46 year old male without medical problems taking no medications presents for “black spots” in his right eye vision since 9 pm yesterday. No pain, trauma, or full vision loss. Had LASIK 15 years ago without any complications. No other complaints.
Negative review of systems.
Normal except for Eyes: PERRL, EOM intact; conjunctiva and sclera clear. VA: 20/20 bilaterally, no signs of corneal abrasion, IOP R 20 L 15
Bedside ultrasound shows the following:
- What do we see in these images?
- What are the two different types of retinal detachment that we can differentiate with ultrasound?
- Why is this differentiation important?
- What type of retinal detachment is demonstrated in this patient?
- What is the next best step in management?