The Bedside and Office Neuro-ophthalmology Examination

ABSTRACT

The neuro-ophthalmologic examination provides an enormous amount of information about the 40% of fibers that provide afferent and efferent limbs of the visual, pupillary, and ocular motor pathways. A few tools and the correct testing approach will maximize the value of this examination. This chapter provides step-by-step examination methods and points out some of the common errors that are made.

Relative afferent pupillary defect - Horner's syndrome - Adies tonic pupil - visual acuity - color vision - Amsler grid - optokinetic nystagmus - ophthalmoscopy - visual fields - saccades - pursuit - hippus - Argyll Robertson pupil - pharmacologic blockade - cocaine test - hydroxyamphetamine test - pseudo-Horner's syndrome

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