IU School of Medicine Student Portal

Elective Title: 93NR760 — CLINICAL NEURO-OPHTHALMOLOGY

Description:

This rotation will expose students to the subspecialty of clinical Neuro-Ophthalmology. Students will work in the Neuro-Ophthalmology Clinic seeing patients with disorders of the optic nerves, intracranial pathways of vision, cranial nerves 3, 4, and 6, and unexplained vision disturbances or vision loss. The rotation will be patient-care focused and give students the opportunity to practice the cranial nerve and funduscopic examination, as well as specific evaluation of the visual system. Students will become familiar with neuroimaging of the intracranial visual pathways and ancillary testing such as automated visual field testing and optic coherence tomography of the retina and optic nerves.

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Learning Objectives

• 1) Develop skills in physical examination, and interpretation of neuroradiology, visual field, and OCT results in the care of neuro-ophthalmology patients (MK3)
• 2) Be able to identify papilledema and optic disc pallor on a funduscopic examination (MK3)
• 3) Identify the intracranial pathways of vision as seen on MRI (MK3)
• 4) Develop a systematic approach to the history and examination of a patient with diplopia (PC1)
• 5) Recognize visual loss due to optic neuropathy (MK4)
• 6) Develop a differential diagnosis for disorders of the optic nerves (PC2)
• 7) Use history, examination, and testing principles to accurately localize vision loss (MK4)
• 8) Be able to elicit and interpret a relative afferent pupillary defect (MK3)
• 9) Develop a personal study plan addressing perceived deficiencies in neuro-ophthalmology, and give and receive constructive feedback (PBLI1, PBLI3)

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Assessment

• Clinical Performance Evaluation Form (Assessment will be primarily clinical and based on discussion with faculty, observation of performance of the neuro-ophthalmic examination, demonstration of medical knowledge, clinical reasoning skills, ability to generate and prioritize a differential diagnosis regarding various neuro-ophthalmic symptoms, author a submission to the Neuro-Ophthalmology Virtual Education Library (which is peer-reviewed and can be added to the student's CV), and will also be based on other components of the clinical performance evaluation form.)

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Enrollment Information

Prerequisites: 3rd or 4th year status, but 4th year preferred; must complete Neurology Clerkship, completion of ophthalmology rotation preferred, but not required

Availability with Max Students per Month:

Apr	May	June	July	Aug	Sept	Oct	Nov	Dec	Jan	Feb	Mar
1	1	1	1	1	1	1	1	1	1	1	1

Duty Hours: 32

Time Distribution: 80% Clinical; 20% Library/Research

Elective Type Category: CP - Clinical Practice

Notes and Enrollment Information:

Third Year Elective? Yes

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Interprofessional Skills and Service Learning

Interprofessional Collaborative Skills: None

Service Learning Included: None