A 65 year old female with a history of hyperopia presents to the ED with acute onset unilateral eye pain, redness, and blurry vision associated with headache and nausea. She had just arrived at a movie theater when the symptoms began. On exam you see conjunctival injection, mid-fixed pupil, and a hazy cornea.
A 21 year old female presents to the ED with bilateral eye redness and discharge that started today. She reports her symptoms have rapidly progressed since this morning. During your exam, she frequently wipes purulent material from her eyes, which have severe chemosis and injection.
A 52 year old male presents to the ED with acute onset unilateral eye pain after an accidental splash into his eye while cleaning with an ammonia-based solution. He is noted to have a hazy cornea and faint blurring of the pupillary margin.
Last week, we learned the basics on how to perform an ocular ultrasound and what a normal eye looks like on ultrasound. This week, we cover 5 eye pathologies that are easy to diagnose with use of ultrasound.