Ophthalmic Ultrasound Ashok Garg, Arturo Perez Arteaga, Jose Maria Ruiz Moreno, T Mark Johnson, João J Nassaralla Jr
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1Jaypee Gold Standard Mini Atlas Series® OPHTHALMIC ULTRASOUND
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3Jaypee Gold Standard Mini Atlas Series® OPHTHALMIC ULTRASOUND
Editors Ashok Garg MS, PhD, FIAO (Bel) FRSM FAIMS ADMFICA International and National Gold Medalist Chairman and Medical Director Garg Eye Institute and Research Centre 235-Model Town, Dabra Chowk, Hisar-125005, India Jose Maria Ruiz Moreno MD, PhD Professor of Ophthalmology Albacete Medical School University of Castilla La Mancha Avendia de Almansa, 14 02006, Albacete, Spain T Mark Johnson MD, FRCS Consultant, Vitreo-retinal Surgeon National Retina Institute Suite 101 5530 Wisconsin Ave, Chevy Chase 20815, USA Arturo Perez Arteaga MD, PhD Medical Director Centro Oftalmologico Tlalnepantla Dr. Perez – Arteaga Vallarta No. 42 Tlalnepantla, Centro, Estado de Mexico 54000, Mexico João J Nassaralla Jr MD, FRCS Associate Professor of Ophthalmology University of Brasilia, DF Consultant Ophthalmic Surgeon Department of Retina and Vitreous Goiania Eye Institute Goiania GO, Brazil Foreword Mario Enrique Leonardo Duarte Tortoriello
4Published by
Jitendar P Vij
Jaypee Brothers Medical Publishers (P) Ltd
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Jaypee Gold Standard Mini Atlas Series® Ophthalmic Ultrasound
© 2010, Jaypee Brothers Medical Publishers
All rights reserved. No part of this publication and Photo CD ROM should be reproduced, stored in a retrieval system, or transmitted in any form or by any means: electronic, mechanical, photocopying, recording, or otherwise, without the prior written permission of the editors and the publisher.
First Edition: 2010
9789350250068
Typeset at JPBMP typesetting unit
Printed at
5Dedicated to
Ashok Garg
My family (Magali, my wife and Jorge, Guillermo and Magali my children) for the time, comprehension and patience that they have had with me during all these years of hard work.
Jose Maria Ruiz Moreno
My wife Joanne and my son Connor for providing me with their love, wisdom and support throughout the years.
T Mark Johnson
I dedicate my work to all the people in the world with ophthalmic diseases, with the best wish that we can improve with this kind of material our quality of care. I also dedicate this opus to Prof. Ashok Garg, because he has trusted in my work many times.
Arturo Perez Arteaga
My wife Belquiz and our children, Joao Neto, Arthur and Anna Paula, for providing me with their love, wisdom and support throughout the years.
João J Nassaralla Jr6
7CONTRIBUTORS 11FOREWORD
An antique proverb says that “One image is better than one thousand words”; nothing more than this truly applies to the echographic study of the eye. After two decades dedicated to the study and performance of the ophthalmic ultrasound, it is an honor and an enormous pleasure for me, to present to you and contribute in this magnificent Jaypee Gold Standard Mini Atlas Series: Ophthalmic Ultrasound.
When performing a historical review of ophthalmic ultrasound, we find that the media opacities were the initial motivation for the application of the ultrasound to the eye structures. Many things have changed since those beginning years. Currently, because of the efforts of many researches, many concepts have evolved since then, involving within many advantages to this particular study. Maybe we can say that the more important are as follows:
This book has explored all these new and antique possibilities of ophthalmic ultrasonography in a smooth and comprehensive way. Renowned ophthalmologists from around the world, are showing us in this mini atlas different pathologies from the point of view of the ocular echography. We can learn from one image; but furthermore, this opus is showing us the current state of this technology and leave us to enter in the field of imagination, about the possibilities that the ophthalmic 13ultrasonography will bring in the future, by itself or in conjunction to some other technologies for the diagnosis, follow-up and biometry of the eye and neighbor structures.
It has been a tremendous honor for me to participate and present to you this magnificent opus. I congratulate chief editor, editors and contributing authors for their remarkable efforts.
Mario Enrique Leonardo Duarte Tortoriello MD
Ophthalmologist, Sub-specialist in Ophthalmic Ultrasound
Chairman of Ophthalmology Department
Hospital Juàrez de Mexico, Secretarìa de Salud
(Secretary of Health), Mexico City
Clinical Professor of Ophthalmology, Medical School,
“Universidad Nacional Autonoma de Mexico”
(National University of Mexico)
Ophthalmic Ultrasound Consultant to “Centro Oftalmològico
Tlalnepantla” Tlalnepantla, Mexico
Office Address: Avenida San Agustin No. 2, Rincon de
Echegaray, Naucalpan, Estado de Mexico, Mexico 53309
Phone: 52-1-5537070647
15PREFACE
Ophthalmic ultrasound is an important diagnostic tool for various ocular and orbital diseases. A-scan biometry is quite significant for anterior segment surgeons for detecting axial length, depth of anterior chamber and IOL power calculation in cataract and lenticular refractive surgery. B-scan ultrasonography is commonly used by posterior segment surgeons in the diagnosis of various ocular pathologies and intraocular and retrobulbar tumors.
Concept of this book is to provide text and echograms details in an easy-to-read mini atlas form to serve as ready reckoner to ophthalmologists in their day-to-day practice. Nineteen chapters of this book provide in-depth analysis of A-scan and B-scan ultrasonography in all major ocular conditions in a comprehensive manner. This book provides correlation between clinical and ultrasound findings in a beautiful manner. International experts on this subject have shared their experiences in this mini atlas book.
At the end we are grateful to our publishers M/s Jaypee Brothers Medical Publishers (P) Ltd. especially Shri Jitendar P Vij (Chairman and Managing Director), Mr Tarun Duneja (Director-Publishing) and all staff members who took keen interest in this project and published it expeditiously.
Certainly, this book shall serve as quick look companion to ophthalmologists in their consultation room.
Editors