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床旁超声诊断创伤性双侧晶状体异位

Trauma-Induced Bilateral Ectopia Lentis Diagnosed with Point-of-Care Ultrasound.

作者信息

Boniface Keith S, Aalam Ahmad, Salimian Mohammad, Liu Yiju Teresa, Shokoohi Hamid

机构信息

George Washington University Medical Center, Washington, DC.

出版信息

J Emerg Med. 2015 Jun;48(6):e135-7. doi: 10.1016/j.jemermed.2015.01.004. Epub 2015 Mar 19.

Abstract

BACKGROUND

Ocular trauma and acute loss of vision are high-yield patient presentations that may benefit from the use of bedside ultrasound to aid in the diagnosis of a variety of vision-threatening problems.

CASE REPORT

We present a case of bilateral lens dislocation in which the diagnosis of lens dislocation was missed on initial computed tomography of the orbits but detected on bedside ultrasound. WHY SHOULD AN EMERGENCY PHYSICIAN BE AWARE OF THIS?: Point-of-care ultrasound can rapidly identify ocular pathology and expedite specialist consultation, and if necessary, transfer to a specialty center for further management.

摘要

背景

眼外伤和急性视力丧失是常见的患者表现,使用床旁超声有助于诊断各种威胁视力的问题。

病例报告

我们报告一例双侧晶状体脱位病例,眼眶的初始计算机断层扫描未发现晶状体脱位,但床旁超声检测到了。急诊医生为何应了解这一点?:床旁超声可快速识别眼部病变并加快专科会诊,如有必要,可转至专科中心进行进一步治疗。

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