The Ophthalmic Genetics team at Emory addresses the spectrum of hereditary vision diseases and disorders by bringing together the clinical and research expertise of clinicians from multiple subspecialties.

Uveitis and vaculitis are inflamatory conditions that affect the uvea and blood vessels, respectively. This group of diseases may also affect the retina, optic nerve, lens, and vitreous, leading to reduced vision or blindness if not detected and treated.

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If you suffer from poor vision or a complication associated with poor vision, you might not yet realize just how far-reaching your problem is. Dr. Cheryl Berger Israeloff and Dr. Marissa Zimmerman at the Neuro Visual Center of New York specialize in less common visual conditions, such as vertical heterophoria (VH), that affect your vision as well as the rest of your health in ways you might not realize.

If you suffer from headache, dizziness, or any other symptoms associated with a binocular vision dysfunction such as VH, relief is just a phone call and a specialized eye exam away. Get in touch with the Neuro Visual Center of New York today at 516-224-4888 or take our questionnaire. Let us help you see your way to a better life.

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Damage to the optic nerves can cause pain and vision problems, most commonly in just one eye. A person may notice vision loss in only the center of their field of vision (scotoma) or pain when they move the affected eye.

Like other optic neuropathies, the main symptoms of optic neuritis are pain and vision disturbances. The doctor may recommend corticosteroids or other medications to address an overactive immune system if that is what is causing the nerve inflammation. Symptoms begin to improve within weeks or months, and most cases of optic neuritis resolve on their own completely within a year.

Treatment for giant cell arteritis includes a temporary course of steroid medications, including glucocorticoids, which can arrest the vision loss if started promptly. These medications may have side effects, so it is important to communicate with the doctor to understand risks and benefits.

The optic chiasm is the crossing of the optic nerves of the right and left eyes where half of the nerve fibers from each eye cross to the other side, enabling a person to use both eyes to focus, perceive depth and maintain a normal field of vision.

Nerve problems can affect the nerves of the muscles surrounding the eyeball and those that control the dilation and contraction of the pupil. Such problems can result in symptoms such as double vision, nystagmus, oscillopsia and disorders of the pupils, such as anisocoria.

The scotoma can be relative or absolute; in the first case, the alteration is related to a decrease in the sensitivity of the retina (one is no longer able to perceive some or all colors except for white), while in the second case, this sensitivity, in some areas, is of the all absent (the image is no longer perceived or in any case, perceived minimally). The disorder can affect one or both eyes. The term derives from the Greek ("skotos," darkness, dark). The scotoma can also be negative or positive; in the first case, it is a non-vision area within the visual field (the subject perceives a dark spot on the fixed objects). In the second case, there is the perception of an intermittent bright spot of variable color. A scotoma is generally referred to as a pathological alteration of vision, but it should be specified that there is also a physiological scotoma, the so-called blind spot or blind area of Mariotte; it is a point of the eye where vision is absent, the so-called optical papilla, an area where photoreceptors are absent. Examination of the visual field (campimetry), the scotoma is graphically represented as a black area located centrally or peripherally). Scotoma is one of the symptoms of various diseases affecting the functionality of the eye, and the ocular structures involved may be different; the main causes include:

In some cases, the scotomas are secondary to brain tumors, ischemia, or intoxications; it is one of the main manifestations of migraine with aura. In many cases, it is the symptom that precedes the attack. In rare cases, the disorder has an iatrogenic origin. That is, it is caused by taking some medicines (for example, streptomycin). There are other classifications of scotoma: sparkling scotoma (a dark spot surrounded by small colored stripes with intermittent brightness); central scotoma (a dark-colored spot in the center of vision and can be a senile maculopathy, an infectious or inflammatory process); central-cecal scotoma (affects both the central fixation point and the blind spot; normally the area involved is small but then tends to grow); peripheral scotoma; paracentral scotoma; annular scotoma; Bjerrum scotoma (the blind area has an arched shape).

As a neuro-ophthalmology specialist, I am dedicated to providing high level care to patients suffering from conditions that affect neural pathways connecting the eyes and the brain, such as vision-threatening disorders of the optic nerve and double vision arising from diseases of cranial nerves or the orbit. Making a diagnosis often depends on piecing together clues from a thorough eye exam, ocular imaging studies performed in clinic, and neuro-imaging studies performed by Radiology. I enjoy the challenge of this specialty and providing individualized and multidisciplinary treatment strategies for my patients. In addition to my clinical work, I am involved in basic science research and clinical trials related to optic nerve disease, and I am passionate about translating new findings in the laboratory into ways to improve patient care. Outside of work I enjoy spending time with my family, hiking, and following Duke basketball.

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Lifespan, Rhode Island's first health system, was founded in 1994 by Rhode Island Hospital and The Miriam Hospital. A comprehensive, integrated, academic health system with The Warren Alpert Medical School of Brown University, Lifespan's present partners also include Rhode Island Hospital's pediatric division, Hasbro Children's Hospital; Bradley Hospital; Newport Hospital; Gateway Healthcare; Lifespan Physician Group; and Coastal Medical. 0852c4b9a8

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