Abstract
Common ophthalmic presentations can lead to neuro-ophthalmic diagnoses, which may be vision or life-threatening. Medical students and non-ophthalmic healthcare practitioners should be familiar with these conditions, which can present to the emergency room and outpatient or inpatient settings. The following sections begin with presentation of the anatomy of afferent and efferent visual pathways and discussion of the evaluation of anisocoria. This is followed by review of causes and evaluation of cranial neuropathies of ophthalmic significance. Finally, a common abnormal exam finding, optic disc edema, is discussed with typical presentation, assessment, and management.
This is a preview of subscription content, log in via an institution to check access.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References
Armstrong RA, Cubbidge RC. Chapter 1: The eye and vision: an overview. In: Preedy VR, Watson RR, editors. Handbook of nutrition, diet, and the eye. 2nd ed. Cambridge: Academic Press; 2019. p. 3–14.
Bhatti MT, Biousse V, Bose S, Danesh-Meyer HV, Falardeau J, Levin LA, Phillips PH, Williams ZR. Section 5: Neuro-ophthalmology. In: 2018–2019 BCSC basic and clinical science course. San Francisco: American Academy of Ophthalmology; 2018.
Ehlers JP, Shah C, Fenton G, Hoskins E, Shelsta H. The Wills eye manual: office and emergency room diagnosis and treatment of eye diseases. 5th ed. Baltimore: Lippincott Williams & Wilkins; 2008.
Joyce C, Le PH, Peterson DC. Neuroanatomy, cranial nerve 3 (oculomotor). Treasure Island (FL): StatPearls Publishing; 2022.
Graham C, Mohseni M. Abducens nerve palsy. Treasure Island (FL): StatPearls Publishing; 2022.
Kim SY, Motlagh M, Naqvi IA. Neuroanatomy, cranial nerve 4 (trochlear). Treasure Island (FL): StatPearls Publishing; 2022.
Nguyen V, Reddy V, Varacallo M. Neuroanatomy, cranial nerve 6 (abducens). Treasure Island (FL): StatPearls Publishing; 2022.
Virgo JD, Plant GT. Internuclear ophthalmoplegia. Pract Neurol. 2017;17(2):149–53.
Rigi M, Almarzouqi SJ, Morgan ML, Lee AG. Papilledema: epidemiology, etiology, and clinical management. Eye Brain. 2015;7:47–57.
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2023 The Author(s), under exclusive license to Springer Nature Switzerland AG
About this chapter
Cite this chapter
Distefano, A., Rothfield, L., Xu, J. (2023). Neuro-Ophthalmology. In: Li, E., Bacorn, C. (eds) Ophthalmology Clerkship. Contemporary Surgical Clerkships. Springer, Cham. https://doi.org/10.1007/978-3-031-27327-8_9
Download citation
DOI: https://doi.org/10.1007/978-3-031-27327-8_9
Published:
Publisher Name: Springer, Cham
Print ISBN: 978-3-031-27326-1
Online ISBN: 978-3-031-27327-8
eBook Packages: MedicineMedicine (R0)