The Journal of Emergency Medicine
Volume 37, Issue 4 , Pages 390-392, November 2009

Pediatric Retinal Detachment Due to Coats' Disease Diagnosed with Bedside Emergency Department Ultrasound

  • Aaron K. Buzzard, MD

      Affiliations

    • Department of Emergency Medicine, Carl R. Darnall Army Medical Center, Fort Hood, Texas
    • ,
  • Derek R. Linklater, MD

      Affiliations

    • Military and Emergency Medicine, F. Edward Hebert School of Medicine, Bethesda, Maryland
    • Department of Pediatrics, Baylor College of Medicine/Texas Children's Hospital, Houston, Texas
    • Section of Emergency Medicine, Texas Children's Hospital, Houston, Texas
    • Corresponding Author InformationCorresponding address: Derek R. Linklater, md, Section of Emergency Medicine, Texas Children's Hospital, 6621 Fannin Street, Houston, TX 77030

Received 11 December 2006; received in revised form 6 March 2007; accepted 28 September 2007. published online 29 January 2008.

Abstract 

Atraumatic retinal detachment in a pediatric patient is an extremely rare but vision-threatening disease process. Obtaining an adequate history and physical examination in children presenting with eye complaints can be extremely challenging, as young children are frequently unable to provide a good history or comply with a detailed physical examination. The use of high-resolution bedside ultrasonography in the Emergency Department can assist practitioners with obtaining detailed images of structural intraocular pathology. We present the unusual case of a suspected atraumatic retinal detachment in a pediatric patient that was confirmed using this novel imaging modality.

Keywords: ultrasonography, child, retinal detachment, Coat's disease, emergency care

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 The views expressed in this case study are those of the authors and do not reflect the official policy or position of the Department of Defense, the Department of the Army, or the United States Government.

PII: S0736-4679(07)00752-4

doi:10.1016/j.jemermed.2007.09.027

The Journal of Emergency Medicine
Volume 37, Issue 4 , Pages 390-392, November 2009

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