Abstract
Neuro-ophthalmic disorders are capable of causing significant morbidity, requiring the clinician to develop and maintain nuanced skills that facilitate timely diagnosis and effective management. Virtually any neurologic disease can present with symptoms of either afferent or efferent visual pathway dysfunction. This chapter emphasizes principles of accurate localization and discusses key clinical clues that serve to generate an appropriate differential diagnosis. It specifically addresses acute monocular visual loss from retinal and optic nerve diseases, papilledema, chronicoptic neuropathies, visual field deficits, supranuclear and infranuclear eye movement disturbances, and nystagmus. Figures include an algorithm for the evaluation of acute monocular visual loss, computed tomography scans, and a large gallery of diagnostic photos. This review contains 49 figures, 14 tables, and 171 references Keywords: Neurology, ophthalmology, nystagmus, optic field deficit, neuritis, neuropathy, papilledema, visual pathway
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