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!