Papilledema Associated With Increased Intracranial Pressure Clinical Trial
Official title:
Ocular Point of Care Ultrasound (POCUS) to Detect Optic Disc Swelling in Comparison to Ophthalmologic Examination
Pediatric emergency department (PED) physicians frequently encounter children with symptoms
that warrant evaluation of the optic disc for suspected increased intracranial pressure
(ICP) such as headache, blurred vision, recurrent vomiting etc. Fundoscopic examination, by
the PED physician, is considered an essential modality for assessment of the optic disc and
the diagnosis of papilledema. Obtaining good visualization of the optic disc requires
patient compliance, the ability to open the eyelids, the absence of opacities in the ocular
media and a sufficiently large pupillary aperture. Hence, different levels of PED physician
training, lack of cooperation, significant ocular or periorbital trauma, contraindications
to mydriasis and severe photophobia may hinder direct fundoscopic evaluation.
In the investigators' PED, children requiring fundoscopy are sent to a formal ophthalmologic
examination. The investigators aim to evaluate the yield of optic disc height as measured
with ocular point of care ultrasound to detect optic disc swelling in comparison to
ophthalmologic examination as the gold standard.
n/a
Intervention Model: Single Group Assignment, Masking: Open Label, Primary Purpose: Diagnostic