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The relationship of clinical manifestations and ultrasound characteristics of post-traumatic eyelid scarring

https://doi.org/10.21516/2072-0076-2022-15-1-72-77

Abstract

Purpose: to study the relationship between the clinical and ultrasound characteristics of post-traumatic eyelid scarring at different stages of the post-traumatic period.
Materials and methods. 15 patients aged 13 to 61 (ave. 36.5 ± 12.2 years) with post-traumatic eyelid scarring were examined for the clinical characteristics of the scar by the Manchester scar scale and subjected to ultrasound gray-scale B-scan of tissues in the “Small Part” mode and echodensitometry.
Results. The above measurements of patients who suffered trauma 2–3 months before the study totaled 3–4 points on the Manchester scale, while the acoustic density of scars varied from 21 to 43 conv. units (ave. 30.5 ± 5.9 conv. units). The patients whose eyelid trauma occurred 5–6 months before the study, totaled 4–5 points; and the average scar acoustic density ranged from 30 to 65 conv. units (ave. 43.5 ± 9.8 conv. units). 10–12 months after the trauma, the clinical signs of patients received 5 points whilst a comprehensive ultrasound examination yielded the acoustic density of scars varying from 43 to 84 conv. units (ave. 54.4 ± 17.6 conv. units).
Сonclusion. The study revealed a direct relationship between the changes in the clinical and ultrasound characteristics of the eyelid scar tissue at different post-traumatic period stages. As the post-traumatic period continued, the scar density, its echogenicity and the displacement of the surrounding eyelid tissues was found to increase.

About the Authors

I. A. Filatova
Helmholtz National Medical Research Center of Eye Diseases
Russian Federation

Irina A. Filatova - Dr. of Med. Sci., head of the department of plastic surgery and eye prosthetics

14/19, Sadovaya-Chernogryazskaya St., Moscow, 105062



T. N. Kiseleva
Helmholtz National Medical Research Center of Eye Diseases
Russian Federation

Tatyana N. Kiseleva - Dr. of Med. Sci., professor, head of the department of ultrasound studies of the eye

14/19, Sadovaya-Chernogryazskaya St., Moscow, 105062



K. V. Lugovkina
Helmholtz National Medical Research Center of Eye Diseases
Russian Federation

Kseniya V. Lugovkina - Cand. of Med. Sci., researcher of the department ultrasound studies of the eye

14/19, Sadovaya-Chernogryazskaya St., Moscow, 105062



S. A. Shemetov
Helmholtz National Medical Research Center of Eye Diseases
Russian Federation

Sergey A. Shemetov - Cand. of Med. Sci., ophthalmic surgeon, department of plastic surgery and eye prosthetics

14/19, Sadovaya-Chernogryazskaya St., Moscow, 105062



Y. A. Pavlenko
Helmholtz National Medical Research Center of Eye Diseases
Russian Federation

Yury A. Pavlenko - PhD student, department of plastic surgery and eye prosthetics

14/19, Sadovaya-Chernogryazskaya St., Moscow, 105062



References

1. Filatova I.A., Kiseleva T.N., Iomdina E.N., et al. Echodensitometry in the assessment of the acoustic properties of the eyelid tissues in normal and scar deformities. Point of view. East – West. 2015; 1: 236–7 (in Russian).

2. Filatova I.A., Kiseleva T.N., Ramazanova K.A., Sitnikova D.N., Ilyina T.V. Method for diagnosing the type of scarring of the eyelids and periorbital area after traumatic and aseptic damage. Patent RF №0002495627; 2013 (in Russian).

3. Ozerskaya O. S. Skin scars and their dermatocosmetological correction. St. Petersburg: JSC “Art of Russia”; 2007 (in Russian).

4. Belousov A. E. Scars and their correction. Volume 1. St. Petersburg: Commander SPB; 2005 (in Russian).

5. Fearmonti R., Bond J., Erdmann D., Levinson H. A review of scar scales and scar measuring devices. Eplasty. 2010; 10: e 43. PMID: 20596233

6. Katkova E.A. Ultrasound diagnostics of volumetric processes of the visual organ: a practical guide. 1st edition – Moscow: OOO “Firm STROM”; 2011 (in Russian).

7. Avetisov S.E., Kharlap S.I., Nasnikova I.Yu., et al. Three-dimension computer-based sonography in evaluating the vascular system of the eye and orbit. Communication 1. Methodological approach and principles of results analysis. Vestnik oftal'mologii. 2003; 119 (4): 39–42 (in Russian).

8. Zhukova S.I., Schuko A.G., Yurieva T.N., et al. Methods of ultrasound examination in ophthalmology: method. Recommendations. Irkutsk: RIO GBOU DPO IGMAPO; 2015 (in Russian).

9. Ilina N.V. Complex ultrasound diagnostic of lesions of eyelids and periorbital region. Medical Visualization. 2014; 3: 51–8 (in Russian).

10. Kiseleva T.N., Kataev M.G., Ilina N.V., Zakharova M.A., Ramazanova K.A. Ultrasonography in normal eyelids assessment. Vestnik oftal'mologii. 2014; 130 (1): 46–51 (in Russian).

11. Spann K., Mileski W.J., Atiles L., et al. The 1996 Clinical Research award. Use of a pneumotonometer in burn scar assessment. J. Burn. Care Rehabil. 1996; 17 (6 Pt 1): 515–7. doi: 10.1097/00004630-199611000-00006

12. Enomoto D., Mekkes J., Bossuyt P., et al. Quantification of cutaneous sclerosis with a skin elasticity meter in patients with generalized scleroderma. J. Am. Acad. Dermatol. 1996; 35: 381–7. doi: 10.1016/s0190-9622(96)90601-5

13. Falanga V., Bucalo B. Use of the durometer to assess skin hardness. J. Am. Acad. Dermatol. 1993; 29 (1): 47–51. doi: 10.1016/0190-9622(93)70150-r

14. Akhmedova L.E., Bezuglyi A.P. New technologies in diagnostics — ultrasound examination of the skin. Bulletin of rehabilitation medicine. 2005; 4: 32–4 (in Russian).

15. Bezuglyi A.P., Bikbulatova N.N., Shuginina Ye.A., Belkov P.A., Khabutdinova N.R. Skin ultrasound examination in the cosmetologist’s practice. Vestnik dermatologii i venerologii. 2011; 87 (3): 142–52 (in Russian).


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For citations:


Filatova I.A., Kiseleva T.N., Lugovkina K.V., Shemetov S.A., Pavlenko Y.A. The relationship of clinical manifestations and ultrasound characteristics of post-traumatic eyelid scarring. Russian Ophthalmological Journal. 2022;15(1):72-77. (In Russ.) https://doi.org/10.21516/2072-0076-2022-15-1-72-77

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ISSN 2072-0076 (Print)
ISSN 2587-5760 (Online)