ALL ABOUT RETINAL DETACHMENT: CONTRIBUTION OF ULTRASOUND

The aim of our study is to specify the contribution of ultrasound in the diagnosis of retinal detachments and in the follow-up of patients.

Pediatric ophtalmology department. Hospital 20 august 1953. Casablanca. Morocco.

Prospective study of 60 cases of retinal detachment collected in the Ophthalmology and Radiology Department of the August 20 Hospital of the Ibn Rochd University Hospital of Casablanca – Morocco, over a period of 6 months (December 2020-June 2021). 60 patients underwent ocular ultrasound with a 12 Mhz high frequency linear probe.

The age of the patients varies between 4 and 80 years with a male predominance (40 men for 20 women); that is to say a sex ratio of 2. The reason for consultation is dominated by the sudden drop in visual acuity and ocular trauma. The etiologies were diverse, dominated by diabetic tractional detachment and post-traumatic detachment. Ultrasound revealed 53 total retinal detachments and 17 partial detachments. Pathologies associated with the detachment were dominated by cataract and intravitreal hemorrhage. Ultrasound examination allowed the diagnosis of detachment before the clinic in cases where exploration of the posterior segment was impossible.

Ocular ultrasound is an essential examination in the diagnosis of retinal detachment, particularly in cases of impure anterior and/or posterior segment. It is a simple examination to perform, which must be requested without delay for rapid management of patients.