DAVID SUTTON PICTURES ULTRASOUND OF THE EYE AND ORBIT ONLY FOR STUDY SHARING

1. 50
ULTRASOUND OF THE EYE
AND ORBIT
DAVID SUTTON

2. DAVID SUTTON PICTURES
DR. Muhammad Bin Zulfiqar
PGR-FCPS III SIMS/SHL

3. • Fig. 50.1 (A) Normal eye showing iris (small
arrow), posterior lens surface (arrow) and
clear vitreous (open arrow). Horizontal scan.
(B) Normal eye deviated left, showing optic
nerve (arrow). Horizontal scan.

4. • Fig. 50.2 Vertical section of the eye and orbit.
(From Cosgrove et al 2001.)

5. • Fig. 50.3 Horizontal section through eye.
(From Cosgrove et al 2001.)

8. • Fig. 50.6 Colour Doppler scan showing normal
central retinal artery (red) and vein (blue).

11. • Fig. 50.9 Ectopic lens (arrow) and retinal
detachment in Homocystinuria. Horizontal
scan.(From Cosgrove et al 2001.)

13. • Fig. 50.11 Total retinal detachment, firm
anatomical attachment posteriorly at optic
nerve head (arrow), and anteriorly at ora
serrata. Horizontal scan.

14. • Fig. 50.12 Proliferative vitreoretinopathy
showing triangular retinal detachment and
transvitreal membrane (arrow). Horizontal scan.

16. • Fig. 50.14 Disciform lesion (arrow), small
subretinal haemorrhage. Horizontal scan.

17. • Fig. 50.15 Drusen of optic nerve head
(arrow). Horizontal scan. (From Cosgrove et al
2001.)

18. • Fig. 50.16 Choroidal detachment. Horizontal
scan.

19. • Fig. 50.17 Choroidal and retinal detachments
with vitreous collapse. Horizontal scan.

20. • Fig. 50.18 Suprachoroidal haemorrhage
(arrow). Horizontal scan.

21. • Fig. 50.19 Persistent hyperplastic primary
vitreous showing linear membrane (arrow).
Horizontal scan, eye deviated left.

22. • Fig. 50.20 Intragel haemorrhage with lacuna.
Horizontal scan.

23. • Fig. 50.21 Subvitreal haemorrhage in a
diabetic.

24. • Fig. 50.22 Dense vitreous haemorrhage
arranging into thick mobile fibrinous
membranes (arrow). Horizontal scan.

25. • Fig. 50.23 Asteroid hyalosis. Horizontal scan.

28. • Fig. 50.26 Vitreoretinal adhesion (arrow).
Haemorrhage within gel.

30. • Fig. 50.28 Fine vitreoretinal adhesion (arrow).
Horizontal scan.

31. • Fig. 50.29 (A) Choroidal metastases (arrow).
Vertical scan. (B) Colour Doppler scan.

33. • Fig. 50.31 Cottage-loaf shaped melanoma
below retinal detachment (arrow). Horizontal
scan.

34. • Fig. 50.32 Melanoma showing vascularity.
Power Doppler scan.

35. Fig. 50.33 Melanoma bursting through Bruch's
membrane (white arrow). Choroidal
excavation (black arrow).

37. • Fig. 50.35 Melanoma (arrow) and associated
subretinal haemorrhage (open arrow).

38. • Fig. 50.36 Extraocular
extension of melanoma
(arrow). Horizontal
scan.

39. • Fig. 50.37 Ciliary body melanoma (arrow).
Horizontal scan.

40. • Fig. 50.38 Osseous choristoma (arrow).

42. • Fig. 50.40 Retinoblastoma with calcium
deposits (arrow).

44. • Fig. 50.42 Retrolental fibroplasia showing
retinal loop (arrow).

45. • Fig. 50.43 Choroidal thickening (arrows)
following penetrating injury.

46. • Fig. 50.44 Displaced lens (arrow). Horizontal
scan. (From Cosgrove et al 2001.)

47. • Fig. 50.45 Traumatic vitreous haemorrhage and
collapse, with lacuna and vitreoretinal adhesion
causing shallow traction retinal detachment
(arrow). Vertical scan. (From Cosgrove et al 2001
.)

48. • Fig. 50.46 Vitreous laceration by shotgun
pellet, and incarceration into retina (arrow).
Horizontal scan. (From Cosgrove et al 2001 .)

49. • Fig. 50.47 Direct blow causing extensive
haemorrhage outlining lens, retinal dialysis
(arrow), and rupture of globe at equator.
Vertical scan. (Frorr Cosgrove et al 2001.)

50. Fig. 50.48 Direct blow causing intravitreal
blood-fluid level, thickening of inner coats,
and rupture of globe (arrow). Horizontal
scan. (From Cosgrove et al 2001.)

51. • Fig. 50.49 Phthisis bulbi. Calcified lens and
globe.

52. • Fig. 50.50 Metallic foreign body (arrow).
Horizontal scan. (From Cosgrove et al 2001.)

54. • Fig. 50.52 Horizontal section through eye and
orbit. (From Cosgrove et al 2001.)

55. • Fig. 50.53 Normal orbit, with medial rectus
and lateral rectus (arrow). Horizontal scan.

56. • Fig. 50.54 Thyroid ophthalmopathy, enlarged
belly of inferior rectus (arrow). Vertical scan.
(From Cosgrove et al 2001.)

58. • Fig. 50.56 ' T' sign (arrows). Fluid in Tenon's
capsule.

59. • Fig. 50.57 Colour Doppler scan showing
arterialised blood flow in dilated superior
ophthalmic vein. Vertical scan.

60. • Fig. 50.58 Orbital metastasis (arrow)
displacing optic nerve.

61. • Fig. 50.59 Lymphoma cupping globe.

62. • Fig. 50.60 Orbital rhabdomyosarcoma.
Vertical scan. (From Cosgrove et al 2001.)

64. • Fig. 50.62 Antral carcinoma invading orbital
floor (arrow) and elevating inferior rectus
muscle. Vertical scan. (From Cosgrove et al
2001.)

65. • Fig. 50.63 Orbital neurilemmoma (arrow).
Horizontal scan. (From Cosgrove et al 2001.)