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B SCAN OF EYE
B SCAN
WHAT IS B SCAN
B-scan ultrasonography, or B-scan,
is a diagnostic test used in optometry
and ophthalmology to produce a two-
dimensional, cross-sectional view of
the eye and the orbit. It is otherwise
called brightness scan
INDICATIONS FOR EXAMINATION IN WHICH MEDIA IS HAZY
● lid problems
● keratoprosthesis,
● corneal opacities (eg, scars, severe edema),
● hyphema, hypopyon,
● miosis, pupillary membranes,
● dense cataracts,
● vitreous opacities (eg, hemorrhage, inflammatory debris).
CONDITION IN WHICH IT IS CARRIED OUT DESPITE CLEAR VIEW
iris or ciliary body lesions
ruling out ciliary body detachments
differentiating intraocular tumors,
serous versus hemorrhagic choroidal detachments,
rhegmatogenous versus exudative retinal detachments,
disc drusen versus papilledema.
Ultrasound Principles and Physics
Pulsed-echo
system
Transducer
Amplifier
Display monitor
COMPONENTS OF B SCAN
PROBE POSITIONING
Transverse probe
positions
Transverse scan of a choroidal melanoma. This is a lateral slice through the lesion centered at the
5:00 position left eye, with 3 clock hours represented both above (2:00, 3:00, and 4:00 positions,
respectively, from the top) and below (6:00, 7:00, and 8:00 positions) the lesion.
Longitudinal probe positions
Longitudinal scan of the same choroidal melanoma. This is a radial slice through the lesion, with 1 clock hour (in this case, the 5:00
position) being represented from the optic nerve and posterior pole (at the bottom of the right side) outward to the anterior meridian
ANTERIOR SEGMENT EVALUATION .
●
Immersion technique
●
Waterbath technique
Within the last five years, the development of high resolution (50-100 Mhz)
Probes have increased our ability toevaluate the anterior chamber
Set of scleral shells for immersion/waterbath
ASTEROID HYALOSIS( FIG A. & B.)
VITREOUS HAEMORRHAGE
A
B
C
VITREOUS OPACITY
Clotted Vitreous Haemorrhage
Layered Vitreous Haemorrhage
Comparison of PVD and Retinal
Detachment
Vitreoschisis Persistent Hyperplastic Primary Vitreous
Total Retinal Detachment(open Funnel)
Retinopathy of prematurity (stage 5)
With retinal detachment
Retinal pigment epithelium detachment
Sub retinal Haemorrhage
CHOROIDAL DETACHMENT
Cysticercosis with Retinal
Detachment
Coloboma
Subluxated IOL
SCLERITIS

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b scan of eye