{"id":3291,"date":"2022-11-02T14:50:45","date_gmt":"2022-11-02T14:50:45","guid":{"rendered":"https:\/\/profmunteanu.ro\/?p=3291"},"modified":"2023-09-05T09:41:29","modified_gmt":"2023-09-05T08:41:29","slug":"biomicroscopia-ultrasonica","status":"publish","type":"post","link":"https:\/\/profmunteanu.ro\/en\/biomicroscopia-ultrasonica\/","title":{"rendered":"Biomicroscopia ultrasonic\u0103"},"content":{"rendered":"
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Biomicroscopia ultrasonic\u0103<\/h1>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t
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Biomicroscopia ultrasonic\u0103 reprezint\u0103 o tehnic\u0103 avansat\u0103 de imagistic\u0103 non-invaziv\u0103 utilizat\u0103 \u00een domeniul oftalmologiei. Aceast\u0103 metod\u0103 combin\u0103 principiile biomicroscopiei cu cele ale ultrasunetelor, oferind astfel o vizualizare detaliat\u0103 a structurilor oculare. Indica\u021biile pentru biomicroscopia ultrasonic\u0103 includ evaluarea patologiei vitreoretiniene, m\u0103surarea grosimii corneei \u0219i analiza preoperatorie \u00een cazul interven\u021biilor chirurgicale oftalmologice. Prin utilizarea UBM, medicii pot ob\u021bine informa\u021bii precise \u0219i imagini \u00een timp real, contribuind astfel la diagnosticul \u0219i managementul optim al afec\u021biunilor oculare<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t

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\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\"Biomicroscopia\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t
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Introducere<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t
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Biomicroscopia ultrasonic\u0103<\/a> (UBM) ofer\u0103 informa\u0163ii cantitative \u015fi calitative despre segmentul anterior ocular. Aceast\u0103 metod\u0103 imagistic\u0103 utilizeaz\u0103 un transducer piezoelectric ce emite unde \u00a0care str\u0103bat \u0163esuturile \u015fi par\u0163ial \u00a0se reflecte d\u00e2nd na\u015ftere ecourile. Sistemele tip ultrasunete care utilizeaz\u0103 un transducer mai mare sau egal cu 35 MHz au fost denumite ultrasonografe biomicroscopice sau sisteme de ultrasunete cu frecven\u0163\u0103 foarte \u00eenalt\u0103. Aceste sisteme au o penetrabilitate tisular\u0103 de 5 mm oferind rezolu\u0163ii laterale \u015fi axiale de aproximativ 40 \u03bcm respectiv 20 \u03bcm cu o imagine detaliat\u0103 a structurilor anterioare ale globului ocular. Acest tip de scanare are un c\u00e2mp de 5×5 mm cu o rat\u0103 de 8 imagini per secund\u0103.<\/p>

Examenul UBM este influen\u0163at de lumina ambiental\u0103 \u015fi acomoda\u0163ie. Efectuarea UBM \u00eentr-o camer\u0103 obscur\u0103 ofer\u0103 detalii asem\u0103n\u0103toare oferite de gonioscopie (vizualizarea unghiului irido-cornean).<\/p>

Studiile clinice au identificat o serie de factori care influen\u0163eaz\u0103 m\u0103sur\u0103torile: v\u00e2rsta, sexul pacientului, iluminarea ambiental\u0103, acomoda\u0163ia, orientarea privirii \u015fi pozi\u0163ia pacientului examinat<\/p>

Din anii 90 UBM-ul a fost utilizat \u020bn evaluarea pacien\u0163iilor glaucomato\u015fi introduc\u00e2ndu-se \u00een managementul acestora mai mul\u0163i parametrii. Fiziologic irisul are un aspect plan u\u015for bombat anterior, iar unghiul camerular este deschis. \u00cen realizarea aceste examin\u0103ri imagistice este esen\u0163ial de localizat pintenul scleral. Acesta se afl\u0103 la intersec\u0163ia dintre linia scleral\u0103, corpul ciliar \u015fi re\u0163eaua trabecular\u0103.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t

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Indicatii UBM<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t
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Dup\u0103 ce pintenul scleral a fost localizat vor fi evalua\u0163i urm\u0103tori parametrii: unghiul irido-trabecular (TIA), distan\u0163a de deschidere angular\u0103 (AOD), distanta procese ciliare-trabecul (TCPD), grosimea irisului (ID), distan\u0163a procese ciliare-iris (ICPD), distan\u0163a cristalin-iris (ILCD), distan\u0163a zonul\u0103-iris, unghiul camerular, unghiul irido-cristalinian, profunzimea CA, aria recesului angular (ARA).<\/p>

Utilitatea examin\u0103rii tip UBM se reg\u0103se\u015fte \u00een cazurile cu alter\u0103ri ale transparen\u0163ei corneene, sindrom de iris \u00een platou, blocaj pupilar, forma\u0163iuni chistice ale corpului ciliar \u015fi suspiciuni de tumor\u0103 intraocular\u0103. Examinarea se realizeaz\u0103 cu pacientul aflat \u00een pozi\u0163ie culcat put\u00e2nd fi astfel utilizata \u015fi \u00een sala de opera\u0163ie.<\/p>

UBM-ul este important\u0103 pentru c\u0103 ofer\u0103 detalii asupra pozi\u0163iei proceselor ciliare \u00een raport cu irisul \u015fi identific\u0103 modific\u0103rile irisului \u00een platou \u00eenainte \u015fi dup\u0103 interven\u0163ia de \u00a0iridoplastie laser.<\/p>

UBM\u00a0 a demonstrat c\u0103 prezen\u0163a chisturilor de corp ciliar nu este a\u015fa de rar \u00eent\u00e2lnit\u0103 impun\u00e2ndu-se o monitorizare periodic\u0103 a acestor pacien\u0163i. De\u015fi chisturile de corp ciliar prezint\u0103 un caracter benign, la pacient\u0163ii \u020bn etate pot ap\u0103rea blocaje la nivelul unghiului camerular deja \u020bngustat prin prisma v\u00e2rstei.<\/p>

UBM este util\u0103 \u015fi \u00een evaluarea pacien\u0163ilor care au suferit traumatisme oculare oferind detalii despre posibile \u00eengust\u0103ri angulare, ciclodializ\u0103, alter\u0103ri ale zonulei, subluxa\u0163ii cristaliniene \u015fi sinechii. UBM ofer\u0103 informa\u0163ii importante despre unghi, corp ciliar \u015fi posibilii corpi str\u0103ini intraoculari din pl\u0103gile perforante.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t

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Descoperi\u021bi mai multe informa\u021bii valoroase despre oftalmologie \u0219i s\u0103n\u0103tatea ochilor vizion\u00e2nd materialele realizate de exper\u021bi \u00een domeniu de pe canalul nostru de YouTube<\/span><\/a>.<\/em><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t

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Bibliography<\/strong><\/p>

Rufer F, Schroder A, Klettner A, et al. Anterior chamber depth and iridocorneal angle in healthy White subjects: effects of age, gender and refraction. Acta Ophthalmol\u00a0 2009;88: 885-90.<\/p>

Larsen J. Ultrasonic measurement of the depth of the anterior chamber from birth to puberty. Acta Ophthalmol 1971;49(2):239-262.<\/p>

Pavlin C, Harasiewicz K, Foster F. Ultrasound biomicroscopy of anterior segment structures in normal and glaucomatous eyes. Am J Ophthalmol 1992;113:381\u20139.<\/p>

Ishikawa H, Schuman SH. Anterior segment imaging: ultrasound biomicroscopy. Ophthalmol Clin North Am 2004; 17(1): 7\u201320.<\/p>

Dada T, Gadia R, Sharma A, et al. Ultrasound biomicroscopy in glaucoma. Surv Ophthalmol. 2011;56:433\u201350.<\/p>

Valeria Mocanu, Mihnea Munteanu . Rolul imagisticii segmentului anterior in glaucom, in ,,Provoc\u0103ri \u00een diagnosticul \u0219i tratamentul glaucomului\u201d, Editor Dorin Chiselita, Editura \u201cGr. T. Popa\u201d, U.M.F. Iasi, 2016<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t

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\"Oftalmologie<\/a><\/figure>

Dr. Mocanu Valeria<\/a><\/h3>

Medic primar oftalmolog\n\u015eef de lucr\u0103ri - Universitatea de Medicin\u0103 \u015fi Farmacie Victor Babe\u015f Timi\u015foara<\/p><\/div><\/div>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t

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\n\t\t\t\t\t\n\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\tConsult Programming<\/span>\n\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/a>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<\/div>","protected":false},"excerpt":{"rendered":"

Biomicroscopia ultrasonic\u0103 Biomicroscopia ultrasonic\u0103 reprezint\u0103 o tehnic\u0103 avansat\u0103 de imagistic\u0103 non-invaziv\u0103 utilizat\u0103 \u00een domeniul oftalmologiei. Aceast\u0103 metod\u0103 combin\u0103 principiile biomicroscopiei cu cele ale ultrasunetelor, oferind astfel o vizualizare detaliat\u0103 a structurilor oculare. Indica\u021biile pentru biomicroscopia ultrasonic\u0103 includ evaluarea patologiei vitreoretiniene, m\u0103surarea grosimii corneei \u0219i analiza preoperatorie \u00een cazul interven\u021biilor chirurgicale oftalmologice. Prin utilizarea UBM, medicii […]<\/p>\n","protected":false},"author":1,"featured_media":3950,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"om_disable_all_campaigns":false,"footnotes":""},"categories":[5],"tags":[],"class_list":["post-3291","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-articole"],"yoast_head":"\nBiomicroscopia ultrasonic\u0103 - Clinica Oftalmologica Dr. Munteanu<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/profmunteanu.ro\/en\/biomicroscopia-ultrasonica\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Biomicroscopia ultrasonic\u0103 - Clinica Oftalmologica Dr. Munteanu\" \/>\n<meta property=\"og:description\" content=\"Biomicroscopia ultrasonic\u0103 Biomicroscopia ultrasonic\u0103 reprezint\u0103 o tehnic\u0103 avansat\u0103 de imagistic\u0103 non-invaziv\u0103 utilizat\u0103 \u00een domeniul oftalmologiei. Aceast\u0103 metod\u0103 combin\u0103 principiile biomicroscopiei cu cele ale ultrasunetelor, oferind astfel o vizualizare detaliat\u0103 a structurilor oculare. Indica\u021biile pentru biomicroscopia ultrasonic\u0103 includ evaluarea patologiei vitreoretiniene, m\u0103surarea grosimii corneei \u0219i analiza preoperatorie \u00een cazul interven\u021biilor chirurgicale oftalmologice. Prin utilizarea UBM, medicii […]\" \/>\n<meta property=\"og:url\" content=\"https:\/\/profmunteanu.ro\/en\/biomicroscopia-ultrasonica\/\" \/>\n<meta property=\"og:site_name\" content=\"Clinica Oftalmologica Dr. Munteanu\" \/>\n<meta property=\"article:published_time\" content=\"2022-11-02T14:50:45+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2023-09-05T08:41:29+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/profmunteanu.ro\/wp-content\/uploads\/2023\/04\/Munteanu_Featured-image_blog-2.png\" \/>\n\t<meta property=\"og:image:width\" content=\"430\" \/>\n\t<meta property=\"og:image:height\" content=\"540\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/png\" \/>\n<meta name=\"author\" content=\"admin_drmunteanu\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Written by\" \/>\n\t<meta name=\"twitter:data1\" content=\"admin_drmunteanu\" \/>\n\t<meta name=\"twitter:label2\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data2\" content=\"4 minutes\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@graph\":[{\"@type\":\"Article\",\"@id\":\"https:\\\/\\\/profmunteanu.ro\\\/biomicroscopia-ultrasonica\\\/#article\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/profmunteanu.ro\\\/biomicroscopia-ultrasonica\\\/\"},\"author\":{\"name\":\"admin_drmunteanu\",\"@id\":\"http:\\\/\\\/profmunteanu.ro\\\/de\\\/#\\\/schema\\\/person\\\/e23334026cffd718b0e842de6dc33331\"},\"headline\":\"Biomicroscopia ultrasonic\u0103\",\"datePublished\":\"2022-11-02T14:50:45+00:00\",\"dateModified\":\"2023-09-05T08:41:29+00:00\",\"mainEntityOfPage\":{\"@id\":\"https:\\\/\\\/profmunteanu.ro\\\/biomicroscopia-ultrasonica\\\/\"},\"wordCount\":734,\"commentCount\":0,\"image\":{\"@id\":\"https:\\\/\\\/profmunteanu.ro\\\/biomicroscopia-ultrasonica\\\/#primaryimage\"},\"thumbnailUrl\":\"https:\\\/\\\/profmunteanu.ro\\\/wp-content\\\/uploads\\\/2023\\\/04\\\/Munteanu_Featured-image_blog-2.png\",\"articleSection\":[\"Articole\"],\"inLanguage\":\"en-US\",\"potentialAction\":[{\"@type\":\"CommentAction\",\"name\":\"Comment\",\"target\":[\"https:\\\/\\\/profmunteanu.ro\\\/biomicroscopia-ultrasonica\\\/#respond\"]}]},{\"@type\":\"WebPage\",\"@id\":\"https:\\\/\\\/profmunteanu.ro\\\/biomicroscopia-ultrasonica\\\/\",\"url\":\"https:\\\/\\\/profmunteanu.ro\\\/biomicroscopia-ultrasonica\\\/\",\"name\":\"Biomicroscopia ultrasonic\u0103 - 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Aceast\u0103 metod\u0103 combin\u0103 principiile biomicroscopiei cu cele ale ultrasunetelor, oferind astfel o vizualizare detaliat\u0103 a structurilor oculare. Indica\u021biile pentru biomicroscopia ultrasonic\u0103 includ evaluarea patologiei vitreoretiniene, m\u0103surarea grosimii corneei \u0219i analiza preoperatorie \u00een cazul interven\u021biilor chirurgicale oftalmologice. 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