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B-Scan Ultrasonography Findings in Unilateral Posterior Scleritis

PURPOSE: To evaluate the B-scan ultrasound findings in unilateral posterior scleritis. METHODS: This was a retrospective observational case series at a tertiary uveitis clinic. The study population included patients who had been diagnosed with milder forms of unilateral posterior scleritis since 201...

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Autores principales: Maleki, Arash, Ruggeri, Maria, Colombo, Amanda, Asgari, Soheila, Look-Why, Sydney, Apoorva, Shimy, Foster, C. Stephen
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Wolters Kluwer - Medknow 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9128424/
https://www.ncbi.nlm.nih.gov/pubmed/35620365
http://dx.doi.org/10.4103/joco.joco_267_21
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author Maleki, Arash
Ruggeri, Maria
Colombo, Amanda
Asgari, Soheila
Look-Why, Sydney
Apoorva, Shimy
Foster, C. Stephen
author_facet Maleki, Arash
Ruggeri, Maria
Colombo, Amanda
Asgari, Soheila
Look-Why, Sydney
Apoorva, Shimy
Foster, C. Stephen
author_sort Maleki, Arash
collection PubMed
description PURPOSE: To evaluate the B-scan ultrasound findings in unilateral posterior scleritis. METHODS: This was a retrospective observational case series at a tertiary uveitis clinic. The study population included patients who had been diagnosed with milder forms of unilateral posterior scleritis since 2010 and had B-scan ultrasonography of that eye. The healthy eye of each patient was considered the control eye for that patient. RESULTS: The average age of patients was 50.2 ± 17.8 (range, 18–67). Posterior scleritis was idiopathic in 6 (66.7%) patients and associated with rheumatoid arthritis in two and HLA-B27 ankylosing spondylitis in one patient. The thickness of the thickest area in the diseased eye was 2.08 ± 0.49 (range, 1.35–3.2) and the control eye was 1.53 ± 0.38 (range, 1.03–2.3). The difference between the symptomatic and control eye was statistically significantly different (P = 0.02). 1.7 mm was the cut-off-point on the receiver operating characteristics curve with the highest combined sensitivity and specificity of 87.5% and 88.9%, respectively. Comparing the thickness of the thickest section of the symptomatic eye of one patient with the same section in the other eye of the same patient, there was a difference of 20% or more in sclero-choroidal complex. CONCLUSIONS: In this study, the sclero-choroidal complex thickness higher than 1.7 mm has the highest combined sensitivity and specificity. Comparing the thickest section of the symptomatic eye of one patient with the same section in the other eye can be diagnostic.
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spelling pubmed-91284242022-05-25 B-Scan Ultrasonography Findings in Unilateral Posterior Scleritis Maleki, Arash Ruggeri, Maria Colombo, Amanda Asgari, Soheila Look-Why, Sydney Apoorva, Shimy Foster, C. Stephen J Curr Ophthalmol Original Article PURPOSE: To evaluate the B-scan ultrasound findings in unilateral posterior scleritis. METHODS: This was a retrospective observational case series at a tertiary uveitis clinic. The study population included patients who had been diagnosed with milder forms of unilateral posterior scleritis since 2010 and had B-scan ultrasonography of that eye. The healthy eye of each patient was considered the control eye for that patient. RESULTS: The average age of patients was 50.2 ± 17.8 (range, 18–67). Posterior scleritis was idiopathic in 6 (66.7%) patients and associated with rheumatoid arthritis in two and HLA-B27 ankylosing spondylitis in one patient. The thickness of the thickest area in the diseased eye was 2.08 ± 0.49 (range, 1.35–3.2) and the control eye was 1.53 ± 0.38 (range, 1.03–2.3). The difference between the symptomatic and control eye was statistically significantly different (P = 0.02). 1.7 mm was the cut-off-point on the receiver operating characteristics curve with the highest combined sensitivity and specificity of 87.5% and 88.9%, respectively. Comparing the thickness of the thickest section of the symptomatic eye of one patient with the same section in the other eye of the same patient, there was a difference of 20% or more in sclero-choroidal complex. CONCLUSIONS: In this study, the sclero-choroidal complex thickness higher than 1.7 mm has the highest combined sensitivity and specificity. Comparing the thickest section of the symptomatic eye of one patient with the same section in the other eye can be diagnostic. Wolters Kluwer - Medknow 2022-04-16 /pmc/articles/PMC9128424/ /pubmed/35620365 http://dx.doi.org/10.4103/joco.joco_267_21 Text en Copyright: © 2022 Journal of Current Ophthalmology https://creativecommons.org/licenses/by-nc-sa/4.0/This is an open access journal, and articles are distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as appropriate credit is given and the new creations are licensed under the identical terms.
spellingShingle Original Article
Maleki, Arash
Ruggeri, Maria
Colombo, Amanda
Asgari, Soheila
Look-Why, Sydney
Apoorva, Shimy
Foster, C. Stephen
B-Scan Ultrasonography Findings in Unilateral Posterior Scleritis
title B-Scan Ultrasonography Findings in Unilateral Posterior Scleritis
title_full B-Scan Ultrasonography Findings in Unilateral Posterior Scleritis
title_fullStr B-Scan Ultrasonography Findings in Unilateral Posterior Scleritis
title_full_unstemmed B-Scan Ultrasonography Findings in Unilateral Posterior Scleritis
title_short B-Scan Ultrasonography Findings in Unilateral Posterior Scleritis
title_sort b-scan ultrasonography findings in unilateral posterior scleritis
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9128424/
https://www.ncbi.nlm.nih.gov/pubmed/35620365
http://dx.doi.org/10.4103/joco.joco_267_21
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