Neuro-ophthalmology and psychiatry

Neuro-ophthalmology and psychiatry interact over several issues. The neuro-ophthalmologist can confirm the suspicion of nonorganic visual dysfunction by demonstrating the functional integrity of the visual system and the nonphysiologic nature of the visual complaints. He or she may recognize evidence of organic dysfunction in the patient with a presumed psychiatric diagnosis. In some cases, the pathology may be related to the use of certain psychiatric medications. Specialized examination techniques within the realm of neuro-ophthalmology may provide subtle information about the functional integrity of the central nervous system in patients with psychiatric disease. Clinical and investigational collaboration between the neuro-ophthalmologist and the psychiatrist will provide the most appropriate patient management and may further our understanding of the biological basis of psychiatry.