Peds-Orbital

Retinoblastoma in a 3-year-old is noticed on the right side of the clip. Associated retinal detachment on the left side.

Contributor: Peter Gutierrez, MD, FAAP Emory University School of Medicine/Children's Healthcare of Atlanta, @pocuspete

Note the hyperechogenic area that represent the drusen in the optic disc.

Contributor: Maher M. Abulfaraj, MD, @mahermabulfaraj

Retinal detachment. Please note how the retina is floating the posterior chamber and is anchored to the optic disc posteriorly.

Contributor: Maher M. Abulfaraj, MD, @mahermabulfaraj

Optic disc elevation representing papilledema

Contributor: Maher M. Abulfaraj, MD, @mahermabulfaraj

Optic disc elevation representing papilledema

Contributor: Maher M. Abulfaraj, MD, @mahermabulfaraj

Normal ocular anatomy, note the cornea, iris and lens anteriorly

Contributor: Maher M. Abulfaraj, MD, @mahermabulfaraj

12 year old with subtle retinal detachment (vision 20/400 in affected eye). Dilated eye exam with Inferior retinal detachment from 3 o'clock to 9 o'clock.

Contributor: Antonio Riera, MD

8 year old with blurry vision, acuity 20/70 and retinal detachment confirmed by dilated eye exam.

Contributor: Antonio Riera, MD

Retinal detachment in a teenager with acute vision loss.

Contributor: Peter Gutierrez, MD FAAP FACEP; Children's Healthcare of Atlanta; @pocuspete

19 year old female with glaucoma presents with head trauma and abnormality of the lens on CT (calcification) that was subsequently visualized by POCUS.

Contributor: Julie Leviter, MD

12 y/o with blurry vision for 1 month. POCUS shows thickening of vitreous in middle of eye / vitreous detachment. Note there is no point of fixation at the base/optic nerve when patient is asked to move eye side to side. This finding differentiates vitreous detachment from retinal detachment.

Contributor: Rahul Shah, MD

13 year old with Drusen. Note calcification with absent optic disc elevation and optic nerve sheath diameter < 5 mm on both sides. Dilated eye exam (stained) indicated suspected papilledema. Presented to an optometrist with headache and visual changes.

Contributor: Antonio Riera, MD

13 year old with Drusen. Note calcification with absent optic disc elevation and optic nerve sheath diameter < 5 mm on both sides. Dilated eye exam (stained) suspected papilledema. Presented to an optometrist with headache and visual changes.

Contributor: Antonio Riera, MD

16 year old with retinal detachment (tethered to base of globe) after nerf gun injury. Note fixation point at base of the eye originating from optic nerve.

Contributor: Antonio Riera, MD

19 year old with proliferative vitreoretinopathy (PVR) from a suspected chronic/older retinal detachment which had gone undiagnosed for a prolonged period of time.

Contributor: Antonio Riera, MD

19 year old with proliferative vitreoretinopathy (PVR) from a suspected chronic/older retinal detachment which had gone undiagnosed for a prolonged period of time.

Contributor: Antonio Riera, MD

8 year old female presented with headache for 3 days, ocular ultrasound revealed no increased optic nerve sheath diameter. Measured 3 mm from the posterior border of the eye, the diameter was 3.7 mm, and there was no visualized crescent sign.

Contributor: Zach Boivin, MD, @ZachBoivinMD

8 yo male was on a scooter and struck his head on handle. He presented to the ed with blurry vision. POCUS shows vitreous hemorrhage with a retinal detachment.

Contributor: Richard Ramirez, MD Nicklaus Children's Hospital