Guidance of Retrobulbar Injection with Real Time Tomographic Reflection

Wilson Chang, George D. Stetten, L. Lobes, Damion Michael Shelton, and Robert Joseph Tamburo
Journal of Ultrasound in Medicine, Vol. 21, No. 10, October, 2002, pp. 1131 - 1135.


Download
  • Adobe portable document format (pdf) (192KB)
Copyright notice: This material is presented to ensure timely dissemination of scholarly and technical work. Copyright and all rights therein are retained by authors or by other copyright holders. All persons copying this information are expected to adhere to the terms and constraints invoked by each author's copyright. These works may not be reposted without the explicit permission of the copyright holder.

Abstract
Objective. Retrobulbar and peribulbar injections are common ophthalmologic procedures used to deliver anesthetics and other medications for ophthalmic therapy and surgery. These injections, typically performed without any type of guidance, can lead to complications that are rare but visually devastating. The needle may penetrate the optic nerve, perforate the globe, or disperse toxic quantities of drugs intraocularly, causing major visual loss. Sonographic guidance may increase the accuracy of the needle placement, thereby decreasing the incidence of complications. However, difficulties arise in coordinating the relative location of the image, the needle, and the patient. Real-time tomographic reflection is a new method for in situ visualization of sonographic images, permitting direct hand-eye coordination to guide invasive instruments beneath the surface of the skin.
Methods. In this preliminary study, real-time tomographic reflection was used to visualize the eye and surrounding anatomic structures in a cadaver during a simulated retrobulbar injection.
Results. The needle tip was easily followed as it was advanced into the retrobulbar space.
Conclusions. The images presented in this preliminary study show the use of real-time tomographic reflection to visualize insertion of an invasive instrument into the human body.

Notes
Associated Center(s) / Consortia: Vision and Autonomous Systems Center and Quality of Life Technology Center
Associated Lab(s) / Group(s): Human-Robot Interaction Group
Associated Project(s): Sonic FlashlightTM
Number of pages: 5

Text Reference
Wilson Chang, George D. Stetten, L. Lobes, Damion Michael Shelton, and Robert Joseph Tamburo, "Guidance of Retrobulbar Injection with Real Time Tomographic Reflection," Journal of Ultrasound in Medicine, Vol. 21, No. 10, October, 2002, pp. 1131 - 1135.

BibTeX Reference
@article{Chang_2002_4459,
   author = "Wilson Chang and George D Stetten and L. Lobes and Damion Michael Shelton and Robert Joseph Tamburo",
   title = "Guidance of Retrobulbar Injection with Real Time Tomographic Reflection",
   journal = "Journal of Ultrasound in Medicine",
   pages = "1131 - 1135",
   month = "October",
   year = "2002",
   volume = "21",
   number = "10",
}