International Agency for the Prevention of Blindness (IAPB) World Association of Eye Hospitals (WAEH)
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Overview

Neuro-ophthalmology is an ophthalmic subspecialty that focuses on the relationship between the eye and the brain. It deals with the visual pathways from the eye to the visual cortex of the brain. The optic nerves carry the message of vision from the retina to the occipital cortex of the brain as an electrical current. This pathway, if damaged, results in visual loss.

 

If visual loss cannot be explained with a routine eye exam, it is often the job of the neuro-ophthalmologist to determine if there is a problem with the nerves and visual pathway behind the eye and within the brain. This is a challenging specialty and unique within the domain of ophthalmology.

 

Neuro-ophthalmologists provide comprehensive clinical care to patients with visual disturbance from optic nerve diseases, ocular motility dysfunction, eyelids  and pupillary abnormalities.

Visual loss

Double visionAbnormal colour vision

Visual field defect

Abnormal eye movements

Droopy eyelids

Unequal pupils

Eyelid and facial spasms

Ocular motor nerve palsy

Optic neuritis

Myasthenia Gravis

NAION

Toxic optic neuropathy

Tr. optic neuropathy

Blepharospasm and hemifacialspasm

7th nerve palsy

Brain tumour

Pseudo tumor cerebri

A thorough medical history is first taken followed by a comprehensive neuro-ophthalmic examination, including

Testing of visual acuity
Color vision testing
Evaluation of the eye movements and ocular alignment
Visual field testing
Fundus examination

Visual field analysis including Humphrey,Octopus
Colour fundus photography
Hess screen
Optical coherence tomography (OCT)
Hematological laboratory