Choroid Detachment, a Rare Cause of Vision Loss Diagnosed by

J Emerg Med · Apr 2017

Case Reports

Choroid Detachment, a Rare Cause of Vision Loss Diagnosed by Point-of-Care Ultrasound.

Choroid detachment is a rare disease process that has a multitude of etiologies; usually related to recent ophthalmological surgery, eye trauma, corneal ulcers, or intraocular pressure-lowering agents. Point-of-care ocular ultrasound has high utility and accuracy in diagnosing pathology of the eye. ⋯ We present a case of a patient who presented with vision loss caused by a choroid detachment diagnosed on point-of-care ultrasound because fundoscopic examination was limited due to cataracts. Ultrasound findings based on location and appearance during both static and dynamic evaluation that help differentiate a choroid vs. a retinal detachment are also described. WHY SHOULD AN EMERGENCY PHYSICIAN BE AWARE OF THIS?: Choroid detachments have a different sonographic appearance, as well as management, compared to a retinal detachment.

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- Brian Jarrett and Michael Secko.
- Department of Emergency Medicine, Kings County Hospital Center/SUNY Downstate Medical Center, Brooklyn, New York.
- J Emerg Med. 2017 Apr 1; 52 (4): 527-529.
BackgroundChoroid detachment is a rare disease process that has a multitude of etiologies; usually related to recent ophthalmological surgery, eye trauma, corneal ulcers, or intraocular pressure-lowering agents. Point-of-care ocular ultrasound has high utility and accuracy in diagnosing pathology of the eye.Case ReportWe present a case of a patient who presented with vision loss caused by a choroid detachment diagnosed on point-of-care ultrasound because fundoscopic examination was limited due to cataracts. Ultrasound findings based on location and appearance during both static and dynamic evaluation that help differentiate a choroid vs. a retinal detachment are also described. WHY SHOULD AN EMERGENCY PHYSICIAN BE AWARE OF THIS?: Choroid detachments have a different sonographic appearance, as well as management, compared to a retinal detachment.Copyright © 2016 Elsevier Inc. All rights reserved.

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Choroid Detachment, a Rare Cause of Vision Loss Diagnosed by Point-of-Care Ultrasound.

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