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急诊科拓展眼保健服务:床旁超声在眼部急症中应用的全面综述

Expanding Ocular Care in the Emergency Department: A Comprehensive Review of the Utility of Point-of-Care Ultrasound for Ocular Emergencies.

作者信息

Alsulami Rola R, Almutairi Jawza A, Almatrafi Mohammad I, Othman Basant S

机构信息

College of Medicine and Surgery, Umm Al-Qura University, Makkah, SAU.

Department of Ophthalmology, King Saud Medical City, Riyadh, SAU.

出版信息

Cureus. 2024 Nov 27;16(11):e74548. doi: 10.7759/cureus.74548. eCollection 2024 Nov.

Abstract

A time-sensitive, sight-threatening ocular condition presenting at an emergency department can be safely diagnosed promptly by ocular ultrasonography (OUS). OUS is a quick, safe, and portable option for assessing severe tissue damage to the periorbital area. OUS can help identify patients who need immediate ophthalmology consultation in a busy setting or when direct ophthalmic examination is unavailable. This review describes the use of OUS to diagnose ocular emergencies, including the indications, anatomy, and conditions (e.g., retinal detachment, vitreous hemorrhage, papilledema, and endophthalmitis) for OUS. Based on the current literature, OUS shows high sensitivity and specificity. Future research should focus on standardizing the use of OUS in clinical practice.

摘要

眼部超声检查(OUS)能够在急诊科安全且迅速地诊断出一种具有时间敏感性、威胁视力的眼部疾病。OUS是评估眶周区域严重组织损伤的一种快速、安全且便携的方法。在繁忙的环境中或无法进行直接眼科检查时,OUS有助于识别那些需要立即进行眼科会诊的患者。这篇综述描述了使用OUS诊断眼部急症的情况,包括OUS的适应证、解剖结构以及相关病症(如视网膜脱离、玻璃体积血、视乳头水肿和眼内炎)。基于当前文献,OUS显示出高敏感性和特异性。未来的研究应聚焦于在临床实践中规范OUS的使用。

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