Controversies in Neuro-Ophthalmology

Written by highly-experienced specialists in the field of neuro-ophthalmology, Controversies in Neuro-Ophthalmology is a case-based resource, covering 20 current key topics that range from common ophthalmologic problems to complex ocular diseases and trauma. By providing clinical features, differential diagnosis, ancillary investigations, and management strategies for daily practice, this inclusive text appeals to general ophthalmologists, neuro-ophthalmologists, and neurologists alike. Over 150 illustrations, including visuals of the optic nerve, motility exam, visual field testing, and neuroimaging, accompany each evidence-based topic. In addition, all 20 topics are followed by expert comments on the pros and cons of the treatment and evaluation in each case. The comments are designed to promote further discussion and allow for 'œself-reflection'� among readers. Controversies in Neuro-Ophthalmologycovers an extensive spectrum ofophthalmic-related diseases and complications, including:

1. Should a patient with unexplained isolated optic atrophy have any evaluation? 2. Should a young patient with a new diagnosis of optic neuritis have testing and treatment for 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 non-arteritic anterior ischemic optic neuropathy have any testing. 5. Intravenous (IV) steroids should be given to every patient with 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 with steroids or surgery? 8. Should I do a MRI and MR venogram in every patient with pseudotumor cerebri? 9. Should we perform carotid Doppler, hypercoagulable state evaluation, EKG, cardiac echo on every patient with transient visual loss? 10. What is the best visual field test? 11. Does visual rehabilitation therapy (e.g., Novavision) help patients with homonymous hemianopsia? 12. Should a patient with a pupil involved third nerve palsy have an 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? 20. Does a patient with an isolated vasculopathic ocular motor nerve palsy need a neuroimaging study?