Neuro-ophthalmology

Blog for Ophthalmology Residents & Fellows

Neuro-Ophthalmology

Case-based notes on neuro-ophthalmology — pupil workup, optic neuritis, optic disc oedema and its differential, and more. Written for residents and fellows preparing for exams and clinical practice.

Revise neuro-ophthalmology here: 16-topic syllabus

Work through the core syllabus topic by topic. Tick each one when you have revised it; your progress is saved on this device. See every subspecialty on the revise ophthalmology page.

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Anisocoria: A Practical Workup

Light-vs-dark localization, Horner syndrome, and CN III palsy red flags

Optic Neuritis: Typical vs Atypical

The ONTT, current AQP4/MOG antibody testing, and 2024 McDonald criteria

Papilloedema vs Pseudopapilloedema

OCT-based differentiation and current imaging tools

Optic Disc Oedema: A Differential

Bilateral vs unilateral swelling, and the key mimics to rule out

3rd, 4th & 6th Nerve Palsies

Pupil-involving vs sparing CN III, and the head-tilt test for CN IV

Giant Cell Arteritis

The emergency you can't miss — current 2022 ACR/EULAR criteria

Internuclear Ophthalmoplegia

Why MRI can miss it, and why the exam finding is the real test

Nystagmus: A Classification Approach

Infantile vs acquired, and the patterns that always need imaging

Electro-Oculography

Electro-Oculography Facts

Neuro-Ophthalmology Tutorials

Video tutorials by J Lawton Smith, MD

Optic Neuritis vs NAION vs AAION

Side-by-side comparison

Drusen vs Papilloedema

Clinical clues and best tests

Semaglutide & NAION

The GLP-1 signal, risk and counselling

Ocular Myasthenia Gravis

Ice test, antibodies, treatment

Visual Pathway Made Easy

Predict any field defect

Pupils Made Easy

Anisocoria and drop tests

Approach to Diplopia

Red flags and three-step test

LHON and Chiasmal Lesions

Hereditary and compressive

Functional Visual Loss

Simple bedside tests

Congenital Optic Disc Anomalies

Hypoplasia, coloboma, pit, morning glory

Eyelid Twitching

Myokymia, blepharospasm, hemifacial spasm

Headache and the Eyes

Eye causes, red flags, what to refer

Visual Snow and Strange Vision

Criteria, differentials, what to tell patients

Complete index: all 32 neuro-ophthalmology pages

Every RPC Rounds page on this subspecialty, grouped by type. Filter and search them on the learning dashboard.

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