Clinical Decisions In Neuro Ophthalmology

Organized by symptom-rather than by known diagnosis-the new, 3rd Edition of this critically acclaimed resource simplifies the identification and treatment of a full range of neuro-ophthalmic conditions. Abundant decision trees and concise text discussions systematically guide readers from any presenting complaint through the appropriate tests to a definitive diagnosis. They also outline the most appropriate medical and surgical management approaches. Every chapter has been thoroughly updated to reflect the very latest information in the field. Decision trees have been simplified to make problem solving easier than ever before. A new, 52-figure full-color insert demonstrates recent advances in brain imaging. Coverage encompasses hot topics such as optic neuropathies visual illusions and hallucinations eyelid disturbances proptosis and periodic pain and headache.

This book is a complete guide to neuro-ophthalmology for practising ophthalmologists and trainees. Beginning with an overview of visual acuity assessment, the next chapters explain different diagnostic techniques including optical coherence tomography. The following sections discuss numerous neuro-ophthalmic disorders and their management. The book concludes with comprehensive appendices covering Dynamic Visual Acuity: A Simple Test for Vestibular Function, Strabismus Terminology, and A Note on Ocular Motor Disorders in Multiple Sclerosis. More than 125 images and illustrations enhance the text.

This book covers all relevant techniques of diagnosis as well as interpretations of clinical signs in Clinical Neuro-Ophthalmology. All information is highly structured, highlighting ‘definition’, ‘note’ and ‘pearl’, so that it can also be used by the physician during the patient encounter. The included flow chart posters remind the physician of the most important information. This unique and practical guide offers invaluable and practical advice for physicians treating patients with neuro-ophthalmic problems.

The management of emergent neuro-ophthalmic conditions can be a life-saving encounter for the general ophthalmologist. This book covers life-threatening scenarios that a general ophthalmologist might encounter, and is designed to help the ophthalmologist make emergency triage decisions for initial evaluation and treatment of potentially vision- or life-threatening conditions. This book is case based, and provides the reader with the invaluable expert views of two neuro-ophthalmologists. One, Dr Lee is an ophthalmology-based neuro-ophthalmologist and the other, Dr Brazis is a neurology-based neuro-ophthalmologist. Dr Mughal and Dr Policeni collected and collated the case vignettes during their fellowship with Dr Lee at the University of Iowa Hospitals and Clinics.This textbook provides a concise, easy to read, and practical guide to the emergent evaluation of neuro-ophthalmic conditions. It is designed to be a quick read and not to be all-inclusive or comprehensive. The reader is directed to longer and more comprehensive neuro-ophthalmic texts for this information. It is also not the aim of the book to provide information on anatomy, pharmacology, physiology, or other basic mechanisms of disease. Instead, this text is meant to be a quick reference and resource for the clinician in the emergency room or in the clinic facing a potentially vision- or life-threatening emergency and to provide immediate guidance for potentially “high stakes” decision making. The case vignettes are based upon real clinical cases but the clinical details of each case have been modified for teaching purposes and represent composite rather than individual histories.

Focus on the most important clinical knowledge in neuro-ophthalmology! Walsh & Hoyt's Clinical Neuro-Ophthalmology: The Essentials distills the most vital content from the esteemed three-volume parent text, Walsh & Hoyt’s Clinical Neuro-Ophthalmology, widely acknowledged as the definitive reference in the field, to bring you just the practical, hands-on information you need to effectively evaluate and manage the majority of neuro-ophthalmic conditions. A concise, intuitive organization speeds your access to today’s best know-how, so you can efficiently provide optimal care to your patients. Features: Make the best use of the newest imaging techniques, including OCT, high-resolution CT/MRI, and multifocal ERG. Manage the full gamut of neuro-ophthalmological disorders with the aid of five sections that thoroughly cover the afferent visual system, the pupil, the efferent (oculomotor) system, the eyelid, and non-organic disorders. Glean information at a glance through a highly visual presentation that includes clear diagrams, tables, and images, many now in color. Evaluate complex eye movement disorders by viewing helpful videos online.

For those clinicians with minimal experience in reading the signs and symptoms of neuro-ophthalmic disease, this book provides the information you need to make accurate clinical judgments and will give you the confidence to handle emergency situations. Features: Well-organized sections on examination techniques, signs and symptoms, categories of neuro-ophthalmic disorders, and key diagnostic tests More than 200 full-color photographs of specific diseases for easy identification Detailed lists of differential diagnoses and red flags to prevent errors in evaluation or treatment In-depth discussions of optic tumors, diplopia and polyopia, Horner's Syndrome, nerve palsies, visual field defects, eye movement disorders, and more Designed for specialists and non-specialists alike, this user-friendly guidebook will be invaluable for immediate diagnostic and management decisions, including knowing when referrals are in order.

Written by an ophthalmologist and a neurologist with more than 30 years experience between them, this is the first book devoted specifically to differential diagnosis in neuro-ophthalmology. The expanded and updated second edition uses an evidence-based approach to link symptoms to specific findings, and covers all major advances in the field.The book utilizes a series of easy-to-follow pathways - supported by helpful tables and expertly written text - to help you walk through any clinical situation and confidently reach a diagnosis. Topics covered include: optic neuritis, diplopia, lid retraction, nerve palsies, and much more!Benefit from these key features:- Emphasis on cost-effective, evidence-based techniques- Coverage of new topics such as optic nerve glioma, meningiomas, and papilledema- Valuable tables of pathologies and clinical findings that help detect unusual signs and avoid common misinterpretations- Practical, easy-to-use format - written with the front line clinician in mind- Thousands of useful and updated referencesHere is an invaluable resource for all ophthalmologists, neurosurgeons, and neurologists who need the latest diagnostic and treatment techniques for neuro-ophthalmologic disorders. Residents and students will find it an outstanding introduction to the field.

This book is a practical, symptom-based, ‘how-to’ guide to neuro-ophthalmology and acquired strabismus for all trainee and practising ophthalmologists and optometrists. Each chapter focusses on a specific clinical symptom and includes an introduction to the clinical assessment of a symptom; an examination checklist; a management flowchart to be followed; clinical diagnostic criteria checklists; and further information on the diseases that can cause the symptom with a brief discussion of appropriate management. A practical and accessible handbook for the ophthalmologist or optometrist without a specialist interest in neuro-ophthalmology and acquired strabismus. The text simplifies a subject which is often a cause of litigation against practising ophthalmologists and exam failure for trainees and residents. The book aids diagnosis in a field in which mistakes may lead to medico-legal problems, e.g. brain tumours presenting with blurred or double vision. The book leads the reader from the symptom, through a series of simple but safe flowcharts and check-lists, to the diagnosis or the tests which need to be ordered. The first chapter presents 20 ‘golden rules’ to keep you and your patients out of trouble. A revised text with some new illustrations brings this highly-praised book up to date. New online videos demonstrate abnormal eye movements, eyelid problems and pupil abnormalities.

This book functions as a resource for providers who treat patients with neuro-ophthalmic conditions. Using an evidence-based approach to controversial management decisions, the material is presented in a digestible, case-based format. Divided into six sections, the book begins with an introduction to its framework, format, and purpose. Following this, sections two, three, and four discuss various optic neuropathies, ocular motility disorders, and transient visual symptoms. The concluding sections then address neuro-ophthalmic manifestations of pain, including migraine and post-concussive syndrome, and systemic diseases, such as giant cell arteritis. Each chapter focuses on cases that are historically complex, or which have undergone a recent shift in traditional management due to new scientific discoveries or newly available therapies. Controversies in Neuro-Ophthalmic Management presents essential, thorough information on management options and the data for their use to provide the best care for patients.