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
                  Choroidal Melanoma  
          
                                  
      
                                                                                     
       Standardized A-scan: confirms                                                                               Standardized A-scan: diagnoses
 
                         Malignant Melanoma                                                                                                       Malignant Melanoma
                                                                                                                                                               
 
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                          Case # 4                .............................Case # 5..............................                             
          Immersion Method             
UBM-B-scan:Solid Iris Tumor    Standardized A-scan Diagnosis:
                                                   
longitudinal scan           malignant iris melanoma
(between arrows)                                                      
 
                  
       
Axial Eye Length Measurement                          transverse scan

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          other TUMORS of posterior eye segment:                                        

                                  ...................................Case # 6...................................   

                                            Small Cell Carcinoma from the lung metastatic to choroid OS

                                    

 

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                      ...................................Case # 7...................................

                                            Chorioidal Hemangioma 

                    

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                  ...................................Case # 8...................................

      

                                                          Disciform Macula Degeneration 

                                                         

 

1                                    1 month follow-up shows marked decrease in height

                                            

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                    Examples of ORBITAL TUMORS:

                             ..............................Case # 9...................................

                                                                      Cavernous Hemangioma (adult type)

                                

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                           ...................................Case # 10...................................          

                                                                                                       Orbital Lymphoma

                                                     

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                                                     ...................................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

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                            ...................................Case # 12..................................         

                                                                                                  Rhabdomyosarcoma diagnosed with Standardized Echography

                   

                                                                                                                                        at T+     large angle kappa! 

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                Measuring Points of Extraocular Muscles (example of medial rectus muscle):

                                              

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                           ...................................Case # 13..................................

                                               bilateral lateral rectus myositis (OD > OS)

               

 

 

                                                                                                              

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                          ...................................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>
                                                        over belly region (IV) to orbital apex (V) <right column>

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                          ...................................Case # 15..................................

            Measurement of e.o. muscles and Grading of the severity of Graves' orbitopathy (orbital profile, muscle index, superonasal index)

                                                          

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          Optic Nerve Measurements:

                                      
                               

                              Red Arrows mark Arachnoidal Diameter  Blue Arrows mark Pial Diameter   Green Arrows mark Dural Diameter

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                           ...................................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                     
         subarachnoidal fluid surrounding                diameter  (normally < 4.5 mm)           (normally about 0.5 mm)                                                                                                                       
   most anterior optic nerve ("flying bat" sign)         
with Standardized A-scan              with Standardized A-scan

                          

   
                                                      
Arachnoidal Diameters 

                               Before Drainage of  of Cyst     Immediately after Drainage       2 months later

                                                                      

                                    Upper Echograms from Right Optic Nerve      Lower Echograms from Left Optic Nerve

         

          

 

 

    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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For more information on these meetings, courses, workshops and Training in Standardized Ophthalmic Echography contact
Echography Teaching Services  karl.ossoinig@echography.com
back to / zurück zu  Courses & Workshops click here / hier drücken

 

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