Ordering Imaging Studies
Requesting the correct study is imperative for arriving at the correct diagnosis. Imaging orders should include clinical information regarding the patient, the location or perceived location of the pathology to be studied, use of a contrast agent, and urgency. The more detail provided with the order, the higher the likelihood of obtaining the desired information. Communication with the diagnostic radiologist can facilitate this process and increase the yield. Table 17-6 provides recommendations for ordering a study. Tables 17-7 and 17-8 cover specific disease entities, recommended imaging modality, and use of contrast material for common neuro-ophthalmic and orbital conditions, respectively.
Kruger JM, Lessell S, Cestari DM. Neuro-imaging: a review for the general ophthalmologist. Semin Ophthalmol. 2012;27(5-6):192–196.
Lee AG, Brazis PW, Garrity JA, White M. Imaging for neuro-ophthalmic and orbital disease. Am J Ophthalmol. 2004;138(5):852–862.
Lee AG, Johnson MC, Policeni BA, Smoker WR. Imaging for neuro-ophthalmic and orbital disease: a review. Clin Exp Ophthalmol. 2009;37(1):30–53.
Simha A, Irodi A, David S. Magnetic resonance imaging for the ophthalmologist: a primer. Indian J Ophthalmol. 2012;60(4):301–310.
Table 17-6 Recommendations for Ordering Imaging Studies in Ophthalmology
Table 17-7 Neuro-Ophthalmic Indications and Recommended Imaging Study
Table 17-8 Orbital Indications and Recommendations for Imaging
Excerpted from BCSC 2020-2021 series: Section 2 - Fundamentals and Principles of Ophthalmology. For more information and to purchase the entire series, please visit https://www.aao.org/bcsc.