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EYE SIGNS IN
RADIOLOGY
-DR. BHAVANA K.
EYE OF THE TIGER SIGN
EYE OF THE TIGER SIGN
■ PKAN (Pantothenate kinase-
associated neurodegeneration)
Hallervorden-Spatz syndrome
■ The "eye" corresponds to the low
signal globus pallidus with the
central focus of high signal. The
low signal is secondary to the iron
deposition.
BULL’S EYE SIGN
BULL’S EYE SIGN
 Intussusception
 Alternating hypoechoic &
hyperechoic concentric rings gives
the 'Bull's eye' or target
appearance on ultrasound
examination.
 Submucosa forms hypoechoic ring
and mucosa and muscularis
propria form echoic rings
RA’S EYE SIGN
RA’S EYE SIGN
■ Sprengel Shoulder
■ On MRI in the sagittal plane, the
appearance of the omovertebral
band, in association with the
peripheral fat tissue, has been
termed the 'Ra's eye' sign
SNAKE EYE SIGN
SNAKE EYE SIGN
■ Snake eyes appearance has been
described in disorders like
compressive myelopathy, ALS,
cervical spondylotic amyotrophy,
Hirayama disease, and ossification
of posterior longitudinal ligament
■ On axials, the gray matter is seen
to be oedematous and
hyperintense, giving the 'snake
eyes' sign.
SNAKE EYE’S SIGN
 The facial nerve on coronal CT
 Posterior to the genu of the facial
nerve, the tympanic and labyrinthine
segments are seen as two 'dots'
which look like eyes of a snake
FROG EYE SIGN
FROG EYE SIGN
■ Anencephaly on ultrasound
■ On coronal ultrasound, the absence
of the calvaria coupled with
prominent orbits gives the fetus the
'frog eye' sign
HARLEQUIN EYE SIGN
HARLEQUIN EYE SIGN
■ The harlequin eye deformity may
be seen in unilateral or bilateral
coronal suture synostosis, and
refers to the elevation of the
superolateral corner of the orbit.
BLACK EYEBROW SIGN
BLACK EYEBROW SIGN
■ This 'black eye brow' sign signifies
an orbital floor or medial wall
fracture
■ On plain facial radiograph, lucent
intra-orbital air gives the
appearance of a black eye brow.
WINKING OWL SIGN
WINKING OWL SIGN
■ The absent pedicle represents
the 'winking eye'.
■ The right pedicle is the open eye
and the spinous process
represents the beak of an owl
■ Destroyed pedicle- spinal
metastases, tuberculosis and
other infections, primary bone
lesions like lymphoma
■ Congenital absence/hypoplasia
of a pedicle
■ Neurofibromatosis
■ Radiation therapy
Eye signs in radiology

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Eye signs in radiology

  • 1.
  • 3. EYE OF THE TIGER SIGN
  • 4. EYE OF THE TIGER SIGN ■ PKAN (Pantothenate kinase- associated neurodegeneration) Hallervorden-Spatz syndrome ■ The "eye" corresponds to the low signal globus pallidus with the central focus of high signal. The low signal is secondary to the iron deposition.
  • 6. BULL’S EYE SIGN  Intussusception  Alternating hypoechoic & hyperechoic concentric rings gives the 'Bull's eye' or target appearance on ultrasound examination.  Submucosa forms hypoechoic ring and mucosa and muscularis propria form echoic rings
  • 8. RA’S EYE SIGN ■ Sprengel Shoulder ■ On MRI in the sagittal plane, the appearance of the omovertebral band, in association with the peripheral fat tissue, has been termed the 'Ra's eye' sign
  • 10. SNAKE EYE SIGN ■ Snake eyes appearance has been described in disorders like compressive myelopathy, ALS, cervical spondylotic amyotrophy, Hirayama disease, and ossification of posterior longitudinal ligament ■ On axials, the gray matter is seen to be oedematous and hyperintense, giving the 'snake eyes' sign.
  • 11. SNAKE EYE’S SIGN  The facial nerve on coronal CT  Posterior to the genu of the facial nerve, the tympanic and labyrinthine segments are seen as two 'dots' which look like eyes of a snake
  • 13. FROG EYE SIGN ■ Anencephaly on ultrasound ■ On coronal ultrasound, the absence of the calvaria coupled with prominent orbits gives the fetus the 'frog eye' sign
  • 15. HARLEQUIN EYE SIGN ■ The harlequin eye deformity may be seen in unilateral or bilateral coronal suture synostosis, and refers to the elevation of the superolateral corner of the orbit.
  • 17. BLACK EYEBROW SIGN ■ This 'black eye brow' sign signifies an orbital floor or medial wall fracture ■ On plain facial radiograph, lucent intra-orbital air gives the appearance of a black eye brow.
  • 19. WINKING OWL SIGN ■ The absent pedicle represents the 'winking eye'. ■ The right pedicle is the open eye and the spinous process represents the beak of an owl ■ Destroyed pedicle- spinal metastases, tuberculosis and other infections, primary bone lesions like lymphoma ■ Congenital absence/hypoplasia of a pedicle ■ Neurofibromatosis ■ Radiation therapy