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Webinar: Zebra's Guide to Neuro-ophthalmology
March 6, 2020
Eric Singman - All rights reserved. 1
The Zebra’s guide to neuro-
ophthalmology aspects of
concussion and orthoptic
rehabilitation
ERIC SINGMAN, MD PHD
W E B I N A R – E H L E R S D A N L O S S O C I E T Y
F R I D AY 6 M A R C H 2 0 2 0
No Disclosures
Webinar: Zebra's Guide to Neuro-ophthalmology
March 6, 2020
Eric Singman - All rights reserved. 2
Webinar: Zebra's Guide to Neuro-ophthalmology
March 6, 2020
Eric Singman - All rights reserved. 3
Defects seen in routine examination
Webinar: Zebra's Guide to Neuro-ophthalmology
March 6, 2020
Eric Singman - All rights reserved. 4
Defects noted in more specialized testing
And if you really are into this…
In patients with mild TBI, there might be abnormalities in saccades… and vestibulo-ocular reflex.
Lancet Volume 13, No. 10, p1006–1016, October 2014
The neuro-ophthalmology of head traumaRachel E Ventura, MD, Prof Laura J Balcer, MD, Dr Steven L Galetta, MD
Webinar: Zebra's Guide to Neuro-ophthalmology
March 6, 2020
Eric Singman - All rights reserved. 5
The future is now
The TBI Team….It Takes a VillageAudiology
Low Vision Specialist and Neuro-optometrist
Neurologist
Neuro-ophthalmologist Social workNeuro-ophthalmologist
Guide Neuro-otolaryngologistNeuro- psychologist
Neuro-rehabilitation OT/PT
Nursing
O&M Specialist
Psychiatry
NeurosurgeonSpeech Therapist
Webinar: Zebra's Guide to Neuro-ophthalmology
March 6, 2020
Eric Singman - All rights reserved. 6
Neuro-ophthalmic RehabilitationVisual field loss
Visual acuity loss
Neuro-ophthalmic RehabilitationDiplopia
Glare
Higher oculomotor dysfunction
Webinar: Zebra's Guide to Neuro-ophthalmology
March 6, 2020
Eric Singman - All rights reserved. 7
More about EDS patients…
1: Louie A, Meyerle C, Francomano C, Srikumaran D, Merali F, Doyle JJ, Bower K, Bloom L, Boland MV, Mahoney N, Daoud Y, Singman EL. Survey of Ehlers-Danlos Patients' ophthalmic surgery experiences. Mol Genet Genomic Med. 2020 Jan 27:e1155. PubMed PMID: 31989797.
2: Gami A, Singman EL. Underlying Ehlers-Danlos syndrome discovered during neuro-ophthalmic evaluation of concussion patients: a case series. BMC Ophthalmol. 2019 Jul 25;19(1):159. PubMed PMID: 31345188.
3: Henderson FC Sr, Austin C, Benzel E, Bolognese P, Ellenbogen R, Francomano CA, Ireton C, Klinge P, Koby M, Long D, Patel S, Singman EL, Voermans NC. Neurological and spinal manifestations of the Ehlers-Danlos syndromes. Am J Med Genet C Semin Med Genet. 2017 Mar;175(1):195-211. Review. PubMed PMID: 28220607.
Thank you!
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