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1.
Am J Emerg Med ; 33(6): 860.e1-3, 2015 Jun.
Article in English | MEDLINE | ID: mdl-25592252

ABSTRACT

Increased anterior chamber pressure also known as intraocular pressure can result from conditions such as glaucoma and trauma. The pressure in the anterior chamber is measured using tonometer. Measurement of the intraocular pressure is essential, as it requires immediate medical attention to alleviate pain and to avoid temporary or permanent damage to intraocular structures. Bedside ocular ultrasound (US) has gained popularity in recent years. It has been used to assess intracranial pressure via optic nerve sheath diameter (ONSD) and evaluate retinal detachment, vitreous hemorrhage, or pupillary reflex in a trauma patient. We report 2 cases of patients with glaucoma and a case of a patient with trauma to the eye with swelling. Anterior chamber depth measurement was conducted and compared with measurements of intraocular pressure (IOP) using a tonometer.


Subject(s)
Anterior Chamber/diagnostic imaging , Ocular Hypertension/diagnostic imaging , Adult , Aged , Diagnosis, Differential , Female , Humans , Male , Ultrasonography , Visual Acuity
2.
Am J Emerg Med ; 32(10): 1298.e3-4, 2014 Oct.
Article in English | MEDLINE | ID: mdl-24746884

ABSTRACT

Idiopathic intracranial hypertension (IIH), also known as pseudotumor cerebri, is often a debilitating condition characterized by headaches, blurry vision, nausea, and vomiting. Lumbar puncture (LP) is an essential component of the diagnostic and therapeutic approach; however, the procedure itself can cause postlumbar puncture headache. In addition to the clinical presentation, the use of bedside ultrasound to measure the optic nerve sheath diameter may aid in differentiating the 2 conditions.We hereby report a case of a 33-year old woman with known IIH who presented with recurrent headache after the initial therapeutic LP.


Subject(s)
Optic Nerve/diagnostic imaging , Point-of-Care Systems , Pseudotumor Cerebri/diagnostic imaging , Adult , Female , Humans , Optic Nerve/physiopathology , Pseudotumor Cerebri/physiopathology , Pseudotumor Cerebri/therapy , Spinal Puncture/methods , Ultrasonography
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