Peds people, this one is for you!

In a study of 79 children, researchers asked the question, can we use OCT to diagnose increased intracranial pressure (ICP) in children?

The team measured the peripapillary RNFL with OCT and then compared it with the surgically obtained ICP, measured just minutes later.  The study showed that the average RNFL thickness levels showed “a moderate sensitivity (89%) and specificity (62%) for detecting pathologically elevated CSF values”.

The take home: 
In pediatric patients with suspected elevated ICP but no objective findings, OCT may offer an alternative method to measure elevated ICP rather than invasive testing or surgery.

Jaclyn Garlich
Dr. Garlich graduated from the New England College of Optometry in 2010 and completed a residency in primary care and ocular disease at the St. Louis VA. In 2013, she developed an optometry clinical reference mobile app available in the iTunes store. In 2016, she founded 20/20 Glance, a weekly optometry newsletter that gives a rundown on clinically relevant optometry news in an easy to digest format.

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