Some Examples of Echograms, Echographic Techniques and Echographic Diagnoses as taught and explained in our courses and workshops:
Case # 1 Case # 2 Case # 3
B-scan:
diagnoses
UBM- B-scan: diagnoses
Iris Cyst
B-scan: shows Choroidal Tumor
Case # 4
.............................Case # 5..............................
--------------------------------------------------------------------------------------------------------------------------------------------- other TUMORS of posterior eye segment: ...................................Case # 6...................................
Small
Cell Carcinoma
from the
lung metastatic
to
choroid
OS
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- ...................................Case # 7................................... Chorioidal Hemangioma
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- ...................................Case # 8...................................
Disciform Macula Degeneration
1 1 month follow-up shows marked decrease in height
---------------------------------------------------------------------------------------------------------------------------------------------------------------------------- Examples of ORBITAL TUMORS: ..............................Case # 9................................... Cavernous Hemangioma (adult type)
--------------------------------------------------------------------------------------------------------------------------------------------------------------------------- ...................................Case # 10................................... Orbital Lymphoma
--------------------------------------------------------------------------------------------------------------------------------------------------------------------------- ...................................Case # 11.................................. Mixed Cavernous/Capillary Hemangioma in muscle cone of Newborne Baby (Infant-type Hemangioma)
2 days after birth after 1 week of treatment (Prednisone) 5 years later
OS OD OS ------------------------------------------------------------------------------------------------------------------------------------------------------------------------ ...................................Case # 12.................................. Rhabdomyosarcoma diagnosed with Standardized Echography
at T+ large angle kappa! --------------------------------------------------------------------------------------------------------------------------------------------------------------------------- Measuring Points of Extraocular Muscles (example of medial rectus muscle):
--------------------------------------------------------------------------------------------------------------------------------------------------------------------------- ...................................Case # 13.................................. bilateral lateral rectus myositis (OD > OS)
--------------------------------------------------------------------------------------------------------------------------------------------------------------------------- ...................................Case # 14.................................. Prostate Cancer (metastasis to left medial rectus muscle) B-scans (longitudinal) show Tumor within Muscle sheaths A-scans proof Metastatic Carcinoma
A-scans from around inserting tendon (I) aiming posteriorly over
measuring point III <left column> --------------------------------------------------------------------------------------------------------------------------------------------------------------------------- ...................................Case # 15.................................. Measurement of e.o. muscles and Grading of the severity of Graves' orbitopathy (orbital profile, muscle index, superonasal index)
--------------------------------------------------------------------------------------------------------------------------------------------------------------------------- Optic Nerve Measurements:
Red Arrows mark Arachnoidal Diameter Blue Arrows mark Pial Diameter Green Arrows mark Dural Diameter --------------------------------------------------------------------------------------------------------------------------------------------------------------------------- ...................................Case # 16.................................. Increased Intracranial Pressure (bilateral optic nerve sheath distensions) due to Intracranial Arachnoidal Cyst
B-scan showing
the increased
Measurement of arachnoidal Measurement of optic disc
elevation unilateral
papilledema
Before Drainage of of Cyst Immediately after Drainage 2 months later
Upper Echograms from Right Optic Nerve Lower Echograms from Left Optic Nerve
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Differential Diagnoses of orbital tumors using Quantitative Echography (examples of paraocular echograms):
Lymphangioma Metastatic Carcinoma Lymphoma Serous Cyst
Adenoid Cystic Carcinoma
Peri-orbital Malignancy Cavernous Hemangioma (adult
type) orbital Mucocele
Differential Diagnoses of orbital tumors using Quantitative Echography (examples of transocular echograms):
From Left to Right upper row:
hemangioma (infant type), hemangioma (adult type), lymphoma
middle row: lymphoma, adenoid-cystic carcinoma, A-V fistula
lower row: hemangioma (adult type), orbital mucocele, lymphangioma
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