Neuro-Ophthalmology

At Bascom Palmer Eye Institute, part of the University of Miami Health System, our specialists bring advanced expertise in conditions that affect both the brain and vision.

What is Neuro-Ophthalmology?

Neuro-ophthalmology is a subspecialty of ophthalmology focused on the connection between the eyes and the brain. It involves the diagnosis and treatment of disorders that affect the optic nerve (the nerve that transmits visual signals from the eye to the brain), the orbit (eye socket), and the central nervous system.

Comprehensive Care for Complex Conditions

Our ophthalmologists provide complete clinical care for patients with vision problems caused by:

In addition, our Mark J. Daily Inherited Retinal Diseases Research Center is at the forefront of groundbreaking research. Our vision scientists are developing promising new treatments for inherited retinal diseases (IRDs), many of which are approaching human clinical trials. These advances may soon help identify complex eye conditions more quickly and could one day slow, stop, or even cure vision loss.

Conditions We Treat

We provide expert care for a wide range of neuro-ophthalmic conditions, including:

Anterior Ischemic Optic Neuropathy
Blepharospasm
Brain and Cerebrovascular Disorders affecting vision
Compressive Optic Neuropathy
Cranial Nerve Palsy & Ocular Motor Disorders
Giant Cell Arteritis
Hemifacial Spasm

Hereditary Optic Neuropathies
Idiopathic Intracranial Hypertension
Inflammatory & Infectious Optic Neuropathies
Myasthenia Gravis
Nutritional & Toxic Optic Neuropathies
Optic Neuritis

Why Choose Bascom Palmer Eye Institute?

Visual Electrophysiology

Academic Excellence & Innovation

FAQ

What does neuro-ophthalmology deal with?

Neuro-ophthalmology bridges eye and brain issues, focusing on vision problems from nerve or brain disorders, like double vision from strokes or unexplained blindness. It’s for when eye exams are normal, but symptoms persist—think of it as detective work for the visual pathway from eye to brain.

What are common symptoms that lead to a neuro-ophthalmologist?

Symptoms include sudden vision loss, pupil irregularities, eye movement issues (like inability to look sideways), or headaches with visual auras. These might stem from migraines, multiple sclerosis, or tumors, so prompt evaluation rules out serious causes.

How is a neuro-ophthalmic condition diagnosed?

It starts with a detailed history and exam, including visual fields, eye tracking, and pupil responses. Advanced tests like MRI for brain imaging or visual evoked potentials (measuring nerve signals) pinpoint issues. No single test—it’s a puzzle of symptoms and results.

What treatments are available for neuro-ophthalmic problems?

Treatment targets the root cause: steroids for optic neuritis inflammation, prism glasses for double vision, or surgery for compressive tumors. For chronic issues like idiopathic intracranial hypertension, weight loss and meds reduce pressure. Many improve with early intervention.

Can neuro-ophthalmology issues be prevented?

Not always, but managing risks like high blood pressure, diabetes, or migraines helps. Wear safety gear to prevent head trauma, and seek care for sudden changes. Annual eye-brain health checks are wise if you have neurological conditions.