This project performed a historical chart review on patients admitted to the neuroscience intensive care unit with documented pupillometry use, followed by a clinician survey informed by chart findings. Findings showed no consistent indications for pupillometry use. Utilization was highest amongst patients with hemorrhagic strokes, though practice varied. Survey results demonstrated that clinicians perceived pupillometry as a valuable tool, however providers often felt that the data was not regularly utilized in their clinical decision making. The absence of a standardized guideline or protocol contributes to variability in pupillometry use and limited understanding of its clinical significance. Additionally, pupillometry appeared to be utilized in response to clinical deterioration rather than as a part of routine monitoring. These results suggest a potential education gap around device usage and results interpretation.