Asteroid hyalosis masquerading as vitreous hemorrhage on point-of-care sonography

Penelope C. Lema, Daniel Mantuani, Arun Nagdev, Srikar Adhikari

Research output: Contribution to journalArticlepeer-review

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.

Original languageEnglish (US)
Pages (from-to)281-284
Number of pages4
JournalJournal of Ultrasound in Medicine
Volume37
Issue number1
DOIs
StatePublished - Jan 1 2018

Keywords

  • Asteroid hyalosis
  • Emergency department
  • Emergency medicine
  • Ocular
  • Ophthalmology
  • Point-of-care sonography
  • Vitreous hemorrhage

ASJC Scopus subject areas

  • Radiological and Ultrasound Technology
  • Radiology Nuclear Medicine and imaging

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