Approximately 60-70 patients are evaluated weekly by the neuro-ophthalmology service. Outpatient clinics meet twice per week. Urgent care visits and hospital consultations are performed daily. 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 New York Eye and Ear Infirmary of Mount Sinai. The neuro-ophthalmology service performs the diagnostic work-up for all neuro-ophthalmology patients prior to any referral.
The neuro-ophthalmology service works in partnership with Mount Sinai Health System Interventional Neuroradiology, Neurology, and Neurosurgical Services. The neuro-ophthalmology service provides services to most of the medical institutions in the New York metropolitan area in the form of second opinions or collaborative care.
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 at NYEE and on the neurology service at Mount Sinai Beth Israel.
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 case study specific Ophthalmology departmental grand rounds presentations.
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 New York Eye and Ear Infirmary or Mount Sinai Beth Israel Hospital.
NYEE is an important study site in the NEI sponsored Neuro-Ophthalmology Research Disease Investigator Consortium (NORDIC). There are ongoing studies on idiopathic intracranial hypertension and papilledema, ischemic optic neuropathy, optic neuritis, ocular myasthenia gravis, and optical imaging of acute optic nerve injury.
See Ophthalmology Research for complete listing of current projects
A Multicenter, Double-blind, Randomized, Placebo-controlled Study of Weight-Reduction and/or Low Sodium Diet plus Acetazolamide vs Diet plus Placebo in Subjects with Idiopathic Intracranial Hypertension with Mild Visual Loss IIHTT Study
A Multicenter, Double-blind, Randomized, Placebo-controlled Study of Weight-Reduction and/or Low Sodium Diet Plus Acetazolamide vs. Diet Plus Placebo in Subjects with Idiopathic Intracranial Hypertension with Mild Visual Loss – Blood and CSF Substudy ( IIHTT substudy)
Long-Term Follow-up of the Cohort from a Multicenter, Double-Masked, Randomized, Placebo-Controlled Study of Weight-Reduction and/or Low-Sodium Diet plus Acetazolamide vs. Diet plus Placebo in Subjects with Idiopathic Intracranial Hypertension with Mild Visual Loss (LIIHTT)
A 48- week, double blind, randomized, multi-center, parallel group study comparing structural changes in the retina and evolution of visual function after immediate versus delayed treatment with fingolimod in patients with acute demyelinating optic neuritis
Occlusion Therapy for Acute Optic Neuritis: A Pilot Study
Biomarker/Gene Expression Pilot Study on Ocular Myasthenia Gravis
Validity of Color Vision Testing on iPhone® and Android® Based Smartphones
The treatment of a patient with Leber’s Hereditary Optic Neuropathy (LHON) with idebenone
Structure-Function Relationship in Optic Nerve Head Drusen
Spectral Domain Optical Coherence Tomography of Anomalous Optic Discs