NEURO-OPHTHALMOLOGY

Thyroid Eye Disease

Clinical Presentation
  • Proptosis
  • Eyelid retraction
  • Double vision
  • Pain
  • Redness and swelling
  • Dry eyes
  • Corneal compromise
  • Optic nerve compression
Therapeutic Options
  • Medical (corticosteroids, Tepezza, external beam
    radiation)
  • Surgical (decompression, eyelid retraction repair,
    strabismus surgery)

Stroke Brain

  • Visual Field Defects
  • Diplopia
  • Vestibular dysfunction

Optic Nerve

  • Acute ischemic optic neuropathy

Oculomotor Nerves

  • Third Nerve Palsy
  • Fourth Nerve Palsy
  • Sixth Nerve Palsy

Neurotrophic Cornea
(fifth cranial nerve)

Seventh Nerve Palsy

Blepharospasm/hemifacial Spasm

Optic Nerve Dysfunction

  • Laboratory evaluation
  • Orbital and brain imaging
  • Medical therapeutics

Differential Diagnosis

  • Optic neuritis
  • Neuromyelitis optica (NMO)
  • Anti-MOG
  • Compressive optic neuropathy
  • Infectious optic neuropathy
  • Toxic optic neuropathy
  • Non-arteritic ischemic optic neuropathy
  • Arteritic ischemic optic neuropathy
    • Giant Cell Arteritis
    • Lab evaluation
    • Temporal artery biopsy
    • Medical therapeutics
  • Myasthenic Gravis
    • Evaluation and therapeutic interventions

Alterations in Brain Pressure/Papilledema

  • Idiopathic Intracranial Hypertension
  • Chronic meningitis
  • Venous sinus thrombosis
  • Venous sinus stenosis

Cavernous Sinus Disorders

  • Carotid cavernous fistula
  • Cavernous sinus thrombosis

Infectious Disease Affecting Visual Function

  • COVID-19
  • Syphillus
  • Tuberculosis
  • Fungus
    - Mucor
    - Aspergillosis
  • Hepatitis
  • HIV

Traumatic Brain Injury

Brain Tumor Evaluation and Monitoring of Structure and Function

Multidisciplinary Approach to Tumors that Impact the Optic Nerve or Cranial Nerves