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Neuro-Ophthalmology

VCU Health System

A large part of the brain is dedicated to vision and control of the eyes. A neuro-ophthalmologist cares for patients with vision changes arising from the nervous system. A neuro-ophthalmologist is an expert in the visual pathways from the eye back to the brain and the nerves and the muscles that control the eyes. Symptoms treated by a neuro-ophthalmologist include:

  • unexplained vision loss
  • transient vision loss
  • visual field problems
  • double vision
  • abnormal eye movements
  • unequal pupils
  • eyelid abnormalities

Sometimes these are benign findings, but sometimes they can be important clues to conditions which might cause permanent vision loss or serious illness.  Neuro-ophthalmologists often diagnose conditions such as; multiple sclerosis, myasthenia gravis, brain tumors, vascular disease, trauma, infections, degenerative disorders and more.

What to expect at your appointment:

A complete neuro-ophthalmology evaluation is an extensive process and may take a few hours to complete.  You will first review the history of your condition and other medical history and review any testing that may have been completed prior to your referral.  (If you have had CT or MRI scans done, then it will be useful to bring those images with you on the day of your visit.)  There will be both a neurologic exam and a focused eye exam.  Depending on your condition, your eyes may need to be dilated.  Additional testing might be needed such as computerized visual field test or specialized eye photographs or images.  Finally, your condition will be explained to you including any plan for further testing or treatment and follow up.

Services available:

  • Humphrey automated perimetry
  • Critical flicker fusion frequency
  • Fundus photography
  • Auto-fluorescence imaging
  • Optical coherence tomography
  • Visual evoked potential
  • Full-field electroretinography
  • Pharmacologic anisocoria testing
  • Infrared pupillometry
  • Cholinesterase inhibitor challenge test
  • Eye tracking for nystagmus

 Our team:

Warren L. Felton III, M.D.
Chair, Division of Neuro-ophthalmology 
Associate Chair of Clinical Activities 
Professor, Neurology and Ophthalmology

 Scott Haines, M.D.
Assistant Professor, Neurology and Ophthalmology

 Jorge de los Santos
Visual field and ophthalmic imaging technician

Our locations:

Ambulatory Care Center
417 N. 11th Street
Richmond, VA 23298
(804) 828-4806 (appointments)
(804) 828-9350 (clinic)

VCU Health Neuroscience, Orthopedic and Wellness Center (NOW)
11958 West Broad St.
Henrico, VA 23233
(804) 360-4669