Bilateral Retinal Detachments Caused by Severe Preeclampsia Diagnosed with Point-of-Care Ultrasound

AbstractBilateral retinal detachments are a rare complication of preeclampsia. We present a case report of a patient with an unknown pregnancy who presented with acute bilateral vision loss and elevated blood pressure. Point-of-care ocular ultrasound revealed bilateral retinal detachments. She was diagnosed with severe preeclampsia and taken for an urgent caesarean section with the delivery of a 26-week-old infant.

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Point-of-care Ultrasound Detection of Cataract in a Patient with Vision Loss: A Case Report

Clinical Practice and Cases in Emergency Medicine ◽

10.5811/cpcem.2020.4.46597 ◽

2020 ◽

Vol 4 (3) ◽

pp. 355-357

Author(s):

Kyle Dornhofer ◽

Marawan Alkhattabi ◽

Shadi Lahham

Keyword(s):

Emergency Department ◽

Case Report ◽

Vision Loss ◽

Point Of Care ◽

Point Of Care Ultrasound ◽

Cataract Formation ◽

Ocular Ultrasound ◽

History Of

Background: Point-of-care ocular ultrasound in the emergency department (ED) is an effective tool for promptly evaluating for several vision-threatening etiologies and can be used to identify more slowly progressing etiologies as well, such as cataract formation within the lens. Case Report: A 62-year-old female presented to the ED with a two-day history of painless vision loss of the left eye as well as reduced vision for the prior 30 days. Conclusion: Point-of-care ultrasound was performed and showed calcification of the lens consistent with cataract.

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Bilateral Serous Retinal Detachment in Preeclampsia: Case Report

Macedonian Medical Review ◽

10.1515/mmr-2017-0026 ◽

2017 ◽

Vol 71 (2) ◽

pp. 143-145

Author(s):

Ivo Kjaev ◽

Jana Kjaeva Nivicka ◽

Sasha Kjaeva ◽

Dafina Karadjova ◽

Irena Aleksioska ◽

...

Keyword(s):

Blood Pressure ◽

Case Report ◽

Retinal Detachment ◽

Medical Condition ◽

Post Partum ◽

Rare Complication ◽

Serous Retinal Detachment ◽

Initial Assessment ◽

Ocular Involvement ◽

Ocular Ultrasound

Abstract Introduction. Preeclampsia presents a medical condition in pregnancy that is manifested with increased blood pressure and protein urine. Ocular involvement is rare. Retinal detachment in preeclampsia is a rare complication; it only occurs in 1-2% of severe preeclampsia but in 10% of those with eclamptic seizures. Case report. A pregnant patient G1P0 visited the outpatient clinic of the University Clinic for Ophthalmology complaining on visual disturbances. The chief complaint was blurred vision and headaches. She was in 31 week of gestation and complained that she had increased blood pressure over the last month. After initial assessment she was suspected of central serous retinal ablation (CSCR). Ocular ultrasound and posterior segment OCT (optical coherence tomography) confirmed the diagnosis. Treatment and outcome. Obstetric examination confirmed high blood (TA180/130) pressure with dipstick urine showing(+++). Unfortunately, the ultrasound showed an eutrophic pregnancy in 31 g.w. with fetus mortus inutero. The patient was administered to the intensive care unit. She had an ophthalmologic check-upat 2 weeks and one month post-partum that showed regression and visual acuity was getting better. The final check-up after 6 months revealed that retina was in place with no subretinal substantial fluid and no macular edema. Conclusion. Serous retinal detachment is a rare complication of preeclampsia. In most case it resolves spontaneously few weeks post delivery.

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A Case Report: Point-of-care Ultrasound in the Diagnosis of Post-Myocardial Infarction Ventricular Septal Rupture

Clinical Practice and Cases in Emergency Medicine ◽

10.5811/cpcem.2020.4.47073 ◽

2020 ◽

Vol 4 (3) ◽

pp. 407-410

Author(s):

Andrew Portuguese ◽

Khaled Abdulla ◽

Michael Vornovitsky ◽

John DeAngelis

Keyword(s):

Myocardial Infarction ◽

Case Report ◽

Point Of Care ◽

Rare Complication ◽

Artery Bypass ◽

Heart Catheterization ◽

Point Of Care Ultrasound ◽

Mechanical Complication ◽

Ventricular Septal Rupture ◽

First Case

Introduction: Ventricular septal rupture (VSR) is a rare complication of ST-elevation myocardial infarction (STEMI), typically discovered post-revascularization. Case report: We present the first case of VSR detected on point-of-care ultrasound (POCUS) in the emergency department immediately prior to emergent angiography, with management positively affected by this discovery. The VSR was quickly confirmed via right heart catheterization. Subsequently, hemodynamic stability was achieved using an intra-aortic balloon pump. A delayed surgical VSR repair, with concomitant coronary artery bypass grafting, was implemented for definitive management. Conclusion: This case highlights the utility of POCUS in a STEMI patient with a suspected mechanical complication.

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Splenic Injury Following Colonoscopy: A Case Report

Clinical Practice and Cases in Emergency Medicine ◽

10.5811/cpcem.2021.2.50676 ◽

2021 ◽

Vol 5 (4) ◽

pp. 499-501

Author(s):

Jason Wang ◽

Heesun Choi ◽

John Ashurst

Keyword(s):

Case Report ◽

Splenic Injury ◽

Point Of Care ◽

Rare Complication ◽

Point Of Care Ultrasound ◽

Intravenous Contrast ◽

Active Extravasation ◽

History Of ◽

Grade Ii ◽

Abdominal Examination

Introduction: Colonoscopy is a commonly performed outpatient procedure with a low risk of complications. The most common complications seen in the postoperative period include hemorrhage and perforation. Infrequently, splenic injury can occur. Case Report: A 72-year-old male presented with a one-day history of left upper quadrant pain following colonoscopy. During the procedure he had two polyps removed along the transverse colon near the splenic flexure. There were no complications during the procedure or in the immediate post-operative period. On presentation to the emergency department, abdominal tenderness was present in the left upper quadrant without rebound, rigidity, or guarding. Point-of-care ultrasound of the abdomen demonstrated mixed hypoechoic densities confined to the splenic capsule, and computed tomography of the abdomen and pelvis with intravenous contrast noted a grade II/III splenic laceration without active extravasation. The patient was admitted for serial abdominal examination and labs. Conclusion: Splenic injury following colonoscopy is a rare complication of colonoscopy. Emergency providers should be aware of this possible complication, and acute management should include basic trauma care and consultation for possible intervention, if warranted.

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Case Report: Diagnosis of Late Spontaneous Intraocular Lens Dislocation on Point-of-care Ultrasound

Clinical Practice and Cases in Emergency Medicine ◽

10.5811/cpcem.2021.3.52208 ◽

2021 ◽

Vol 5 (3) ◽

pp. 332-334

Author(s):

Alexandra Pizarro ◽

Thompson Kehrl

Keyword(s):

Case Report ◽

Cataract Surgery ◽

Intraocular Lens ◽

Vision Loss ◽

Imaging Modality ◽

Point Of Care ◽

Angle Closure ◽

Point Of Care Ultrasound ◽

Blurred Vision ◽

Iol Dislocation

Introduction: Spontaneous intraocular lens (IOL) dislocation is a rare, but serious, complication following cataract surgery. Case Report: We report a case of patient with a remote history of cataract surgery presenting to the emergency department with monocular blurred vision. Ocular point-of-care ultrasound (POCUS) facilitated diagnosis of a late spontaneous IOL dislocation. Discussion: Prosthetic IOL dislocations are being reported with increasing frequency. Prompt recognition of IOL dislocation is essential to prevent secondary complications, including acute angle-closure glaucoma and retinal detachment, which can result in permanent vision loss. Conclusion: Point-of-care ultrasound is a rapid, noninvasive imaging modality for early detection of IOL dislocation to help guide management, improve patient outcomes, and mitigate long-term sequelae.

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Case Report: When all claims that it is necrotizing fasciitis but Point of care ultrasound (POCUS) proves the opposite!

POCUS Journal ◽

10.24908/pocus.v3i1.13310 ◽

2018 ◽

Vol 3 (1) ◽

pp. 13-14

Author(s):

Hadiel Kaiyasah, MD, MRCS (Glasgow), ABHS-GS ◽

Maryam Al Ali, MBBS

Keyword(s):

Emergency Department ◽

Critical Care ◽

Case Report ◽

Soft Tissue ◽

Necrotizing Fasciitis ◽

Soft Tissue Infection ◽

Critical Care Unit ◽

Point Of Care ◽

Point Of Care Ultrasound ◽

Soft Tissue Infections

Soft tissue ultrasound (ST-USS) has been shown to be of utmost importance in assessing patients with soft tissue infections in the emergency department or critical care unit. It aids in guiding the management of soft tissue infection based on the sonographic findings.

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