Approximately 15-20 patients are seen weekly in the neuro-ophthalmology clinic. An additional 2 to 5 patients are evaluated at other times during the week. Patients present with a variety of neuro-ophthalmic illnesses, including optic nerve problems, cranial neuropathies, neuromuscular difficulties, orbital and intracranial tumors, systemic inflammatory disease, neurovascular disease and disorder of visual perception.
Only those patients requiring neurosurgical evaluation and treatment are not treated at The New York Eye and Ear Infirmary. The neuro-ophthalmology service performs the diagnostic work-up for all neuro-ophthalmology patients prior to any referral.
The clinic is always staffed by an attending neuro-ophthalmologist. Residents and fellows evaluate the patients and present them to the clinic. Each patient stimulates discussion concerning the diagnosis, evaluation and treatment of their illness.
There is a strong interest in neuroradiology and residents are instructed on the evaluation of CT and MR scans. Residents are responsible for the hospitalized patients on the neuro-ophthalmology service and perform ophthalmological and neurological work-ups including lumbar puncture, if necessary, on these patients.
In addition to the educational opportunities centering about the patients, there are formal neuro-ophthalmological lectures as part of the overall educational program and neuro-ophthalmology patients included in Grand Rounds presentation.
The curriculum for the neuro-ophthalmology subspecialty training in the residency includes a weekly out-patient neuro-ophthalmology clinic, patients hospitalized from clinic, and daily telephone or in-person consultations of neuro-ophthalmology patients seen in either clinics or the Emergency Room at The New York Eye & Ear Infirmary or Beth Israel Hospital.
Read more about the Resident Training Program in Ophthalmology or Fellowships in Neuro-Ophthalmology.
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