Highest Signal to Noise Ratio
The unique amplifier and probe design of the Eye Cubed™ provides for the industry’s highest signal-to-noise ratio. Because noise is reduced to a minimum, details of even the finest ocular structures become visible — including blood and inflammatory cells.
High Speed Imaging
With an image acquisition rate of up to 25 frames per second, the Eye Cubed™ provides the fastest image-sampling rate available today. This speed creates a real-time view of detailed ocular activity, including blood cell movement and membrane behavior.
Advanced Movie Technology
The Eye Cubed’s advanced movie technology greatly improves the diagnostic process, allowing you to capture movies of up to 10 seconds each — and then store and recall these movies in full movie mode, or frame by frame.
Reliability, Performance and Versatility
Through a combination of highest-quality manufacturing processes and technical support, Ellex ensures that the Eye Cubed™ delivers the performance and results you have come to expect. In addition, each Eye Cubed™ is fully upgradeable, regardless of initial configuration, offering you maximum flexibility and versatility.
Better Practice Management
Images can be stored on the removable one-terabyte hard drive and recalled for additional analysis, measurement and documentation. The system’s built-in DVD burner also allows you to quickly and easily export patient information, greatly improving practice efficiency.
Clinical Application Support
Eye Cubed™ users have access to extensive clinical expertise and educational support, including comprehensive training by Ellex’s certified ultrasound specialists. For continuing education, Ellex offers courses on diagnostic ultrasound for physicians, fellows, residents and technicians.
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1. Melanoma - Choroid
10MHz Posterior Segment B-Scan: Extraocular local recurrence adjacent to the optic nerve following plaque radiotherapy of a medial choroidal melanoma in the right eye.
Images courtesy of Bertil Damato, PhD, FRCOphth, Royal Liverpool University Hospital, United Kingdom.
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2. Melanoma - Inferonasal
10MHz Posterior Segment B-Scan: Inferonasal melanoma in the left eye measuring 15.7 by 9.5 by 5.2 mm extending to pars plana.
Images courtesy of Bertil Damato, PhD, FRCOphth, Royal Liverpool University Hospital, United Kingdom.
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3. Melanoma - Inferotemporal Ciliary Body
10MHz Posterior Segment B-Scan: A left inferotemporal ciliary body melanoma measuring 13.5 x 11.4 x 5.5mm. (Note: Ciliary body melanomas can have cystic spaces or pseudocystic spaces if there are areas of necrosis or amelanotic melanoma.)
Image courtesy of Bertil Damato, PhD, FRCOphth, Royal Liverpool University Hospital, United Kingdom.
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4. Melanoma – Ciliary Body
10MHz Posterior Segment B-Scan: Left ciliary body melanoma with cystic spaces as per case study 3.
Images courtesy of Bertil Damato, PhD, FRCOphth, Royal Liverpool University Hospital, United Kingdom.
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5. Melanoma – Choroid, Iris and Anterior Chamber
10MHz Posterior Segment B-Scan: A very atypical melanoma extending from choroid through iris into anterior chamber and showing necrosis.
Images courtesy of Bertil Damato, PhD, FRCOphth, Royal Liverpool University Hospital, United Kingdom.
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6. Melanoma – Iris
10MHz Posterior Segment B-Scan: Temporal iris melanoma.
Images courtesy of Bertil Damato, PhD, FRCOphth, Royal Liverpool University Hospital, United Kingdom.
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7. RPE/Choroidal Detachment
10MHz Posterior Segment B-Scan: Eccentric disciform lesion with RPE/choroidal detachment.
Image courtesy of Bertil Damato, PhD, FRCOphth, Royal Liverpool University Hospital, United Kingdom.
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Trabeculectomy
A transverse scan of a trabeculectomy site shows the lacking of the sclera and of the iris (iridectomy). Peripheral iris iridectomy touch the sclera such as a synechia. To the left of the scan, three transverse ciliary processes are evident. The conjunctival bleb over the trabeculectomy site shows a low level of reflectivity, indicating positive post-surgery function.
Image courtesy of Michele Figus, MD PhD, Chiara Posarelli, MD, and Marco Nardi, MD, University of Pisa, Italy.
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Cataract
The zonula, an anterior lens opacity (possibly post-traumatic cataract) and an iris-cornea synechia with angle closure on the left, are visible.
Image courtesy of Michele Figus, MD PhD, Chiara Posarelli, MD, and Marco Nardi, MD, University of Pisa, Italy.
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IOL
A subluxated IOL behind the pupil is visible. It is probably located in the bag, despite the fact that the loops are not visible.
Image courtesy of Michele Figus, MD PhD, Chiara Posarelli, MD, and Marco Nardi, MD, University of Pisa, Italy.
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Iris-Ciliary Body Cysts
A transverse scan shows two iris-ciliary body junction cysts.
Image courtesy of Michele Figus, MD PhD, Chiara Posarelli, MD, and Marco Nardi, MD, University of Pisa, Italy.
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Iris-Ciliary Body Cysts
A longitudinal scan shows one of these two cysts.
Image courtesy of Michele Figus, MD PhD, Chiara Posarelli, MD, and Marco Nardi, MD, University of Pisa, Italy.
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Endophthalmitis
Anterior chamber membranes close to the cornea are visible. Small, reflective dots are present in the aqueous. A low reflective structure (hypopion) is present in the angle. In addition, a fibrous membrane is present across the pupil, obscuring the lens. A low reflective structure is also noted in the posterior chamber.
Image courtesy of Michele Figus, MD PhD, Chiara Posarelli, MD, and Marco Nardi, MD, University of Pisa, Italy.
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Ex-PRESS Shunt in Uveitic Glaucoma
The outer edge of the Ex-PRESS shunt is visible with a back-scattering effect. The scleral flap is elevated with a hypoechoic space under the flap. The angle is open. The patient is pseudophakic (the artefact of the loop is visible with a small back-scattering).
Image courtesy of Michele Figus, MD PhD, Chiara Posarelli, MD, and Marco Nardi, MD, University of Pisa, Italy.
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Ex-PRESS Shunt in Uveitic Glaucoma
The Ex-PRESS shunt is completely visible. The back-scattering effect, which is caused by the presence of a metallic material, obscures part of the iris. The shunt is well positioned.
Image courtesy of Michele Figus, MD PhD, Chiara Posarelli, MD, and Marco Nardi, MD, University of Pisa, Italy.
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Ex-PRESS Shunt in Uveitic Glaucoma
The inner edge of the Ex-PRESS shunt is visible without any contact with either the endothelium or the iris.
Image courtesy of Michele Figus, MD PhD, Chiara Posarelli, MD, and Marco Nardi, MD, University of Pisa, Italy.
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Ahmed Glaucoma Valve
Transverse scans show the tube of the Ahmed Glaucoma Valve positioned under the sclera and in the anterior chamber (with a shadow effect that covers the iris) respectively.
Image courtesy of Michele Figus, MD PhD, Chiara Posarelli, MD, and Marco Nardi, MD, University of Pisa, Italy.
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Ahmed Glaucoma Valve
Transverse scans show the tube of the Ahmed Glaucoma Valve positioned under the sclera and in the anterior chamber (with a shadow effect that covers the iris) respectively.
Image courtesy of Michele Figus, MD PhD, Chiara Posarelli, MD, and Marco Nardi, MD, University of Pisa, Italy.
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Ahmed Glaucoma Valve
The plate of the valve is visible with a shadow effect. It is impossible to recognize the valve mechanism by ultrasound.
Image courtesy of Michele Figus, MD PhD, Chiara Posarelli, MD, and Marco Nardi, MD, University of Pisa, Italy.
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Angle Measurement
The Eye Cubed™ enables biometric measurements of the anatomical structures of the eye. In order to obtain an accurate measurement, the tip of the caliper (the point of the triangle, as shown in the scan) must be located at the level of the scleral spur.
Image courtesy of Michele Figus, MD PhD, Chiara Posarelli, MD, and Marco Nardi, MD, University of Pisa, Italy.
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Crystalens
Evaluating the effects of the IOL haptics on the anterior chamber angle aperture and the clinical performance of a Crystalens accommodating IOL - horizontal axial scan parallel to haptics, shown by arrows.
Image courtesy of Ioannis Pallikaris, MD, IVO-UOC, Crete, Greece.
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Crystalens
Evaluating the effects of the IOL haptics on the anterior chamber angle aperture and the clinical performance of a Crystalens accommodating IOL - vertical axial scan.
Image courtesy of Ioannis Pallikaris, MD, IVO-UOC, Crete, Greece.
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Decentered Posterior Chamber Lens
40MHz imaging can help understand refractive errors due to the incorrect position of an implantable contact lens (ICL).
Image courtesy of Ioannis Pallikaris, MD, IVO-UOC, Crete, Greece.
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Decentered Posterior Chamber Lens
Another example of ICL not positioned in the visual axis.
Image courtesy of Ioannis Pallikaris, MD, IVO-UOC, Crete, Greece.
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The Eye Cubed™ delivers highest-quality image resolution and unparalleled sensitivity that make it the premier device for ultrasound examination of the eye. Created by Innovative Imaging, the pioneers in ophthalmic ultrasound technology, the system features real-time imaging, advanced movie mode using the fastest sampling rate available, and internal memory for storing measurements — all of which advance and improve your diagnostic efforts. But don’t just take our word for it — here’s what your colleagues have to say about the Eye Cubed:
 “The Eye Cubed is the gold standard for immersion A-Scans and B-Scan measuring intraocular tumors. Even more impressive for me is the new high resolution anterior ultrasound. We can now see the angle, iris and lens in real time.“
E. Randy Craven, MD — Littleton, CO
 “Ellex has been at the forefront of my practice with the Eye Cubed ultrasound imaging. The ability to see the anterior segment with such high resolution has proven essential in finding hidden pathology.”
Robert P. Rivera, MD — Phoenix, AZ
 “I have had the Eye Cubed A-B Scan unit for the last several months. We use it more extensively than I would have thought. The A-Scan has been extremely easy to use, accurate and reliable. The B-Scan gives exquisite and reliable diagnostic images.”
William Bond, MD — Pekin, IL
Download the list here.
| Network and Connectivity |
Electrical Requirements |
| Five USB 2.0 ports for memory sticks and peripherals |
Power supply: 100-240 VAC auto-ranging |
| Built-in multimedia reader |
Frequency: 50/60 Hz |
| Fully network and printer-ready (gigabit ethernet) |
Input power: 220 VA |
| "Easy Print" feature |
System size: 15.5 x 17 x 6.5 inches (39 x 43 x 16.5 cm) |
| Windows XP operating system |
Weight: 26 lbs. (12kg) |
| Multilingual user interface |
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| Data Management |
Hardware Features |
| Data archiving and image/movie export capability |
Built-in DVD burner |
| Customized report capability |
Removable one-terabyte hard drive |
| Custom protocols for scan labeling |
Wide screen, 1920 x 1200 high-resolution monitor |
| B-Scan Modes |
A-Scan Modes |
| Four sets of electronic distance measurement calipers with variable velocity |
IOL power calculations and analysis:
- Holladay-I
- SRK-T
- Haigis
- Hoffer-Q |
| Four sets of electronic angle measurement calipers |
Movie sequence adjustable up to 5 seconds |
| Text annotations |
50 frames-per-second image acquisition rate |
Movie sequence capture up to 20 seconds
- Real-time image viewing
- Movie editing capability |
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| 10 MHz Posterior Segment |
Axial Length Biometry A-Scan |
| 25 frames-per-second image acquisition rate |
Immersion or contact method |
| 10-second movie capability |
Solid focused probe with internal fixation light |
| Sealed probe |
Probe frequency: 10 MHz |
| Adjustable gain (27-90 dB) |
Image depth: 40 mm |
| Adjustable dynamic range |
Points on x-axis: 2048 |
| Axial resolution: 50 microns* |
8 bit resolution |
| Lateral resolution: 100 microns* |
Steps of resolution: 256 |
| Scanning angle: 52 degrees |
Measurement accuracy: 50 microns inherent, 100 microns clinical |
| Image depth: 45 mm |
Automatic or manual scan acquisition |
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Built-in pattern recognition with automatic scleral echo detection |
| 40 MHz UBM Wide-Field Anterior Segment |
Statistics: average and standard deviation |
| 13 frames-per-second image acquisition rate |
Standardized Diagnostic A-Scan |
| 20-second movie capability |
Two caliper measurements displayed in mm with variable velocities |
| Adjustable gain (27-90 dB) |
Tissue sensitivity value stored in memory with reset function |
| Adjustable dynamic range via Log, S1, S2, S3 |
Probe frequency: 8 MHz parallel beam |
| Axial resolution: 23 microns* |
Measurement accuracy: 50 microns inherent, 100 microns clinical |
| Lateral resolution: 33 microns* |
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| Scanning angle: 30 degrees |
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| Image depth: 12.5 mm |
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| Image width at focal zone: 15-17 mm |
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| Focal range: 10.5 - 14.5 mm |
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* Electronic sample resolution at the focal point
Specifications are subject to change without notice.
| Probes (Optional Accessories) |
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A-Scan Probes
8 MHz probe for standardized diagnostic
A-Scan
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A-Scan Probes
10 MHz focus probe with internal fixation light for biometric A-Scan
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B-Scan Probes
10 MHz sealed B-Scan probe
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B-Scan Probes
NEW! 40 MHz UBM Wide-Field Anterior Segment
B-Scan probe
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Kohn Shell for Immersion Biometry
(Optional Accessories)
Available in:
17mm Adult size
15mm Pediatric size
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| Flanged Shells for B-Scan (Optional Accessories) |
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Scleral Shells for B-Scan (Optional Accessories)
Available in:
20mm Adult size
18mm Pediatric size
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ClearScan® Bag for 40MHz B-Scan (Optional Accessory)
ClearScan® is an innovative single-use ultrasound probe cover. Consisting of an extremely thin film that is acoustically invisible, ClearScan® provides distortion free ultrasound imaging with the added benefit of patient comfort. In addition, the ClearScan® conical shape enables the safe and effective examination of all eye quadrants without causing corneal abrasion.
*ClearScan is a registered trademark of ESI, Inc. |
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| Custom Cart (Optional Accessories) |
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Eye Cubed Standard Included Accessories
Footswitch
Printer (US customers only)
Monitor
Cart
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Recommended Printers
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The following printers have been qualified for use with the Eye Cubed. Please note that these printers are not available for sale from Ellex.
- Canon LBP6000
- Samsung 2525W
- Brother HL-2240D
- Brother HL2140
- HP LaserJet 1160 / 1022 / 1020 / 1018
- Mitsubishi P93DW USB Thermal Video Printer
- Mitsubishi P95DW Thermal Video Printer
As these printers are commercial devices, use of an isolation transformer may be required in order to meet earth leakage current requirements. Installation of other Windows-based printers may be possible, subject to the Electrical Safety Warning below.
Electrical Safety Warning
Please note that installation of a printer will change the electrical safety profile of the Eye Cubed system. Commercial printers are not generally qualified for use with medical systems where direct patient contact is involved, and may potentially present a higher risk of electrical shock to the patient. Although such risk may generally be alleviated through the use of an isolation transformer, the connection of any electrical device to the Eye Cubed system, including a printer, which has not been qualified by Ellex, must be evaluated for safety by the installing party. Ellex is not, and cannot be responsible for modifications affecting electrical safety undertaken by customers at their own discretion.
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Video Tutorials
View a selection of video tutorials demonstrating a range of ultrasound techniques with the Eye Cubed™ system.
Tutorial 1: Performing Immersion Biometry
Case Studies
View a selection of interesting case studies featuring examples of common and not-so-common echographic findings, as well as specialized exam techniques.
Case 1: The Definitive Diagnosis
Case 1
The Definitive Diagnosis |
This patient is a 70+ year-old male who underwent cataract extraction, OD. At the time of surgery, the posterior capsule broke and the lens nucleus dropped into the vitreous cavity. The nucleus was retrieved during the procedure and the eye was closed without IOL placement. |
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Vertical transverse at 9:00: At high gain, the vitreous hemorrhage is still evident, but there appears to be an area of both retinal and choroidal elevation as well as an area of only retinal elevation. These areas of elevation were at the 7:00 and 10:00 meridians respectively, anterior to the equator. |
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Vertical transverse of 9:00: With reduced gain, scanning just slightly more anterior than the previous image, one clearly sees an echo-lucent area between the retina and sclera. One can see the area where the retina and choroid are elevated together and the retina and choroid clearly separate from one another. |
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Vertical Transverse of 9:00: In this view, even further anterior to the equator than the previous image, a retinal tear is clearly seen. On kinetic examination, a strand of vitreous is seen and moves in conjuction with the retina and appeares to be attached. The retinal and choroidal separations are also clearly visable. |
Case 2: Child With Congenital Glaucoma
Case 2
Child With Congenital Glaucoma |
The following series of images were produced using B-scan mode: 10 MHz for a view of the entire globe. Each ruler mark represents 1 mm. The young child presented with bilaterally opaque corneas and was examined with fluid standoff under anesthesia. A nearly 5 mm difference in axial lengths between the two eyes was measured. |
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OD
Horizontal axial (HAX) view for axial length. 10MHz |
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Vertical axial (VAX) view of thickened cornia and atropic iris at both edges of the scan. 10MHz |
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Longitudinal, or radial (L4) view of the 4:00 meridian with scleral erosion from the shunt tube. 10MHz |
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Horizontal axial (HAX) view for axial length. 10MHz |
Case 3: Difficult A-scan - Staphyloma
Case 3
Difficult A-scan - Staphyloma |
Preoperative measurement accuracy is determined by several factors: echo patterns of consistent and high quality, use of proper measurement mode and caliper positions for selection of ultrasound velocities, and interpretation by a trained biometrist. Dense cataracts, or the presence of vitreous or macular pathology signal the examiner by their echo patterns. Even in the presence of these pathologies, accurate ultrasound biometry may be performed on ALL patients. Detection and interpretation of abnormal echoes leads to a more accurate prediction of surgical and refractive outcome. |
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Difficult A-Scan - Long Eye
AXL = 32.15mm Lens = 4.87mm ACD = 2.77mm |
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Corresponding B-Scan
Posterior staphyloma caused sub optimal retinal A-scan echo. Horizontal axial B-scan is used for axial length. |
Case 4: Difficult A Scan with Retinal Detachment
Case 4
Difficult A Scan with Retinal Detachment |
Preoperative measurement accuracy is determined by several factors: echo patterns of consistent and high quality, use of proper measurement mode and caliper positions for selection of ultrasound velocities, and interpretation by a trained biometrist. Dense cataracts, or the presence of vitreous or macular pathology signal the examiner by their echo patterns. Even in the presence of these pathologies, accurate ultrasound biometry may be performed on ALL patients. Detection and interpretation of abnormal echoes leads to a more accurate prediction of surgical and refractive outcome. |
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AXL = 25.57mm Lens = 4.56mm ACD = 2.34mm |
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Corresponding B-Scans
Traction retinal detachment caused sub optimal A-scan retinal echo. Technician investigated with diagnostic B-scan. |
Case 5: Contact vs. Immersion A-Scan
Case 6: Malignancy or Benign Lesion?
Case 6
Malignancy or Benign Lesion? |
An elderly gentleman presented to a University retina department. Following clinical and ultrasound examination the patient was thought to have a large suspicious lesion. The oncologist was unavailable at the moment, but an experienced echographer was able to repeat the ultrasound exam and included Standardized-equivalent Diagnostic A-scan. The A-scan showed an echo pattern consistent with a disciform lesion as opposed to the melanoma that was suspected. When the oncologist returned to evaluate the electronically stored scans and a repeat real-time exam, the diagnosis of a disciform lesion was confirmed. |
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Vertical transverse at 9:00. At reduced gain, the lesion still produces highly reflective echoes that are irregular in brightness. There is no shadowing at the base of the tumor, often seen in large melanomas. Diffuse vitreous opacities are also observed. |
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Standardized-equivalent Diagnostic A-scan demonstrates irregular internal reflectivity characteristic of a benign disciform lesion. |
Ocular Dynamics Newsletter
Read the latest insight from Ellex’s Clinical Applications Specialists in the Ocular Dynamics Newsletter.
Issue 1:
Underlying Maculopathy Caused Incorrect Axial Length – Patient Referred to Retina Service
Click here to download
Issue 2:
Education Resources
Take your pick from a comprehensive selection of ultrasound educational resources.
A recent addition to these resources, is a new educational website: www.OphthalmicEdge.org with a primary focus on ophthalmic ultrasound. The short lectures presented on this website are geared for ophthalmic technicians, ophthalmology residents, fellows and attendings with little or no understanding of diagnostic ophthalmic ultrasound.
| Books | Certifications | Societies |
Books
Intraocular Lens Power Calculations (2003)
by H. John Shammas
Published by Slack
TEL: (800) 257-8290 or (856) 848-1000
FAX: (856) 853-599
WEB: http://slackbooks.com/view.asp?SlackCode=66526
Ultrasound of the Eye and Orbit, 2nd Edition (2002) by Byrne and Green
This edition is greatly anticipated since the first edition is out of print and is no longer available. The book has been significantly expanded and updated regarding current trends in ophthalmic ultrasound. The chapters on vitreoretinal disease and intraocular tumors have been greatly enhanced in the second edition. New chapters and sections on high resolution ultrasound, color Doppler imaging, and three-dimensional B-scan ultrasound have been added. In addition, new chapters have been written that show the use of ultrasound for glaucoma and inflammatory diseases.
WEB: http://www.us.elsevierhealth.com
Diagnostic Atlas of Orbital Diseases (2000)
by Dutton, Byrne, and Proia
Published by W.B. Saunders and Company
TEL: (800) 545-2522
Ophthalmic Ultrasound (1998)
by Cathy DiBernardo, RN, RDMS, ROUB
Published by Thieme
TEL: (212) 760-0888
A-scan Axial Eye Length Measurements (1995)
by Sandra Frazier Byrne, RDMS, ROUB
Published by Grove Park Publishers
TEL: (800) 750-4679 or (828) 689-9330
FAX: (828) 689-3463
Ultrasound Biomicroscopy (1995)
by Charles Pavlin, MD
Published by Springer-Verlag
TEL: (800) 777-4643
FAX: (201) 348-4505
Ophthalmic Echography (1990)
by Cynthia Kendall, BMET, RDMS, ROUB
(out of print) Published by Slack Incorporated
TEL: (800) 257-8290 or (856) 848-1000
FAX: (856) 853-599
Certifications
ARDMS American Registry of Diagnostic Medical Sonographers
For RDMS Registered Diagnostic Medical Sonographer
TEL: (800) 541-9754 or (301) 738-8401
FAX: (301) 738-0312
WEB: http://www.ardms.org
JCAHPO Joint Commission on Allied Health Personnel in Ophthalmology
For ROUB Registered Ophthalmic Ultrasound Biometrist
TEL: (800) 284-3937 or (651) 731-2944
FAX: (651) 731-0410
WEB: http://www.jcahpo.org
Societies
ASOU American Society of Ophthalmic Ultrasound
Contact: Suzanne Daly
TEL: (212) 746-2504
New York Hospital, Dept. of Ophthalmology
525 East 68th Street, Box 112
New York, NY 10021 USA
SIDUO International Society For Diagnostic Ultrasound in Ophthalmology
Contact: H. John Shammas, MS
3510 Martin Luther King Blvd.
Lynwood, CA 90262
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Trabeculectomy 
IOL 
Testimonials —
Eye Cubed in the Media
