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Role of echography in diagnostic dilemma in choroidal masses

PURPOSE: To evaluate the role of echography in diagnosis and management of a diverse array of choroidal masses. MATERIALS AND METHODS: Sixty-two cases of clinically suspected choroidal masses were prospectively analyzed with B-scan (10 Hz), A-scan, and ultrasound biomicroscopy (UBM) (50 Hz) after a...

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Detalles Bibliográficos
Autores principales: Mithal, Kopal N, Thakkar, Hansa H, Tyagi, Mudit A, Bharwada, Rekha M, Billore, Puja O
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Medknow Publications & Media Pvt Ltd 2014
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4005232/
https://www.ncbi.nlm.nih.gov/pubmed/24618487
http://dx.doi.org/10.4103/0301-4738.128626
Descripción
Sumario:PURPOSE: To evaluate the role of echography in diagnosis and management of a diverse array of choroidal masses. MATERIALS AND METHODS: Sixty-two cases of clinically suspected choroidal masses were prospectively analyzed with B-scan (10 Hz), A-scan, and ultrasound biomicroscopy (UBM) (50 Hz) after a meticulous history and ocular examination. Ancillary investigations and systemic evaluation were also done. RESULTS: Based on clinical suspicion, acoustic features, response to treatment, and other ancillary tests combined together, the various masses were differentiated. The cases included in the study were as follows: n = 10 malignant melanomas, n = 16 metastasis and infiltrations, n = 9 hemangioma, n = 7 tuberculoma, n = 8 nonspecific inflammatory masses, n = 2 disciform plaques, n = 4 macular cysts or retinoschisis, n = 2 Coat's disease, n = 1 melanocytoma, and n = 2 osteomas. Ultrasonography (USG) alone could identify n = 51 lesions, while UBM in combination with USG was needed in remaining 11 masses. CONCLUSION: Standardized echography is an important adjunct in the diagnosis and management of eyes with intraocular masses. A better understanding of the clinicopathological and echographic picture of the diverse lesions can help in detection, differentiation, diagnosis, proposing a therapeutic approach, and also monitoring response to treatment. Echography is essential to evaluate tumors for extrascleral and anterior segment extension.