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Nerve-related vision problems

Nerve-related vision problems

  • About
  • Symptoms
  • FAQ

Neurological conditions can affect your eyes and vision and have a big impact on your daily life. Your eyes receive visual information, but it’s actually your brain that interprets the information and allows you to ‘see’ the image. Your brain also controls your eye movements and focus.

A neuro-ophthalmologist performs comprehensive examinations to diagnose and treat a range of conditions that can affect the brain and nervous system. Some of these are listed below.

  • Myasthenia gravis is a chronic autoimmune neuromuscular disease that affects the connection between the nerves and eye muscles.
  • Brain tumours and strokes can damage the blood supply to the eyes or optic nerves. Some brain tumours may put direct physical pressure on the eye or associated structures.
  • Giant cell arteritis is an inflammation of the arteries, which can cause sudden blindness in one or both eyes if the arteries supplying the eyes are affected.
  • Thyroid eye disease is an autoimmune process, where the body’s own antibodies attack the tissue and muscles around the eyes.
  • Optic neuritis occurs when the optic nerve becomes inflamed, interfering with the transmission of signals from the eye to the brain. It is often associated with multiple sclerosis, but may also occur with infectious and other inflammatory disorders.
  • Idiopathic intracranial hypertension (previously known as pseudotumour cerebri) results from a buildup of cerebrospinal fluid around the brain, causing increased pressure in the skull and swelling of the optic nerves. Recent weight gain is strongly associated with this condition, as are antibiotics in the tetracycline family and acne medications derived from Vitamin A.
  • Multiple sclerosis is a progressive disorder of the central nervous system and can affect the optic nerves, resulting in visual distortion and loss.

If you have any of the following symptoms, have your eyes checked by an optometrist or GP:

  • Problems moving your eyes
  • Double vision in one eye (monocular) or both eyes (binocular)
  • Bumping into objects
  • Involuntary shaking of the eyes (nystagmus)
  • Sudden change in pupil size or unequal pupils
  • Loss of vision
  • Sudden onset of headache

What does a neuro-ophthalmologist do?

A neuro-ophthalmologist is an ophthalmologist who has undertaken further specialist training in brain and nervous system disorders that affect the eye and vision.

Why is my vision affected after a stroke?

A stroke can damage the blood vessels that supply the brain and optic nerve, resulting in loss of vision. The nerves that make the eyes move can also be damaged. The type of vision loss depends on the part of the brain affected by stroke. Some people experience blurred vision, double vision or a loss of side (peripheral) vision.

Are blind spots and blurred vision signs of multiple sclerosis?

Blind spots and blurred vision are symptoms of many eye conditions. Multiple sclerosis can only be diagnosed after a range of tests. Consult your optometrist or GP if you have any issues with your eyes or vision.

When should I see a neuro-ophthalmologist?

Your doctor or optometrist may decide to refer you to a neuro-ophthalmologist if they suspect a neurological disorder is contributing to your loss of vision or eye problems.

References

For a full reference list, visit the neuro-ophthalmology FAQ page.

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Resources

The information on this page is general in nature. All medical and surgical procedures have potential benefits and risks. Consult your ophthalmologist for specific medical advice.

Date last reviewed: 2024-07-22 | Date for next review: 2026-07-22

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