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Abstract 93 SUMMARY Diagnostic ultrasound is an offspring of sonar. A-scan and B-scan are the most popular techniques of ophthalmic ulrasonic examination. In both techniques, a short pulse sound is transmitted and the returning echoes are received and examined. Diagnostic ophthalmic ultrasound requires a frequency of about 5 _ 25 M-I Z. The length of time it akes for ultrasound to travel from the transmitter to the back. of the eye and return to the receiver is approximately 30 million ths of a second. In the A-scan technique, the transdlucer is held against the cornea or sclera and the sound is sent in the direction in which the transducer points. The returning ech DeS are shown as upward deffections from a base line with the horizantal axis indicating distance. Any structure in the eye is an acoustic discontinuity and will return an echo, some obviously stronger than others We can see echoes returned from the cornea, the anterior lens capule, the posterir lens capsule and the p osteriar wall followed by multiple echoes from the orbital fat. In the B-scan technique, the transducer is 94 moved from side to side and the echoes, instead of appearing as upward spikes, are depicted as dats. The dats, when put together, make an anatomical picutre of the eye, with the intensity of the echo appearing as brightness. Ul trason ography has proved to be of grdat value in ophthalmology. Important informaticn has been obtained by ’correlating echo patterns, primarily on the basis of their lOcatian and appearance, with a variety of eye disorders. Ul trasono graphy provides a valuable means of evaluating opaque media where no other technique can provide sufficient information to determine adequately the diagnostic and rationale for treatment. Ultrasound offers an additional means of studing suspected ocular tumours. Ultrasound is as reliable as optical techniques in showing structural changes wi thin the eye. The location of intraocular foreign bodies can be found accurately with ultrasonog. Utrasound is even more helpful in the assessment of the associated dainage caused by a foreign body. Orbital ultrasonography provides a reliable, safe and Btraumatic method of examining th~ orbit for tumour, inflammatory change or foreign body, because ultrasonic tomograms can demonstrate the tissue outlines of the Orbital walls of globe, optic the normal nerve,muscles and orbit. In pathologic conditions abnormal mass outlines can be seen and their shape, position and acoustic character can be reliably used to differentiate orbital lesions. |