Diagnostic Imaging in Ophthalmology

This book has been written for radiologists, ophthalmologists, neurologists, neurosur geons, plastic surgeons, and others interested in the evaluation of disorders with ophthalmologic signs and symptoms. It is designed to provide recent knowledge in this area derived from ultrasonography, computed tomography (CT), and magnetic resonance imaging (MRI). In the past decade, the advent of ultrasonography, computed tomography, and more recently magnetic resonance imaging has provided diagnostic images of the eye, orbit, and brain in a fashion that had been a dream of many prior to the develop ment of these techniques. These newer modes of diagnosis have replaced some previous techniques, such as nuclear medicine imaging and, to some degree, vascular studies and orbitography. There are three sections to this book. The first section is a discussion of the imaging techniques. The second is devoted to the role of these imaging methods in the evaluation of ophthalmic disorders. The last section, dealing with radiotherapy for ophthalmologic tumors, is included because the current imaging techniques are needed for treatment planning. We wish to thank the many people who have assisted us in preparing this manuscript. Among these are many librarians, secretaries, trainees, and photographers. Weare especially indebted to artist Peter Clark for his illustrations and to Mr. Martin Leibo vici, Associate Curator of New York University Medical School and Director of Health Sciences Library of Goldwater Memorial Hospital, New York City. Also, we wish to thank our families for their help and patience.

1 Plain Film Radiography and Polytomography of the Orbit.- 2 Computed Tomography of the Orbit.- 3 Computed Tomography Scanning in the Evaluation of Ocular Motility Disorders.- 4 Ultrasonography of the Eye and Orbit.- 5 Investigation of the Orbit by Contrast Techniques.- 6 The Lacrimal Drainage System.- 7 Foreign Body Localization.- 8 Magnetic Resonance Imaging (MRI) of the Eye and Orbit.- 9 Congenital Abnormalities.- 10 Evaluation of Exophthalmos and Thyroid Ophthalmopathy.- 11 Orbital Tumors.- 12 Lesions Involving the Visual Pathways.- 13 Computed Tomography Assessment of Paraorbital Pathology.- 14 Computed Tomography in Evaluation of the Orbits in Patients with Basal and Squamous-Cell Tumors of the Face.- 15 Infection of the Orbit.- 16 Orbital Trauma.- 17 Radiation Therapy for Malignant Intraocular Tumors.