Overview: Neuro-Ophthalmology

An ophthalmologist offers all of the services available from an optometrist, plus additional services for specific eye diseases. For example, when you meet with a neuro-ophthalmologist, it means that this doctor specializes in vision issues that are happening because of neurological conditions.
Neuro-ophthalmology is a subspecialty that encompasses both ophthalmology and neurology. Sometimes, issues with the nervous system can affect vision, and this specialist can assist with diagnosis and treatment solutions.
In most situations, a patient is referred to a neuro-ophthalmologist if an optometrist or ophthalmologist identifies symptoms that could indicate an underlying neurological condition affecting the eyes.

Available Neuro-Ophthalmology Services
- Vision problems because of brain injuries
- Stroke
- Infection
- Brain diseases
- Double Vision/Diplopia
- Optic Nerve Problems/Neuropathy including Multiple Sclerosis
FAQ About Neuro-Ophthalmology
When you come for your appointment, bring your current prescription and eyeglasses, medical records, and recent testing – such as eye tests, CT scans, MRIs, and more. In addition, be ready with information about your medical history and any other health conditions that might be affecting your vision.
Also, you should have someone drive you to and from the appointment if the eye doctor will be dilating your eyes.
Certain aspects of this appointment are similar to a comprehensive eye exam. Additional services are included to identify other potential issues that could be affecting your eyes:
- Visual acuity testing
- Eye movement observation
- Checking field vision and color vision
- Slit-lamp examination
- Eye pressure assessment
- Neurological exam
- Testing strength and coordination
Because this type of eye exam is more comprehensive than a regular eye exam, it can take more time to complete the testing and consultation.
A neuro-ophthalmologist has additional training that goes beyond the basic services you receive from other eye doctors. In addition to general vision and eye experience, a neuro-ophthalmologist also has experience with conditions that are affecting the eyes and vision due to brain and nervous system disorders.
Neuro-ophthalmology services are often necessary for patients experiencing vision loss after a stroke. This is because the stroke can cause damage to the brain and optic nerve, which might result in vision loss. Additionally, nerves that affect the movement of the eyes can be affected.
The type of vision loss a patient experiences depends on the part of the brain that is affected by the stroke. Common vision loss symptoms include double vision, blurred vision, or a loss of peripheral (side) vision.
Most patients decide to schedule an examination with a neuro-ophthalmologist after a general practitioner or eye doctor referral.
If you are trying to decide whether you need these services, you are always welcome to reach out to our team at EyesNY. We have a variety of specialists in our offices and can help you find the right provider for your unique needs.