B-mode ultrasound assessment of pupillary function: Feasibility, reliability and normal values
نویسندگان
چکیده
PURPOSE To evaluate B-mode ultrasound as a novel method for the examination of pupillary function and to provide normal values for the pupillary reflex as assessed by B-mode ultrasound. METHODS 100 subjects (49 female, 51 male, mean [range] age 51 [18-80 years]) with no history of ophthalmologic disease, no clinically detectable pupillary defects, and corrected visual acuity ≥ 0.8 were included in this prospective observational study. B-mode ultrasound was performed with the subjects eyes closed using an Esaote-Mylab25 system according to current guidelines for orbital insonation. A standardized light stimulus was applied. RESULTS The mean ± standard deviation left and right pupillary diameters (PD) at rest were 4.7 ± 0.8 and 4.5 ± 0.8 mm. Following an ipsilateral light stimulus (Lstim), left and right constricted PD were 2.8 ± 0.6 and 2.7 ± 0.6 mm. Following a contralateral Lstim, left and right constricted PD were 2.7 ± 0.6 and 2.6 ± 0.5 mm. Left and right pupillary constriction time (PCT) following ipsilateral Lstim were 970 ± 261.6 and 967 ± 220 ms. Left and right PCT following a contralateral Lstim were 993.8 ± 192.6 and 963 ± 189.4 ms. Patient age was inversely correlated with PD at rest and with PD after ipsilateral and contralateral Lstim (all p<0.001), but not with PCT. CONCLUSIONS B-mode ultrasound is a simple, rapid and objective method for the quantitative assessment of pupillary function, which may prove useful in a variety of settings where eyelid retraction is impeded or an infrared pupillometry device is unavailable.
منابع مشابه
Normal Echocardiographic Findings in Healthy Pigeons
Objective- The purpose of this study was to investigate the feasibility of performing echocardiography in apparently healthy pigeons, and measurement of the quantitative cardiac indices using B-mode and Doppler techniques. Design- Experimental study Animals- Ten apparently healthy pigeons Procedures- Echocardi...
متن کاملAssessment of the diagnostic capability of ultrasound in early diagnosis of nephrolithiasis: a feasibility study
متن کامل
Safety assessment of glycol recovery unit in a gas refinery by failure mode and effects analysis technique
Background: The reliability and safety of gas refineries are strongly associated with the reliability of other parts of the system. Defect and failure in one part of a system can cause total system breakdown or accident. The failure and damage in these equipment such as transformers and boilers results in not only the equipment damage and human injuries but also productivity reduction. The purp...
متن کاملReference values of M-mode echocardiographic parameters and indices in conscious Labrador Retriever dogs
Breed-wise standard echocardiographic values in dogs have been reported as there is variation in body and chest conformation which limits the application of data of one breed for other breed. Labrador Retrievers being originated from hunting dogs, might have different echocardiographic values from standard normal range of other dog breeds. So, the present study was aimed to determine the M-mode...
متن کاملO-1: Suitability of Epididymal and Testicular Ultrasonography and Computerized Image Analysis for Assessment of Current and Future Semen Quality in The Ram
Background: Breeding soundness evaluation (BSE) is the primary assessment for determining reproductive potential of male animals. This method, however, cannot be used to evaluate semen frequently or to predict future semen quality. Computerized analysis of ultrasonographic images provides information on histophysiological changes in male reproductive organs.We hypothesized that: 1. semen parame...
متن کامل