Are We There Yet? Is Neuro-Ophthalmology at the Cusp of a Paradigm Shift? Lessons From Leber Hereditary Optic Neuropathy

In tjis podcast Dr Paul Phillips discusses findings from his paper with Janet Rucker “Efferent Vision Therapy”. They conclude there is insufficient evidence to recommend “vision therapy” for the treatment of learning disabilities, impaired reading, dyslexia, or ADHD.

Management of the pregnant woman with a neuro-ophthalmic disorder may be challenging. Physiologic changes in pregnancy make vascular conditions more frequent, including retinal artery occlusion, spontaneous orbital hemorrhage, and pituitary apoplexy. Treatment of the neuro-ophthalmic complications of pregnancy requires an understanding of the risks of medications. Taking optimal care of the mother will usually result in the best care for her baby.

In this podcast, Drs. Karl Golnik and Andrew Lee continue their Point-Counterpoint discussion on the topic Optic Nerve Sheath Fenestration vs Cerebrospinal Diversion Procedures

In this podcast, the authors of “Cerebellar Control of Eye Movements” discuss the central role the cerebellum plays in the real-time controland long-term modulation of eye movements.

In this podcast, Dr Deborah Friedman expands upon themes raised in the recently published paper entitled “The Idiopathic Intracranial Hypertension Treatment Trial: Design Considerations and Methods”. The IIHTT is the first randomized, double-masked placebo-controlled trial to study the effectiveness of medical treatment for patients with IIH.

In this podcast, the author of the paper entitled “More Than Meets the Eye: The Eye and Migraine—What You Need to Know” discusses how the migraine and eye pain pathways are similar and affect many of the common complaints which are seen in ophthalmology and neuro-ophthalmology offices, such as dry eye and postoperative eye pain.

Papilledema has long been recognized as a valuable sign of increased intracranial pressure (ICP). But because papilledema is based on interruption of the energy-dependent process of axoplasmic flow, it appears late after a rise in ICP. Papilledema is usually present in chronically high ICP but sometimes asymmetrically in the 2 eyes and rarely in 1 eye only. Distinguishing it from other optic neuropathies that produce elevated optic discs is challenging, especially in the chronic phase, when visual function may be impaired.

Recent reports show that varicella zoster virus (VZV) antigen is found in temporal artery (TA) biopsies in patients with giant cell arteritis (GCA). Two experts (Drs Liao and Kedar) debate whether anti-viral therapy should be used routinely in patients with GCA.

In this podcast, Dr Steven A. Newman expands upon themes he raised during the Tenth Annual Hoyt Lecture. His paper entitled “Interventional Neuro-Ophthalmology: Not an Oxymoron” represents an encapsulation of his lecture.

In this podcast, Dr Alfredo Sadun expands upon themes he raised during his 2012 Hoyt Lecture. His paper entitled “Are We There Yet? Is Neuro-Ophthalmology at the Cusp of a Paradigm Shift? Lessons From Leber Hereditary Optic Neuropathy” represents an encapsulation of his lecture.