Ultrasound image of a normal eye with lens

Since the eye is a fluid-filled structure, it provides a perfect acoustic window, producing images with excellent detail. The normal eye appears as a circular hypoechoic structure. The cornea is seen as a thin hypoechoic layer parallel to the eyelid.
The anterior chamber is filled with anechoic fluid and is bordered by the cornea, iris and anterior reflection of the lens capsule. The iris and ciliary body are seen as echogenic linear structures extending from the peripheral globe towards lens. The normal lens is anechoic. The normal vitreous chamber is filled with anechoic fluid. Vitreous is relatively echolucent in a young healthy eye.

Sonographically, the normal retina cannot be differentiated from the other choroidal layers. The evaluation of the retrobulbar area includes optic nerve, extraocular muscles and bony orbit. The optic nerve is visible posteriorly as a hypoechoic linear region radiating away from globe.

Normal ocular ultrasound