Ocular ultrasonographic evaluation of cataractous and pseudophakic eyes in dogs

  Ocular B-mode ultrasonography is one of the noninvasive, rapid diagnostic imaging techniques indicated in canine cataract patients to evaluate the posterior segment of the eye. This study was conducted on twelve eyes of dogs with a history of cataract, which were scanned under topical anesthesia. The preoperative and postoperative ultrasonographic biometry, and ultrasonographic features of the lens, intraocular lens (IOL), and posterior segment were recorded. There was a significant difference between pre- and postphacoemulsification mean value of the axial length of globe and anterior chamber depth. The normal ultrasonographic features of the 2-hydroxy-ethyl-methylacrylate IOL was observed in vitro by placing the IOL in a coupling gel bath; it appeared as a "flying saucer" with hyperechoic margins and a central anechoic optic area and similar findings were also observed in pseudophakic eyes. Posterior segment changes such as posterior vitreous detachment were noticed in two dogs and retinal detachment in one dog postoperatively. In conclusion, ocular B-mode ultrasonography could be used to locate the position of the IOL in canine pseudophakic eyes. Ocular ultrasound is still more a useful tool to locate the position of the IOL postoperatively, even in pseudophakic eyes with corneal edema or iris synechiae in dogs.

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  • Featherstone HJ, Heinrich CL. Ophthalmic examination and diagnostics. In: Gelatt KN, Gilger BC, Kern TJ, editors. Veterinary Ophthalmology. Vol 1. 5th ed. Ames, IA, USA: Wiley-Blackwell/John Wiley & Sons; 2013. pp. 671-683.
  • Mackay CS, Mattoon JS. Eye. In: Mattoon JS, Nyland TG, editors. Small Animal Diagnostic Ultrasound. 3rd ed. St. Louis, MO, USA. Saunders Elsevier; 2015. pp. 130-154.
  • Kulkarni SV, Damji KF, Chialant D. Ultrasound biomicroscopy characterization of acrylic, silicone, and polymethyl methacrylate lenses in vitro. Can J Ophthalmol 2008; 43: 555- 558.
  • Boroffka SAEB. Eyes. In: Barr F, Gaschen L, editors. BSAVA Manual of Canine and Feline Ultrasonography. 1st ed. Quedgeley, UK: BSAVA; 2011. pp. 183-192.
  • Williams DL. Lens morphometry determined by B-mode ultrasonography of the normal and cataractous canine lens. Vet Ophthalmol 2004; 7: 91-95.
  • Hayashi K, Hayashi H, Nakao F, Hayashi F. Changes in anterior chamber angle width and depth after intraocular lens implantation in eyes with glaucoma. Ophthalmology 2000; 107: 698-703.
  • Özgencil FE. The results of phacofragmentation and aspiration surgery for cataract extraction in dogs. Turk J Vet Anim Sci 2005; 29: 165-173.
  • Bhende M, Kamat H, Krishna T, Shantha B, Sen P, Khetan V, Pradeep S. Atlas of Ophthalmic Ultrasound and Ultrasound Biomicroscopy. 2nd ed. Chennai, India: Jaypee Brothers Medical Publishers; 2013.
  • Dar M, Tiwari DK, Patil DB, Parikh PV. B-scan ultrasonography of ocular abnormalities: a review of 182 dogs. Iran J Vet Res 2014; 15: 122-126.
  • Kang S, Jeong M, Ahn J, Lee E, Kim S, Park S, Yi K, Choi M, Seo K. Evaluation of fluid leakage into the canine vitreous humor during phacoemulsification using contrast-enhanced magnetic resonance imaging. Vet Ophthalmol 2015; 18: 13-19.
  • Coppé AM, Lapucci G. Posterior vitreous detachment and retinal detachment following cataract extraction. Curr Opin Ophthalmo 2008; 19: 239-242.
  • Hilford D, Hilford M, Mathew A, Polkinghorne PJ. Posterior vitreous detachment following cataract surgery. Eye 2009; 23: 1388-1392.
  • Lima BR, Pichi F, Hayden BC, Lowder CY. Ultrasound biomicroscopy in chronic pseudophakic ocular inflammation associated with misplaced intraocular lens haptics. Am J Ophthalmol 2014; 157: 813-817.
  • Bentley E, Miller PE, Diehl KA. Use of high-resolution ultrasound as a diagnostic tool in veterinary ophthalmology. J Am Vet Med Assoc 2003; 223: 1617-1622.
  • Atta HR. New applications in ultrasound technology. Brit J Ophthalmol 1999; 83: 1246-1249.