Usefulness of point-of-care ultrasound for the evaluation of non-traumatic eye emergencies

Castilla-Guerra, Luis; Gómez-Escobar, Antonio; Carmona-González, Ernesto

doi:10.1016/j.medcle.2021.04.001

Cited by 2 publications

(2 citation statements)

References 32 publications

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“…8,9 Ultrasonographic findings of orbital cellulitis include hyperechoic inflammatory intraconal fat, heterogenous collection of intraorbital material with mixed echogenicity (hyperechoic and hypoechoic), and extraocular muscle edema and/or displacement. 4,[10][11][12] Orbital abscess typically appears as an anechoic to hypoechoic fluid collection, but as with soft tissue abscesses elsewhere in the body, they can also appear isoechoic and contain hyperechoic debris. 4,[10][11][12] The diagnostic accuracy of ultrasound of these findings of orbital cellulitis and abscess has not been well established, but small non-randomized studies suggest ocular ultrasound has a potential for high diagnostic accuracy.…”

Section: Discussionmentioning

confidence: 99%

“…4,[10][11][12] Orbital abscess typically appears as an anechoic to hypoechoic fluid collection, but as with soft tissue abscesses elsewhere in the body, they can also appear isoechoic and contain hyperechoic debris. 4,[10][11][12] The diagnostic accuracy of ultrasound of these findings of orbital cellulitis and abscess has not been well established, but small non-randomized studies suggest ocular ultrasound has a potential for high diagnostic accuracy. 13,14 Computed tomography is more sensitive for diagnosing orbital abscess than ultrasound and will assist with operative planning.…”

Section: Discussionmentioning

confidence: 99%

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Diagnosis of Endophthalmitis and Orbital Abscess by Ultrasound: A Case Report

Haight,

Adhikari

2023

Clinical Practice and Cases in Emergency Medicine

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Introduction: The diagnosis of ocular pathology by point-of-care ultrasound (POCUS) has been well established for entities such as retinal detachment, vitreous hemorrhage, posterior vitreous detachment, and lens dislocation.1 However, the use of ultrasound to detect other conditions such as orbital abscess and endophthalmitis in the emergency setting is rarely reported.Case Report: We present a case in which POCUS was used to conﬁrm the suspected diagnosis of endophthalmitis and orbital abscess. This case report will review the ultrasonographic ﬁndings of orbital abscess and endophthalmitis, as well as brieﬂy discuss the literature for the use of ultrasound for these applications.Conclusion: Point-of-care ultrasound can be used to rapidly diagnose infectious pathology of the eye and orbit, which could potentially decrease time to diagnosis and time to consultation of these vision-threatening pathologies.

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