Anterior Segment US Test

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    http://www.bascompalmer.org/site/default.asp
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    1. What is (are) the eye segment(s) that can be evaluated by high

    resolution ultrasound?

    2. What is the range of sound frequency used in high resolution

    ultrasound?

    3. What is average depth of the penetration when using high

    resolution ultrasound?

    4. List indications for high resolution ultrasound.

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    IDENTIFY THE SOUND FREQUENCY

    OF THE PROBES.

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    IDENTIFY AND DESCRIBE

    THE B-SCAN SECTION.

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    IDENTIFY AND

    DESCRIBE THE B-

    SCAN SECTION.

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    IDENTIFY AND DESCRIBE

    THE B-SCAN SECTION.

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    Describe the technique for a complete screening of the anterior

    segment.

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    A

    B

    D

    C

    F

    IDENTIFY

    Fig 1. Cornea layers:

    ..

    .

    Fig 2. Structures

    A:...

    B: .

    C:..D: .

    F:..

    Arrow:

    1

    2

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    Describe the structures of the normal anterior segment.

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    .. .

    Identify the scan sections and locate the ciliary body.

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    .. ..

    Identify the scan sections and locate the ciliary body.

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    80 MHz 50 MHz

    Localize the scleral spur (arrow) and classify the angle.

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    80 MHz 50 MHz

    Localize the scleral spur (arrow) and classify the angle.

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    Localize the scleral spur (arrow) and classify the angle.

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    1. Describe the configuration

    of the iris:...........

    2. This apposition can

    cause:.........

    1. Describe the position of

    the ciliary body:

    2. Describe the iridociliary

    sulcus: ..

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    1. Given the illustration of this lesion, classify: configuration,

    structures involved, consistency, homogeneity.

    2. Put gates to evaluate the radial and lateral bases.

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    Correlate the echograms with

    the clinical photo.

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    1. Given the illustration of this lesion, classify: configuration,

    structures involved, consistency, homogeneity.

    2. Justify possible diagnosis.

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    In case of epibulbar pathology, what is

    the importance of high resolution

    ultrasound evaluation?

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    ( ) Normal sclera is uniformly highly reflective and hasdistinct margins to the episclera and underlying uvealtissue.

    ( ) Episcleritis typically does not show low reflectivethickening of the episclera with normal underlyingsclera.

    ( ) Scleritis can be diffuse and nodular.

    ( ) In nodular scleritis, the scleral thickening andhyporeflectivity is not focal with distinct borders.

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    How is theappearance of theconjunctiva/episclera,sclera and uveallayer?

    What is the locationand extension of thelesion?

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    How is theappearance of theconjunctiva/episclera,sclera and uveallayer?

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    * What are the characteristics ofa cystic lesion?

    What is the location andextension of the lesion?

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    What are the characteristicsof the lesion indicated by thearrow?

    What is the location andextension of the lesion?

    What is the effect of thelesion over the iris?

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    Describe the lesion(s)indicated by thearrow?

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    Evaluate the positionof the IOL in:

    A:

    B: ..

    A

    B

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    Evaluate the position of the IOL: .

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    Evaluate the IOLposition and theposterior capsule in Aand B.

    A

    B

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    Describe the findings.

    35 MHZ

    80 MHZ

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    Echography DepartmentTimothy Murray, MD.Bernadete Ayres

    Candace A. Waithe-Boodo

    Fiona Ehlies

    Jorge Rojas

    Patricia Superfine-Rivera

    Randy Hughes