The rationale of this study was to make transocular ultrasonography a recommended protocol investigation in trauma and intensive care units (ICUs) in early identification of increased intracranial pressure in traumatic brain injury patients so as to reduce the morbidity and mortality in the long run by keeping the brain well perfused.
Transocular ultrasonography is the new addition to the list of noninvasive/less invasive procedures, which is gaining popularity.
it supports the use of transocular ultrasonography in traumatic brain injuries to diagnose any intracranial bleed and also the use of transocular ultrasonography as a surrogate of invasive measurement of ICP.
Nash et al12 suggested a value > 0.5cm on transocular ultrasonography suggests eICP, and in our study the mean value of right and left eye in TBI patients were 0.5895 +- 0.059 and 0.5735 +-.078 respectively, which suggests eICP.
Early detection due to transocular ultrasonography enables the physicians and surgeons who are attending a traumatic brain injury patient to maintain high perfusion pressure by increasing the mean arterial pressure, thereby significantly reducing morbidity and mortality associated with traumatic brain injuries.
A preemptive protocol for brain injury can be set just by finding the optic nerve sheath diameter through transocular ultrasonography, a value more than 0.5cm should be directed towards managing on lines of eICP.
This can be improved with change in treatment guidelines and introduction of newer techniques like transocular ultrasonography5,6.
These patients can be managed promptly and timey and morbidity and mortality can be effectively reduced by making transocular ultrasonography a part of routine surveillance of traumatic brain injury patients.
We suggest more studies should be done in this field to document and emphasize the utility of transocular ultrasonography in traumatic brain injury patients.
Use of transocular ultrasonography can detect elevated intracranial pressures quiet early.