Servicio de Medicina Interna, Hospital Universitario Virgen Macarena, Sevilla, España.
Servicio de Oftalmología, Hospital Universitario Virgen Macarena, Sevilla, España.
Med Clin (Barc). 2021 May 21;156(10):503-508. doi: 10.1016/j.medcli.2020.11.031. Epub 2021 Jan 18.
The role of clinical ultrasound or Point-of-Care Ultrasound (POCUS) in patients with urgent pathology has expanded exponentially in recent years. With clinical ultrasound, physicians can make a quick assessment and decide how to act in time critical situations. Ocular ultrasound is one of the most recently developed applications. In patients with severe non-traumatic ocular pathology it has numerous clinically relevant uses: retinal detachment, occlusion of the central retinal artery or optic nerve pathologies, among others. The technique is widely available, easy to perform, and can provide information even when fundoscopy is impossible. In this review, we describe the bases of clinical ocular ultrasound, focusing on the management of the main non-traumatic urgent ophthalmological pathologies that the physician may face in their clinical practice.
近年来,临床超声或即时护理超声(POCUS)在急病患者中的作用呈指数级增长。有了临床超声,医生可以快速评估并及时决定采取何种行动。眼部超声是最近开发的应用之一。在严重的非创伤性眼部疾病患者中,它有许多具有临床相关性的用途:视网膜脱离、视网膜中央动脉阻塞或视神经病变等。该技术广泛可用,易于操作,即使在无法进行眼底检查的情况下也能提供信息。在本综述中,我们描述了临床眼部超声的基础,重点介绍了医生在临床实践中可能遇到的主要非创伤性紧急眼科疾病的处理方法。