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The neuro-ophthalmologic examination (including coma)
1Departments of Neurology and Ophthalmology, Division of Neuro-Ophthalmology, Hospital of the University of Pennsylvania, Scheie Eye Institute, Philadelphia, Pennsylvania, USA.
Abstract:
Ophthalmologic practice requires a solid foundation in the principles and interpretation of the neuro-ophthalmologic examination. This article reviews the techniques used in the neuro-ophthalmologic examination to assess visual acuity, ocular motility, visual fields, the pupils, the eyelids, and the fundus. The neuro-ophthalmological examination in comatose patients is also reviewed. Neuro-ophthalmic techniques are paramount in the assessment of comatose patients, especially with regard to brainstem localization and diagnosis.