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  • Title: Utility and effectiveness of orbito-ocular B-scan ultrasonography in an African developing country.
    Author: Eze BI, Onu AC, Imo AO, Mgbor SO.
    Journal: J Health Care Poor Underserved; 2013 Nov; 24(4):1440-7. PubMed ID: 24185142.
    Abstract:
    BACKGROUND: Diagnostic orbito-ocular ultrasonography is a safe, affordable, and cost-effective procedure that is especially suited for resource-poor developing countries. Periodic evaluation of its utility and effectiveness is important in the light of phenomenal advances in medical imaging. OBJECTIVES: To assess the utility and effectiveness of B-scan orbito-ocular ultrasonography in a Nigerian ophthalmic patient population. METHODS: The Hansa Clinic's database was retrospectively reviewed, between January 2006 and December 2010, to obtain patients' relevant demographic and clinical data. Results . The subjects comprised 119 males and 81 females. The leading sonographic diagnoses were ocular (90.4%): retinal detachment-23.3%, cataract-14.0%, and vitreous haemorrhage-10.5%; orbital (8.3%): 'mass lesion'-4.8% and myopathies-0.8%. The agreement between clinical and sonographic diagnoses was complete in 35.5% eyes. CONCLUSION: At Hansa Clinics, intraocular lesions are the main findings of diagnostic orbito-ocular sonography. There is poor agreement between clinical and sonographic diagnoses. Improved correlation of patients' clinic-pathologic data is suggested.
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