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Middle East African Journal of Ophthalmology Middle East African Journal of Ophthalmology
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Year : 2009  |  Volume : 16  |  Issue : 1  |  Page : 41-45

Neuro-ophthalmic afferent system diagnoses a general ophthalmologist should (almost) never make alone

Departments of Ophthalmology, Neurology, and Neurosurgery, the H. Stanley Thompson Neuro-ophthalmology Clinic at the University of Iowa Hospitals and Clinics, Iowa City, Iowa, USA

Correspondence Address:
Andrew G Lee
Professor of Ophthalmology, Neurology, and Neurosurgery, Department of Ophthalmology, University of Iowa Hospitals and Clinics, 200 Hawkins Drive PFP, Iowa City Iowa 52242
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/0974-9233.48867

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The general ophthalmologist might be called upon to make the diagnosis of neuro-ophthlamic conditions which are either rare or require extensive testing to exclude alternative diagnoses. This paper reviews some common afferent system neuro-ophthlamologic diagnoses that the general ophthalmologist should rarely if ever make alone.These include posterior ischemic optic neuropathy, chronic optic neuritis, retinal migraine, and optic atrophy. Although these diagnoses do exist they are typically diagnoses of exclusion that require neuroimaging and ancillary testing and have no diagnostic test to confirm the diagnosis.

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