Neuro Ophthalmology

Neuro- Ophthalmology is the subspecialty of both neurology and ophthalmology concerning visual problems that are related to the nervous system.

Symptoms to be alert of:

Double vision-Sudden onset painful transient. Decreased vision-Sudden onset-Head turn to one side relieved when one eye is closed. Headache-Mild to very severe associated with vomiting, one sided headache. Photophobia-Difficulty in seeing lights. Spot in front of the eye-Only central area & one half is not seen.

Detailed History:

Present complaints like headache, double vision, decreased vision, decreased fields-How long the patient has been suffering from. Any previous ocular history, any previous medical history like diabetes and hypertension. Family History- Anybody in the family who developed eye problems. Social History - Any history of taking alcohol and smoking. Drug History - Any medication the patient is on? any allergy to drugs. Visual acuity- Checked by snellen’s chart. Colour vision- By using Ishihara’s pseudo isochromatic plates. (This is a plate with a number in one coloured dots and surrounded by dots of different shades. This is a simple clinical test and identifies whether the patient is ‘red-green’ colour blind.)

SLIT LAMP BIOMICROSCOPY:

This instruments provided magnified excellent view of the anterior segment and with the help of special lenses the posterior segments also can be visualized.

INDIRECT OPHTHALMOSCOPY:

This instruments provides a complete view of the retina upto the periphery.

PUPIL EXAMINATION:

Normally both the pupils are of same size. When there is a difference in size of the pupil, it could be a problem. So complete examination of pupil has to be done sometimes special eye drops is used to check the papillary reaction.

OCULAR MOTILITY EXAMINATION:

To look for face turn.
To look for extra ocular movements.
Any restriction.
Having double vision in certain gazes.


Confrontation
Autoperimetry
FFA
VEP




Neuro-Opthalmology at Sunder Netralaya

Neuro Ophthalmology

Neuro- Ophthalmology is the subspecialty of both neurology and ophthalmology.