Neurology Consultants of Kansas

Neuro-Ophthalmology Service

Neuro-ophthalmology Evaluation & Management

Your healthcare provider may refer you for neuro-ophthalmology evaluation if he or she believes that your visual symptoms could be due to an underlying neurologic condition. A neuro-ophthalmologist is a medical doctor who has completed four years of medical school, four years of either a neurology or ophthalmology residency, and at least one year of specialized training during a fellowship in neuro-ophthalmology.

Common problems addressed during a neuro-ophthalmology consultation include but are not limited to the following:

  • Double vision due to misalignment of the eyes (binocular diplopia)
  • Swelling of the optic nerves
  • Optic neuritis and other problems with the optic nerve
  • Visual field loss
  • Uncontrollable spasms of the eyelids
  • Transient vision loss
  • Pupillary abnormalities
  • Unexplained vision loss
  • Abnormal eye movements
  • Excessive eyelid drooping

During neuro-ophthalmology evaluation, you will undergo a detailed examination of the visual pathways and cranial nerves. Additional neurologic examination may be performed depending on your symptoms. Advanced non-invasive diagnostic testing such as OCT, visual field testing by automated perimetry, or fundus photography may be used to obtain objective, detailed information about the health of the visual system. Depending on the reason for consultation, dilating drops may be used to make your pupils larger. This can cause blurry vision while viewing objects at near and interfere with your ability to drive for several hours, so we would recommend that someone else be available to drive after the appointment if possible.

We recommend that your referring healthcare provider send detailed clinical notes, any recent labwork, and any pertinent diagnostic imaging reports. If you can obtain the actual MRI or CT images on a disc, this can help streamline your evaluation.