Neuro ophthalmology upmc

Neuro ophthalmology upmc DEFAULT

Gabrielle R. Bonhomme, MD, is the Director of the Neuro-Ophthalmology Service of the UPMC Eye Center, Director of the Neuro-Ophthalmology Fellowship and Assistant Professor of Ophthalmology.  Her research interests include improving the evaluation of the efficacy of venous sinus stenting in subjects with vision loss due to IIH (OPEN-UP study), the diagnosis of para-neoplastic syndromes affecting the vision of subjects with lung cancer, creating an algorithm to predict post-operative results in subjects with vision-threatening anterior visual pathway tumors, creating a multi-disciplinary Longitudinal Database of subjects with PCA strokes to study using OCT and fMRI, and DTI  Techniques, and investigating the use of HDFT MRI post-processing technique in pre-operative planning.  She serves as the only full-time fellowship trained adult Neuro-Ophthalmologist for the UPMC system, with a referral base of 500 square miles  of patients from Neurologists, Ophthalmologists and Neurosurgeons.

Sours: http://ophthalmology.pitt.edu/people/gabrielle-r-bonhomme-md

Neuro-ophthalmology

The rotations through the Neuro-ophthalmology service at UPMC Eye Center provide residents with the opportunity to learn by providing care to a diverse patient population with a broad range of neuro-ophthalmologic problems

 

Types of conditions seen and treated include:

  • optic neuropathy / optic neuritis
  • intracranial tumors
  • cranial neuropathies
  • nystagmus
  • pupillary abnormalities
  • evaluation of visual loss / visual field defects
  • neuro-ophthalmic manifestations of systemic conditions such as
    • multiple sclerosis
    • mysasthenia gravis
    • cancer
    • diabetes
    • thyroid eye disease
    • autoimmune disorders

Adult Neuro-Ophthalmology service is located on the 6th floor Eye and Ear Institute, UPMC Eye Center in Oakland. Dr Shazly is a Mercy Eye Center. 
Pediatric Neuro-Ophthalmology is located at Childrens Hopital of Pittsburgh. Dr Ellen Mitchell and Dr Priti Patel.

For Medical Students and Neurology Residents:

  • Welcome to Neuro-Ophthalmology. We have you scheduled to start your Adult Neuro-Ophthalmology rotation soon with Dr. Gabrielle Bonhomme, (Neuro-Ophthalmology), and Dr Tarek Shazly (Neuro-Ophthalmology & Glaucoma).
  • You may follow the senior Ophthalmology resident or fellow during the first few days on rotation, but we would like you to begin seeing patients on your own.
  • Patient notes are currently completed in Epic Care.  You are expected to document history, exam, and A/P, or scribe for attending.
  • Please let us know if you would like to learn to use the slit lamp, lenses, or indirect, but you should become comfortable and adept with your handheld ophthalmoscope.
  • Examine as many patients as possible, particularly after pupil dilation.
  • Please feel free to perform focused Neurologic examination on all patients.
  • Please feel free to contact us with any questions. We look forward to your time with us at the Eye Center, and hope you find your time with us enlightening and beneficial to your medical education

Essential Reading and References for All Trainees

  1. The 5-year risk of MS after optic neuritis: experience of the optic neuritis treatment trial Neurology. 2001;57(12 Suppl 5):S36-45.
  2. Optic nerve decompression surgery for nonarteritic anterior ischemic optic neuropathy (NAION) is not effective and may be harmful. The Ischemic Optic Neuropathy Decompression Trial Research Group." JAMA. 1995;273(8):625-32
  3. Multiple Sclerosis Risk after Optic Neuritis: Final Optic Neuritis Treatment Trial Follow-Up.  Arch Neurology. 2008 Jun; 65(6): 727–732.doi: 10.1001/archneur.65.6.727. Beck RW, Trobe JD, Moke PS, et al.
  4. Effect of acetazolamide on visual function in patients with idiopathic intracranial hypertension and mild visual loss: the idiopathic intracranial hypertension treatment trial NORDIC Idiopathic Intracranial Hypertension Study Group Writing Committee, Wall M, McDermott MP, Kieburtz KD, Corbett JJ, Feldon SE, Friedman DI, Katz DM, Keltner JL, Schron EB, Kupersmith MJ.. JAMA. 2014 Apr 23-30;311(16):1641-51. PMID: 24756514
  5. The Idiopathic Intracranial Hypertension Treatment Trial. Clinical Profile at Baseline. JAMA Neurology. 2014 Jun; 71(6): 693–701. doi: 10.1001/jamaneurol.2014.133. Michael Wall, MD, Mark J. Kupersmith, MD, Karl D. Kieburtz, MD, MPH, James J. Corbett, MD, Steven E. Feldon, MD, Deborah I. Friedman, MD, MPH, David M. Katz, MD, John L. Keltner, MD, Eleanor B. Schron, PhD, and Michael P. McDermott, PhD, for the NORDIC Idiopathic Intracranial Hypertension Study Group.
  6. Occult giant cell arteritis: ocular manifestations. Am J Ophthalmology 1998 Apr;125(4):521-6. doi: 10.1016/s0002-9394(99)80193-7.  S S Hayreh 1, P A Podhajsky, B Zimmerman
  7. Revised diagnostic criteria for the pseudotumor cerebri syndrome in adults and children. Neurology 2013;81:1159–1165. Friedman DI, Liu GT, Digre KB. Abstract/FREE Full TextGoogle Scholar
  8. MOG-IgG in NMO and related disorders: a multicenter study of 50 patients. Part 4: Afferent visual system damage after optic neuritis in MOG-IgG-seropositive versus AQP4-IgG-seropositive patients. Journal Neuroinflammation. 2016 Nov 1;13(1):282. doi: 10.1186/s12974-016-0720-6. Florence Pache 1 2, Hanna Zimmermann 1 2, Janine Mikolajczak 1, Sophie Schumacher 1, Anna Lacheta 1, Frederike C Oertel 1, Judith Bellmann-Strobl 1 3, Sven Jarius 4, Brigitte Wildemann 4, Markus Reindl 5, Amy Waldman 6, Kerstin Soelberg 7 8, Nasrin Asgari 7 8, Marius Ringelstein 9, Orhan Aktas 9, Nikolai Gross 10, Mathias Buttmann 11, Thomas Ach 12, Klemens Ruprecht 2, Friedemann Paul 1 2 3, Alexander U Brandt 13, in cooperation with the Neuromyelitis Optica Study Group (NEMOS)

‹ PGY-3 Goals & ObjectivesupCurriculum ›

Sours: https://www.ophed.com/book/upmc-eye-center-residency-manual/clinical-rotations/318
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Program Description

The Neuro-Ophthalmology fellowship at the University of Pittsburgh and UPMC Eye Center is designed to provide specialized training in Neuro-ophthalmology for an ophthalmologist or neurologist who has completed an approved residency program. The fellowship at UPMC Eye Center allows the unique opportunity to train with three clinical fellowship-trained Neuro-ophthalmologists, as well as Pediatric Neuro-Ophthalmology clinic. We offer exposure to adult strabismus and Oculoplastic surgery, as well as close interaction with the neurology and neurosurgical departments.

Goals and Expectations of Fellowship

  1. Acquire the knowledge and skill necessary to diagnose and treat neuro-ophthalmic problems including but not limited to neurological, developmental, degenerative and systemic diseases which affect the ocular motor system and sensory visual pathway, including retina, optic nerve, chiasm, optic tracts and optic radiations.
  2. Attend neuro-ophthalmology clinics at Eye and Ear, Pediatric Neuro-ophthalmology clinics at the Children’s Hospital of Pittsburgh.
  3. Teach and supervise residents in inpatient and emergency consultations.
  4. Conduct neuro-ophthalmic research to be presented at appropriate meetings, and to prepare drafts of manuscripts suitable for publication in peer-reviewed journals.
  5. Participate in weekly grand rounds and case conferences.

We are considering applications for the July 2021 Fellowship year. For more information, contact Dr. Gabrielle R. Bonhomme at [email protected], or call (412) 647-2256. Please apply through the SF Match.

Application Procedures

The application is to be completed and sent to the SF Match. If you have any questions please call (412) 647-2256. Please submit your application by October 1, 2020 for the position beginning July 1, 2021. Interviews are conducted by invitation only and are arranged through the Neuro Ophthalmology Fellowship Director's office. Only candidates who are being considered seriously for appointment will be asked to appear for an interview.

The Department of Ophthalmology, University of Pittsburgh, participates in the Fellowship Matching Program sponsored by the Association of University Professors of Ophthalmology. To receive further information, contact the program coordinator at the following address: Fellowship Matching Program, Post Office Box 7999, San Francisco, California 94120.

The University of Pittsburgh is in compliance with Civil Rights Legislation and Title IX of the Educational Amendments of 1972, and does not discriminate on the basis of race, sex, or national origin in its educational programs, activities, or its employment practices.

Program Director


Gabrielle R. Bonhomme, MD

Assistant Professor of Ophthalmology
Director, Neuro-Ophthalmology Service
Comprehensive Eye Service
University of Pittsburgh School of Medicine

Teaching Faculty


Tarek Shazly, MD

Assistant Professor of Ophthalmology
Glaucoma and Anterior Segment Surgery Service
Neuro-Ophthalmology Service
University of Pittsburgh School of Medicine

Contact Information

Siobahn Gallagher
Academic Program Manager
412-647-2256
[email protected]
The Eye & Ear Institute of Pittsburgh
203 Lothrop Street, Rm 821.1
Pittsburgh, PA 15213

Current and Former Fellows

Current:
No current fellow

Former:

2019 - 2020
Priyanka Kukkar, MD

2018 - 2019
Deepak Soneji, MD

2016 - 2017
Yousef Aldairy, MD

2013 - 2015
Tarek Shazly, MD

Sours: http://ophthalmology.pitt.edu/fellowships/neuro-ophthalmology-fellowship

Our Ophthalmology Experts

For additional information on UPMC Eye Center physicians, please click on the physician’s name below.

José-Alain Sahel, MD
Professor and Chairman, Department of Ophthalmology
Eye and Ear Foundation Endowed Chair
Director, UPMC Eye Center

Alexander J. Anetakis, MD
Retina and Vitreoretinal Surgery Service
Director, UPMC Eye Center Wexford
Clinical Assistant Professor of Ophthalmology

Thomas Berk, MD
Clinical Fellow in Glaucoma
Clinical Instructor of Ophthalmology

Gabrielle R. Bonhomme, MD
Director, Neuro-Ophthalmology Service
Assistant Professor of Ophthalmology

Ellen Butts, OD
Contact Lens and Low Vision Service
Clinical Assistant Professor of Ophthalmology

Jay Chhablani, MD
Retina and Vitreoretinal Surgery Service
Associate Professor of Ophthalmology

Elizabeth Conner, MD
Clinical Fellow in Pediatric Ophthalmology
Clinical Instructor of Ophthalmology

Ian P. Conner, MD, PhD
Director, Glaucoma and Cataract Service
Assistant Professor of Ophthalmology

Kunal Dansingani, MD, FRCOphth
Retina and Vitreoretinal Surgery Service
Associate Professor of Ophthalmology
Vice Chair, Operations and IT

Emily DePew, OD
Contact Lens and Low Vision Service
Clinical Assistant Professor of Ophthalmology

Deepinder K. Dhaliwal, MD, LAc
Director, Cornea and Refractive Surgery Service
Director, Center for Integrative Eye Care
Co-director, Funderburgh Cornea Regeneration Project
Professor of Ophthalmology

Scott P. Drexler, OD
Contact Lens and Low Vision Service
Assistant Professor of Ophthalmology

Amgad Eldib, MD
Pediatric Ophthalmology Service
Assistant Professor of Ophthalmology

Andrew W. Eller, MD
Retina and Vitreoretinal Surgery Service
Director, Ocular Trauma
Professor of Ophthalmology

Marie-Helene Errera, MD, PhD
Retina and Vitreoretinal Surgery Service
Associate Professor of Ophthalmology

Jerome Finkelstein, MD
Clinical Associate Professor
Comprehensive Service

Thomas R. Friberg, MD, FACS
Director, Medical and Surgical Retinal Diseases
Professor of Ophthalmology

Roxana Fu, MD
Associate Professor of Ophthalmology
Orbital, Oculoplastics, and Aesthetics Surgery Service

Meghal Gagrani, MD
Pediatric and Neuro-Ophthalmology Service
Clinical Assistant Professor of Ophthalmology

Denise Gallagher, MD
Medical Retina Service
Clinical Assistant Professor of Ophthalmology

Jessica Glass, OD
Contact Lens and Low Vision Service

Anna Gushchin, MD
Comprehensive Service
Clinical Assistant Professor of Ophthalmology

Jean C. Harwick, MD, FACS
Comprehensive Service
Clinical Assistant Professor of Ophthalmology

Jamila Hiasat, MD
Assistant Professor
Pediatric Ophthalmology Service

Vishal Jhanji, MD
Director, Quality
Cornea, Cataract & External Disease Service
Refractive Surgery Service
Co-director, Funderburgh Cornea Regeneration Project
Professor of Ophthalmology

Roheena Kamyar, MD
Comprehensive Eye Service; Cornea and Refractive Surgery Service
Clinical Assistant Professor of Ophthalmology

Erin Keim, OD
Pediatric Optometry Service
Clinical Assistant Professor of Ophthalmology

Can Kocasarac, MD
Clinical Assistant Professor
NeuroOphthalmology Service

Craig A. Luchansky, OD
Contact Lens and Low Vision Service; Pediatric Ophthalmology
Clinical Assistant Professor of Ophthalmology

Alex Mammen, MD
Cornea Service, External Disease and Refractive Surgery Center
Clinical Assistant Professor of Ophthalmology

Joseph Martel, MD
Vice Chair, Patient Experience and Access
Retina and Vitreoretinal Surgery Service
Assistant Professor of Ophthalmology

Kanwal Matharu, MD
Clinical Fellow in Cornea, External Disease and Refractive Surgery Service
Clinical Instructor of Ophthalmology

Mark McDaniel, OD
Contact Lens and low Vision Service

Shelley Mo, MD
Clinical Fellow in Glaucoma
Clinical Instructor of Ophthalmology

Sabrina Mukhtar, MD
Clinical Fellow in Cornea, External Disease and Refractive Surgery Service
Clinical Instructor of Ophthalmology

Ken Nischal, MD, FRCOphth
Vice Chair, Quality
Director, Pediatric Ophthalmology, Strabismus & Adult Motility
Director, Pediatric Program Development
Professor of Ophthalmology

Preeti Patil, MD
Pediatric Ophthalmology
Associate Professor of Ophthalmology

Matthew Pihlblad, MD
Pediatric Ophthalmology Service
Assistant Professor of Ophthalmology

Pimproon Ploysangam, MD
Clinical Fellow in Orbital, Oculoplastic, and Aesthetic Surgery Service
Clinical Instructor of Ophthalmology

Julia Polat, MD
Glaucoma and Cataract Service
Assistant Professor of Ophthalmology

Gaurav Prakash, MD
Cornea and Refractive Surgery Service
Assistant Professor of Ophthalmology

Colin Prensky, MD
Retina and Vitreoretinal Surgery Service
Clinical Assistant Professor of Ophthalmology

Boris Rosin, MD
Clinical Instructor
Retina and Vitreoretinal Surgery Service

Kelsey Sanata, OD
Contact Lens and Low Vision Service
Clinical Assistant Professor of Ophthalmology

Tarek Shazly, MD, MSc, FRCS
Neuro-Ophthalmology and Glaucoma Service
Assistant Professor of Ophthalmology

William Smith, DO
Low Vision Service
Assistant Professor of Ophthalmology

Marshall W. Stafford, MD
Director, UPMC Eye Center St. Margaret
Glaucoma and Comprehensive Eye Services
Clinical Assistant Professor of Ophthalmology

S. Tonya Stefko, MD, FACS
Vice Chair, Continuity of Care and Consults
Director, Orbital, Oculoplastic, and Aesthetic Surgery Service
Director, Ophthalmology Consult Service
Director, Fellowship Program
Assistant Professor of Ophthalmology

John Swogger, DO
Director, Information Systems
Glaucoma Service
Clinical Assistant Professor of Ophthalmology

Evan L. Waxman, MD, PhD
Vice Chair, Medical and Resident Education
Director, Comprehensive Eye Service
Director, UPMC Eye Center Mercy
Director, Ophthalmology Residency Training Program
Associate Professor of Ophthalmology

Jen (Yu) Will, MD
Orbital, Oculoplastic, and Aesthetic Surgery Service

Andrew Williams, MD
Assistant Professor
Glaucoma Service

Sours: https://www.upmc.com/services/eye/experts

Upmc neuro ophthalmology

Neuro-ophthalmology Service

What is a Neuro-Ophthalmologist?

Neuro-ophthalmology combines the specialties of neurology and ophthalmology, and focuses on visual problems that are related to the nervous system, such as peripheral vision, pupil changes, eye movement, and the optic nerve. Given the complexity of these conditions, visual testing plays a central role in your evaluation and diagnosis.

What to Expect During Your Visit:

  • A physician referral is required to schedule your appointment.
  • Information from your referring doctor provides crucial information and prevents unnecessary repetition of testing.
  • Bring images (on disk or film) of all recent brain MRI or CT scans for review.
  • Your pupils will be dilated to allow comprehensive examination.
  • You may be in the office for 4-6 hours so that doctors can review your case and scans and obtain diagnostic testing.
  • You may be sent for more blood work/neuroimaging to aid the diagnosis.
  • For scan results, patients should call the office the day after the scan is obtained or completed.

Conditions for Which Patients are Often Referred Include:

  • Optic Neuritis, a condition involving loss of central vision
  • Ischemic Optic Neuropathy, vision loss due to low blood flow to optic nerve
  • Pseudotumor Cerebri or Idiopathic Intracranial Hypertension (IIH), elevated spinal fluid pressure in the head
  • Pituitary Tumor
  • Orbital or Brain Tumor
  • Temporal Arteritis, a condition that causes blindness in both eyes in people over age 55
  • Stroke leading to a loss of brain function that may result in loss of peripheral visual field, nystagmus, or eye misalignment
  • Homonymous Hemianopsia, visual field loss to the same side of both eyes
  • Optic Nerve or Chiasmal Glioma
  • Cranial Nerve Palsy
  • Optic Disk Drusen, which results in small, rock-like deposits in the optic nerves that may affect peripheral vision
  • Nystagmus, a condition of involuntary, repetitive movements of the eyeballs that often accompanies other brain problems
  • Anisocoria, or pupils of different sizes, which may result from various brain and eye conditions
  • Myasthenia Gravis, an autoimmune condition often affecting the eyelids and extraocular muscles
  • Double Vision, a condition in which the eyes are out of line relative to one another and which resolves when covering one eye

At the UPMC Eye Center, the Division of Neuro-Ophthalmology provides many diagnostic services through the Ocular Imaging Center, including:

  • Visual Field Examination (Humphrey and Goldmann)
  • Ocular Coherence Tomography (OCT)
  • Ultrasound Biomicroscopy
  • Visual Evoked Potential (or Response) (VEP or VER)
  • Anterior Segment and External Photography
  • Fundus Photography
  • Ocular Ultrasound
  • Fluorescein Angiography (FA)
  • Electro-Retinography (ERG)
  • Electrooculography (EOG)
Sours: https://www.upmc.com/services/eye/services/neuro-ophthalmology
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