Contents:

Introduction

1 Should a patient with unexplained isolated optic atrophy have neuroimaging and further laboratory evaluation?

2 Should a young patient with a new diagnosis of optic neuritis have testing and treatment for multiple sclerosis MS?

3 Should a patient with optic disc edema with a macular star figure neuroretinitis have lab testing and treatment?

4 Should a vasculopathic patient with nonarteritic anterior ischemic optic neuropathy have any testing

5 What is the treatment for giant cell arteritis?

6 Should I do a bilateral or unilateral temporal artery biopsy in suspected giant cell arteritis?

7 Should I treat traumatic optic neuropathy?

12 Should a patient with a pupil involved third nerve palsy have a catheter angiogram if the MRA or CTA are negative?

13 Do erectile dysfunction agents cause anterior ischemic optic neuropathy?

14 Does amiodarone produce an optic neuropathy?

15 Should I start my patient with myasthenia gravis on steroids to reduce the chance of generalized myasthenia gravis?

16 Does radiation therapy work for thyroid ophthalmopathy?

17 Should I do topical pharmacologic testing in the Horner syndrome?

18 Should a patient with giant cell arteritis have a fluorescein angiogram?

19 Does pseudotumor cerebri without papilledema exist?

8 Should I do a MRI and MR venogram in every patient with pseudotumor cerebri?

9 Should we perform carotid Doppler and cardiac echo on young patients with transient visual loss?

10 What is the best visual field test for neurophthalmology?

11 Does visual rehabilitation therapy help patients with homonymous hemianopsia?

20 Does a patient with an isolated vasculopathic ocular motor cranial nerve palsy need a neuroimaging study?

Index

Back Cover

Neuro-ophthalmology, like in any field of medicine, has many areas where controversy exists in diagnosis and treatment. Controversies in Neuro-Ophthalmology provides a comprehensive overview on the clinical presentation, diagnosis, and management of neuro-ophthalmic disorders and specifically addresses areas where there is a general lack of consens Common terms and phrases: acute AION amiodarone aneurysm angiography anisocoria Arch Ophthalmol aspirin associated automated perimetry bilateral biopsy carotid cause CDMS Clin clinical clinician corticosteroids cranial nerve palsy criteria decompression develop diagnosis diplopia dose elevated erectile dysfunction evaluation Figure giant cell arteritis Goldmann visual field Hayreh SS headache homonymous Horner’s syndrome idiopathic intracranial hypertension improvement injury ischemic optic neuropathy isolated left eye lesions migraine monocular multiple sclerosis myasthenia gravis negative neuroimaging Neurol Neurology Neuroophthalmol neuroretinitis nonarteritic anterior ischemic normal onset Ophthalmology ophthalmopathy optic atrophy optic disc edema optic nerve optic neuritis oral orbital radiation papilledema patients with NAION perimetry pharmacologic testing potential pupil randomized reported retinal right eye scan second biopsy steroids stroke symptoms temporal artery biopsy therapy third nerve palsy tion traumatic optic neuropathy treatment trial unilateral vasculopathic vision loss visual acuity visual field defect visual field loss visual loss