The Neuro-Ophthalmology Survival Guide

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.

• Staying out of trouble
• Blurred vision or field loss
• Swollen disc(s), normal vision
• Transient visual loss
• Double vision
• ‘Seeing things’
• Abnormal movement or orientation of the visual world
• Abnormal eye movements without visual symptoms
• Unequal pupils
• Ptosis
• Facial weakness or spasm
• Unexplained eye pain, orbital pain or headache
• Neuro-ophthalmic history and examination.