Moran CORE | NEURO-OPHTHALMOLOGY

NEURO-OPHTHALMOLOGY

Section Editor: Meagan Seay, DO

Neuro-Ophthalmology Fundamentals

1. Neuro-ophthalmology exam
  - University of Utah affiliates, please use Stat!Ref for NANOS Examination Techniques: NExT
    - Go to Eccles Library: https://library.med.utah.edu/
    - Click Research Databases
    - Click “S”
    - Find Stat!Ref in list, Click to enter
    - Select NANOS Examination Techniques (soon to be integrated as Section B in NANOS Illustrated Curiculum in Stat!Ref)
  - Neuro-ophthalmology Exam Video: visual acuity, Ishihara color vision, red desaturation, confrontation visual fields, stereoacuity, pupils, vestibulo-ocular reflex, cranial nerves, fundoscopy
  - The Neuro-ophthalmology Exam Video: Hardy-Rand-Rittler color vision, RAPD, extraocular movements, sensorimotor testing, prisms, Maddox rod
  - The Neuro-ophthalmology Exam Video: eyelids, exam findings in myasthenia gravis
  - Understanding Visual Field Testing and Visual Defect Cases Video
  - Visual Field Defects Cases Video
2. Neuro-anatomy by Dr. Susan Stensaas
3. Neuro-Imaging by Dr. Hans Christian Davidson
4. Approach to vision loss
5. Approach to diplopia
6. Okap review
  - Neuro-ophthalmology OKAP Review: 2019 Video

Afferent Disorders

1. 1. Optic Neuropathy
2. Optic Neuritis–How to assess for optic neuritis and ddx
  1. Didactic Videos
3. Papilledema–Differential and management
  1. Didactic Videos
    - Patient Education Lecture on Idiopathic Intracranial Hypertension 2019 by Dr. Kathleen Digre Video
    - Translational Research Day Presentation by Dr. Steve Feldon 09/16/2016: Idiopathic Intracranial Hypertension Overview Video
4. Retinal mimics of optic neuropathy not to miss
  - Case of Susac Syndrome
5. Nonphysiologic vision loss
6. Illusions Hallucinations and higher order cortical visual issues
7. Practice Cases in PowerPoint format

Efferent Disorders

1. Pupillary disorders
  1. Pupil exam
  2. Approach to mydriatic pupil
  3. Approach to miotic pupil
  4. Practice cases in PowerPoint format
    - Approach to Anisocoria and Pupil Cases Video
2. Sensorimotor exam
3. Binocular diplopia
  1. Supranuclear/Internuclear
  2. Nuclear/fascicular/peripheral
    1. 3rd Nerve Palsy
      - Exam Finding: Aberrant Regeneration After 3rd Nerve Palsy Video
      - Infranuclear CN 3, 4, and 6 Palsies Video
    2. 4th Nerve Palsy
    3. 6th Nerve Palsy
  3. Multiple cranial nerve palsies, include localizing the lesion
    - Case of Superior Ophthalmic Vein Occlusion
  4. Myopathies
    1. Thyroid eye disease
      - Exam Finding: Cogan’s Lid Twitch Video
      - Case of Ocular Myasthenia Gravis Video
    2. CPEO
      - Exam Finding: Eye Movements and Ptosis in Chronic Progressive External Ophthalmoplegia Video
    3. Orbital inflammatory syndrome
  5. NMJ disorders–myasthenia gravis/LEMS
  6. Practice cases in PowerPoint format
4. Abnormal eye movements

Headaches and Positive Visual Phenomena

1. Taking a headache history and headache evaluation
2. Approach to eye pain–see Dr. Digre’s algorithm
3. Approach to photophobia
  - Eye Pain and Photophobia
4. Visual snow
  - Visual Snow Overview Video
5. Practice cases in PowerPoint format

Grand Rounds Presentations and Cases