Author: William Wilson, Gokul Sagar Bailur / Editor: Sarah Edwards / Codes: OptP5, SLO1, SLO3, SLO4, SLO6 / Published: 22/09/2025
A 68-year-old man arrives at the emergency department (ED) due to sudden, painless vision loss in his right eye. He reports a gradually worsening “dark curtain” effect starting from the upper part of his vision, now covering a large area. Over the past few weeks, he has also had occasional floaters and flashes of light in the same eye.
His medical history includes well-controlled hypertension, with no previous eye problems.
On Examination Findings:
– Vital signs are normal.
– The left eye appears normal, with intact vision, 6/6.
– The right eye shows severely diminished vision, only able to count fingers at one foot.
– Pupils are equal in size and responsive to light.
– Eye movements are unrestricted and pain-free.
– The anterior segment of the right eye shows no abnormalities (no redness, swelling, or discharge).
Exam Summary
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Key Learning Points
- Ocular POCUS quickly detects retinal detachment, vitreous hemorrhage, and posterior vitreous detachment with high accuracy.
- Always correlate findings with history and exam—use as an adjunct, not a replacement, for comprehensive assessment.
- Diagnostic reliability requires proper training and experience to minimize variability.
Reference
- Gottlieb M, Holladay D, Peksa GD. Point-of-care ocular ultrasound for the diagnosis of retinal detachment: a systematic review and meta-analysis. Acad Emerg Med. 2019 Aug;26(8):931-9. doi: 10.1111/acem.13730.
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Module Content
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4 responses
I like this module as the POCUS became a good help in diagnosing many cases. I used it with one of our patient and it was positive for retinal detachment. Thanks
Nice
great case and demo
nice