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[The Eye and Optic Nerve in Neurological Practice].

Tetsuya Ikeda1

  • 1Eye Center, Sanno Hospital.

Brain and Nerve = Shinkei Kenkyu No Shinpo
|April 13, 2026
PubMed
Summary

Neurologists can use simple eye exams to detect neurological lesions. This review covers basic eye anatomy, visual assessments, and optic neuritis evaluation, emphasizing early ophthalmologist collaboration.

Area of Science:

  • Ophthalmology
  • Neurology

Background:

  • The eye acts as a crucial
  • window
  • reflecting neurological conditions.
  • Basic ocular anatomy and optic nerve structure are fundamental to understanding visual pathways.
  • Neurological disorders often manifest with distinct ocular symptoms.

Purpose of the Study:

  • To review essential ophthalmic examination techniques for neurologists.
  • To highlight the significance of optic neuritis in neurological contexts.
  • To discuss drug-induced ophthalmic side effects relevant to neurological treatments.

Main Methods:

  • Review of basic ocular and optic nerve anatomy.
  • Explanation of bedside and outpatient clinical methods for assessing visual acuity, pupils, ocular movements, color vision, visual fields, and fundus.

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  • Focus on examination techniques and precautions for optic neuritis.

    • Main Results:

    • Simple visual assessments can aid neurologists in identifying neurological lesions.
    • Optic neuritis requires specific examination protocols and precautions.
    • Awareness of ophthalmic adverse effects from neurological medications is critical.

    Conclusions:

    • Neurologists can effectively utilize basic ophthalmic examinations for patient assessment.
    • Early detection and management of ocular manifestations improve patient outcomes.
    • Close collaboration between neurologists and ophthalmologists is vital for comprehensive patient care.