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

Amar Pujari1, Deepa R Swamy1, Rashmi Singh1

  • 1Dr. Rajendra Prasad Centre for Ophthalmic Sciences, All India Institute of Medical Sciences, New Delhi 110029, India.

World Journal of Emergency Medicine
|September 6, 2018
PubMed

Insights

Ocular ultrasound B scan is a valuable tool for diagnosing posterior segment and orbital conditions in pediatric eye emergencies. This portable and cost-effective method aids in the early detection of various ocular pathologies in children.

Area of Science:

  • Ophthalmology
  • Pediatric Emergency Medicine
  • Medical Imaging

Background:

  • Paediatric ocular emergencies present unique diagnostic challenges.
  • Timely and accurate diagnosis is crucial for preserving vision in children.
  • Point-of-care imaging can significantly improve emergency care.

Purpose of the Study:

  • To evaluate the effectiveness of ocular ultrasound B scan in the emergency setting.
  • To assess its utility in detecting posterior segment and orbital pathologies in paediatric ocular emergencies.
  • To determine if it can be used as a first-line diagnostic tool.

Main Methods:

  • A prospective observational study was conducted over 90 days.
  • 122 paediatric patients with eye emergencies were included.
  • Ocular ultrasound B scans were performed gently over closed eyelids when indicated.

Main Results:

  • Post-traumatic globe injuries were the most frequent indication (65.57%).
  • Various pathologies were identified, including vitreous hemorrhage, retinal detachment, and retained foreign bodies.
  • Non-traumatic cases included corneal ulcers, retinoblastoma, and orbital cellulitis, with no adverse events reported.

Conclusions:

  • Ocular ultrasound B scan is a cost-effective and portable tool for paediatric ocular emergencies.
  • It effectively aids in diagnosing significant posterior segment and orbital diseases.
  • It is a valuable first-point-of-care diagnostic modality.
Abstract

Keywords:
Paediatric ocular emergenciesPosterior segment and orbital pathologiesUltrasound B scan

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