Bedside Transorbital Ultrasound in the Clinical Evaluation of Pediatric Optic Neuritis in the Emergency Department

Possibility of Early Diagnosis of Complications of Optic Nerve Neuritis in Patients With Anterior Uveitis According to Coherent Tomography of the Eye Orbit

“…The study made it possible to assess the possibility of optic neuritis in patients with anterior uveitis by the difference in the diameter of the optic nerve in the paired and diseased eye when measured retrobulbar, in the middle section and at the entrance to the orbit with an increase in the studied indicator on the diseased eye. Our results are consistent with the data obtained during ultrasound examination of optic neuritis in elective and urgent cases, including in children [10][11][12]. In addition, the established fact of an increase in the volumetric pulse blood filling in patients with anterior uveitis in the diseased eye relative to a paired healthy eye, especially pronounced in the presence of neuritis, indicates the presence of a vascular reaction in the inflammation focus at the stage of vasospasm, arterial and venous stasis, which is confirmed by computer data orbital tomography in relation to an increase in the diameter of the optic nerve and can be considered as one of the mechanisms of edema and the development of optic neuritis.…”