FACULTY - TOPICS - INSTRUMENTS

 

                                 Faculty

          Prof. Dr. Karl Ossoinig (Iowa City, USA)

          Prof. Dr. Gerhard  Hasenfratz  (Regensburg, Germany)

          Prof. Dr. Christian Mardin  (Erlangen, Germany)

                                                                                                                                            Prof.  Dr. Wolfgang  Hauff (Vienna, Austria)

      

                                                                                                                                            Dr. Elisabeth Frieling (Munich, Germany)

 

                                              Course -Administration                             Ms. Rita  Hauser  (Munich, Germany)

                                Audio-Video-Techniques                       Mr. Harald  Kröhn  (Munich, Germany)

 

 

                     TOPICS

              BASICS:

                                   Physics, Instrumentation, Standardization, State of the Art in Software, Automation

 
              Examination Techniques:

       A-scan (8 MHz) < posterior & anterior eye segments, orbit & periorbital region >

      B-scan (10 MHz, 20 MHz) < posterior eye segment, anterior orbit >   
                            
 (25 -50 MHz) < anterior eye segment >

          
              BIOMETRY for Intra-ocular Lens Calculations
                                    
 high-precision axial eye length measurements comparable to the precision of the IOL Master

                                for measurements of normal and abnormal ocular structures 
 

          DIFFERENTIAL DIAGNOSES & OTHER TOPICS

              POSTERIOR EYE SEGMENT

                       Vitreous Conditions:
                                       vitreous detachments (posterior, anterior), vitreo-schisis, adhesions, (sub) vitreal hemorrhages,
                                 posterior hyphemas, fibro-vascular membranes, asteroid hyalosis, foreign body tracts, inflammatory
                                 infiltrations, abscesses, luxated lens

                    Retinal Diseases:
                                          retinal detachments (rhegmatogenous, exudative, hemorrhagic, tractional), breaks, opercula,
                                 disinsertions, folds,  cysts, retinoschisis, disciform lesions (dry, exudative, hemorrhagic),
cystoid
                                          macula degeneration, edema, macular holes, Berlin's edema, tumors,
automated - A1:differentiation of
                                  retinal detachments from dense fibro-vascular membranes

                     Choroidal Diseases:
                                          detachments (exudative, hemorrhagic, kissing), folds, thickening (hyperemia, infiltration,
                                  calcifications, tumors

                      Trauma and Foreign Bodies

                       Inflammation / Endophthalmitis (early diagnosis)

                       Malignant Melanomas and Pseudo-melanomas:
                                    (elevated choroidal nevi, melanocytomas, metastatic carcinomas, choroidal hemangiomas,
                                     lymphomas, osteomas, etc.)

                        Retinoblastomas and Pseudo-gliomas (Leukokoria):
                                     PHPV, Coats' disease, endophthalmitis, ROP, toxocariasis, tuberous sclerosis, retinal dysplasia
                              

                        Diseases of Ocular Wall :
                                              staphylomas, colobomas, scleritis (anterior, posterior), panophthalmitis, phthisis

               ANTERIOR EYE SEGMENT

                         
Corneal conditions
                         Masurements of anterior chamber(angle), iris thickness,
                         Hyphaemas, foreign bodies
                        
Synechiae, subluxated lenses,
                         Iris  & ciliary body tumors           
                         G
laucomatous changes, and  other conditions affecting the anterior eye segment
                         UBM vs Vorderabschnitts-OCT 

               ORBITAL and PERIORBITAL LESIONS

                         Inflammation:
                                   orbital cellulitis, sinusitis, orbital abscesses  

                        Trauma and Foreign Bodies:
                                  
emphysema, sub-periosteal hematomas

                        Tumors:
                         
          lymphomas, pseudolymphomas, metastatic carcinomas, adenoid-cystic carcinomas, cavernous
                                    hemangiomas (adult), infantile hemangiomas, rhabdomyosarcomas, benign mixed tumors of the
                                    lacrimal glands, cysts (dermoid cysts, serous cysts), muco-(pyo-)celes,sarcomas of orbital
                                    bones, meningiomas, carcinoid metastases,congenital dacryoceles, hematomas, etc. 

                         Diseases of Extraocular Muscles, e.g.:
                                     Graves' Orbitopathy (diagnosis, measurement of muscle index, detection of optic nerve
                                                                                                                                        compression, management)
                                     
myositis, tumors, pareses

                         Diseases of the Optic Nerve, e.g.:
                                      Optic Neuritis, Optic Atrophy, Tumors (gliomas, meningiomas, lymphomas, carcinosis, leucemic
                                      infiltrates), papilledema vs. papillitis, optic disc drusen, colobomas, optic nerve compression,
                                      Increased intra-cranial pressure (IIH, Tumors)

                          Diseases of Periorbital Sinuses:
                                       sinusitis, tumors (carcinomas, sarcomas, muco(pyo)celes)

                          Clinical Value of Standardized Orbital Echography

                                 Standardized Echography versus CT / MRI

 

 


             INSTRUMENTS:

                 1. Cine-Scan S (Quantel Medical, France),  fully standardized, digital A & B scan
                        instrument with analog screen display
and digital processing, complete with
                        cine-loops, sensitivity (gain) adjustments of frozen images, and software 
                        allowing for various automated settings (e.g., measurements, quantitative results,
                       
angle kappa) and automated diagnoses (e.g., retinal detachments, membranes).

      Standardized A-scans for (differential) diagnosis and biometry of anterior and posterior
                                                                                                      eye segments and entire orbit 
                Standardized B-scans for topographic guidance and some measurements;
                      low- frequency (10 MHz)
& high-frequency (20 MHz) for diagnosis of anterior and
                      posterior eye segments and anterior orbit

   2. Aviso S (Quantel Medical, France), the newest and most advanced
                     Standardized A-scan and B-scan Instrument

           Portable, lap-top based, fullly digitized, newest software
                      A-scan frequency standardized 8 MHz,  B-scan frequencies 10, 20, 25, and 50 MHZ (UBM)

                            Link Aviso S & Cinescan S
                    

                                                                                                                          
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