Neuro Ophthalmology

Neuro-ophthalmology is an academically-oriented subspecialty that merges the fields of neurology and ophthalmology, often dealing with complex systemic diseases that have manifestations in the visual system. Neuro-ophthalmologists initially complete a residency in either neurology or ophthalmology, then do a fellowship in the complementary field. Since diagnostic studies can be normal in patients with significant neuro-ophthalmic disease, a detailed medical history and physical exam is essential, and neuro-ophthalmologists often spend a significant amount of time with their patients.

What is Neuro Ophthalmology ?

It sounds very significant that nearly half of the human brain is used for vision-related activities including sight and eye movement. This makes Human Brain central to the sense of vision and hence a sub-specialty has evolved dealing all potential vision disorders of this part of the human brain connected through nervous system. This is referred to as Neuro Ophthalmology. The clinically trained specialist ophthalmologists diagnose and treat visual problems related to disorders involving the nervous system; implying those visual problems that do not arise from the eyes itself.

These disorders can involve any part of the visual pathway, from the eye and optic nerve to the visual centers in the brain. Of the most common optic disorders evaluated by neuro-ophthalmologists are optic nerve disease, unexplained loss of vision, loss of peripheral vision, transient visual loss, double vision, abnormal eye movements, unequal pupils, abnormalities of eyelids & unexplained eye pain.

Among the principal causes known to be leading to the damage to the Optic Nerve:

  • Optic nerve disease, including optic neuritis (inflammation of the optic nerve)
  • Papilledema, a condition of the swelling of the optic disc from high pressure inside the skull
  • Tumors including Brain that affect vision or eye movements, tumors of the pituitary gland, intrinsic tumors of the brain & Orbital Tumors
  • Stroke and aneurysm
  • Ocular motor nerve palsies and other cranial neuropathies
  • Graves disease (thyroid eye disease)
  • Multiple sclerosis

Among the most common symptoms of neuro-ophthalmological disorders are vision loss or disturbance, double vision, unequal pupils, and eyelid and facial spasms (twitches). Other known symptoms in such optic nerve (neurological) disorders may include:

  • Slow and painless vision loss
  • Giddiness, unsteady walk, headaches and weakness
  • Rapid vision loss that is usually painless
  • Inflammation (swelling)
  • Raised pressure in the brain – Headache with nausea or vomiting, temporary vision loss, or neurological disturbances in other parts of your body (weakness or loss of balance)

The most critical & vital aspect of treating most Neuro Optic disorders is the Correct diagnoses. You need both adequate Expertise and Modern Equipment to pin down the actual causes. That is what we are precisely focusing-on in all our eye hospitals. Clinically trained Nuero ophthalmologists are equipped with a range of modern resources to ensure professional services expected in a set up like ours. We provide comprehensive, cutting-edge diagnostic testing, including a thorough eye exam, measuring visual acuity, pupil reactivity, color vision, side vision and ocular alignment. If required , CT scans & MRI of the brain are also performed for advanced analysis.Our Sub Specialists have gained all crucial experience owing to high patient volume to recognize symptoms and make the CORRECT DIAGNOSIS.

We have the ability to see urgent cases immediately as most of our hospitals are networked to collaborate with experts from multiple specialties; so that you get coordinated, multidisciplinary care through a single window care system

In most of the typical cases pertaining to Neuro- Ophthalmology, Treatment largely depends on your diagnosis. Your Treatment may well include medical therapies, toxin injections to stop muscle spasm for disorders, such as hemifacial spasm, and surgical treatments, such as eye muscle surgery to restore straight eye alignment, and laser surgery for a number of vision disorders. Many of the surgical procedures can be done in an outpatient setting, without an overnight stay in the hospital.



Neuro-ophthalmology at Dr. Manpreet's Global Eye Hospital includes treatment of the following :

  • Hemi facial Spasm
  • Unexplained loss of vision
  • Double vision (Diplopia)
  • Diabetic Neuropathy
  • Micro vascular Cranial Nerve Palsy
  • Migraine
  • Trauma
  • Optic Neuritis
  • Papilloedema