The use of colour Doppler imaging in the diagnosis of retinal detachment

Design Prospective study. Purpose To evaluate real-time duplex colour Doppler examination with colour and pulse Doppler ultrasonography (US) (colour Doppler imaging (CDI)) for detection of the retinal detachment from membranous structures in the posterior segment. Materials and methods In 33 consecu...

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Veröffentlicht in:Eye (London) 2007-11, Vol.21 (11), p.1375-1378
Hauptverfasser: Ido, M, Osawa, S, Fukukita, M, Sugimoto, M, Wakitani, Y, Ito, Y, Miyamura, M, Sasoh, M, Uji, Y
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container_end_page 1378
container_issue 11
container_start_page 1375
container_title Eye (London)
container_volume 21
creator Ido, M
Osawa, S
Fukukita, M
Sugimoto, M
Wakitani, Y
Ito, Y
Miyamura, M
Sasoh, M
Uji, Y
description Design Prospective study. Purpose To evaluate real-time duplex colour Doppler examination with colour and pulse Doppler ultrasonography (US) (colour Doppler imaging (CDI)) for detection of the retinal detachment from membranous structures in the posterior segment. Materials and methods In 33 consecutive patients with ophthalmoscopically invisible eyes (34 eyes), CDI was performed to detect the presence or absence of retinal detachment. The diagnostic criterion for retinal detachment was whether or not spectral waveforms were detected in membranous structures with colour and pulse Doppler US. In all cases, the absence or presence of retinal detachment was confirmed by surgery. Results In 27 of 34 eyes, membranes and/or opacities were observed in the vitreous cavity with CDI. In 12 of these 27 eyes, blood flow in those structures was detected by CDI. In all of these 12 eyes, retinal detachment was confirmed at surgery, and in 14 of the 15 eyes in which blood flow was not detected by CDI, absence of retinal detachment was confirmed at surgery. When a diagnosis confirmed by surgery was used as the definitive finding, CDI had a sensitivity of 92.3%, specificity of 100%, positive predictive value of 100%, negative predictive value of 93.3%, and an accuracy in the detection of retinal detachment from membranes and/or opacities in the vitreous cavity of 96.3%. Conclusion Real-time duplex colour Doppler examination with colour and pulse Doppler US (CDI) is a noninvasive method useful for the detection of retinal detachment from vitreous opacity and/or membrane in the posterior segment.
doi_str_mv 10.1038/sj.eye.6702442
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Purpose To evaluate real-time duplex colour Doppler examination with colour and pulse Doppler ultrasonography (US) (colour Doppler imaging (CDI)) for detection of the retinal detachment from membranous structures in the posterior segment. Materials and methods In 33 consecutive patients with ophthalmoscopically invisible eyes (34 eyes), CDI was performed to detect the presence or absence of retinal detachment. The diagnostic criterion for retinal detachment was whether or not spectral waveforms were detected in membranous structures with colour and pulse Doppler US. In all cases, the absence or presence of retinal detachment was confirmed by surgery. Results In 27 of 34 eyes, membranes and/or opacities were observed in the vitreous cavity with CDI. In 12 of these 27 eyes, blood flow in those structures was detected by CDI. In all of these 12 eyes, retinal detachment was confirmed at surgery, and in 14 of the 15 eyes in which blood flow was not detected by CDI, absence of retinal detachment was confirmed at surgery. When a diagnosis confirmed by surgery was used as the definitive finding, CDI had a sensitivity of 92.3%, specificity of 100%, positive predictive value of 100%, negative predictive value of 93.3%, and an accuracy in the detection of retinal detachment from membranes and/or opacities in the vitreous cavity of 96.3%. Conclusion Real-time duplex colour Doppler examination with colour and pulse Doppler US (CDI) is a noninvasive method useful for the detection of retinal detachment from vitreous opacity and/or membrane in the posterior segment.</description><identifier>ISSN: 0950-222X</identifier><identifier>EISSN: 1476-5454</identifier><identifier>DOI: 10.1038/sj.eye.6702442</identifier><identifier>PMID: 16763659</identifier><identifier>CODEN: EYEEEC</identifier><language>eng</language><publisher>London: Nature Publishing Group UK</publisher><subject>Adolescent ; Adult ; Aged ; Aged, 80 and over ; Biological and medical sciences ; Cardiovascular system ; clinical-study ; Female ; Humans ; Investigative techniques, diagnostic techniques (general aspects) ; Laboratory Medicine ; Male ; Medical sciences ; Medicine ; Medicine &amp; Public Health ; Middle Aged ; Miscellaneous ; Ophthalmology ; Pharmaceutical Sciences/Technology ; Prospective Studies ; Regional Blood Flow ; Retinal Artery - diagnostic imaging ; Retinal Artery - physiopathology ; Retinal Detachment - diagnostic imaging ; Retinal Detachment - surgery ; Retinopathies ; Sensitivity and Specificity ; Surgery ; Surgical Oncology ; Ultrasonic investigative techniques ; Ultrasonography, Doppler, Color - methods ; Ultrasonography, Doppler, Pulsed - methods</subject><ispartof>Eye (London), 2007-11, Vol.21 (11), p.1375-1378</ispartof><rights>Royal College of Ophthalmologists 2007</rights><rights>2008 INIST-CNRS</rights><rights>Copyright Nature Publishing Group Nov 2007</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c430t-2f79b13c3f88643807ea568dbf49e2bd5bddee9984f33289ccfc521e2dfb33933</citedby><cites>FETCH-LOGICAL-c430t-2f79b13c3f88643807ea568dbf49e2bd5bddee9984f33289ccfc521e2dfb33933</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1038/sj.eye.6702442$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1038/sj.eye.6702442$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,776,780,27901,27902,41464,42533,51294</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&amp;idt=19439620$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/16763659$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Ido, M</creatorcontrib><creatorcontrib>Osawa, S</creatorcontrib><creatorcontrib>Fukukita, M</creatorcontrib><creatorcontrib>Sugimoto, M</creatorcontrib><creatorcontrib>Wakitani, Y</creatorcontrib><creatorcontrib>Ito, Y</creatorcontrib><creatorcontrib>Miyamura, M</creatorcontrib><creatorcontrib>Sasoh, M</creatorcontrib><creatorcontrib>Uji, Y</creatorcontrib><title>The use of colour Doppler imaging in the diagnosis of retinal detachment</title><title>Eye (London)</title><addtitle>Eye</addtitle><addtitle>Eye (Lond)</addtitle><description>Design Prospective study. Purpose To evaluate real-time duplex colour Doppler examination with colour and pulse Doppler ultrasonography (US) (colour Doppler imaging (CDI)) for detection of the retinal detachment from membranous structures in the posterior segment. Materials and methods In 33 consecutive patients with ophthalmoscopically invisible eyes (34 eyes), CDI was performed to detect the presence or absence of retinal detachment. The diagnostic criterion for retinal detachment was whether or not spectral waveforms were detected in membranous structures with colour and pulse Doppler US. In all cases, the absence or presence of retinal detachment was confirmed by surgery. Results In 27 of 34 eyes, membranes and/or opacities were observed in the vitreous cavity with CDI. In 12 of these 27 eyes, blood flow in those structures was detected by CDI. In all of these 12 eyes, retinal detachment was confirmed at surgery, and in 14 of the 15 eyes in which blood flow was not detected by CDI, absence of retinal detachment was confirmed at surgery. When a diagnosis confirmed by surgery was used as the definitive finding, CDI had a sensitivity of 92.3%, specificity of 100%, positive predictive value of 100%, negative predictive value of 93.3%, and an accuracy in the detection of retinal detachment from membranes and/or opacities in the vitreous cavity of 96.3%. 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Purpose To evaluate real-time duplex colour Doppler examination with colour and pulse Doppler ultrasonography (US) (colour Doppler imaging (CDI)) for detection of the retinal detachment from membranous structures in the posterior segment. Materials and methods In 33 consecutive patients with ophthalmoscopically invisible eyes (34 eyes), CDI was performed to detect the presence or absence of retinal detachment. The diagnostic criterion for retinal detachment was whether or not spectral waveforms were detected in membranous structures with colour and pulse Doppler US. In all cases, the absence or presence of retinal detachment was confirmed by surgery. Results In 27 of 34 eyes, membranes and/or opacities were observed in the vitreous cavity with CDI. In 12 of these 27 eyes, blood flow in those structures was detected by CDI. In all of these 12 eyes, retinal detachment was confirmed at surgery, and in 14 of the 15 eyes in which blood flow was not detected by CDI, absence of retinal detachment was confirmed at surgery. When a diagnosis confirmed by surgery was used as the definitive finding, CDI had a sensitivity of 92.3%, specificity of 100%, positive predictive value of 100%, negative predictive value of 93.3%, and an accuracy in the detection of retinal detachment from membranes and/or opacities in the vitreous cavity of 96.3%. Conclusion Real-time duplex colour Doppler examination with colour and pulse Doppler US (CDI) is a noninvasive method useful for the detection of retinal detachment from vitreous opacity and/or membrane in the posterior segment.</abstract><cop>London</cop><pub>Nature Publishing Group UK</pub><pmid>16763659</pmid><doi>10.1038/sj.eye.6702442</doi><tpages>4</tpages><oa>free_for_read</oa></addata></record>
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subjects Adolescent
Adult
Aged
Aged, 80 and over
Biological and medical sciences
Cardiovascular system
clinical-study
Female
Humans
Investigative techniques, diagnostic techniques (general aspects)
Laboratory Medicine
Male
Medical sciences
Medicine
Medicine & Public Health
Middle Aged
Miscellaneous
Ophthalmology
Pharmaceutical Sciences/Technology
Prospective Studies
Regional Blood Flow
Retinal Artery - diagnostic imaging
Retinal Artery - physiopathology
Retinal Detachment - diagnostic imaging
Retinal Detachment - surgery
Retinopathies
Sensitivity and Specificity
Surgery
Surgical Oncology
Ultrasonic investigative techniques
Ultrasonography, Doppler, Color - methods
Ultrasonography, Doppler, Pulsed - methods
title The use of colour Doppler imaging in the diagnosis of retinal detachment
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