Use of Ocular Point of Care Ultrasound in Diagnosing Retinal Detachment in the Emergency Department

This is a prospective, cross-sectional study to assess the utility of point of care
ultrasound in the diagnosis of ocular complaints in the emergency department with specific
focus on the accuracy of diagnosis when compared to that of a blinded ophthalmologist. Ocular
complaints represent between 2% and 3% of ED visits (Walker et al, 2011). This percentage may
include vision-threatening diagnoses including retinal detachment, which can occur in 3-4% of
patients presenting with ocular complaints (Alotaibi et al, 2011). However, the equipment and
expertise required to adequately assess for conditions such as retinal detachment are limited
in busy emergency departments due to the time consuming and challenging nature of the
examination. Incorporating the use of an ultrasound could provide a more available, focused,
and timely assessment.

Inclusion Criteria:

Clinical suspicion for retinal detachment Age >18 years of age Ophthalmology Consult

Exclusion Criteria:

Concurrent ocular trauma Ruptured globe Pregnancy < 18 years of age No ophthalmology
consult