Advances in Ophthalmic Ultrasonography and Emerging Multimodal Imaging Technologies in the Lacrimal Gland

Authors

Hadi Khazaei

Athreya Medtech (United States of America (USA))

Danesh Khazaei

Portland State University (United States of America (USA))

Kaneez Abbas

Athreya Medtech (United States of America (USA))

Majd Oteibi

Validus Institute Inc (United States of America (USA))

Faryar Etesami

Portland State University (United States of America (USA))

Bala Balaguru

Athreya Medtech (United States of America (USA))

Article Information

DOI: 10.51244/IJRSI.2025.12110049

Subject Category: imagining in ophthalmology

Volume/Issue: 12/11 | Page No: 513-518

Publication Timeline

Submitted: 2025-11-20

Accepted: 2025-11-30

Published: 2025-12-05

Abstract

Conventional ophthalmic ultrasonography is a cornerstone in ocular diagnostics, providing essential structural and functional insights into the eye and orbit. Traditional techniques such as brightness mode (B-mode) and amplitude mode (A-mode) imaging have enabled clinicians to evaluate ocular and orbital morphology and characterize diverse pathological entities. However, the inherently two-dimensional (2D) nature of these techniques limits spatial comprehension in a fundamentally three-dimensional (3D) anatomic environment. This limitation often results in partial data interpretation and potential diagnostic inaccuracies. Recent advancements—including 3D ultrasound reconstruction, photoacoustic tomography, contrast-enhanced ultrasonography, and thermo-imaging—have revolutionized the visualization of ocular structures. These innovations promise enhanced spatial resolution, quantitative vascular assessment, and improved detection of subtle pathological changes, thereby defining a new era in ophthalmic and orbital imaging.

Keywords

Orbital 3D ultrasonography; Lacrimal gland; Thyroid-associated ophthalmopathy.

Downloads

References

1. Lorber M. Gross characteristics of normal human lacrimal glands. Ocul Surf. 2007;5:13-22. [Google Scholar] [Crossref]

2. Rabinowitz MP, Halfpenny CP, Bedrossian EH. The frequency of granulomatous lacrimal gland inflammation as a cause of lacrimal gland enlargement in patients without a diagnosis of systemic sarcoidosis. Orbit. 2013;32:151-55. [Google Scholar] [Crossref]

3. Jung WS, Ahn KJ, Park MR, Kim JY, Choi JJ, Kim BS, et al.The radiological spectrum of orbital pathologies that involve the lacrimal gland and the lacrimal fossa. Korean J Radiol. 2007;8:336-42. [Google Scholar] [Crossref]

4. Voyatzis G, Chandrasekharan L, Francis I, Malhotra R. The importance of clinician sreviewing CT scans in suspected lacrimal gland disease causing eyelid swelling, even if radiologists previously interpreted them as normal. Open Ophthalmol J. 2009;11:26-28. [Google Scholar] [Crossref]

5. Bukhari AA, Basheer NA, Joharjy HI. Age, gender, and interracial variability of normal lacrimal gland volume using MRI. Ophtal Plast Reconstr Surg. 2014;30:388-91. [Google Scholar] [Crossref]

6. Tamboli DA, Harris MA, Hogg JP, Realini T, Sivak-Callcottet JA. Computed tomography dimensions of the lacrimal gland in normal caucasian orbits. Ophthal Plast Reconstr Surg. 2011;27:453-56. [Google Scholar] [Crossref]

7. Landis JR, Koch GG. The measurement of observer agreement for categorical data. Biometrics.1977;33:159-74. [Google Scholar] [Crossref]

8. Ueno H, Ariji E, Izumi M, Uetani M, Hayashi K, Nakamura T. MR imaging of the lacrimal gland. Age-related and gender-dependent changes in size and structure. Acta Radio.1996;37:14-19. [Google Scholar] [Crossref]

9. Harris MA, Realini T, Hogg JP, Sivak-Callcott JA. CT dimensions of the lacrimal gland in Graves orbitopathy. Ophthal Plast Reconstr Surg. 2012;28:69-72. [Google Scholar] [Crossref]

10. Izumi M, Eguchi K, Uetani M, Nakamura H, Takagi Y, Hayashi K, et al. MR features of thelacrimalgland in Sjögren’s syndrome. Am J Roentgenol. 1998;170:1661-66. [Google Scholar] [Crossref]

11. Lee JS, Lee H, Kim JW, Chang M, Park M, Baek S. Computed tomographic dimensions of the lacrimal gland in healthy orbits. J Craniofac Surg. 2013;24:712-15. [Google Scholar] [Crossref]

12. Avetisov SE, Kharlap SI, Markosian AG, Safonova TN, Likhvantseva VG, NasnikovaIIu. Ultrasound spatial clinical analysis of the orbital part of the lacrimal gland in health. Vestn Oftalmol. 2006; 22:14-16. [Google Scholar] [Crossref]

13. Bingham CM, Castro A, Realini T, Nguyen J, Hogg JP, Sivak-Callcott JA. Calculated CT volumes of lacrimal glands in normal caucasian orbits. OphthalPlast Reconstr Surg. 2013;29:157-59. [Google Scholar] [Crossref]

14. Obata H. Anatomy and histopathology of the human lacrimal gland. Cornea. 2006;25:82-89. [Google Scholar] [Crossref]

15. Yiming Gao, Gul Moonis,Mary E. Cunnane,Ronald L. Eisenberg . Lacrimal Gland Masses. AJR:201, September 2013. DOI:10.2214/AJR.12.9553 [Google Scholar] [Crossref]

16. The Change of Lacrimal Gland Volume in Korean Patients with Thyroid-associated Ophthalmopathy [Google Scholar] [Crossref]

17. Korean J Ophthalmol. 2016 Oct;30(5):319-325. doi: 10.3341/kjo.2016.30.5.319. Epub 2016 Sep 29. [Google Scholar] [Crossref]

18. Chad M Bingham 1, Matheson A Harris, Tony Realini, John Nguyen, Jeffery P Hogg, Jennifer A Sivak-Callcott. Calculated computed tomography volumes of lacrimal glands and comparison to clinical findings in patients with thyroid eye disease, Ophthal Plast Reconstr Surg. 2014 Mar-Apr;30(2):116-8. doi: 10.1097/ [Google Scholar] [Crossref]

Metrics

Views & Downloads

Similar Articles