Shinde Varsha S, Birru Joshua D
Emergency Medicine, Dr. D. Y. Patil Medical College, Hospital, and Research Centre, Dr. D. Y. Patil Vidyapeeth (Deemed to be University), Pune, IND.
Cureus. 2024 Sep 4;16(9):e68609. doi: 10.7759/cureus.68609. eCollection 2024 Sep.
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.
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。