Use of Ocular Point of Care Ultrasound in Diagnosing Retinal Detachment in the Emergency Department

Not Applicable

Completed

• Conditions: Retinal Detachment
• Interventions: Device: Ultrasound; Other: Ophthalmology Assessment

• Registration Number: NCT03106025
• Lead Sponsor: Loma Linda University

Brief Summary

The study is collecting data along with other academic institutions regarding the accuracy of ocular ultrasound in diagnosing retinal detachment.

Detailed Description

This is a prospective, cross-sectional study to assess the utility of point of care ultrasound in the diagnosis of ocular complaints in the emergency department (ED) with specific focus on the accuracy of diagnosis when compared to that of a blinded ophthalmologist. Ocular complaints represent between 2% and 3% of ED visits (Walker et al, 2011). This percentage may include vision-threatening diagnoses including retinal detachment, which can occur in 3-4% of patients presenting with ocular complaints (Alotaibi et al, 2011). However, the equipment and expertise required to adequately assess for conditions such as retinal detachment are limited in busy emergency departments due to the time consuming and challenging nature of the examination. Incorporating the use of an ultrasound could provide a more available, focused, and timely assessment.

Study Timeline

• Study First Submitted: 2017-04-04
• Study First Submitted QC: 2017-04-04
• Study First Posted: 2017-04-10
• Study Start: 2018-02-05
• Primary Completion: 2018-03-25
• Study Completion: 2018-03-25
• Results First Submitted: 2021-08-10
• Status Verified: 2022-09
• Results First Submitted QC: 2022-09-23
• Last Update Submitted: 2022-09-23
• Results First Posted: 2022-10-18
• Last Update Posted: 2022-10-18

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 5

Inclusion Criteria

Clinical suspicion for retinal detachment Age >18 years of age Ophthalmology Consult

Exclusion Criteria

Concurrent ocular trauma Ruptured globe Pregnancy < 18 years of age No ophthalmology consult

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: CROSSOVER

Arm && Interventions

Group	Intervention	Description
Ocular Ultrasound	Ultrasound	Each participant will receive an ocular ultrasound which poses minimal to no harm to the participant and the ultrasound results compared to final diagnosis
Patients Receiving Ophthalmology Assessment	Ophthalmology Assessment	Number of subjects with retinal detachment per formal ophthalmology assessment. This assessment is a composite measurement which includes the following chief complain, primary impression, right visual acuity, left visual, acuity, ultrasound diagnosis, diagnosis changed, ophthalmology diagnosis.
Patients Receiving Ophthalmology Assessment	Ultrasound	Number of subjects with retinal detachment per formal ophthalmology assessment. This assessment is a composite measurement which includes the following chief complain, primary impression, right visual acuity, left visual, acuity, ultrasound diagnosis, diagnosis changed, ophthalmology diagnosis.
Ocular Ultrasound	Ophthalmology Assessment	Each participant will receive an ocular ultrasound which poses minimal to no harm to the participant and the ultrasound results compared to final diagnosis

Primary Outcome Measures

Name	Time	Method
Number of Participants With Retinal Detachment Per Ultrasound Assessment	at baseline	Number of Participants with retinal detachment per ocular ultrasound results

Trial Locations

Locations (1)

Loma Linda University Health; 🇺🇸 Loma Linda, California, United States