Neuro Ophthalmology
Overview
Even with a perfectly normal pair of eyes you can be blind if your optic nerve or brain is damaged!
Neuro-ophthalmology is a subspecialty of ophthalmology that deals with diseases ailing the optic nerves, centre of vision in the brain and the nerves controlling eye muscles. In this era of diabetes and hypertension epidemics , the risk of an attack on nerves of vision are as frequent as a heart attack or stroke. The irreversibility of such damages and its possible consequences, as grave as total blindness, adds to the necessity of prompt management of such situations by a specialist.
Who We Are
The SCEH team is highly experienced and trained in treating conditions that affect both brain (‘neuro’) and vision. Our ophthalmologists provide comprehensive clinical care to a broad spectrum of patients with vision problems due to inherited retinal diseases, optic nerve diseases, central nervous system disorders, ocular motility dysfunction (abnormal eye alignment or problems controlling eye movements), and pupillary abnormalities. Backed by a strong team of neuro-ophthalmology investigation experts and in-hospital physicians, we aim for a holistic approach to these multi-systemic diseases
The experts at Dr Shroff’s Charity Eye Hospital, with their years of experience, ensure the management of all cases according to the latest protocols followed by pioneers of the field. In addition to providing the best care to patients we pride ourselves in providing various learning platforms through workshops, short term and long term fellowships to future aspiring neuro-ophthalmologists.
Key Facts & Figures for year 2022-23
Our Experts
Our Team Members
Conditions We Treat
We treat optic neuritis, ischemic optic neuropathy, nerve damage due to brain lesions or tumors, nutritional and hereditary optic neuropathies, swelling of the optic nerve (papilledema), inflammation, toxic effect of drugs, vitamin deficiencies, sequelae of viral infections etc. These commonly present with painless blurring of vision. Our team , with their expertise, diagnose the clinical variations and ensure expeditious management to ensure prompt restoration of vision.
Chronic Headache with blurred vision needs to evaluated for raised intracranial pressure or intracranial mass. Early detection of the changes in optic nerve by a simple dilated examination of your eyes and can save you from the many complications of delayed diagnosis.We provide a well balanced care by a team neurologists and neuro-ophthalmologists to ensure complete rehabilitation in these cases.
Common manifestations of cranial nerve palsies. It can be due to uncontrolled blood sugar/ blood pressure or trauma or a brain lesion. We provide comprehensive management of according to the cause and duration of illness. It can be as simple as control of blood sugar/ blood pressure or may need complicated muscle surgeries. Other conservative management strategies include use of prism glasses or Botox injection.
Field defects are conditions where disease of the optic nerve or brain causes the patient to lose large areas of vision. Our team prides itself in diagnosing many such complicated cases and helping patients escape debilitating consequences. We have state-of-the art equipment to conduct visual field analysis.
Loss of vision after accidents can be due to many reasons namely injury to optic nerve or damage to brain. Many of these cases can be rescued from a future of permanent vision loss if appropriate treatment is instituted within the right time frame.
All damages to nerves are irreversible and damage to optic nerve can lead to loss of vision or serious decrease of vision. Patients if not diagnosed early or managed appropriately may end up with low vision. To help such patients our department is equipped with an established low vision service which aims to enhance vision with vision aids, assistive devices and targeted vocational guidance. We also provide assistance in disability certificate acquisition. Our department is also equipped with the latest computer based programs which claim to improve vision in patients with nerve damage by cortical stimulation.
Routinely performed procedures
- Evaluation of ocular movements
- Assessment of strabismus
- Diplopia charting
- Hess charting
- Neurological visual fields screening
- Evaluation of contrast sensitivity and colour vision
- Optical coherence tomography of the optic nerve head
- Optical coherence tomography angiography of optic nerve head
- Intravenous steroid therapy
- Immunomodulators
- Prisms in spectacles
Other Facilities
Patient Stories
Overcoming Darkness
35 years old Mrs. Ritu suddenly presented to us with sudden diminution of vision in both eyes for 3 days...
Read More...OUR EDUCATION, PUBLICATIONS & RESEARCH FIGURES (2022)
Education
* Training on Minor OT procedures, both didactic and hands-on
RESEARCH
MAJOR PUBLICATIONS
-
Three Consecutive Cases of Ocular Polyhexamethylene Biguanide (PHMB) Toxicity Due to Compounding Error.
Patel, N.V., Mathur, U., Sawant, S., Acharya, M., Gandhi, A. and Sawant Sr, S., 2023. Three Consecutive Cases of Ocular Polyhexamethylene Biguanide (PHMB) Toxicity Due to Compounding Error. Cureus, 15(5). -
Single-Staged Surgical Correction of Eyelid Sequelae Along With Lid Margin Mucous Membrane Grafting in Stevens-Johnson Syndrome and Other Cicatricial Ocular Surface Diseases.
Shree, N., Das, S., Arya, D., Srivastava, A., Singh, A. and Sangwan, V., 2023. Single-staged surgical correction of eyelid sequelae along with lid margin mucous membrane grafting in Stevens–Johnson syndrome and other cicatricial ocular surface diseases. Cornea, 42(4), pp.404-411. -
Management of cataract in dry eye disease: Preferred practice pattern guidelines.
Donthineni, P.R., Deshmukh, R., Ramamurthy, C., Sangwan, V.S., Mehta, J.S. and Basu, S., 2023. Management of cataract in dry eye disease: Preferred practice pattern guidelines. Indian Journal of Ophthalmology, 71(4), pp.1364-1372. -
Leveraging neural crest pluripotency to extend retinal and craniofacial niches for building neurovascular organoids—a theranostic and drug development perspective.
Sharma, M., Jangra, S., Dhiman, S., Yangzes, S., Tiwari, A., Patro, S.K., Sharma, K., Rathore, S., Ramavat, A.S., Chhabra, S. Sangwan VS, and Panigrahi, I., 2023. Leveraging neural crest pluripotency to extend retinal and craniofacial niches for building neurovascular organoids—a theranostic and drug development perspective. In The Eye (pp. 55-118). Academic Press. -
A rare case of Urrets-Zavalia syndrome following trabeculectomy in a pediatric patient. Indian Journal of Ophthalmology.
Johri, T. and Dubey, S., 2023. A rare case of Urrets-Zavalia syndrome following trabeculectomy in a pediatric patient. Indian Journal of Ophthalmology-Case Reports, 3(2), pp.364-367. -
Role of Binocular Vision Therapy for Spasm of Near Reflex (SNR): A Case Report
Sharma, P., Singh, P.K. and Ganesh, S., 2023. Role of Binocular Vision Therapy for Spasm of Near Reflex (SNR): A Case Report. J Ophthal Ocu Therap. (JOOT) -
Bilateral Apogeotropic Lateral Canal BPPV: Role of Secondary Signs of Lateralization in Diagnosis
Kumar, S., Gupta, N., Dorasala, S. et al I Indian Journal of Otolaryngology and Head & Neck Surgery -
The impact of oral and systemic medications on the eye.
Sabherwal, S. and Mohamed-Ahmed, A.H., 2023. The impact of oral and systemic medications on the eye. Community eye health, 36(118), p.14. -
A goat eye, wet lab model for training in Descemet membrane endothelial keratoplasty.
Gupta, N., Bhogal, M., Vaddavalli, P.K., Boldini, A., Semeraro, F., Varshney, A. and Romano, V., 2023. A goat eye, wet lab model for training in Descemet membrane endothelial keratoplasty. Indian Journal of Ophthalmology, 71(5), pp.2230-2233. -
Giant facial congenital melanocytic nevus associated with conjunctival melanoma.
Shree, N., Gandhi, A. and Das, S., 2023. Giant facial congenital melanocytic nevus associated with conjunctival melanoma. Orbit, pp.1-4. -
Evaluation of dry eyes in children with vernal kerato-conjunctivitis using clinical tests and ocular surface analysis.
Gupta, S., Rahman, M., Tibrewal, S., Gaur, A., Ganesh, S. and Sangwan, V.S., 2023. Evaluation of dry eyes in children with vernal kerato-conjunctivitis using clinical tests and ocular surface analysis. Indian Journal of Ophthalmology, 71(4), pp.1488-1494. -
An unusual complication after cataract surgery may suggest the possibility of underlying rhino-orbital mucormycosis
Gupta N. | Indian J Ophthalmol. 2023 Jan;71(1):310-311. doi: 10.4103/ijo.IJO_1506_22. PMID: 36588264 -
Efficacy and safety of 0.05% micellar nano-particulate (MNP) cyclosporine ophthalmic emulsion in the treatment of moderate-to-severe keratoconjunctivitis sicca: a 12-week, multicenter, randomized, active-controlled trial
Rao AT, Gupta A, Chauhan T, Basu S, Batra N, Sharma N, Sangwan VS, Gupta V,Mukherjee S I BMC Ophthalmol. 2023 Mar 27;23(1):121. doi:10.1186/s12886-023-02838-z. -
Managing chronic inflammation in ocular sequelae of Stevens Johnson Syndrome to restore vision
Gupta N, Singh G, Bashir H, Sangwan V, Mathur U I Ocul Surf. 2023 Jan 27:S1542-0124(23)00014-9. doi: 10.1016/j.jtos.2023.01.008. Epub ahead of print. PMID: 36717075 -
Endoscopic Management of Severe Ocular Symptoms Secondary to the Missed Paranasal Sinus Mucoceles.Springer Nature Chapter in Video Atlas
Gupta, N I doi.org/10.1007/978-981-19-9712-9 -
Corneal stem cells niche and homeostasis impacts in regenerative medicine; concise review
Tavakkoli F, Eleiwa TK, Elhusseiny AM, Damala M, Rai AK, Cheraqpour K, Ansari MH, Doroudian M, H Keshel S, Soleimani M, Djalilian AR, Sangwan VS, Singh V I Eur J Ophthalmol. 2023 Jan 5:11206721221150065. doi: 10.1177/11206721221150065. Epub ahead of print. PMID: 36604831 -
Herpes simplex viral keratitis - A mixed bag of challenging case scenarios
Singh A, Acharya M I Indian J Ophthalmol Case Rep 2023;3:58-60. -
Endoscopic Management of Severe Ocular Symptoms Secondary to the Missed Paranasal Sinus Mucoceles.Springer Nature Chapter in Video Atlas.2023 Jan
Gupta, N I doi.org/10.1007/978-981-19-9712-9 -
Corneal stem cells niche and homeostasis impacts in regenerative medicine; concise review
Tavakkoli F, Eleiwa TK, Elhusseiny AM, Damala M, Rai AK, Cheraqpour K, Ansari MH, Doroudian M, H Keshel S, Soleimani M, Djalilian AR, Sangwan VS, Singh V I Eur J Ophthalmol. 2023 Jan 5:11206721221150065. doi: 10.1177/11206721221150065. Epub ahead of print. PMID: 36604831 -
Commentary: Precision - The hallmark of refractive surgery
Singh A, Acharya M | Indian J Ophthalmol. 2023 Jan;71(1):69. doi: 10.4103 | ijo.IJO_2256_22. PMID: 36588210 -
Herpes simplex viral keratitis - A mixed bag of challenging case scenarios
Singh A, Acharya M I Indian J Ophthalmol Case Rep 2023;3:58-60
Projects
LiQd Cornea- Supported by Pandorum
Why SCEH
Our neuro – ophthalmologists possess a deep understanding of the diseases and are uniquely qualified to diagnose and treat conditions affecting the optic nerves and related neurological issues. We offer specialized treatment options, such as intravenous steroid therapy, immunomodulators, and other therapies tailored to address optic nerve disorders and associated neurological conditions.
The department provides access to specialized expertise, advanced diagnostics, and comprehensive care, all of which are essential for managing complex optic nerve and neurological conditions affecting vision.
For further information on Neuro ophthalmology services please contact 011-43524444 email: sceh@sceh.net
