Review Article

To Study and Determine the Role of Anterior Segment Optical Coherence Tomography and Ultrasound Biomicroscopy in Corneal and Conjunctival Tumors

Table 3

Articles describing the use of UBM and AS-OCT in conjunctival and corneal tumors.

Author, year StudyNumber of patientsImaging techniqueAimTumor typeResultsConclusion

UBM versus AS-OCT

Buchwald et al., 2003Optical coherence tomography versus ultrasound biomicroscopy of conjunctival and eyelid lesions—prospective study38 tumors of 35 patientsUBM (30 MHz) and AS-OCT (1310 nm)To compare the value of UBM and AS-OCT in the diagnosis of conjunctival and eyelid lesions13 conjunctival lesions and 25 eyelid lesions:
pterygium (8/38), seborrheic keratosis (7/38), cyst of the eyelid (5/38), basal cell carcinoma of the eyelid (4/38), compound nevus of the conjunctiva (4/38), chalazion (3/38), primary acquired melanosis (1/38), actinic keratosis (1/38), nevus (1/38), cavernous haemangioma (1/38), melanoma in situ (1/38), foreign body (1/38), epidermoid cyst (1/38)
AS-OCT
(i) More reliable imaging: small cystic structures of compound nevus
(ii) Assessment of the margins of the tumors (particularly in depth) was impossible or uncertain
AS-OCT and UBM
Solid tumors: the definite diagnosis could not be differentiated by UBM or OCT alone
OCT
Show very small cystic structures more distinctly than UBM
UBM
Better for assessing the margins of the tumor than OCT

Bianciotto et al., 2011Assessment of anterior segment tumors with ultrasound biomicroscopy versus anterior segment optical coherence tomography in 200 cases—retrospective, noninterventional case series200UBM (50 MHz probe) and AS-OCT (1310 nm)To compare UBM versus AS-OCT for imaging of tumors of the anterior segment of the eye6 conjunctival lesions (diagnosis not mentioned), 0 corneal lesions, 194 other locations:
nevus (75/200), melanoma (47/200), cyst (48/200), epithelioma (adenoma) (5/200), metastasis (4/200), melanocytosis (4/200) and melanocytoma (4/200), others (3/200)
UBM
(i) Better overall tumor visualization (138 [69%] versus 62 [31%])
(ii) Better resolution of the posterior margin (147 [74%] versus 53 [27%])
(iii) Better resolution for pigmented tumors (; 107 [66%] versus 55 [34%])
(iv) Better resolution for nonpigmented tumors (; 23 [61%] versus 15 [39%])
AS-OCT
(i) Better resolution of the anterior margin (40 [20%] versus 160 [80%])
(ii) Better overall resolution of anterior segment anatomy (41 [21%] versus 159 [80%])
UBM > AS-OCT
(i) Anterior segment tumors: better visualization of the posterior margin and overall better images for entire tumor configuration