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床旁超声在眼内炎快速诊断中的应用:病例报告

The Use of Point-of-Care Ultrasound for a Rapid Diagnosis of Endophthalmitis: A Case Report.

作者信息

Shinde Varsha S, Birru Joshua D

机构信息

Emergency Medicine, Dr. D. Y. Patil Medical College, Hospital, and Research Centre, Dr. D. Y. Patil Vidyapeeth (Deemed to be University), Pune, IND.

出版信息

Cureus. 2024 Sep 4;16(9):e68609. doi: 10.7759/cureus.68609. eCollection 2024 Sep.

DOI:10.7759/cureus.68609
PMID:39371754
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11450510/
Abstract

Acute and subacute vision loss often requires specialized evaluation in emergency departments. Endophthalmitis, a serious eye infection, can be challenging to diagnose early but is critical to identify due to its potential severity. This case report illustrates the use of ocular point-of-care ultrasound (POCUS) in diagnosing endophthalmitis in a 72-year-old male initially thought to have orbital cellulitis. Despite swollen and painful eyes hindering direct examination, the ocular POCUS examination revealed intraocular hyperechoic debris, indicating an intraocular infection suggestive of endophthalmitis. This timely diagnosis facilitated quick and appropriate treatment, highlighting the role of ocular POCUS in the emergency department for swift and accurate assessment.

摘要

急性和亚急性视力丧失通常需要在急诊科进行专门评估。眼内炎是一种严重的眼部感染,早期诊断可能具有挑战性,但由于其潜在的严重性,识别它至关重要。本病例报告说明了床旁眼部超声(POCUS)在诊断一名最初被认为患有眼眶蜂窝织炎的72岁男性眼内炎中的应用。尽管眼睛肿胀和疼痛妨碍了直接检查,但眼部POCUS检查显示眼内有高回声碎片,提示存在提示眼内炎的眼内感染。这一及时诊断促进了快速且适当的治疗,突出了眼部POCUS在急诊科进行快速准确评估中的作用。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/87e2/11450510/a4a19e9922ba/cureus-0016-00000068609-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/87e2/11450510/990e1cd0a223/cureus-0016-00000068609-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/87e2/11450510/a4a19e9922ba/cureus-0016-00000068609-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/87e2/11450510/990e1cd0a223/cureus-0016-00000068609-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/87e2/11450510/a4a19e9922ba/cureus-0016-00000068609-i02.jpg

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本文引用的文献

1
The Role of Nonophthalmologists in the Primary Evaluation of Head Injury Patients with Ocular Injuries.非眼科医生在头部受伤合并眼部损伤患者初步评估中的作用。
J Pers Med. 2021 Nov 18;11(11):1220. doi: 10.3390/jpm11111220.
2
Point-of-care Ultrasound Detection of Cataract in a Patient with Vision Loss: A Case Report.视力丧失患者白内障的床旁超声检测:一例报告
Clin Pract Cases Emerg Med. 2020 Aug;4(3):355-357. doi: 10.5811/cpcem.2020.4.46597.
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A Narrative Review of Common Uses of Ophthalmic Ultrasound in Emergency Medicine.眼科超声在急症医学中的常见应用:叙述性综述
J Emerg Med. 2021 Jan;60(1):80-89. doi: 10.1016/j.jemermed.2020.08.003. Epub 2020 Sep 9.
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Clin Ophthalmol. 2013;7:779-85. doi: 10.2147/OPTH.S40433. Epub 2013 Apr 22.
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Ophthalmologe. 2009 Nov;106(11):1012-5. doi: 10.1007/s00347-008-1881-1.