Ultrasound Findings in Endophthalmitis

Overview

The ultrasound examination is the integral part of diagnostic procedure in endophthalmitis.During the ultrasound examination we may follow the organization ofopacities in the vitreous, membranes formation, the thickening of the choroid,posterior vitreous membrane detachment, detachment of the choroid, the retinaldetachment, chorideal abscess or granuloma, the edema of the optic nerve headand thickening of sclera. Not all of these ultrasound findings are always present.In our retrospective study, ultrasound findings of 17 eyes of 17 patients hospitalizedat the Department of Ophthalmology at the School of Medicine, PalackýUniversity in Olomouc during the period September 1999 – December 2002, werefollowed.Ultrasound findings in all eyes were evaluated and the final central visual acuity(VA) was followed.In eyes with VA 6/60 (20/200 or 0.1) or worse, the posterior vitreous membrane wasnot at all or only partially detached. In this group the finding of choroid thickeningwas more common. The finding of incomplete or absent posterior vitreous membranedetachment, and/or the thickening of the choroid might be prognosticunfavorable ultrasound finding in endophthalmitis.

Key words:
ultrasound, endophthalmitis