Neuro-ophthalmologists manage the condition which bridges the gap between the brain and eye.

This includes pseudotumor cerebri (idiopathic intracranial hypertension), optic nerve diseases, and conditions that affect eye movements causing double vision.

Patients with unexplained loss of vision are often referred to neuro-ophthalmologists. These are special kinds of ophthamologist consultants.

Common conditions seen include

  • Optic neuritis

  • Homonymous hemianopia (stroke affecting the vision)

  • Pseudotumor cerebri

  • Pituitary Adenoma

  • Meningiomas

  • Giant Cell Arteritis

  • Cranial nerve palsies

  • Nystagmus

  • Optic disc drusen

  • Pseudopapilloedema

  • Horners syndrome

  • Unequal pupils

  • Visual loss associated with dementia

Stroke affecting the vision


When a stroke affects the vision one side of the visual field may be lost in both eyes. Patients often report this as having lost vision from one eye. The brain tends to fill in the missing information so some patients aren't aware they have lost vision until it is formally tested. It can be very frustrating for this group of patients to find that they can't legally drive even though they feel they can see normally.

Reading can be a challenge for patients with homonymous hemianopia. It can be difficult to find the next line, or even the next word. Holding a ruler under the line you are reading can help. Some people prefer rotating the page by 90 degrees and reading from top to bottom.

A useful free website also offers helpful information and training exercises to try to improve reading speed: