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Am J Emerg Med. 2019 May 11. pii: S0735-6757(19)30274-8. doi: 10.1016/j.ajem.2019.04.049. [Epub ahead of print]

Point-of-care ultrasound for the evaluation of non-traumatic visual disturbances in the emergency department: The VIGMO protocol.

Author information

1
University of California-San Francisco Medical Center, Dept. of Emergency Medicine, 533 Parnassus Avenue, San Francisco, CA 94117, United States of America. Electronic address: Kavita.gandhi@ucsf.edu.
2
University of California-San Francisco Medical Center, Dept. of Emergency Medicine, 533 Parnassus Avenue, San Francisco, CA 94117, United States of America. Electronic address: William.Shyy@ucsf.edu.
3
University of California-San Francisco Medical Center, Dept. of Emergency, Medicine, Box 1377, 1001 Potrero Avenue, 1E21, San Francisco, CA 94110, United States of America. Electronic address: starr.knight@ucsf.edu.
4
University of California-San Francisco Medical Center, Dept. of Emergency Medicine, 533 Parnassus Avenue, San Francisco, CA 94117, United States of America. Electronic address: Nathan.teismann@ucsf.edu.

Abstract

OBJECTIVES:

To establish a standardized approach for the rapid and accurate identification of non-traumatic, ophthalmologic pathology in patients with eye complaints in the emergency department.

METHODS:

In this detailed protocol we offer an easy, reproducible method for the use of ocular point-of-care ultrasound (POCUS) in helping practitioners identify and distinguish between common eye pathology encountered in the emergency setting: retinal detachment, vitreous detachment, vitreous hemorrhage, optic nerve pathology, and syneresis.

CONCLUSIONS:

This protocol can help identify patients that may need urgent ophthalmology consultation those that can follow-up on an outpatient, and those that may need additional emergent testing.

KEYWORDS:

Eye ultrasound; Ultrasound for optic nerve pathology; Ultrasound for retinal detachment; Ultrasound for vitreous detachment; Ultrasound for vitreous hemorrhage

PMID:
31130372
DOI:
10.1016/j.ajem.2019.04.049

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