Assessment Of Optic Nerve Head Changes Using Ultrasound Imaging | ||||
| Al-Azhar International Medical Journal | ||||
| Volume 2025, Issue 4, April 2025 | ||||
| DOI: 10.58675/2682-339X.2895 | ||||
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| Authors | ||||
| Adel Abdelaziz Hassouna; Abdelghany Abdelghany; Khaled Ali | ||||
| Ophthalmology, Faculty of Medicine for Boys, Al-Azhar University, Cairo, Egypt | ||||
| Abstract | ||||
| Background: Ultrasound is a simple technique for visualizing ocular anatomy and pathology because the eye is a fluid-filled structure. Aim: Assessment of some optic disc disorders like papilledema, optic disc drusen, and Glaucomatous cupping using ultrasonography. Patients and methods: This was a Cross-sectional Descriptive study performed on 40 eyes of patients who visited the outpatient clinics of the Ophthalmology dep. The Al-Hussain and Sayed Galal hospitals started in September 2022 and will end in Mar. 2024. Results: According to BCVA, 25% had a Visual acuity assessment of 4/60, 47.5% had a Visual acuity assessment of 6/36, and 27.5% had a Visual acuity assessment of 6/60. Regarding corneal clearness, 92.5% had a clear cornea, 7.5% had an opaque cornea, and 100.0% had a Regular Contour. According to the lens Characteristics, 92.5% had clear lenses, 5% had Pseudophakia, and 2.5% had nuclear cataract. The mean IOP was 17.37 ± 1.32 for patients with Glaucomatous cupping. The mean IOP was 15.76 ± 2.17 for the rest of the cases. Also shows that the mean CD ratio was 0.82 ± 0.16. The ROC curve analysis of US imaging and IOP in papilledema, optic disc drusen, and Glaucomatous cupping. The Sensitivity of IOP was 66% while the specificity was 65%. The Sensitivity of the US was 92% while the specificity was 90%. Conclusion: Ultrasonography effectively detects optic disc disorders like papilledema, optic disc drusen, and glaucomatous cupping, but further studies are needed to confirm results on a large scale. | ||||
| Keywords | ||||
| Ultrasound; optic disc; Eye; Glaucomatous | ||||
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