| Descriptors |
- Demonstrate competency in diagnosis, investigation and management of neuro-ophthalmic conditions, including, but not exclusively:
- optic nerve disorders
- chiasmal syndromes
- post-chiasmal visual field loss
- disorders of the ocular motor pathways (including ocular motor nerve palsies, nystagmus and supranuclear disorders of gaze)
- abnormalities of the pupils
- disorders of higher visual function
- trigeminal, facial nerve, pain/headache and vascular disorders related to neuro-ophthalmology
- Manage eye and vision problems relating to brain damage (such as stroke, trauma, compressive lesions and multiple sclerosis).
- Employ a neutral density filter to enhance the interpretation of a swinging light test.
- Perform and reliably interpret examination of motility (including saccades, supranuclear, vestibular and OKN), nystagmus, pupil, ptosis, fields to confrontation, colour vision, tests of higher visual function.
- Demonstrate competency in investigating complex neuro-ophthalmology cases.
- Have an advanced understanding of neuro-imaging, electrodiagnostic tests and other investigations employed in neuro-ophthalmology.
- Perform temporal artery biopsy and understand the indications, limitations, technique and risks of the procedure.
- Use ultrasonography techniques to locate the temporal artery prior to its biopsy.
- Know how to handle tissue samples to increase the diagnostic yield and liaise with laboratory staff so that the specimens are correctly identified, presented and transported.
- Interpret the result of a temporal artery biopsy and make appropriate and reliable arrangements for the result to be acted upon in a timely fashion.
- Understand the role, indications and limitations of temporal artery duplex scanning in the diagnosis of giant cell arteritis.
- Have a sound understanding of the indications for, use of, and limitations of pharmacological, radiological, and surgical therapies used in the management of patients with neuro-ophthalmological disorders.
- Maintain a record of activities, using the RCOphth electronic logbook.
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