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Neuro-Ophthalmology

Neuro-Ophthalmology

Neuro-ophthalmology is a specialized field that focuses on the relationship between the eyes and the brain. Many visual problems originate not from the eyes themselves, but from issues in the nervous system that controls vision. Neuro-ophthalmologists are trained to diagnose and treat complex conditions that affect both the optic nerves and the visual pathways in the brain.

Common Conditions Treated in Neuro-Ophthalmology

  1. Optic Neuritis: Inflammation of the optic nerve can cause sudden vision loss, eye pain, and changes in colour vision. Optic neuritis is often linked to neurological conditions like multiple sclerosis (MS). Early diagnosis and treatment are essential to managing symptoms and preventing further damage.
  2. Papilledema: Swelling of the optic nerve due to increased pressure in the brain, called papilledema, can lead to headaches, visual disturbances, and double vision. This condition often requires urgent treatment to address the underlying cause, such as intracranial hypertension or a brain tumour.
  3. Diplopia (Double Vision): Double vision can result from neurological disorders affecting the muscles that control eye movement. Causes can include stroke, nerve palsies, or myasthenia gravis. Neuro-ophthalmologists specialize in identifying the root cause and providing appropriate treatment.
  4. Visual Field Defects: Loss of part of the visual field, such as peripheral vision, can be due to problems in the brain, such as a stroke, brain tumour, or trauma. Neuro-ophthalmologists perform specialized testing to pinpoint the source of the defect and create a management plan.
  5. Migraine-Related Visual Disturbances: Migraines can cause temporary visual symptoms like flashing lights, blind spots, or zigzag patterns, known as visual aura. A neuro-ophthalmologist can help differentiate these from more serious conditions and recommend treatments to manage migraine-related vision issues.
  6. Eye Movement Disorders: Conditions like nystagmus (uncontrolled eye movements) or strabismus (misaligned eyes) may be rooted in the nervous system. These issues can affect vision quality and depth perception. Neuro-ophthalmology treatments aim to restore proper eye alignment and improve visual function.

Diagnostic Tools and Treatments

Neuro-ophthalmologists use a variety of advanced diagnostic tools, including:

  • Visual field testing
  • Optical coherence tomography (OCT)
  • MRI or CT imaging
  • Electrophysiological tests, ERG, VEP, EOG

Treatment options may involve medications, vision therapy, or collaboration with other specialists, such as neurologists or neurosurgeons, to address underlying neurological conditions.

Comprehensive Neuro-Ophthalmic Care

Our neuro-ophthalmology team is committed to providing personalised care for patients experiencing complex visual issues related to the nervous system. Whether it’s diagnosing the root cause of vision loss or managing a neurological condition, we are here to help you regain optimal vision and quality of life.