ClearScan® Probe Cover
ClearScan® is an innovative single use ultrasound probe cover which eliminates the difficulties and problems of the shell and gel system. The ClearScan® consists of an extremely thin film that is acoustically invisible, resulting in the same distortion free ultrasound image as with the shell/gel technique, but without the discomfort. The ClearScan® conical shape enables the examiner to safely scan all eye quadrants without causing a corneal abrasion.
Overview
Ultrasonic Biomicroscopy or UBM is a useful diagnostic tool with diverse clinical applications for visualizing subtle detail in the anterior segment. When an UBM exam is combined with the ClearScan, a single-use conical shaped probe cover , the anterior segment, sclera, eye lid, as well as lachrymal anatomy are easily examined. The FDA certified ClearScan cover makes the shell and gel technique obsolete and overcomes limitations related to sterility, safety, exam procedure and patient comfort.
Enhanced imaging leads to better treatment decisions
UBM with ClearScan is essential in the glaucoma examination for imaging the angle, scleral spur, iris. structures behind the iris, such as the ciliary body, and the lens. Delineation of posterior structures are not possible with coherent light technology. Additionally, UBM with ClearScan is invaluable for sulcus-to-sulcus imaging as well as determining the presence of synechia, cysts, clefts, retinoschisis and melanomas that invaded the ciliary body.
ClearScan® Cover vs. Open Shell System
Open Shell Disadvantages
Open Shell not FDA certified
Probe and Open Shell sterility issues
Patient discomfort and safety
Methodology Concerns
Patient must be in reclined position
Ultrasound gel often required resulting in patient discomfort
Shell placement causes patient discomfort and anxiety
Cannot examine all eye quadrants without shell contacting the cornea
Potential for corneal abrasions
Corneal distortion and tenting caused by pressure applied from open shell
ClearScan® Advantages
The ClearScan® Cover for Ultrasonic Biomicroscopy (UBM) and other ultrasound exams simplifies the examination for the examiner and patient.
Can readily examine all quadrants of the eye.
Patients prefer the comfort of ClearScan®.
Safer - no shell hard edge causing corneal abrasion.
Safer - ClearScan® prevents probe tip from contacting the cornea.
Overcomes near field artifact.
Sterile probe cover eliminates the transfer of micro-organisms between patients.
The ClearScan® cover is spread evenly over the eye surface resulting in no alteration of the cornea surface (unless low IOP).
Internal bag pressure can be easily reduced for eyes with low IOP.
Examine delicate structures following recent surgery.
Examine young children.
Simple exam setup, approximately 30 seconds.
Non-ophthalmic applications.
Compatible with both open and sealed probes.
Adapters for smaller diameter probes available.
Clinical Applications of Ultrasonic Biomicroscopy (UBM)
Scleritis
Retinoschisis
Hemorarhage in anterior vitreous
Intraocular foreign body
Glaucoma
Plateau iris
Iridotomy or Iridoplasty appropriate treatment
Papillary block
Occluded or narrow angle in glaucoma
Malignant glaucoma or ciliary block glaucoma
Angle recession
Trabeculectomy filtering blebs patency
Iridotomy or Iridoplasty appropriate treatment
Subluxed lenses
Dislocated IOLs
Membranes in anterior chamber
Edematous & Opacified Cornea
Phacomorphic lens
Cells in Anterior Chamber
Synechia
Cysts
Iris
Ciliary body
Melanomas
Iris melanoma
Ciliary body melanoma
Ability to visualize posterior and extraocular locations
Eyelid lesions
Basal cell carcinomas on the eyelid, nose or face
Punctal plug location can be established
Examining post-op period
Delicate trabeculectomy filtering blebs
Tube shunts
Examine young children
Even with recent trauma
Anterior effusions
Clefts
ClearScan® Resources
Extending the reach of Ultrasound of UBM (PDF), video script
Ultrasound Biomicroscopy & Glaucoma Care (PDF)
Ike Ahmed, M.D., FRCSC, David R. Hardten, M.D., FACS, Roxanne Ursea, M.D.
Ophthalmology Management: January IssueThomas C. Prager, PhD, MPH
A New Method for Examining the Anterior Segment by UBM (PDF)