Diagnostic Imaging Considerations in Damage Control Ophthalmology
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Whether treating trauma patients at a large full-scope trauma center or caring for patients in austere environments, the gold standard for evaluating patients with sight-threatening injuries is clinical ophthalmologic examination. However, medical imaging can be an extremely valuable adjunct in the assessment of eye disease and injury. Non-invasive imaging can offer evaluation of deeper ocular structures when ocular media opacities obscure ophthalmoscopic visualization. Imaging can also be extremely useful in the evaluation for ocular or orbital retained foreign bodies. Imaging is critical in evaluating for the presence and extent of bony orbital injury, as well as concomitant facial, calvarial, or intracranial injury. While medical imaging can play an important role in damage control ophthalmology, the portability, availability, and cost are highly variable. The availability of imaging modalities should be considered when planning humanitarian missions and combat operations, as the availability of imaging can impact patient care and transport decisions.
KeywordsDiagnostic imaging Ultrasound Radiography Computed tomography Magnetic resonance imaging
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