Color Doppler flow imaging for the diagnosis of damage to intraocular membranes from ocular trauma

Abstract

Objective To investigate the characteristics of damage to intraocular membranes from ocular trauma using color Doppler flow imaging (CDFI) for diagnosis.Methods We retrospectively studied 1 162 eyes of 1 156 patients who sustained ocular injuries from January 2013 to December 2013.CDFI was used to detect damage to ocular membranes.The surgical diagnosis was also reviewed.Results Among 1 162 eyes of 1 156 patients,vitreous hemorrhage presented in 1 071 eyes,endophthalmitis presented in 78 eyes,and posterior vitreous detachment presented in 624 eyes.There were 521,221 and 117 eyes with retinal detachment,choroidal detachment and choroidal hemorrhage,respectively.While trauma to intraocular membranes is typically associated with a single injury identified with CDFI,most of the patients suffered from various injuries.Color Doppler flow imaging detected the damaged tissues with 2D images.Moreover,the imaging can analyze the retina and choroid blood flow to help distinguish retinal or choroidal detachment.In this study,99.1％ of the ultrasound diagnoses matched the clinical and surgical diagnoses.Conclusion Color Doppler flow imaging is an economical and simple way to detect intraocular membrane injury from ocular trauma.It is also noninvasive and repeatable.The use of retinal and choroidal blood flow analysis can increase the detection rate of intraocular membrane injury from ocular trauma. Key words: Eye injury; Intraocular membrane; Ultrasound diagnosis,Doppler,color