Case Series: The Importance of the Optometrist in Neuro-Ophthalmology and Ophthalmology Consultations

Abstract

Relevance

Optometrists play a critical role in detecting ocular diseases and conditions, guiding patients toward prevention strategies and specialized treatment. Their expertise in the visual pathway, perimetry, OCT, binocular vision, strabismus, and refractive errors enhances comprehensive patient care and strengthens collaboration with ophthalmologists and neuro-ophthalmologists.

Purpose

To highlight the role of optometry and the importance of teamwork with other professionals in the field of visual health, such as neuro-ophthalmology and ophthalmology, through the presentation of four clinical cases that demonstrate the training and knowledge of the optometrist.

Case Reports

This article presents four clinical cases in which the optometrist contributed to diagnosis, complementary testing, and referral of various pathologies, emphasizing how a multidisciplinary approach always benefits the patient. The first case describes ocular myasthenia, in which the optometrist appropriately referred the patient to a specialist after detecting abnormal eye movements. The second case illustrates the recognition of the classic signs of recurrent optic neuritis by the optometrist and the subsequent referral to neuro-ophthalmology for treatment in the context of sudden visual loss. The third case involves the detection of a visual field defect through confrontation perimetry, with a characteristic pattern of stroke involving the occipital lobe, later confirmed by magnetic resonance imaging. Finally, the fourth case highlights the optometrist’s expertise and technical skills in OCT imaging, which were key in identifying central serous retinopathy.

Conclusions

Optometry is a key discipline in ophthalmologic care, enabling early detection of visual alterations, the management of refractive errors, and diagnostic support through the use of specialized equipment. As a member of the multidisciplinary team, the optometrist makes a significant contribution to blindness prevention and to establishing accurate diagnoses, which are fundamental for timely treatment.