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Chapter 18 - Neuro-ophthalmology Emergencies

from Section 3 - Specific Neurological Disorders in Emergency Medicine

Published online by Cambridge University Press:  10 January 2024

By
Matthew Brucks ,
Erik Happ ,
Randy Beatty  and
Brent Rau
Edited by
Thomas P. Campbell  and
Kevin M. Kelly
Thomas P. Campbell
Affiliation:
Allegheny Health Network, Pittsburgh
Kevin M. Kelly
Affiliation:
Allegheny Health Network, Pittsburgh
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Summary

The goal of this chapter is to provide a concise summary of the most common emergencies in neuro-ophthalmology. The chapter’s focus is three main neuro-ophthalmic emergency topics: diplopia, pupil abnormalities, and acute loss of vision. The chapter concludes with other important topics that are not neurological in nature, but are important to diagnose immediately such as a retinal detachment or ruptured globe.

Keywords

Marcus–Gunn pupilcavernous sinus syndromeanisocoriahyphemakeratoconusconvergence
Type
Chapter
Information
Handbook of Emergency Neurology , pp. 269 - 282
Publisher: Cambridge University Press
Print publication year: 2023

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References

Beatty, S. Non-organic vision loss. Postgrad Med J 1999;75:201–207.CrossRefGoogle Scholar
Biousee, V. Thrombolysis for acute central retinal artery occlusion: is it time? Am J Ophthalmol 2008;146(5):631–634.CrossRefGoogle Scholar
Cugati, S, Varma, D, Chec, C, Lee, A. Treatment options for central retinal artery occlusion. Curr Treat Options Neurol 2013;15(1):63–77.CrossRefGoogle ScholarPubMed
Kupersmith, MJ, Frohman, LP, Sanderson, MC, et al. Aspirin reduces second eye anterior ischemic optic neuropathy. Ophthalmology 1995;102:104.Google Scholar
Morrow, SA, Fraser, JA, Day, C, et al. Effect of treating acute optic neuritis with bioequivalent oral vs intravenous corticosteroids: a randomized clinical trial. JAMA Neurol 2018;75:690–696.Google Scholar
Wajda, B, Begheri, N, Calva, C, Durrani, A. The Wills Eye Manual. 6th ed. Lippincott Williams and Wilkins, 2012.Google Scholar

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