Vanderbilt Neurosciences / Services / Neuro-ophthalmology

Neuro-ophthalmology

Neuro-ophthalmologists are experts trained in both ophthalmology and neurology. They treat problems in your nerves, muscles, or the brain that impact your vision. These include stroke and TIAs, disorders around the eyeball, disorders related to cancers, optic nerve diseases, double vision, thyroid eye disease, multiple sclerosis, and problems related to eye and facial movement, pupils, and eyelids.

Neuro-ophthalmology: Why Choose Vanderbilt

  • Experience and expertise. Our experts have completed at least five years of advanced training, more than the typical neuro-ophthalmologist. We are the region’s only center of its kind with pediatric and adult neuro-ophthalmologists who are fellows of the North American Neuro-Ophthalmology Society. This depth of knowledge and experience translates into the best care for you. 
  • Collaborative and personalized care. Because neuro-ophthalmology problems are complex, we bring together specialists in neurology, neurosurgery, ophthalmology, neuro-radiology and otolaryngology. Together, we create a personalized treatment plan to meet your unique needs. 
  • Patient-centered services. We offer ongoing support services to ensure you find the support you need to feel better, physically and emotionally. In many of our specialized programs, our patient care coordinators can help you obtain medical records, schedule appointments, address questions or concerns and assist with lodging. We can also connect you to support groups or other community resources.
  • Innovative research and clinical trials. As part of an academic medical center, our team is dedicated to pioneering new and more effective treatment options. Our commitment to research means that you receive the most current, sophisticated treatment available.

Conditions We Treat

  • Allesthesia
  • Asthenopia
  • Cerebrovascular, periocular and paraneoplastic issues
  • Change in color vision
  • Cognitive disorders of vision such as alexia agraphia
  • Diplopia
  • Double vision
  • Dysmetropsia
  • Gaze palsies
  • Impaired balance
  • Nystagmus and other ocular oscillations such as flutter, opsoclonus, and square
  • Ophthalmoplegia
  • Optic nerve diseases (e.g. atrophy, swelling, inflammation, stroke, etc.)
  • Perceptual disorders of vision such as palinopsia and polyopia
  • Ptosis
  • Proptosis (displacement of the eye)
  • Psychogenic visual disorders
  • Pupil abnormalities
  • Thyroid eye disease
  • Vertigo
  • Visual changes (color, brightness, contrast sensitivity, fatigue)
  • Visual loss

Tests We Offer

  • Blood tests
  • Carotid doppler ultrasound
  • Catheter angiography
  • Cerebral angiography
  • Computed tomography (CT) angiography
  • High resolution computed tomography (CT) scan
  • Electromyography (EMG), including repetitive nerve stimulation/single fiber EMG
  • Electrophysiology testing including visual evoked potentials and ERG
  • Fundus photography
  • Magnetic resonance angiography (MRA)
  • Magnetic resonance imaging (MRI)
  • Ocular motility recording
  • Optical coherence tomography (OCT) and OCT angiography (OCTA)
  • Orbital ultrasound
  • Perimetry (peripheral vision testing)
  • Positron emission tomography (PET) scan
  • Pupillometry
  • Temporal artery biopsy
  • Transcranial doppler

Treatments We Offer

  • Optic nerve sheath fenestration
  • Orbital decompression
  • Ventriculoperitoneal (VP) shunt
  • Gene therapy (Leber’s hereditary optic neuropathy)

Locations

Vanderbilt Neurology
1301 Medical Center Dr., Suite 3930
Nashville, TN 37232
(615) 936-0060
Map and Directions

Neuro-Ophthalmology Care Team