e Pretoria Eye Institute - Neuro-Ophthalmology


What is neuro-ophthalmology?

Neuro-ophthalmology is an ophthalmic subspecialty that addresses the relationship between the eye and the brain, specifically disorders of the optic nerve, orbit and brain, associated with visual symptoms.

Today, neuro-ophthalmologists provide comprehensive clinical care to a broad spectrum of patients with visual disturbance from optic nerve diseases, central nervous system disorders, ocular motility dysfunction, and pupillary abnormalities.

What are the common symptoms of neuro-ophthalmic diseases?

Symptoms that are more common in neuro-ophthalmic disease include:
  • Visual loss
  • Visual disturbance
  • Diplopia
  • Unequal pupils
  • Eyelid and facial spasms

What are the common types of neuro-ophthalmic diseases?

Numerous disorders are considered to be in the realm of neuro-ophthalmology and are evaluated by the neuro-ophthalmology service. Herewith a partial list of the most common neuro-ophthalmic conditions:
  • Optic neuritis
  • Ischemic optic neuropathy (including temporal arthritis)
  • Comprehensive optic neuropathy (including pituitary tumors)
  • Papilledema (including pseudotumor cerebri)
  • Inflammatory and infectious optic neuropathies
  • Cerebrovascular disorder involving vision
  • Tumors involving vision
  • Blepharospasm (including Botulinum injections)
  • Hemifacial spasm (including Botulinum injections)
  • Thyroid eye disease
  • Myasthenia gravis
  • Ocular motor disorders (including cranial nerve palsies)
  • Pupillary abnormalities
  • Paraneoplastic disorders (including paraneoplastic retinopathies and optic neuropathies)
  • Hereditary optic neuropathies

Frequently asked questions:

What medical records and test results should I bring to my neuro-ophthalmic appointment?

Bringing medical records and actual MRI and CT scans to the appointment is extremely helpful in the evaluation of your condition. This will also reduce the likelihood of repeating previously performed tests.

How long should I expect to be at the Pretoria Eye Institute during my neuro-ophthalmic evaluation?

Depending on the complexity of your condition, plan to spend at least half a day. In most cases, on the same day, a diagnostic services, can be performed