B-scan for Beginners

B-mode ultrasonogram of a normal eye. Note the corneal echo on the extreme left. The vitreous is sonolucent and appears dark. The retina-choroid-sclera complex is on the right. Note the sonolucent V-shaped optic nerve and superior and inferior extraocular muscles. Orbital fat, surrounding the optic nerve, reflects sound well.

  • Ultrasonography is certainly not a routine clinical procedure to be performed on every patient.
  • It Is considered a supplemental test, ordered when additional information is not readily available by routine examination procedures.
  • In general, ultrasonography is performed when it Is difficult to observe the fundus directly, as with media opacities.
  • It Is also performed when it is desirable to view the orbital tissue behind the globe-tissue also not directly observable.