Asteroid Hyalosis Masquerading as Vitreous Hemorrhage on Point‐of‐Care Sonography |
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Authors: | Penelope C Lema MD RDMS Daniel Mantuani MD Arun Nagdev MD Srikar Adhikari MD MS RDMS RPVI |
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Institution: | 1. Department of Emergency Medicine, University at Buffalo Jacobs School of Medicine and Biomedical Sciences, Buffalo, New York, USA;2. Department of Emergency Medicine, Highland Hospital–Alameda Health System, Oakland, California, USA;3. Department of Emergency Medicine, University of Arizona College of Medicine, Tucson, Arizona, USA |
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Abstract: | Point‐of‐care ocular sonography is frequently used in the emergency department to evaluate patients with vision disorders. We describe a case series of 3 patients who ultimately had a diagnosis of asteroid hyalosis, a lesser‐known condition that on point‐of‐care sonography may be mistaken for vitreous hemorrhage. Asteroid hyalosis is considered a benign degenerative condition. In contrast, vitreous hemorrhage may be an ocular emergency that warrants an urgent ophthalmologic consultation if there is an underlying retinal tear or detachment. Although similar in appearance on sonography, recognition of the subtle pathognomonic sonographic features along with their clinical presentations can differentiate these diseases, with vastly different management strategies and dispositions. |
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Keywords: | asteroid hyalosis emergency department emergency medicine ocular ophthalmology point‐of‐care sonography vitreous hemorrhage |
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