Orbital - Retinal Detachment with Vitreous Hemorrhage
Caption
34 y/o M with acute, atraumatic, painless, complete vision loss in the right eye x3 days, with an eye exam showing opacification of the right pupil and no light/dark perception. Ocular POCUS revealed a complete retinal detachment (RD) with a classic funnel shape. The funnel shape is caused by strong attachments of the retina to the optic nerve posteriorly, and to the ora serrata anteriorly. POCUS has been shown to have sensitivity 91-100% and specificity 68-96% for RD. In this image, the hyperechoic area within the funnel suggests an associated vitreous hemorrhage (VH), 30% of which are caused by retinal tears (RT). In fact, in patients with fundus-obscuring VH like our patient, 67% and 39% will have an associated RT or RD, respectively. Dr. Theodore J. Segarra, Dr. Stephanie Garcia, Dr. Nayla Delgado-Torres. SUNY Downstate/Kings County Emergency Medicine.