Medicine
Neuro-ophthalmology expert witnesses
Listed neuro-ophthalmology expert witnesses address visual loss arising from disease or injury to the optic nerve and visual pathways. Field defects, papilloedema and eye movement disorder are the common subjects.
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The evidence
What a neuro-ophthalmology expert witness is asked to determine
Neuro-ophthalmic evidence sits between two specialties, and the instruction should say which question is being asked. Visual field records, fundus photographs, imaging and orthoptic assessments each establish a different part of the picture. Visual field testing depends on patient cooperation, so the reliability indices on each test should be considered before weight is placed on the result.
- Whether the visual symptoms recorded warranted urgent assessment or imaging.
- Whether papilloedema or optic nerve pathology was identified when it was visible.
- Whether the field defect documented is consistent with the lesion or injury alleged.
- Whether eye movement disorder and diplopia are attributable to the event in question.
- What can be said about visual prognosis and its effect on driving and daily function.
Practitioners are listed across all four UK nations. Location can be narrowed in the register’s location listings before an instruction is made.
Claim contexts
Claims that instruct this discipline
These links describe the question neuro-ophthalmology evidence can answer. They do not prescribe the scope of an individual instruction.
Clinical negligence claims
Diagnosis and referral in visual pathway disease.
View claim type → 02Brain injury claims
Visual consequences of intracranial injury or disease.
View claim type → 03Road traffic accident claims
Visual loss following a collision and its functional effect.
View claim type →Search the register by the discipline used in the instruction.
See neuro-ophthalmology listingsReport routes
Reports prepared
Field records, imaging and orthoptic assessments support a records review report. A breach and causation report addresses the visual loss alleged.
A condition and prognosis report addresses residual vision and its functional effect. The scope of each of those reports is set out on its page.
Neuro-ophthalmology expert witness evidence
A neuro-ophthalmology expert witness relates the recorded visual findings to the lesion alleged, and states what the field and imaging evidence supports.
The listing identifies discipline and areas covered; enquiries go to the practitioner. See the Royal College of Ophthalmologists alongside the case material.
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