Diagnostic Accuracy of Ocular Ultrasound in the Assessment of Vitreous Hemorrhage and Associated Ocular Diseases Ocular Ultrasound in Vitreous Haemorrhage

Main Article Content

Athar Habib
Laamia Altuf
Farwa Seemab Zafar
Zahra Akram
Fatima
Muhammad Ahmad Raza
Sidra Ghazanfar

Abstract

Background: Background: Vitreous hemorrhage (VH) is a condition that impairs vision and can lead to blindness if not diagnosed and managed promptly. Ocular ultrasound is commonly used for its non-invasive and rapid diagnostic capabilities, particularly in emergency settings.
Objective: To evaluate the diagnostic accuracy of ocular ultrasound in detecting vitreous hemorrhage and associated ocular diseases.
Methods: A cross-sectional observational study was conducted at the University of Lahore Teaching Hospital from October 2023 to March 2024. Seventy patients with symptomatic VH were included. Ocular ultrasound was performed using a 7.5 MHz B-scan probe. Sensitivity, specificity, positive predictive value (PPV), negative predictive value (NPV), and overall accuracy were calculated. Data were analyzed using SPSS version 25.
Results: The study included 43 males (61.42%) and 27 females (38.60%). Ocular ultrasound demonstrated a sensitivity of 77.8%, specificity of 35.3%, PPV of 56.0%, NPV of 60.0%, and an overall accuracy of 57.14% (p < 0.05).
Conclusion: Ocular ultrasound is a valuable, sensitive tool for the initial diagnosis of vitreous hemorrhage, but its moderate specificity suggests a need for confirmatory testing to ensure accurate diagnosis

Article Details

How to Cite
Athar Habib, Laamia Altuf, Farwa Seemab Zafar, Zahra Akram, Fatima, Muhammad Ahmad Raza, & Sidra Ghazanfar. (2024). Diagnostic Accuracy of Ocular Ultrasound in the Assessment of Vitreous Hemorrhage and Associated Ocular Diseases: Ocular Ultrasound in Vitreous Haemorrhage. Journal of Health and Rehabilitation Research, 4(3), 1–5. https://doi.org/10.61919/jhrr.v4i3.1243
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References

Salcedo-Villanueva G, Trujillo-Alvarez M, Becerra-Revollo C, Ibarra-Elizalde E, Mayorquín-Ruiz M, Velez-Montoya R, et al. A proposed method to quantify vitreous hemorrhage by ultrasound. Clin Ophthalmol. 2019 Dec;13:2377-84.

Jin X, Qin D, Wang Y, Li S, Han J, Li M. Vitreous hemorrhage. Atlas of Ocular Trauma. 2019;57-72.

Goff MJ, McDonald HR, Johnson RN, Ai E, Jumper JM, Fu AD. Causes and treatment of vitreous hemorrhage. Compr Ophthalmol Update. 2006 May 1;7(3):97-111.

Hutcheson KA, Nguyen AT, Preslan MW, Ellish NJ, Steidl SM. Vitreous hemorrhage in patients with high-risk retinopathy of prematurity. Am J Ophthalmol. 2003 Aug 1;136(2):258-63.

Hasegawa T, Otani A, Sasahara M, Gotoh N, Ooto S, Tamura H, et al. Prognostic factors of vitreous hemorrhage secondary to exudative age-related macular degeneration. Am J Ophthalmol. 2010 Feb 1;149(2):322-9.

Almendárez JE, Vargas DM, González C, Takane M, Koga W. Ultrasound findings in ocular trauma. Arch Soc Esp Oftalmol (Engl Ed). 2015 Dec;90(12):572-7.

Schott ML, Pierog JE, Williams SR. Pitfalls in the use of ocular ultrasound for evaluation of acute vision loss. J Emerg Med. 2013 Jun 1;44(6):1136-9.

Tandon A, Khullar T, Bhatt S. Sonography in acute ocular pathology: a kaleidoscopic view. Emerg Radiol. 2019 Apr 10;26:241-8.

Shinar Z, Chan L, Orlinsky M. Use of ocular ultrasound for the evaluation of retinal detachment. J Emerg Med. 2011 Jan 1;40(1):53-7.

Ahmed J, Shaikh FF, Rizwan A, Memon MF. Evaluation of vitreo-retinal pathologies using B-scan ultrasound. Pak J Ophthalmol. 2009;25(4):188-92.

Lean JS, Gregor ZD. The acute vitreous haemorrhage. Br J Ophthalmol. 1980 Jul 1;64(7):469-71.

Lorenzo-Carrero J, Perez-Flores I, Cid-Galano M, Fernandez-Fernandez M, Heras-Raposo F, Vazquez-Nuñez R, et al. B-scan ultrasonography to screen for retinal tears in acute symptomatic age-related posterior vitreous detachment. Ophthalmology. 2009 Jan 1;116(1):94-9.

Baker N, Amini R, Situ-LaCasse EH, Acuña J, Nuño T, Stolz U, et al. Can emergency physicians accurately distinguish retinal detachment from posterior vitreous detachment with point-of-care ocular ultrasound? Am J Emerg Med. 2018 May 1;36(5):774-6.

Rabinowitz R, Yagev R, Shoham A, Lifshitz T. Comparison between clinical and ultrasound findings in patients with vitreous hemorrhage. Eye (Lond). 2004 Mar;18(3):253-6.

Lahham S, Shniter I, Thompson M, Le D, Chadha T, Mailhot T, et al. Point-of-care ultrasonography in the diagnosis of retinal detachment, vitreous hemorrhage, and vitreous detachment in the emergency department. JAMA Netw Open. 2019 Apr 5;2(4)

Propst SL, Kirschner JM, Strachan CC, Roumpf SK, Menard LM, Sarmiento EJ, et al. Ocular point-of-care ultrasonography to diagnose posterior chamber abnormalities: a systematic review and meta-analysis. JAMA Netw Open. 2020 Feb 5;3(2)

Mahmoud KH. Accuracy of ultrasonography findings in cases of ocular trauma.

Shazlee MK, Ali M, SaadAhmed M, Hussain A, Hameed K, Lutfi IA, et al. Diagnostic accuracy of ultrasound B scan using 10 MHz linear probe in ocular trauma; results from a high burden country. Pak J Med Sci. 2016 Mar;32(2):385-90.

Ojaghihaghighi S, Lombardi KM, Davis S, Vahdati SS, Sorkhabi R, Pourmand A. Diagnosis of traumatic eye injuries with point-of-care ocular ultrasonography in the emergency department. Ann Emerg Med. 2019 Sep 1;74(3):365-71.

Haghighi SH, Begi HR, Sorkhabi R, Tarzamani MK, Zonouz GK, Mikaeilpour A, et al. Diagnostic accuracy of ultrasound in detection of traumatic lens dislocation. Emerg. 2014;2(3):121-4.

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