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Show Notes
Author: Dylan Luyten, MD
Educational Pearls:
- 1:500 patients will experience a retinal detachment
- Consider stroke on your differential (central retinal arterial occlusion)
- Flashes and floaters are a common complaint with retinal detachments
- Though patients may report fields of vision loss, visual acuity is often spared
- Ocular ultrasound is an effective way to diagnosis retinal detachment in the ED
- These require urgent ophthalmologic consultation for surgical repair
References:
https://www.aliem.com/2014/03/ocular-ultrasound-retinal-detachment-posterior-vitreous-detachment/
Gottlieb M, Holladay D, Peksa GD. Point-of-Care Ocular Ultrasound for the Diagnosis of Retinal Detachment: A Systematic Review and Meta-Analysis. Acad Emerg Med. 2019 Jan 13. doi: 10.1111/acem.13682. [Epub ahead of print] PubMed PMID: 30636351.
Summarized by Will Dewsipelaere, MS3 | Edited by Erik Verzemnieks, MD