Computed tomography of the orbit

The orbits of the eye are bony depressions in the front of the skull, where the eyes are located, as well as the nerve and muscle fibers connected to them. In case of maxillofacial bone injuries, injuries and pathologies of the organs of vision, a traumatologist or ophthalmologist may prescribe a computed tomography of the eyes to the patient.

CT is a highly informative non-invasive method for diagnosing pathological conditions and diseases of soft and hard bone tissues. X-ray examination is carried out on a multispiral computed tomography. The procedure is carried out according to the indications and prescription of a doctor no more than 1 time in 6 months. This is due to the radiation load exerted on the body.

Tomography of the eye: what is it?

CT of the orbit of the eye is a comprehensive study of the orbital area, which, depending on the problem, can be divided into:

  • Eye CT. Includes study of the structure of the eyeball.
  • CT of the eye orbits. It is necessary to carry out in case of injuries of the bones of the orbits and surrounding tissues.
  • CT scan of the retina. It is prescribed for pathologies of vision.
  • CT of the lacrimal ducts. It is carried out with pathologies of the lacrimal canals.

With targeted diagnostics, the doctor examines in detail a certain part of the eye, depending on the indications. A general examination shows the structure and disorders of the region of the eye orbits and is carried out at the initial visit of the patient.

With the help of computed tomography of the eye in one scan, you can visually determine:

  • Condition of the eyeball, optic nerve and adjacent bones of the eye sockets and nose.
  • The structure of muscle tissue.
  • Injury area.

During the passage of X-rays, a contrasting black and white image is created on the tomograph screen. The CT technique is based on the visual difference in the rate of absorption of radiation by tissues of different density (healthy and pathological).

What does a CT scan of the eyeball show?

An X-ray of the orbit of the eye is prescribed to clarify the primary diagnosis in case of injuries or suspected pathologies, as well as for secondary diagnosis with an assessment of the regression of the disease. With the help of the study, the diagnostician can clearly determine changes in the structure of tissues, the shape of organs and developmental anomalies, as well as find out the cause of their development.

What does a CT scan of the eye show?

  • Tissue pathologies of the organ of vision resulting from autoimmune diseases.
  • Inflammatory processes in bone structures and soft tissues.
  • Consequences of penetrating trauma (rupture of the cornea, retina, macula, damage to nerves, muscles or blood vessels).
  • Eye diseases (glaucoma, diabetic retinopathy, exophthalmos).
  • The presence of a foreign body.
  • Circulatory disorders, vascular thrombosis, hemorrhage in the orbits.
  • Neoplasms - benign and malignant.
  • Degenerative processes of the optic nerve or muscles.
  • Fractures of the bones of the orbit.

Multilayer computed tomography (MSCT) of the orbits allows you to establish an accurate diagnosis and determine the tactics of treating the disease, choose the method of surgical intervention or drug therapy. In case of an injury to the eye area, the doctor directs the patient for examination to determine the location of the damage and assess the consequences of the injury. If oncology is suspected, CT helps to differentiate the neoplasm.

Unlike MRI, computed tomography of the eyes allows you to thoroughly study the structure and features of dense bone structures. As a result of the examination, the doctor receives a series of layered images of the orbit in different projections.

In case of diseases and pathologies of the organ of vision, the ophthalmologist directs to the tomography of the retina. What it is? The study helps to diagnose:

  • Rupture and detachment of the retina.
  • Vitreoretinal traction.
  • Breaks in the neuroepithelium.
  • Damage to the pigment epithelium.

With the help of optical coherence computed tomography of the retina, the doctor can examine the fundus of the eye and determine even the smallest changes in tissues and blood vessels. Diagnosis is carried out on a special ophthalmological tomograph.

Indications and contraindications for CT of the orbits

Diagnostics is carried out in the case of:

  • Suspicion of oncology of the visual apparatus.
  • Increased intraocular pressure.
  • Inflammation in the eye area.
  • The presence of a foreign body in the orbit.
  • Decreased vision due to trauma or autoimmune diseases.
  • Suspicion of detachment, rupture of the retina or cornea.

Computed tomography with contrast enhancement is indicated for the diagnosis of neoplasms or circulatory disorders. After the injection of iodine-based contrast into the blood, dense areas are clearly visible on the image. With their help, you can determine the presence of tumors and metastases, vascular thrombosis. The study is carried out before eye surgery, as well as again to evaluate the effectiveness of the treatment.

CT is contraindicated in pregnant women, nursing mothers and children under 3 years of age due to exposure to X-rays. The limitations to conducting tomography with contrast include the presence of renal failure, severe diabetes mellitus, allergies to seafood and iodine itself.

How is an eye CT performed?

Before a standard tomography, special preparation is not required. In the case of CT of the eye orbits with contrast, the patient must refrain from food and drink for two hours before the procedure, with the exception of water without gas.

Before starting an eye tomography examination, you should remove clothing with metal parts and accessories, a hearing aid, glasses, removable dentures (if any). The patient lies on the tomograph table, the diagnostician fixes his limbs and head. The scanning process is controlled from another room.

The procedure is painless and takes about 5-10 minutes in standard mode and about 30 minutes with contrast enhancement. While the tomography of the eye is being done, you can not move and talk.

With CT with contrast, a scan is first performed before and after the injection of the drug. During one procedure, only 1 eye socket is examined.

CT scan of eye orbits in Moscow

The diagnostic procedure can be carried out in the medical center "K+31" on modern computer tomographs of the new generation, which reduces the radiation load on the body by up to 70%. Thanks to this, the study becomes safer for patients of any age, including children. For tomography of the eye, the price in Moscow is usually higher than a standard X-ray.

The test result will be ready within an hour. It is issued in the form of a written description and photographs on film or digital media. If necessary, in our clinic, you can order the service of decoding the received data.

Diagnostics is carried out by appointment. To do this, you need to make an appointment at the reception or leave an application on the site.

Service record



Specialists

All specialists
Sinitsyn
Valentine Evgenyevich

Chief Consultant in Radiation Diagnostics, Radiologist

Doctor of Sciences, PhD, professor

Puzakov
Kirill Borisovich

Leading Consultant in Radiology, Radiologist

Chichkanova
Tatyana Vladimirovna

Oncologist-mammologist, radiologist

Kondratyev
Eugene Valerevich

Leading CT Specialist, MRI

PhD, leading research fellow

Sychenkova
Irina Yuryevna

Leading MRI Specialist

Leading expert MNIOI them. P.A. Herzen

Schulz
Eugene Igorevich

Leading neuroradiologist in MRI and CT diagnostics

PhD

Vasilieva
Yulia Nikolaevna

Radiologist, leading specialist in radiation diagnostics

PhD

Maso
Michael Lvovich

Mammologist, radiologist, ultrasound diagnostician

PhD

Yagizarov
Imran Rasulovich

Head of the department of radiation diagnostics, radiologist