Examiner Position in Ocular Point-of-Care Ultrasound: A Proposed Technique

Khattab, Eyad; Hoffmann, Beatrice; Schafer, Jesse; Naraghi, Leily; Hardin, John W.; Balk, Daniel S.; Beals, Tyler

doi:10.1016/j.jemermed.2019.03.027

Cited by 2 publications

(13 citation statements)

References 5 publications

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“…Some sonographers call this "dipping" the transducer in gel (▶ Fig. 1) [4,5]. Once one eye is scanned, the sonographer can either reach over to the oppo-…”

Section: Sonographer and Patient Positioningmentioning

confidence: 99%

“…Alternatively, if the sonographer is positioned behind the patient's head, facing the patient's feet (▶ Fig. 1), the sonographer can gently anchor the heel of their scanning hand on the patient's forehead and can scan both eyes without major hand or machine repositioning [5]. Some clinicians prefer this approach, as it may require less repositioning and improves the stability of the dominant scanning hand for both eyes [5].…”

Section: Einführungmentioning

confidence: 99%

“…A transparent dressing can be placed over the closed lid prior to the application of gel, however, bubbles between the dressing and the closed eye lid can interfere with optimal imaging [4,5,10]. The transducer is gently "dipped" into the top of the gel pillow avoiding direct eyelid contact and excessive pressure on the globe [5,10,11]. As a fluid-filled anatomical structure, the globe is an ideal acoustic window and sonographic anatomy is usually perceived as very intuitive [4,5,10].…”

Section: Examinationmentioning

confidence: 99%

“…The transducer is gently "dipped" into the top of the gel pillow avoiding direct eyelid contact and excessive pressure on the globe [5,10,11]. As a fluid-filled anatomical structure, the globe is an ideal acoustic window and sonographic anatomy is usually perceived as very intuitive [4,5,10]. The focus is set at the point of interest and B-mode is optimized according to general recommendations.…”

Section: Examinationmentioning

confidence: 99%

“…Einige Untersucher nennen dies "Eintauchen" des Schallkopfs in Gel (▶ Abb. 1) [4,5]. Sobald ein Auge gescannt ist, kann der Untersucher entweder mit dem gegenüberliegenden Auge fortfahren und das kontralaterale Auge mit einigen Schallkopfanpassungen untersuchen, oder die Apparatur auf die andere Patientenseite schieben und mit der nichtdominanten Hand scannen.…”

Section: Examinationunclassified

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Emergency Ocular Ultrasound – Common Traumatic and Non-Traumatic Emergencies Diagnosed with Bedside Ultrasound

2020

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Point-of-care ocular ultrasound (POCOUS) in the ambulatory and critical care setting has become an invaluable diagnostic tool for patients presenting with traumatic or atraumatic vision and ocular complaints. Sonographic bedside evaluation is intuitive and easy to perform and can accurately diagnose a variety of pathologies. These include detachment or hemorrhage of the retina or vitreous, lens dislocation, retrobulbar hematoma or air, as well as ocular foreign bodies, infections, tumors, and increased optic nerve sheath diameter that can be assessed in the setting of suspected increased intracranial pressure. The ocular anatomy is easy to visualize with sonography, as the eye is a superficial structure filled with fluid. Over the last two decades, a large number of scientific publications have documented that POCOUS in emergent or critical care settings is an accurate diagnostic tool and expands and improves emergency diagnosis and management. This article will review POCOUS exam techniques as well as normal sonographic findings and common pathologies.

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“…Some sonographers call this "dipping" the transducer in gel (▶ Fig. 1) [4,5]. Once one eye is scanned, the sonographer can either reach over to the oppo-…”

Section: Sonographer and Patient Positioningmentioning

confidence: 99%

Section: Einführungmentioning

confidence: 99%

Section: Examinationmentioning

confidence: 99%

Section: Examinationmentioning

confidence: 99%

Section: Examinationunclassified

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Emergency Ocular Ultrasound – Common Traumatic and Non-Traumatic Emergencies Diagnosed with Bedside Ultrasound

2020

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Just the facts: point-of-care ultrasound for painless loss of vision

et al. 2021

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Clinical scenarioA 42-year-old woman presents with new painless loss of vision in her left eye. The symptoms have been present since yesterday and began with blurred vision, progressing to loss of vision on the temporal aspect of her left eye. Her external ocular examination including slit lamp examination is unremarkable and her intraocular pressures are 18 mmHg bilaterally. In-person ophthalmology consultation is not available in the Emergency Department and the clinician wonders whether this could be a retinal detachment.

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Examiner Position in Ocular Point-of-Care Ultrasound: A Proposed Technique

Cited by 2 publications

References 5 publications

Emergency Ocular Ultrasound – Common Traumatic and Non-Traumatic Emergencies Diagnosed with Bedside Ultrasound

Emergency Ocular Ultrasound – Common Traumatic and Non-Traumatic Emergencies Diagnosed with Bedside Ultrasound

Just the facts: point-of-care ultrasound for painless loss of vision

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