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Approach to Common Visual Complaints Presenting to the Outpatient Neurologist.
Christine Greer1, Marc Dinkin1,2
1Department of Ophthalmology, Weill Cornell Medical College, New York, New York.
Seminars in Neurology
|November 26, 2021
Summary
Neurologists frequently encounter visual complaints like vision loss and diplopia. A systematic evaluation is crucial for diagnosing conditions that may threaten vision or life.
Area of Science:
- Neurology
- Ophthalmology
Background:
- Visual complaints are frequent in neurological practice.
- Conditions range from benign to sight- or life-threatening.
Purpose of the Study:
- To review the assessment of vision loss, diplopia, and positive visual phenomena.
- To provide a systematic approach for diagnosis and management.
Main Methods:
- Review of common and critical visual complaints.
- Discussion of differential diagnoses for vision loss and diplopia.
Main Results:
- Identified conditions like dry eyes, migraine, and strabismus as less severe.
- Highlighted sight- or life-threatening causes such as aneurysms, pituitary apoplexy, and temporal arteritis.
Conclusions:
- A systematic approach is essential for evaluating visual disturbances.
- Accurate localization and diagnosis guide appropriate management and improve outcomes.
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