Vancouver POCUS review of ocular POCUS including lens dislocation, globe rupture, posterior vitreous detachment and retinal detachment by Dr Justin Ahn
A 46 year old woman presents with relatively sudden painless visual field loss. She describes preceding flashers and floaters, and then a shadow falling over the medial and central part of her visual field.
A 55 year old diabetic woman presents with painless loss of monocular vision. You wonder whether ultrasound will show a retinal detachment.
An 18 year old rugby player presents after after an accidental kick to the face. He has a severe periorbital haematoma and you are worried about globe injury but cannot pry his eyelids apart enough to assess the anterior chamber or pupillary function. Can ultrasound help?
A 70 year old male who had been "legally blind" for several years presented after blunt occular trauma. He had never had his eyes formally assessed. He said he had improved light perception post injury and could actually see moving shapes.
Eyes are the perfect organ for ultrasound assessment in the emergency department. Think you know all about ocular ultrasound?