A neurological ophthalmologist diagnoses and treats visual issues related to nervous system problems rather than issues with the eyes, states the North American Neuro-Ophthalmology Society. He can evaluate patients from a neurological, medical and an ophthalmologic standpoint to diagnose and treat a number of medical conditions and diseases.
A neurological ophthalmologist has training and expertise in issues involving the eyes, brain, nerves and muscles, according to NANOS. He must undergo five years of clinical training following medical school, and he usually has board certification in neurology, ophthalmology or both. He can evaluate issues such as optic nerve problems, visual disturbances, eye movement and eyelid abnormalities, vision loss and double vision.
A patient who visits a neurological ophthalmologist can expect a comprehensive examination that may last for several hours, explains NANOS. The doctor reviews the patient's complete medical history and his current symptoms. He conducts an eye exam, which may include a visual field test, and a partial or complete neurological exam to test the patient's strength, coordination and sensation. He then reviews any previous evaluations and scans. At the conclusion of the visit, he discusses the diagnosis or the possible diagnosis, and makes recommendations for additional testing, if necessary, and specifies a treatment plan.