Accuracy of Point of Care Ultrasound in Assessment of Traumatic Eye Injuries: Quaternary Epitope Insights in Uricase Immunogenicity

TL;DR

This study evaluates how well point of care ultrasound detects eye injuries from trauma, showing high accuracy compared to expert assessments.

Contribution

The study provides empirical evidence on the diagnostic accuracy of point of care ultrasound for traumatic eye injuries.

Findings

Point of Care Ultrasound had a sensitivity of 86.7% and specificity of 94.7% in detecting traumatic eye lesions.

The agreement coefficient between ultrasound and expert assessment was 0.64, indicating acceptable agreement.

Ultrasound accurately identified retinal detachment, foreign bodies, and vitreous hemorrhage in trauma cases.

Abstract

A few studies have been conducted to assess the accuracy of point of
care ultrasound in traumatic eye injuries. In the present study we aimed to
examine the diagnostic value of Point of Care Ultrasound to assess eye injuries
resulting from trauma.

This observational study was
performed on 221 consecutive patients with ocular trauma who admitted to
emergency department of two teaching hospitals in 2016. On admission, all
patients underwent ocular bedside ultrasonography to reveal ocular defects
resulting from trauma. The diagnostic results of Point of Care Ultrasound were
compared to the findings of clinical assessment of ophthalmologist as the gold
standard.

Overalls, 13 lesions (5.9%) were revealed as ocular
pathological lesions following trauma including retinal detachment in 6 cases,
foreign body in 6 cases, and vitreous hemorrhage in one case. In this regard,
Point of Care Ultrasound has a sensitivity of 86.7%, specificity of 94.7%,
positive predictive value of 54.2%, negative predictive value of 98.9%, and an
accuracy of 94.1%. The agreement coefficient between ultrasound and expert
clinical assessment was 0.64 indicating an acceptable degree of agreement.
(P0.001).

Along with clinical assessment, Point of Care
Ultrasonography of eye can accurately assess traumatic eye lesions.

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