Neuro-ophthalmology
Neuro-ophthalmological cases can be problematic.
Some are true emergencies and need to be recognized as such. Others can be difficult to recognize since they are relatively rare. And some maybe both rare and emergencies!
While making a correct diagnosis is always valued, equally important is knowing when to ask for help. Referrals can be made to neurologist, internists, or emergency rooms. Neuro-ophthalmologists — if available — are an invaluable resource.
Causes for Litigation
- Delayed diagnosis of structural III or VI nerve paresis
- Idiopathic intracranial hypertension not properly monitored
- Giant cell optic neuritis not treated with steroids
- Double vision and droopy eyelids not diagnosed as myasthenia gravis with subsequent respiratory failure
- Temporal hemianopsia from optic n. compression diagnosed as glaucoma