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Abstract #15430 Published in IGR 1-3
Diagnostic UBM in congenital glaucoma
Engels BF; Dietlein TS; Jacobi PC; Krieglstein GKKlinische Monatsblätter für Augenheilkunde 1999; 215: 338-341
BACKGROUND: In children with congenital glaucoma, assessment of the anterior chamber and chamber angle might be difficult, since scarring and opacities of the cornea are often seen. The purpose of this study was to reveal in vivo morphology of the anterior segment in patients with congenital glaucoma and opaque cornea. PATIENTS AND METHODS: In 46 eyes of 23 children with different degrees of corneal opacities, the authors performed ultrasound biomicroscopy (UBM) of the anterior chamber, after having performed a complete ophthalmological examination under general anesthesia. RESULTS: Massive abnormalities of the anterior segment morphology were detected in five eyes with completely cloudy cornea. In eyes with partial opacity of the cornea, UBM gave additional information concerning anterior chamber angle topography, as iris remnants in aniridia, or anterior synechia. CONCLUSIONS: Especially in cases with extensive corneal opacities, the UBM allowed morphological and topographical information to be obtained on the anterior segment, and helped to establish an individual strategy for surgical management.
Dr. B.F. Engels, Universitäts-Augenklinik Köln, Josef-Stelzmann-Strasse 9, D-50931 Cologne; Germany
Classification:
6.12 Ultrasonography and ultrasound biomicroscopy (Part of: 6 Clinical examination methods)
