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Updated: May 13, 2025
Optic Nerve Sheath Point of Care Ultrasound: Image Acquisition
Published on: August 18, 2023
Central Serous Chorioretinopathy Diagnosed by Emergency Practitioner-Performed Ocular Point-Of-Care Ultrasonography
Christian P Pappas1,2, Matthew Watson2, Christopher Harrington3
1Faculty of Medicine and Health The University of New South Wales Randwick New South Wales Australia.
Introduction:
Central serous chorioretinopathy (CSCR) is a common cause of acute, monocular vision loss amongst men aged 40-50 years. Diagnosis is typically multimodal, requiring advanced ophthalmic imaging. These techniques are not readily available in acute care settings.
Methods:
We report the first case of CSCR diagnosed by an emergency practitioner-performed ocular point-of-care ultrasonography (POCUS).
Results:
CSCR was identified by the presence of a dome-shaped, hypoechoic elevation of the neurosensory retina in association with a hypoechoic band posterior to the retinal pigment epithelium. The diagnosis was confirmed following ophthalmic referral. The patient was managed conservatively with routine observation and risk factor modification.
Conclusion:
We describe the first reported use of emergency practitioner-performed ocular POCUS to identify findings suggestive of CSCR, a common cause of acute monocular vision loss among working-aged men. Although this case demonstrates the evolving utility of ocular ultrasound in emergent eye presentations, further research is needed to define the technique's role in the early evaluation of CSCR.
