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Clinical Practice of Ocular Ultrasonography and OCT in the Emergency...
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Clinical Practice of Ocular Ultrasonography and OCT in the Emergency Medicine

A special issue of Journal of Clinical Medicine (ISSN 2077-0383). This special issue belongs to the section "Emergency Medicine".

Deadline for manuscript submissions: closed (31 August 2020) | Viewed by 3949

Special Issue Editors

Dr. Maddalena De Bernardo

E-Mail Website
Guest Editor
Department of Medicine, Surgery and Dentistry, “Scuola Medica Salernitana” University of Salerno, Salerno, Italy
Interests: ocular ultrasonography; retina; cataract; optic nerve
Prof. Dr. Nicola Rosa

E-Mail Website
Guest Editor
Department of Medicine, Surgery and Dentistry, “Scuola Medica Salernitana” University of Salerno, Salerno, Italy
Interests: ophthalmology; ocular infection; ophthalmological medicine
Special Issues, Collections and Topics in MDPI journals

Special Issue Information

Dear Colleagues,

The prognosis of adult patients in the Emergency medicine department after traumatic brain injury is poor, as the mortality of patients with intracerebral hemorrhage (ICH) is approximately 30%–40%. In recent years, we have observed a larger diffusion of a noninvasive, repeatable, and bedside techniques for the detection of increased intracranial pressure (ICP), namely, the ultrasonography of the optic nerve sheath diameter (ONSD). This examination is particularly suitable in an intensive care or stroke-unit setting, and it could provide rapid diagnosis to start a correct management and improve patient survival. Further information could be provided by the integration with OCT of the optic nerve head.

Dr. Maddalena De Bernardo
Prof. Nicola Rosa
Guest Editors

Manuscript Submission Information

Manuscripts should be submitted online at www.mdpi.com by registering and logging in to this website. Once you are registered, click here to go to the submission form. Manuscripts can be submitted until the deadline. All submissions that pass pre-check are peer-reviewed. Accepted papers will be published continuously in the journal (as soon as accepted) and will be listed together on the special issue website. Research articles, review articles as well as short communications are invited. For planned papers, a title and short abstract (about 100 words) can be sent to the Editorial Office for announcement on this website.

Submitted manuscripts should not have been published previously, nor be under consideration for publication elsewhere (except conference proceedings papers). All manuscripts are thoroughly refereed through a single-blind peer-review process. A guide for authors and other relevant information for submission of manuscripts is available on the Instructions for Authors page. Journal of Clinical Medicine is an international peer-reviewed open access semimonthly journal published by MDPI.

Please visit the Instructions for Authors page before submitting a manuscript. The Article Processing Charge (APC) for publication in this open access journal is 2600 CHF (Swiss Francs). Submitted papers should be well formatted and use good English. Authors may use MDPI's English editing service prior to publication or during author revisions.

Keywords

  • Ophthalmic ultrasound
  • Optic nerve
  • Traumatic brain injury
  • Intracerebral hemorrhage
  • Increased intracranial pressure

Published Papers (1 paper)

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Research

8 pages, 4645 KiB  
Article
Optic Nerve Drusen Evaluation: A Comparison between Ultrasound and OCT
by Nicola Rosa, Maddalena De Bernardo, Giulia Abbinante, Gianluca Vecchio, Ferdinando Cione and Luigi Capasso
J. Clin. Med. 2022, 11(13), 3715; https://doi.org/10.3390/jcm11133715 - 27 Jun 2022
Cited by 26 | Viewed by 3633
Abstract
This observational study compared optic coherence tomography (OCT) and B-scan in the detection of optic disc drusen. In total, 86 eyes of 50 patients with optic disc drusen (ODD) (36 bilateral) with a mean age of 34.68 ± 23.81 years, and 54 eyes [...] Read more.
This observational study compared optic coherence tomography (OCT) and B-scan in the detection of optic disc drusen. In total, 86 eyes of 50 patients with optic disc drusen (ODD) (36 bilateral) with a mean age of 34.68 ± 23.81 years, and 54 eyes of 27 patients with papilledema, with a mean age of 35.42 years ± 17.47, were examined. Patients with ODD, diagnosed with ultrasound, underwent spectral-domain OCT evaluation. With US, 28 ODD cases were classified as large (4 buried and 24 superficial), 58 were classified as point-like (6 buried, 49 superficial and 3 mixed). Then, all patients underwent OCT. OCT was able to detect the presence of ODD and/or peripapillary hyperreflective ovoid mass structure (PHOMS) in 69 eyes (p < 0.001). In particular, 7 eyes (8.14%) showed the presence of ODD alone, 25 eyes (29.07%) showed only PHOMS and 37 eyes (43.02%) showed ODD and PHOMS. In 17 eyes (19.77%) no ODD or PHOMS were detected. In the papilledema group, no ODD were observed with both US and OCT. OCT showed the presence of drusen or similar lesions in only 80.23% of the cases highlighted by the US scan, so it does not allow for certain ODD diagnoses, especially in the case of buried ODD. Full article
(This article belongs to the Special Issue Clinical Practice of Ocular Ultrasonography and OCT in the Emergency Medicine)
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