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Ultrasound reliability in detection of retinal tear in acute symptomatic posterior vitreous detachment with vitreous hemorrhage 被引量:3

Ultrasound reliability in detection of retinal tear in acute symptomatic posterior vitreous detachment with vitreous hemorrhage
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摘要 Cross-sectional study of 75 consecutive patients presenting with acute symptomatic posterior vitreous detachment(ASPVD) and vitreous hemorrhage was conducted at University Eye Clinic,University Hospital "Sveti Duh",Zagreb,Croatia.To check ultrasound reliability in detecting retinal tears in patients with ASPVD,transpalpebral ultrasound of the eye and the orbit was performed followed by fundus examination initially and in 6 wk period.In 13(17%) patients membranous lesion with ultrasound characteristics of retinal tear was detected.Ophthalmoscopy confirmed the diagnosis in 8/13 patients.In 62/75 patients neither ultrasound nor clinical examination revealed retinal tear.Sensitivity of ultrasound examination was 100%,specificity 92%,positive predictive value 62% and negative predictive value 100%.Ultrasound proved to be a reliable and accurate method for detection of retinal tears in ASPVD.Given the high sensitivity and negative predictive value,negative result on B-scan ultrasound excludes the probability of the retinal tear with a high degree of certainty. Cross-sectional study of 75 consecutive patients presenting with acute symptomatic posterior vitreous detachment(ASPVD) and vitreous hemorrhage was conducted at University Eye Clinic,University Hospital "Sveti Duh",Zagreb,Croatia.To check ultrasound reliability in detecting retinal tears in patients with ASPVD,transpalpebral ultrasound of the eye and the orbit was performed followed by fundus examination initially and in 6 wk period.In 13(17%) patients membranous lesion with ultrasound characteristics of retinal tear was detected.Ophthalmoscopy confirmed the diagnosis in 8/13 patients.In 62/75 patients neither ultrasound nor clinical examination revealed retinal tear.Sensitivity of ultrasound examination was 100%,specificity 92%,positive predictive value 62% and negative predictive value 100%.Ultrasound proved to be a reliable and accurate method for detection of retinal tears in ASPVD.Given the high sensitivity and negative predictive value,negative result on B-scan ultrasound excludes the probability of the retinal tear with a high degree of certainty.
机构地区 University Eye Clinic
出处 《International Journal of Ophthalmology(English edition)》 SCIE CAS 2017年第12期1922-1924,共3页 国际眼科杂志(英文版)
关键词 posterior vitreous detachment RELIABILITY retinal tear ULTRASOUND posterior vitreous detachment reliability retinal tear ultrasound
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