<p>Role Of Point Of Care Ultrasound In The Diagnosis Of Retinal Detachment In The Emergency Department</p>

Abstract

Ocular complaints represent up to 3% of all emergency department (ED) visits. These presentations can result in permanent vision loss if not promptly diagnosed and treated. Recently, point of care ultrasound (POCUS) has been investigated for the evaluation of ocular pathology in the ED. Multiple studies have investigated the role that ultrasound may play in the early diagnosis of these patients. Ocular ultrasound can be used to visualize the structures of the eye and evaluate for pathology such as retinal detachment, vitreous hemorrhage and vitreous detachment. This comprehensive review aims to present current evidence for the efficacy and reliability of ED ocular ultrasound use in the detection of retinal detachment and additional ocular pathologies.

Ultrasound‐assisted ocular drug delivery: A review of current evidence

“…Most clinical indications for point‐of‐care ultrasound are to verify normal physiology. For example, ultrasound is particularly useful for monitoring fetal development in pregnancy, assessing cardiovascular function, and screening for retinal detachment 36,73–75 …”

“…For example, ultrasound is particularly useful for monitoring fetal development in pregnancy, assessing cardiovascular function, and screening for retinal detachment. 36,[73][74][75] Ocular ultrasound also provides utility beyond clinical diagnostics.…”

“…24 Advances in drug delivery to the posterior segment include intraocular implants that allow sustained drug release [25][26][27][28][29] and nanomaterials that penetrate the superficial layers of the eye. 24,[30][31][32][33] As ultrasound is widely used in both diagnostic 34 and therapeutic medicine and has applications in several fields of ophthalmology, [35][36][37][38][39] it is a promising avenue of drug delivery research for both anterior and posterior segment diseases.…”

Vitreous Hemorrhage Case Report

“…Approximately 2-3% of all emergency department (ED) visits are related to ocular complaints. [1][2][3][4] Differentiating between vitreous hemorrhage, vitreous detachment, and retinal detachment is important because retinal detachments are ophthalmological emergencies that may necessitate emergent ophthalmology evaluation. 1,3 Because many EDs do not have ophthalmologists who are readily available for emergent consultation, some conditions may necessitate transfer to another institution for emergent evaluation by an ophthalmologist.…”

“…[1][2][3][4] Differentiating between vitreous hemorrhage, vitreous detachment, and retinal detachment is important because retinal detachments are ophthalmological emergencies that may necessitate emergent ophthalmology evaluation. 1,3 Because many EDs do not have ophthalmologists who are readily available for emergent consultation, some conditions may necessitate transfer to another institution for emergent evaluation by an ophthalmologist. 2 Ultrasound offers a unique way to efficiently examine the eye from the patient's bedside to help evaluate urgent versus emergent ophthalmologic diagnoses and begin narrowing down the differential.…”