{"id":4169,"date":"2022-05-03T11:47:20","date_gmt":"2022-05-03T10:47:20","guid":{"rendered":"https:\/\/apps.nhslothian.scot\/refhelp\/guidelines\/neuro-ophthalmology\/"},"modified":"2026-01-28T13:49:44","modified_gmt":"2026-01-28T13:49:44","slug":"neuro-ophthalmology","status":"publish","type":"page","link":"https:\/\/apps.nhslothian.scot\/refhelp\/guidelines\/ophthalmology\/neuro-ophthalmology\/","title":{"rendered":"Neuro-Ophthalmology"},"content":{"rendered":"\n<title>Neuro-Ophthalmology<\/title>\n\n\n\n<figure class=\"wp-block-table is-style-regular\"><table><tbody><tr><td><strong>Condition<\/strong>&nbsp;<\/td><td>\u200b<strong>How Soon<\/strong><\/td><td>\u200b<strong>Additional Information<\/strong><\/td><\/tr><tr><td>Temporal arteritis&nbsp;<\/td><td>Urgent<\/td><td>Refer to ophthalmology only if visual symptoms are present otherwise referral is to Rheumatology.Start oral prednisolone.<\/td><\/tr><tr><td>Nerve palsy without red flags (see diplopia algorithm)<\/td><td>Routine<\/td><td>See also diplopia<\/td><\/tr><tr><td>Optic neuritis<\/td><td>Urgent<\/td><td>&nbsp;<\/td><\/tr><tr><td>Disc swelling\/ suspected idiopathic &nbsp;intracranial hypertension<\/td><td>Urgent<\/td><td>Consider optometrist assessment<\/td><\/tr><tr><td>Pre-existing\/worsening adult squint<\/td><td>Routine<\/td><td>Refer if would consider surgery<\/td><\/tr><\/tbody><\/table><\/figure>\n\n\n\n<p>JC &amp; BC 28\/1\/26<\/p>\n\n\n\n<div class=\"wp-block-getwid-tabs\" data-active-tab=\"0\"><ul class=\"wp-block-getwid-tabs__nav-links\"><\/ul>\n<div class=\"wp-block-getwid-tabs__nav-link\"><span class=\"wp-block-getwid-tabs__title-wrapper\"><a href=\"#\"><span class=\"wp-block-getwid-tabs__title\">Resources and Links<\/span><\/a><\/span><\/div><div class=\"wp-block-getwid-tabs__tab-content-wrapper\"><div class=\"wp-block-getwid-tabs__tab-content\">\n<p><\/p>\n<\/div><\/div>\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>Neuro-Ophthalmology Condition&nbsp; &#8203;How Soon &#8203;Additional Information Temporal arteritis&nbsp; Urgent Refer to ophthalmology only if visual symptoms are present otherwise referral is to Rheumatology.Start oral prednisolone. Nerve palsy without red flags (see diplopia algorithm) Routine See also diplopia Optic neuritis Urgent &nbsp; Disc swelling\/ suspected idiopathic &nbsp;intracranial hypertension Urgent Consider optometrist assessment Pre-existing\/worsening adult squint Routine<\/p>\n","protected":false},"author":2,"featured_media":0,"parent":4212,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"categories":[487],"class_list":["post-4169","page","type-page","status-publish","hentry","category-neuroophthalmology"],"publishpress_future_workflow_manual_trigger":{"enabledWorkflows":[]},"rttpg_featured_image_url":null,"rttpg_author":{"display_name":"NHS Lothian","author_link":"https:\/\/apps.nhslothian.scot\/refhelp\/author\/nhs-lothian\/"},"rttpg_comment":0,"rttpg_category":" <a href=\"https:\/\/apps.nhslothian.scot\/refhelp\/category\/ophthalmology\/neuroophthalmology\/\" rel=\"tag\">Neuro-ophthalmology<\/a>","rttpg_excerpt":"Neuro-Ophthalmology Condition&nbsp; &#8203;How Soon &#8203;Additional Information Temporal arteritis&nbsp; Urgent Refer to ophthalmology only if visual symptoms are present otherwise referral is to Rheumatology.Start oral prednisolone. Nerve palsy without red flags (see diplopia algorithm) Routine See also diplopia Optic neuritis Urgent &nbsp; Disc swelling\/ suspected idiopathic &nbsp;intracranial hypertension Urgent Consider optometrist assessment Pre-existing\/worsening adult squint Routine","_links":{"self":[{"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/pages\/4169","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/comments?post=4169"}],"version-history":[{"count":6,"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/pages\/4169\/revisions"}],"predecessor-version":[{"id":26407,"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/pages\/4169\/revisions\/26407"}],"up":[{"embeddable":true,"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/pages\/4212"}],"wp:attachment":[{"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/media?parent=4169"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/categories?post=4169"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}