Ultrasonographic assessment of paediatric ocular emergencies: A tertiary eye hospital based observation

Pujari, Amar; Swamy, Deepa R; Singh, Rashmi; Mukhija, Ritika; Chawla, Rohan; Sharma, Pradeep

doi:10.5847/wjem.j.1920-8642.2018.04.006

Cited by 13 publications

(9 citation statements)

References 7 publications

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“…The resolution of ultrasonography has evolved with time, and now it has become an indispensable tool for the assessment of various posterior segment diseases. [1516] Thus, its utility in the evaluation of glaucoma cases cannot be underestimated. The utility of ultrasound is high in countries like ours where patients with advanced cataracts or anterior segment opacities are so common, this tool is often necessary to decipher the posterior segment pathology.…”

Section: Discussionmentioning

confidence: 99%

Clinical, ultrasonographic and optical coherence tomography correlation of optic nerve head cupping in glaucoma patients

Pujari

Swamy

Selvan

et al. 2019

Indian J Ophthalmol

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Purpose:To ascertain if ultrasound (USG) B-scan examination of the optic nerve head (ONH) can be a useful tool to diagnose and quantify glaucomatous cupping.Methods:A cross-sectional observational study of 48 eyes of 48 patients with clear ocular media and cup-disc ratio of (CDR) ≥0.6 were included. The disc was studied by + 90D examination, USG B-scan and ONH Optical coherence tomography (OCT) by three masked observers. Observer-1 assessed the clinical CDR, observer-2recordedopticcup diameter on USG B-scan and observer-3performed ONH OCT to note the software computed average CDR. Measurements of cupping obtained by these 3 methods were compared and their relative strengths determined. The interdependency between variables was further studied using regression analysis.Results:Clinically assessed disc ratios of 0.6, 0.7, 0.8, 0.9, and total corresponded to USG cup measures of 1.02 ± 0.11 mm, 1.23 ± 0.14 mm, 1.35 ± 0.072 mm, 1.45 ± 0.084 mm, 1.75 ± 0.15 mm and OCT average CDR of 0.62 ± 0.087, 0.68 ± 0.060, 0.75 ± 0.078, 0.81 ± 0.036, 0.89 ± 0.038, respectively. There was an excellent correlation between the three arms, with Pearson's co-efficient (r) of 0.87, P < 0.001 between clinical and USG cupping; r = 0.89, P < 0.001 between clinical and OCT cupping; and r = 0.88, P < 0.001 between USG and OCT cupping. A relation of y = 1.64x + 0.03 was obtained between them, where y stands for USG cup diameter and x stands for the observed clinical CDR.Conclusion:Ultrasonographic measurement of optic cup diameter corresponds well to clinical ONH cupping. Therefore, it can reliably be used in quantifying ONH cupping in cases of media opacities which preclude optic disc visualization.

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Section: Discussionmentioning

confidence: 99%

Clinical, ultrasonographic and optical coherence tomography correlation of optic nerve head cupping in glaucoma patients

Pujari

Swamy

Selvan

et al. 2019

Indian J Ophthalmol

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“…Therefore, differentiation of these conditions is necessary for management as well as for prognostication. [10,11] However, as we are aware, B scan ultrasonography is an indispensable tool for a quick and accurate diagnosis of various orbital and posterior segment diseases, [12] addition of continuous B scan guided imaging while draining subperiosteal hematomas will provide a realtime information of the needle track, its direction and the changes along the cavity throughout the observation. In addition to this, the other unique advantage of this technique is to avoid any inadvertent globe perforation and subsequent vision-threatening complications.…”

Section: Discussionmentioning

confidence: 99%

Continuous B scan ultrasound guided post-traumatic sub-periosteal orbital hematoma drainage: An advantage over routine needle drainage procedure

Pujari

Singh

Sinha

et al. 2019

World Journal of Emergency Medicine

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“…While point-of-care-ultrasound (POCUS) is frequently used in the emergency department (ED) to diagnose emergent ophthalmologic conditions such as vitreous hemorrhage, retinal detachment, lens dislocation, and retained intraocular foreign body, it is less commonly used to diagnose endophthalmitis, and there is limited literature regarding diagnostic capabilities in the ED for this condition. 1,2…”

Section: Introductionmentioning

confidence: 99%

Fungal Endophthalmitis on Ocular Ultrasound: A Case Report

Fender

Bautista

Patel

et al. 2022

Clinical Practice and Cases in Emergency Medicine

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Introduction: Endophthalmitis is a rare intraocular infection caused by numerous organisms from several possible sources. Fungal endophthalmitis is a rare subset of this pathology with limited diagnostics available. One of the few options to make this diagnosis is vitreous sampling, which is invasive, and results are not immediately available. Case Report: This case report describes the successful use of point-of-care ultrasound to visualize an intraocular fungal mass in a 60-year-old male who presented to the emergency department (ED) with two weeks of left eye pain and erythema approximately two months postoperative from a cataract extraction surgery. Conclusion: Fungal endophthalmitis is a rare and challenging diagnosis. Methods of diagnosing this pathology are not readily available in the ED. Point-of-care ultrasound may be a useful adjunct for the prompt diagnosis of fungal endophthalmitis. [Clin Pract Cases Emerg Med. 2022;6(1):555–558.]

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Ultrasonographic assessment of paediatric ocular emergencies: A tertiary eye hospital based observation

Abstract: First point ultrasonography in paediatric ocular emergencies is a cheap, portable and an effective tool in the assertion of significant posterior segment and orbital diseases.

Cited by 13 publications

References 7 publications

Clinical, ultrasonographic and optical coherence tomography correlation of optic nerve head cupping in glaucoma patients

Clinical, ultrasonographic and optical coherence tomography correlation of optic nerve head cupping in glaucoma patients

Continuous B scan ultrasound guided post-traumatic sub-periosteal orbital hematoma drainage: An advantage over routine needle drainage procedure

Fungal Endophthalmitis on Ocular Ultrasound: A Case Report

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