Neuro-Ophthalmology
Neuro-Ophthalmology

Neuro-ophthalmology is a type of super-specialty which involves the field of neurology and ophthalmology together. Neurophthalmologist is responsible for the diagnosis and management of complex systemic disease of the nervous system which affects vision, eye movement, and alignment as well as papillary reflexes.

Symptoms of Neuro-Opthalmology Disorders  -

  • A sudden diminishing of sight and in worse cases, even total loss of sight
  • A sudden eye stroke or blackout (loss of vision called transient ischemic attack)
  • Visual hallucinations, where patients see things, shapes, or silhouettes where there are none
  • Diplopia (Double vision)
  • Intractable headaches without any seeming cause or plausible reason
  • Abnormalities of the pupil (slow reaction, the difference in the size of the pupils)
  • Difficulties in identifying colors or differentiating between them
  • Intolerance to bright light often causes momentary blindness or headaches

Types of Neurophthalm disorders :

  1. Optic Neuritis: This is a condition that involves inflammation of the optic nerve. An inflammation could occur due to various reasons – starting from an infection to an autoimmune disorder.
  2. Papilloedema: In this case, the optic disc (the circular area where the optic nerve connects to the retina, at the back of the eye) swells up due to excessive pressure from inside the skull may be due to a tumor for instance.
  3. Nutritional Optic Neuropathy: Here the damage to the optic nerve is caused by certain toxic substances found in tobacco & alcohol. This could also occur due to lack of nutrients and deficiency of vitamin B-complex and folic acid.
  4. Diabetic Neuropathy: In this, the optic nerve is damaged due to excessive blood sugar or diabetes. As the disease progresses, the blood supply to the retina gets cut off, leading to vision loss.

Diagnostic test for Neurophthalm disorders :

  1. Diplopia charting
  2. Neurological visual field screening
  3. OCT of the optic nerve
  4. Evaluation of color vision & contrast sensitivity
  5. Evaluation of ocular movement
  6. Orthoptic evaluation
  7. VEP / ERG
  8. CT Scan / MRI / MR venogram
  9. Lumbar Puncture
take the first step to better vesion
Consult with experienced doctors
Dr. Bhagyesh Pore
Oculoplasty

Dr. Prateek Gurjar
Cornea Specialist

Dr. S. K. Parwani
Retina Specialist

frequently asked questions

Most children and adults should get a comprehensive eye exam every one to two years. People with a higher risk of eye disease or vision problems may need to get their eyes checked more often.

  • Are over age 60.
  • Are of African or Hispanic descent.
  • Carry extra weight or have obesity
  • Had eye surgery, an eye injury, or eye damage from a stroke.
  • Have a family history of eye disease.
  • Have a health condition that can cause eye problems, such as diabetes.
  • Wear glasses or contact lenses.

We understand you may be afraid to come into the hospital at this time. Still, if you have a sudden loss of vision (in the middle of your sight or in another area of your vision) that does not improve within a couple of hours, it’s vital that you seek medical attention.

There will be no or minor discomfort during the procedure. While you will be awake during the procedure, there are steps taken so that you don’t feel any pain. You likely won’t remember much of the surgery, but you won’t be put under general anesthesiaas you would be for other major surgical procedures. You are usually given a mild sedative to help you relax, and then numbing eye drops are used in the eye to prevent discomfort. After medications wear off after surgery, you may find some minor eye discomfort. This pain is mild, and you can manage it with over-the-counter pain medication.

The recovery time from cataract surgery is short. Any discomfort or soreness you feel should disappear within a few days. Depending on the size and nature of your cataracts and your ability to heal, full recovery should take about four to six weeks. During this time, you want to be sure to follow the after-surgery instructions and do the follow-up visits with your doctor.

Most people can see clearly immediately after surgery, and any soreness or redness should be gone in about a week. The cornea does most of its primary healing during the first two to four weeks after surgery; however, full recovery takes three to six months.

It’s common for people to experience some vision fluctuations during this time, but overall, the vision continues to improve until the eyes are completely healed.

Your eye doctor needs to monitor your healing progress and make sure your vision is improving as expected. Most ophthalmologists will have you come back 24 hours after surgery for the first exam. Depending on your progress and other factors, you may have a few more follow-ups over the next three to six months. These can be with your LASIK surgeon or your regular eye doctor.

It’s important to note that you still need regular comprehensive eye exams after LASIK to maintain your overall eye health.

Fortunately, for most patients, the answer is no. Blindness does occur from glaucoma, but it is a relatively rare occurrence in about 5% of glaucoma patients. However, sight impairment is more common and occurs in about 10% of patients.

Correct treatment and follow-up will stabilize the vast majority of patients with glaucoma. By working with your doctor to manage your glaucoma, a favorable outcome is more likely.

Yes, cataract surgery is possible! In fact, sometimes cataract surgery can lower both elevated eye pressure and glaucoma medications. Contact Rohit Eye Centerright away, and we will offer you all cataract treatment options and provide the best possible eye care for you!

Keratoconus is generally more advanced in one eye than the other, and many people only develop symptoms in one eye. It won’t “spread” like an infection, but as the condition is linked to weaker collagen fibers in the cornea, both eyes could likely be affected to some extent

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