Summary

• Ocular PoCUS is a valuable “rule-in” tool for children with ocular symptoms or when fundoscopic examination is limited.
• Always use a Tegaderm patch with sterile gel and apply the least possible pressure during the exam.
• Scan the affected eye in two planes, ensuring a complete sweep through all structures, and compare with the contralateral eye if findings are uncertain.
• Carefully visualize and evaluate each structure of the eye, assessing systematically for abnormalities.
• Be mindful of common pitfalls: PoCUS should not be used to rule out disease when suspicion is high, globe rupture is a contraindication, and artifacts or poor cooperation can limit interpretation.