Sonography in acute ocular pathology: a kaleidoscopic view

Emerg Radiol. 2019 Apr;26(2):241-248. doi: 10.1007/s10140-018-1655-2. Epub 2018 Nov 16.


Ocular emergencies contribute to a large proportion of ocular pathologies. These may even be organ-threatening diseases such as central retinal artery and vein occlusion or globe rupture. Conventional physical examination may not always be feasible in emergency situations but decision-making in time is critical in the interest of patient in few of these conditions. Sonography in this setting plays an important role, allowing real-time, quick and dynamic evaluation. Common acute ocular pathologies such as retinal detachment, lens dislocation and globe rupture can be easily diagnosed by ultrasound. Vascular lesions can be identified using Doppler. This article illustrates the sonographic appearance in traumatic and non-traumatic acute ocular pathologies.

Keywords: Emergency ocular ultrasound; Globe rupture; Lens dislocation; Ocular sonography; Ocular trauma; Retinal detachment.

Publication types

  • Review

MeSH terms

  • Emergencies*
  • Eye Diseases / diagnostic imaging*
  • Eye Injuries / diagnostic imaging*
  • Humans
  • Ultrasonography / methods*