Forget Fundoscopy: How Ocular POCUS Can Detect Elevated ICP in Headache Patients

In this episode, Tatiana Havryliuk, MD, and Randy Glick, BSB/PM, MCP,  explore how point-of-care ultrasound (POCUS) can play a critical role in evaluating patients with headaches, particularly when increased intracranial pressure is suspected. Through a real-world case of a 42-year-old woman with persistent headaches, we highlight how ocular POCUS—specifically measurement of the optic nerve sheath diameter—can aid in the timely diagnosis of idiopathic intracranial hypertension. They also review additional ocular conditions detectable by POCUS, current evidence supporting its use, and how even novice providers can learn to apply this powerful, non-invasive tool. Tune in to learn how POCUS can enhance diagnostic accuracy, reduce unnecessary imaging, and improve outcomes in primary care.