior Eye Segment / Q000000981:diagnostic imaging / Q000293:injuries* / Q000473:pathology; D002648:Child; D003937:Diagnosis, Differential; D005131:Eye Injuries / Q000150:complications / Q000175:diagnosis*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007906:Lens Subluxation / Q000175:diagnosis* / Q000209:etiology; D007908:Lens, Crystalline / Q000000981:diagnostic imaging / Q000293:injuries* / Q000473:pathology; D033401:Microscopy, Acoustic / Q000379:methods*; D008875:Middle Aged; D041623:Tomography, Optical Coherence / Q000379:methods*