What is the role of imaging studies in the workup of retinal detachment?

Updated: Jul 08, 2021
  • Author: Hemang K Pandya, MD, FACS; Chief Editor: Bruce M Lo, MD, MBA, CPE, RDMS, FACEP, FAAEM, FACHE  more...
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Answer

Unless globe rupture, orbital/facial bone fractures or intraocular foreign bodies are suspected, imaging techniques, such as CT scans or MRIs, are not warranted to evaluate for retinal detachments.

In difficult cases, bedside ocular ultrasonography can facilitate prompt diagnosis of retinal detachment. Potential ultrasonographic mimics of retinal detachment (eg, posterior vitreous detachment [PVD] and vitreous hemorrhage [VH]) should be excluded.

Sonogram of retinal detachment. Courtesy of Bruce Sonogram of retinal detachment. Courtesy of Bruce Lo, MD.

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