Ultrasound assessment of optic disc edema in patients with

Am J Emerg Med · Oct 2012

Case Reports

Ultrasound assessment of optic disc edema in patients with headache.

Point-of-care ocular ultrasonography is emerging as a powerful tool to evaluate emergency department (ED) patients at risk for ophthalmologic and intracranial pathology. We present cases of 3 patients in whom optic disc swelling was identified using ocular ultrasound. Causes for optic disc swelling in our patients included idiopathic intracranial hypertension, secondary syphilis, and malignant hypertension with associated hypertensive retinopathy. Because direct visualization of the optic disc may be challenging in an ED setting, ultrasound examination of the optic disc may represent an important adjunct to fundoscopy when assessing patients with headache or visual complaints.

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- Siri Daulaire, Lauren Fine, Margaret Salmon, Catherine Cummings, Otto Liebmann, Sachita Shah, and Nathan Teismann.
- Department of Emergency Medicine, Rhode Island Hospital, Providence, RI, USA. siri.daulaire@gmail.com
- Am J Emerg Med. 2012 Oct 1;30(8):1654.e1-4.
AbstractPoint-of-care ocular ultrasonography is emerging as a powerful tool to evaluate emergency department (ED) patients at risk for ophthalmologic and intracranial pathology.We present cases of 3 patients in whom optic disc swelling was identified using ocular ultrasound. Causes for optic disc swelling in our patients included idiopathic intracranial hypertension, secondary syphilis, and malignant hypertension with associated hypertensive retinopathy. Because direct visualization of the optic disc may be challenging in an ED setting, ultrasound examination of the optic disc may represent an important adjunct to fundoscopy when assessing patients with headache or visual complaints.Copyright © 2012 Elsevier Inc. All rights reserved.

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Ultrasound assessment of optic disc edema in patients with headache.

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