Ultrasound Biomicroscopy for Diagnosing Peripheral Fundus Pathologies: A Clinical Study

Background: Pathologies in the extreme periphery of the fundus often go undiagnosed with conventional imaging methods, potentially leading to mismanagement. Ultrasound Biomicroscopy (UBM) offers a high-resolution imaging modality to visualize subtle changes and structural abnormalities in these regions. Objective: This study aims to evaluate the role of UBM in diagnosing pathological changes in the extreme periphery of the fundus. Material and Methods: A total of 120 patients were included in the study, conducted in the Department of Ophthalmology at a tertiary care hospital. Each participant underwent detailed ophthalmic examination and UBM assessment for peripheral fundus evaluation. Results: UBM identified peripheral retinal degenerations, vitreous detachments, and ciliary body abnormalities in 65%, 15%, and 10% of patients, respectively. The findings of UBM were significantly correlated with clinical examination and patient symptoms. Conclusion: UBM proves to be a valuable tool in identifying subtle pathologies in the extreme periphery of the fundus, which may not be detected by traditional diagnostic modalities. Early detection allows for timely management, potentially preventing further complications.