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Advanced approaches to treating neuro-ophthalmology

Neuro-ophthalmology is a subspecialty of both neurology and ophthalmology and requires knowledge of the eye, brain, nerves, and muscles. Our neuro-ophthalmologists are in communication with neurosurgeons, neurovascular specialists, and neurologists to provide our patients with comprehensive care.

What does a neuro-ophthalmologist do?

Neuro-ophthalmology is a subspecialty of both neurology and ophthalmology and requires knowledge of the eye, brain, nerves, and muscles. Our neuro-ophthalmologists are in communication with neurosurgeons, neurovascular specialists, and neurologists to provide our patients with comprehensive care.

Neuro-ophthalmologists diagnose and treat conditions of the eye and brain, as well as eye-related symptoms due to neurologic conditions. Some common symptoms evaluated by neuro-ophthalmologists include visual field loss, unexplained visual loss, transient visual loss, visual disturbances, double vision, abnormal eye movements, thyroid eye disease, myasthenia gravis, unequal pupil size, and eyelid abnormalities.

We take an advanced approach to treating neuro-ophthalmic conditions

  • Anisocoria (uneven pupils) – A condition where 1 pupil is larger than the other. A small difference in pupil size is normal and may vary over time. However, if this issue persists and there is a larger discrepancy in pupil size, it may indicate or warn of a neurological problem
  • Anterior Ischemic Optic Neuropathy – The loss of blood supply to the optic nerve tissue, which causes damage to the nerve. This is often presented without pain or other symptoms. Still, patients may become aware of the condition due to decreased vision or difficulty seeing above or below the center of gaze. This is a leading cause of decreased vision in those over 50
  • Blepharospasm – A rare condition that consists of uncontrolled blinking and eyelid closure occur in both eyes without an environmental cause
  • Drusen – This rare condition is the accumulation of abnormal deposits of protein-like material in the front part of the optic nerve
  • Hemifacial Spasm – Chronic spasms or contractions that affect one side of the face and is often seen in middle-aged populations
  • Microvascular Cranial Nerve Palsy – A condition causing the interruption of the blood supply to 1 of the cranial nerves, which ceases to function. It can cause acute double vision and is common in patients with diabetes and high blood pressure
  • Migraine – Migraines typically show visual symptoms such as colored lights, flashes of light, followed by a severe headache associated with nausea, vomiting, and light sensitivity
  • Myasthenia Gravis – Myasthenia Gravis is an autoimmune condition where the body’s immune system damages its muscle receptors leading to muscle weakness. It can result in lid droop (ptosis), and/or double vision
  • Optic Neuritis – A condition where the body’s immune system attacks its optic nerve, which causes pain around the eye, often made worse by eye movement. It can also lead to a sudden decrease in vision
  • Pituitary Tumor – A benign condition that may affect eye movement and facial sensation
  • Pseudotumor Cerebri – A condition in which cranial pressure causes problems with vision and corresponding headaches
  • Thyroid Eye – An autoimmune condition where your body stimulates the enlargement of eye muscles. This can result in bulging of the eyes, retraction of the lids, double vision, decreased vision, and ocular irritation

What to expect during a neuro-ophthalmology examination

Before your examination, be sure to bring a list of any current medications.

First, you should request that all relevant information (notes, lab tests, CTs, MRIs, etc.) be sent in advance of your appointment. Make sure you have a list of your medications.

A neuro-ophthalmologic evaluation is a comprehensive exam in which you will be asked for detailed information regarding your current problem, medical history, and medication allergies.

Your doctor will conduct an eye exam as well as a partial or complete neurologic exam. Your pupils will be dilated for 4 hours, so bring sunglasses and plan in advance to have someone drive you home. After the examination, your neuro-ophthalmologist will discuss next steps.

 

Call (718) 283-7219 to make an appointment