Journal Reviews
Use of group consultations in the management of idiopathic intracranial hypertension
The incidence of idiopathic intracranial hypertension (IIH) has risen by >100% between 2002 and 2016 in the UK, in association with rising obesity rates. This increasing incidence has inevitably led to increased pressures on service capacity. Evidence for other conditions...
ROPPVAL Syndrome as a differential diagnosis to optic neuritis
Optic neuritis (ON) is a common cause of visual loss in young patients. Patients with eye pain and ipsilateral visual loss are often referred into neuro-ophthalmology clinics with a possible diagnosis of ON. In 2018 Jefferis et al. reported a...
Using lumbar puncture as a diagnostic tool of IIH when the presentation is typical
The authors present the findings of a retrospective observational chart review across three neuro-ophthalmology clinics. Databases at each clinic were searched using inclusion criteria based on established diagnostic criteria for idiopathic intracranial hypertension (IIH). Cases with missing data, atypical findings...
Can retinal layer thickness predict the progression of disability in MS?
This is an observational retrospective cohort study presenting the data of 188 patient diagnoses with multiple sclerosis at two specialist centres. All included patients were adults below the age of 70 years, stable on their disease modifying treatment for at...
Patient and clinician view of telemedicine for neuro-ophthalmology consultations when in-person is not possible
The authors present a linked survey sent to patients and neuro-ophthalmologists after a consultation with one of 12 neuro-ophthalmologists from three centres in the United States, over a three-month period in 2020. All consultations were offered virtually due to restrictions...
Visual retraining for homonymous hemianopia following stroke
This is a clinical trial evaluating the efficacy of motion discrimination training as a potential therapy for stroke-induced hemianopic visual field defects involving 48 patients. They were randomised into two arms, one intervention (deficit-field) and one control (sighted-field). Patients were...
Parent-reported outcomes after cerebral hemispherectomy
The authors present the findings of a survey circulated by the Childhood Epilepsy Surgery Foundation to its members. Parents of children who had undergone a cerebral hemispherectomy were invited to participate. A total of 48 responses from 248 who were...
Using MRI to assess normal variation in optic chiasm anatomy
The authors present an MRI study including 61 MRI scans using a 1.5 T with slice thickness of 1 or 5mm and the sequence showing the highest resolution of the chiasm. A predetermined set of measurements were taken in a...
How common is optic disc drusen in young patients with NAION?
A retrospective notes review at two tertiary care centres was completed between 2009 and 2019. The inclusion criteria for the study was a diagnosis of nonarteritic anterior ischaemic optic neuropathy (NAION) in at least one eye, aged between 18 and...
Would automated pupillometry be a useful addition when assessing acute vision loss?
The authors present a two-part study, the first part being an electronic survey of ophthalmologists and optometrists to identify barriers to the routine clinical use of automated pupillometry and the second, a clinical study comparing the swinging light tests and...
Can the angle of origin of the ophthalmic artery predict embolic trajectory?
A retrospective, comparative case-control study was used to test the hypothesis that a risk factor for retinal versus cerebral infarct is the angular origin of the ophthalmic artery from the internal carotid artery. The study compared one group (n=28) who...
Thalamic infarcts and the associated neuro-ophthalmic sequelae
The authors present a retrospective review of clinical and imaging data from a stroke database over a 10-year period. Of those identified as having a thalamic infarction (n=342), 40 were found to have neuro-ophthalmic sequelae (11.7%). The neuro-ophthalmic sequelae reported...
