Published online Oct 16, 2016. doi: 10.12998/wjcc.v4.i10.344
Peer-review started: February 9, 2016
First decision: May 19, 2016
Revised: June 29, 2016
Accepted: July 29, 2016
Article in press: August 1, 2016
Published online: October 16, 2016
The indications of point-of-care ultrasound (POCUS) in the management of multiple trauma patients have been expanding. Although computed tomography (CT) scan of the orbit remains the gold standard for imaging orbital trauma, ultrasound is a quick, safe, and portable tool that can be performed bedside. Here we report two patients who had severe eye injuries with major visual impairment where surgeon-performed POCUS was very useful. One had a foreign body injury while the other had blunt trauma. POCUS was done using a linear probe under sterile conditions with minimum pressure on the eyes. Ultrasound showed a foreign body at the back of the left eye globe touching the eye globe in the first patient, and was normal in the second patient. Workup using CT scan, fundsocopy, optical coherence tomography, and magnetic resonance imaging of the orbits confirmed these findings. The first patient had vitreous and sub retinal haemorrhage and a full thickness macular hole of the left eye, while the second had traumatic optic neuropathy. POCUS gave accurate information concerning severe eye injuries. Trauma surgeons and emergency physicians should be trained in performing ocular ultrasound for eye injuries.
Core tip: The indications of point-of-care ultrasound in the management of multiple trauma patients have been expanding. Here we report two patients who had severe eye injuries with visual impairment in whom surgeon-performed point-of-care ultrasound was accurate. Trauma surgeons and emergency physicians should be trained in performing ocular ultrasound for eye injuries.