Another ophthalmologic approach that is being studied to indirectly assess ICP has been the pupillometer.
- automated Neurological Pupil index (NPi) = pupillary reactivity.
- range: 0 to 5
- ❤ associated with poor outcome and trend with elevated ICP
- may not be superior to clinical exam in determining a state associated with rising ICP may not replace invasive ICP monitoring
- opportunity for quality improvement in practice when examination across shifts need standardization
Roh, David and Soojin Park. “Brain Multimodality Monitoring: Updated Perspectives”. Current Neurology and Neuroscience Reports 16.6 (2016): n. pag. Web.