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

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...

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Main Authors: Stephen Haight, Srikar Adhikari
Format: Article
Language:English
Published: eScholarship Publishing, University of California 2023-11-01
Series:Clinical Practice and Cases in Emergency Medicine
Online Access:https://escholarship.org/uc/item/6zt300vf
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author Stephen Haight
Srikar Adhikari
author_facet Stephen Haight
Srikar Adhikari
author_sort Stephen Haight
collection DOAJ
description 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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spelling doaj.art-16db56cbbaf24142971633882e17f5af2024-02-15T11:39:21ZengeScholarship Publishing, University of CaliforniaClinical Practice and Cases in Emergency Medicine2474-252X2023-11-017426226510.5811/cpcem.14271427Diagnosis of Endophthalmitis and Orbital Abscess by Ultrasound: A Case ReportStephen Haight0Srikar Adhikari1University of California San Francisco, Fresno Medical Education Program, Department of Emergency Medicine, Fresno, CaliforniaUniversity of Arizona, Department of Emergency Medicine, Tucson, ArizonaIntroduction: 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.https://escholarship.org/uc/item/6zt300vf
spellingShingle Stephen Haight
Srikar Adhikari
Diagnosis of Endophthalmitis and Orbital Abscess by Ultrasound: A Case Report
Clinical Practice and Cases in Emergency Medicine
title Diagnosis of Endophthalmitis and Orbital Abscess by Ultrasound: A Case Report
title_full Diagnosis of Endophthalmitis and Orbital Abscess by Ultrasound: A Case Report
title_fullStr Diagnosis of Endophthalmitis and Orbital Abscess by Ultrasound: A Case Report
title_full_unstemmed Diagnosis of Endophthalmitis and Orbital Abscess by Ultrasound: A Case Report
title_short Diagnosis of Endophthalmitis and Orbital Abscess by Ultrasound: A Case Report
title_sort diagnosis of endophthalmitis and orbital abscess by ultrasound a case report
url https://escholarship.org/uc/item/6zt300vf
work_keys_str_mv AT stephenhaight diagnosisofendophthalmitisandorbitalabscessbyultrasoundacasereport
AT srikaradhikari diagnosisofendophthalmitisandorbitalabscessbyultrasoundacasereport