Valsalva Retinopathy Masking as a Retinal Detachment on Point-of-care Ocular Ultrasound: A Case Report
Introduction: Approximately two million people present to the emergency department (ED) with eye-related complaints each year in the United States. Differentiating pathologies that need urgent consultation from those that do not is imperative. For some physicians, ocular ultrasound has eclipsed the...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
eScholarship Publishing, University of California
2022-05-01
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| Series: | Clinical Practice and Cases in Emergency Medicine |
| Online Access: | https://escholarship.org/uc/item/0934m91p |
| _version_ | 1818203524088987648 |
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| author | Steven Johnson Thomas Ryan Amro Omari Samantha Schneider Amit Bahl |
| author_facet | Steven Johnson Thomas Ryan Amro Omari Samantha Schneider Amit Bahl |
| author_sort | Steven Johnson |
| collection | DOAJ |
| description | Introduction: Approximately two million people present to the emergency department (ED) with eye-related complaints each year in the United States. Differentiating pathologies that need urgent consultation from those that do not is imperative. For some physicians, ocular ultrasound has eclipsed the dilated fundoscopic exam as the standard posterior segment evaluation in the ED. Case report: A 60-year-old female presented with sudden onset visual disturbance in her right eye. Point-of-care ultrasound showed a hyperechoic band in the posterior segment concerning for a retinal detachment. Ophthalmology was consulted and diagnosed the patient with a condition known as Valsalva retinopathy. The patient was discharged from the ED with expectant management. Conclusion: This case highlights an important differential diagnosis that should be considered when ocular ultrasound demonstrates a hyperechoic band in the posterior segment. While previous literature has demonstrated that emergency physicians are able to accurately identify posterior segment pathology using ultrasound, there is limited information regarding their ability to differentiate between pathologies, some of which may not require urgent consultation. We highlight the important differentials that should be considered when identifying posterior segment pathology on point-of-care ultrasound and their appropriate dispositions. |
| first_indexed | 2024-12-12T03:26:42Z |
| format | Article |
| id | doaj.art-98e01785c3f94542ae0a13a01756cfd7 |
| institution | Directory Open Access Journal |
| issn | 2474-252X |
| language | English |
| last_indexed | 2024-12-12T03:26:42Z |
| publishDate | 2022-05-01 |
| publisher | eScholarship Publishing, University of California |
| record_format | Article |
| series | Clinical Practice and Cases in Emergency Medicine |
| spelling | doaj.art-98e01785c3f94542ae0a13a01756cfd72022-12-22T00:40:01ZengeScholarship Publishing, University of CaliforniaClinical Practice and Cases in Emergency Medicine2474-252X2022-05-016210.5811/cpcem.2022.1.55173cpcem-6-125Valsalva Retinopathy Masking as a Retinal Detachment on Point-of-care Ocular Ultrasound: A Case ReportSteven Johnson0Thomas Ryan1Amro Omari2Samantha Schneider3Amit Bahl4Beaumont Hospital, Department of Emergency Medicine, Royal Oak, MichiganBeaumont Hospital, Department of Emergency Medicine, Royal Oak, MichiganBeaumont Hospital, Department of Ophthalmology, Royal Oak, MichiganAscension Eye Institute, Department of Ophthalmology, Warren, MichiganBeaumont Hospital, Department of Emergency Medicine, Royal Oak, MichiganIntroduction: Approximately two million people present to the emergency department (ED) with eye-related complaints each year in the United States. Differentiating pathologies that need urgent consultation from those that do not is imperative. For some physicians, ocular ultrasound has eclipsed the dilated fundoscopic exam as the standard posterior segment evaluation in the ED. Case report: A 60-year-old female presented with sudden onset visual disturbance in her right eye. Point-of-care ultrasound showed a hyperechoic band in the posterior segment concerning for a retinal detachment. Ophthalmology was consulted and diagnosed the patient with a condition known as Valsalva retinopathy. The patient was discharged from the ED with expectant management. Conclusion: This case highlights an important differential diagnosis that should be considered when ocular ultrasound demonstrates a hyperechoic band in the posterior segment. While previous literature has demonstrated that emergency physicians are able to accurately identify posterior segment pathology using ultrasound, there is limited information regarding their ability to differentiate between pathologies, some of which may not require urgent consultation. We highlight the important differentials that should be considered when identifying posterior segment pathology on point-of-care ultrasound and their appropriate dispositions.https://escholarship.org/uc/item/0934m91p |
| spellingShingle | Steven Johnson Thomas Ryan Amro Omari Samantha Schneider Amit Bahl Valsalva Retinopathy Masking as a Retinal Detachment on Point-of-care Ocular Ultrasound: A Case Report Clinical Practice and Cases in Emergency Medicine |
| title | Valsalva Retinopathy Masking as a Retinal Detachment on Point-of-care Ocular Ultrasound: A Case Report |
| title_full | Valsalva Retinopathy Masking as a Retinal Detachment on Point-of-care Ocular Ultrasound: A Case Report |
| title_fullStr | Valsalva Retinopathy Masking as a Retinal Detachment on Point-of-care Ocular Ultrasound: A Case Report |
| title_full_unstemmed | Valsalva Retinopathy Masking as a Retinal Detachment on Point-of-care Ocular Ultrasound: A Case Report |
| title_short | Valsalva Retinopathy Masking as a Retinal Detachment on Point-of-care Ocular Ultrasound: A Case Report |
| title_sort | valsalva retinopathy masking as a retinal detachment on point of care ocular ultrasound a case report |
| url | https://escholarship.org/uc/item/0934m91p |
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