Acute subretinal hemorrhage and exudative age-related macular degeneration: the role of bedside ocular ultrasound in ED diagnosis and management☆
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Fig. 1
Axial view of right eye demonstrating hyperechoic detachment of retina with subretinal hemorrhage.
Fig. 2
Dilated fundoscopic image from our patient.
Fig. 3
Normal optical coherence tomography demonstrating normal layers of retina with central depression of fovea.
Fig. 4
Optical coherence tomography from our patient demonstrating anterior billowing of retina.
Bedside ocular ultrasound by emergency physicians has been used effectively in the rapid evaluation of acute vision loss and ocular trauma. Individual emergency departments have varying degrees of accessibility to surgical subspecialists, including ophthalmologists; rapid, accurate diagnosis of ocular pathology can facilitate ophthalmology consultation or expedite transfer to a referral center for emergent care. Beside, ultrasound is a rapid diagnostic technique that can simplify the interaction and allow treatment planning to begin immediately.
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☆This case was presented in the form of a Poster at the Society of Academic Emergency Medicine Meeting in the Spring of 2008.
