THE ROLE OF OCULAR ULTRASOUND IN EVALUATING PATIENTS WITH OCULAR TRAUMA

*Rafiq I. Haddad, MD, Wafa’a A. Shwayat, MD, Shihab A. Al Abed, MD, Hesham Q. lrawashdeh, MD and Walid N. Qubain, MD

ABSTRACT

Aim: To evaluate the role of ocular ultrasound in evaluating patient with ocular trauma. Method: This was a retrospective conducted at Prince Rashid Bin Al Hassan military hospital and Princess Haya military hospital between November 2015 and December 2018. All patients who attended to the ophthalmology clinic suffering from eye trauma and underwent ocular ultrasounds were included in the study. The medical records of those patients were reviewed regarding age, gender, the outcome of ocular trauma. The results of the B scan ultrasound were recorded and compared with other method of imaging obtained like CT scans or MRI. The results also will be compared with the outcome of ocular examination. Results: 200 patients aged between 3 and 72 years (mean 28.5±12.1 years) had ocular trauma and underwet B scan ocular ultrasound. 67% of the patients were males and 60% of cases were between 20 and 40 years of age. 67% of cases (134 patients) had normal ultrasound examination. 33% of cases (66 patients) showed intraocular pathology; Vitreous hemorrhage (38%) followed by posterior vitreous detachment (30%) were the most common findings. The accuracy rate of ultrasound was 96% with 98% specificity and 93% sensitivity. Conclusion: B scan ultrasound was very accurate with high rate of specificity and sensitivity in detecting ocular complications of trauma. This will greatly improve the visual outcome and decrease the ocular morbidity which may result from trauma. It is recommended to perform B scan ocular ultrasound to every patient presented to the emergency room with ocular trauma.

Keywords: B scans ultrasound, Ocular trauma.