title: Utility of ocular ultrasonography in diagnosing infectious endophthalmitis in patients with media opacities.
abstract: Assessment of patients with infectious endophthalmitis is frequently limited by media opacities, and ocular ultrasonography is routinely performed in this setting. We examined the literature to assess the level of evidence for the utility of ocular ultrasonography in these patients. Common ultrasonographic findings reported include low amplitude mobile echoes, vitreous membranes, and thickening of the retina and choroid. Based on the available evidence, we conclude that ocular ultrasound may be a useful adjunct in guiding treatment and minimizing complications. While positive findings may be confirmatory in cases in which the clinical suspicion is high, ocular ultrasound alone cannot be used to prove or to exclude the diagnosis of infectious endophthalmitis.
authors.affiliation: Department of Ophthalmology, Harvard Medical School, Boston, MA 02114, USA.
authors.forename: Sahar
authors.initials: S
authors.lastname: Kohanim
authors.forename: Anthony B
authors.initials: AB
authors.lastname: Daniels
authors.forename: Nancy
authors.initials: N
authors.lastname: Huynh
authors.forename: Dean
authors.initials: D
authors.lastname: Eliott
authors.forename: James
authors.initials: J
authors.lastname: Chodosh
mesh_terms: D002829:Choroid / Q000473:pathology; D009877:Endophthalmitis / Q000000981:diagnostic imaging* / Q000382:microbiology*; D005128:Eye Diseases / Q000000981:diagnostic imaging*; D015817:Eye Infections / Q000000981:diagnostic imaging*; D006801:Humans; D006984:Hypertrophy; D012160:Retina / Q000473:pathology; D014463:Ultrasonography; D014822:Vitreous Body / Q000382:microbiology / Q000473:pathology*