PURPOSE: To evaluate the role of ultrasound biomicroscopy (UBM) as a method for assessing the zonules after @entity130 to the anterior segment. These @entity1 might develop traumatic @entity231 or @entity726 requiring surgery. If occult zonular defects can be identified preoperatively, this might lead to a modified surgical technique and improved outcomes. DESIGN: Retrospective observational case series. @entity1 : Fifty-nine @entity1 who were referred for UBM after anterior segment @entity130 . METHODS: UBM examinations were performed using the Humphrey Instruments Ultrasound Biomicroscope equipped with a 50-mHz transducer. A plastic eyecup filled with 2% @entity7522 solution was used in each case. The chart and UBM images of all anterior segment @entity130 @entity1 examined between 1995 and 2000 were reviewed. The age, gender, and mechanism of injury were recorded for each @entity1 . Follow-up data were obtained from the referring physician in @entity1 who subsequently underwent ocular surgery. MAIN OUTCOME MEASURES: The number of studies judged to be of adequate quality to evaluate zonules was noted, and the number of cases in which zonular defects were found was recorded. The number of cases in which surgery was subsequently performed was noted, and postoperative results were obtained. RESULTS: Fifty-nine charts and 60 UBM studies were reviewed. Forty-nine studies were judged to be adequate for imaging zonules. Most poor-quality studies were in the early years of the study. Further analysis was carried out on the reliable studies. @entity154 were identified in 21 of 49 @entity1 (42.9%). Thirty-one @entity1 went on to have @entity231 , filtering, and/or vitreoretinal surgery. One surgeon (ACS) performed 25 of the surgical cases, for which a summary is provided. Referring surgeons found the information helpful in surgical planning and anticipating complications in reliable study cases. CONCLUSIONS: UBM is an effective method for identifying occult zonular damage in @entity1 with anterior segment @entity130 . There is a significant learning curve in the examination technique. The ability to diagnose zonular rupture preoperatively is of significant benefit to the surgeon and might reduce the chance of intraoperative complications.

Ultrasound biomicroscopy for the assessment of zonules after ocular XXXX .

@entity1 :: ('9606', 'Species') :: ['patients', 'patient', 'PARTICIPANTS'] @entity154 :: ('MESH:D000013', 'Disease') :: ['Occult zonular defects'] @entity231 :: ('MESH:D002386', 'Disease') :: ['cataract'] @entity726 :: ('MESH:D005901', 'Disease') :: ['glaucoma'] @entity7522 :: ('MESH:D008747', 'Chemical') :: ['methylcellulose'] @entity130 :: ('MESH:D014947', 'Disease') :: ['trauma']
@entity130 :: (MESH:D014947,Disease) :: ['trauma']
