Utility of High-Resolution Ultrasonography in the Evaluation of Posterior Segment Ocular Lesions Using Sensitivity and Specificity
Background: High-resolution Ultrasound (USG) provides good anatomical details of the ocular posterior segment and depicts the various pathological conditions affecting the ocular posterior segment, which helps ophthalmologists for choosing the best treatment options. This study aims to evaluate the...
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Vilnius University Press
2023-10-01
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| Series: | Acta Medica Lituanica |
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| Online Access: | https://www.journals.vu.lt/AML/article/view/31983 |
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| author | Deb K. Boruah Daisy Vishwakarma Pallavi Gogoi Navneet R Lal Arup Deuri |
| author_facet | Deb K. Boruah Daisy Vishwakarma Pallavi Gogoi Navneet R Lal Arup Deuri |
| author_sort | Deb K. Boruah |
| collection | DOAJ |
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Background: High-resolution Ultrasound (USG) provides good anatomical details of the ocular posterior segment and depicts the various pathological conditions affecting the ocular posterior segment, which helps ophthalmologists for choosing the best treatment options. This study aims to evaluate the utility of High-resolution Ultrasonography in the Evaluation of Posterior Segment Ocular lesions by using Sensitivity and Specificity.
Materials and Methods: A hospital-based retrospective study enrolled 81 patients in a tertiary care hospital. Clinical and ophthalmological examinations were performed followed by USG of the orbits. B-mode USG was done with a 7.5–13 MHz linear probe. The final diagnosis was made by correlating the USG findings with clinical and ophthalmological examinations.
Statistical analysis: Sensitivity, specificity, the positive predictive value, the negative predictive value, and the accuracy of B-scan USG were compared with the ophthalmological findings by using the Chi-square test.
Results: Of 81 patients (n=48 males and n=33 females) with a mean age of 38.98 ± 16.48 [SD] years, posterior segment ocular lesions in association with cataracts were found in 27 (33.3%) patients, whereas 14 (51.9%) patients had posterior vitreous detachment (PVD), 10 (37%) patients had retinal detachment (RD), and 1 (3.7%) patient had choroidal detachment (CD). Posterior segment ocular pathologies were found in 17 (21%) patients with blunt ocular injuries, whereas 8 (47.1%) patients had PVD, 4 (23.5%) patients had RD and 4 (23.5%) patients had CD. The ocular USG had a sensitivity of 87.32%, specificity of 80%, and accuracy of 86.42% with a statistically significant difference between the USG findings and the Ophthalmology diagnosis of the posterior segment ocular abnormalities of a p-value of 0.0005.
Conclusion: High-resolution ultrasound is one of the best and an easily available imaging modality for the evaluation of posterior segment ocular pathologies, especially in the presence of opaque ocular media.
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| format | Article |
| id | doaj-art-1a2549b7548e48a7bfa37e6ecb50f775 |
| institution | Kabale University |
| issn | 1392-0138 2029-4174 |
| language | English |
| publishDate | 2023-10-01 |
| publisher | Vilnius University Press |
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| series | Acta Medica Lituanica |
| spelling | doaj-art-1a2549b7548e48a7bfa37e6ecb50f7752025-01-20T18:08:06ZengVilnius University PressActa Medica Lituanica1392-01382029-41742023-10-0130210.15388/Amed.2023.30.2.9Utility of High-Resolution Ultrasonography in the Evaluation of Posterior Segment Ocular Lesions Using Sensitivity and SpecificityDeb K. Boruah0Daisy Vishwakarma1Pallavi Gogoi2Navneet R Lal 3Arup Deuri4All India Institute of Medical Sciences, Guwahati, Assam India 781101Department of Ophthalmology, Assam Medical College & Hospital, Dibrugarh Assam, IndiaDepartment of Library and Information Science, DHSK College, Dibrugarh, 786001, Assam, IndiaDepartment of Radio-diagnosis, Assam Medical College & Hospital, Assam, India 786002Department of Ophthalmology, Lakhimpur Medical College & Hospital, Lakhimpur Assam, India Background: High-resolution Ultrasound (USG) provides good anatomical details of the ocular posterior segment and depicts the various pathological conditions affecting the ocular posterior segment, which helps ophthalmologists for choosing the best treatment options. This study aims to evaluate the utility of High-resolution Ultrasonography in the Evaluation of Posterior Segment Ocular lesions by using Sensitivity and Specificity. Materials and Methods: A hospital-based retrospective study enrolled 81 patients in a tertiary care hospital. Clinical and ophthalmological examinations were performed followed by USG of the orbits. B-mode USG was done with a 7.5–13 MHz linear probe. The final diagnosis was made by correlating the USG findings with clinical and ophthalmological examinations. Statistical analysis: Sensitivity, specificity, the positive predictive value, the negative predictive value, and the accuracy of B-scan USG were compared with the ophthalmological findings by using the Chi-square test. Results: Of 81 patients (n=48 males and n=33 females) with a mean age of 38.98 ± 16.48 [SD] years, posterior segment ocular lesions in association with cataracts were found in 27 (33.3%) patients, whereas 14 (51.9%) patients had posterior vitreous detachment (PVD), 10 (37%) patients had retinal detachment (RD), and 1 (3.7%) patient had choroidal detachment (CD). Posterior segment ocular pathologies were found in 17 (21%) patients with blunt ocular injuries, whereas 8 (47.1%) patients had PVD, 4 (23.5%) patients had RD and 4 (23.5%) patients had CD. The ocular USG had a sensitivity of 87.32%, specificity of 80%, and accuracy of 86.42% with a statistically significant difference between the USG findings and the Ophthalmology diagnosis of the posterior segment ocular abnormalities of a p-value of 0.0005. Conclusion: High-resolution ultrasound is one of the best and an easily available imaging modality for the evaluation of posterior segment ocular pathologies, especially in the presence of opaque ocular media. https://www.journals.vu.lt/AML/article/view/31983ultrasonography (USG)posterior segmentposterior vitreous detachment (PVD)retinal detachment (RD)choroidal detachment (CD) |
| spellingShingle | Deb K. Boruah Daisy Vishwakarma Pallavi Gogoi Navneet R Lal Arup Deuri Utility of High-Resolution Ultrasonography in the Evaluation of Posterior Segment Ocular Lesions Using Sensitivity and Specificity Acta Medica Lituanica ultrasonography (USG) posterior segment posterior vitreous detachment (PVD) retinal detachment (RD) choroidal detachment (CD) |
| title | Utility of High-Resolution Ultrasonography in the Evaluation of Posterior Segment Ocular Lesions Using Sensitivity and Specificity |
| title_full | Utility of High-Resolution Ultrasonography in the Evaluation of Posterior Segment Ocular Lesions Using Sensitivity and Specificity |
| title_fullStr | Utility of High-Resolution Ultrasonography in the Evaluation of Posterior Segment Ocular Lesions Using Sensitivity and Specificity |
| title_full_unstemmed | Utility of High-Resolution Ultrasonography in the Evaluation of Posterior Segment Ocular Lesions Using Sensitivity and Specificity |
| title_short | Utility of High-Resolution Ultrasonography in the Evaluation of Posterior Segment Ocular Lesions Using Sensitivity and Specificity |
| title_sort | utility of high resolution ultrasonography in the evaluation of posterior segment ocular lesions using sensitivity and specificity |
| topic | ultrasonography (USG) posterior segment posterior vitreous detachment (PVD) retinal detachment (RD) choroidal detachment (CD) |
| url | https://www.journals.vu.lt/AML/article/view/31983 |
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