Andrew G. Lee – författare

In this issue of Neurologic Clinics, guest editors Drs. Andrew G. Lee, Peter Mortensen, Saif Aldeen Alryalat, and Osama Al Deyabat bring their considerable expertise to the topic of Neuro-Ophthalmology Update. Top experts discuss the various aspects of neuro-ophthalmology that enhance diagnostic capabilities, aid in the management of visual complications related to neurological disorders, and foster effective interdisciplinary collaboration with ophthalmologists.

The management of emergent neuro-ophthalmic conditions can be a life saving encounter for the general ophthalmologist. This book is designed to help comprehensive ophthalmologists make emergency triage decisions for initial evaluation and treatment of potentially vision- or life-threatening conditions. This text is case-based and is intended to provide the reader with the opinion and expertise of two neuro-ophthalmologists. One, Dr Lee is an ophthalmology-based neuro-ophthalmologist and the other, Dr Brazis is a neurology-based neuro-ophthalmologist.In the current edition two, we have updated the content according to the recent advances in ophthalmic investigations and imaging, along with the emergence of recent serological tests for Myelin oligodendrocyte glycoprotein (MOG) antibody disease (MOGAD) and Neuromyelitis optica (NMO) disease. We also have also provided high-yield summary points after each case for takeaway messages.

This issue of Neurologic Clinics, edited by Dr. Andrew Lee, will focus on Neuro-Ophthalmology. The topics covered in the issue include, but are not limited to new treatments for nonarteritic anterior ischemic optic neuropathy; idiopathic intracranial hypertension; neuroimaging for the Horner Syndrome; OCT; erectile dysfunction agents and NAION; NMO; ocular myasthenia gravis; imaging for third nerve palsy; treatment of central retinal artery occlusion; and orbital disease, among others.

Prolonged microgravity exposure during long-duration spaceflight (LDSF) produces unusual physiologic and pathologic neuro-ophthalmic findings in astronauts. These microgravity-associated findings collectively define the Spaceflight Associated Neuro-ocular Syndrome (SANS). In this book, the editors compare and contrast prior published work on SANS by the National Aeronautics and Space Administration's (NASA) Space Medicine Operations Division with retrospective and prospective studies from other research groups. The book describes the possible mechanisms and potential etiologies for SANS, and provides an update and review on the clinical manifestations of SANS including: unilateral and bilateral optic disc edema, globe flattening, choroidal and retinal folds, hyperopic refractive error shifts, and focal areas of ischemic retina (i.e., cotton wool spots). The ocular imaging findings (e.g., retinal nerve fiber layer, optic disc, and choroidal changes on optical coherence tomography) of SANS is also described, including the intraorbital and intracranial findings on orbital ultrasound and magnetic resonance imaging. The knowledge gaps for in-flight and terrestrial human research including potential countermeasures for future stud is also explored, including reports on the in-flight and terrestrial human and animal research being investigated by NASA and its partners to study SANS both prospectively and longitudinally and in preparation for future long duration manned missions to space including the moon, the asteroid belt, or Mars. We think this is a unique topic and hope that NASA and its research partners continue to study SANS in preparation for future longer duration manned space missions. Written in an easy-to-read manner, the book adopts a translational approach and explores the science and the clinical manifestations of Space flight associated neuro-ocular syndrome. It is also multi-disciplinary and suitable for both clinicians and researchers in ophthalmology, neurology, and aerospace medicine interested in SANS SANS is a unique space flight disorder that has no terrestrial equivalent. The book involves contributions from international experts across multiple disciplines to tackle the problem of SANS Summarizes and reviews the current findings of SANS, including possible mechanisms and potential etiologies, clinical manifestations, current reports on the in-flight and terrestrial human and animal research, and ocular imaging findings

Fundamentals of Space Medicine and Clinical Technology is a comprehensive guide that delves into the advanced technologies utilized in space medicine today. The book is structured into three sections: an introduction to the physiology of space medicine, a detailed overview of various space medicine technologies, and the application of these technologies on Earth. Authored by leading experts in the field, it aims to bridge the gap between space medicine physiology and technological advancements, offering valuable insights. Additionally, the book serves as a useful resource for doctors, engineers, commercial industries, and governments, highlighting the significance of translational applications of space medicine technologies.This is a pivotal read for anyone interested in the intersection of space exploration and medical science.Introduces readers to space medicine physiologyPresents a variety of space medicine technologiesIncludes translational applications of the technologies

Spaceflight Ophthalmology and Medicine: A Comprehensive Guide to Ocular Health and Related Systemic Health Risks in Astronauts and Space Travelers provides a comprehensive exploration of ocular health issues faced by astronauts during space missions. The book brings together contributions from leading experts in various fields, addressing the multifaceted risk factors associated with spaceflight and their implications for vision and overall health. Sections examine risk factors for ophthalmic diseases, including the effects of microgravity, space radiation, and oxidative stress, and explore innovative approaches in spaceflight ophthalmology, such as advanced diagnostic techniques and potential treatments for ocular conditions specific to the space environment. This book serves as an essential resource for researchers, clinicians, and space medicine professionals. By offering insights into the latest research and practical applications, it enhances understanding of ocular health in space and promotes the development of effective strategies to ensure astronaut safety and mission success.Provides a multidisciplinary perspective on the ocular health challenges faced by astronautsExplores innovative diagnostic and treatment approaches specific to spaceflight, including advancements in oculomics and 3D bioprinting, which enhance our understanding and management of ocular disorders in microgravityAddresses critical risk factors for ophthalmic diseases in space, such as microgravity effects, space radiation, and oxidative stress

Neuro-ophthalmology has been an established subspecialty in neurology for over 30 yesrs. This issue of Neurologic Clinics contains the following articles: Ocular Motor Cranial Neuropathy (Volpe); Papilledema (Wall); Transient Monocular Visual Loss (Ahmed/Foroozan); Multiple Sclerosis (Galetta); Nonarteritic Anterior Ischemic Optic Neuropathy (Bonelli/Arnold); Optic Neuritis (Eggenberger); Pupil Disorders (Kawasaki);Giant Cell Arteritis (Falardeau); Functional Visual Loss (Newman); Orbital Disease (McCulley); Thyroid Eye Disease (Cockerham); Vascular Neuro-ophthalmology (Biousse); Neuroimaging (Costello); and Optic Atrophy (Golnik).

As the Baby Boom generation ages, an increased need for geriatric specialty care becomes particularly important. This shift will especially affect ophthalmology, as the occurrence of common visual disorders such as cataracts, macular degeneration, glaucoma and diabetic retinopathy increases with age.

Real-world ophthalmology patient management cases provide a solid foundation of clinical knowledgeOphthalmology Review: A Case-Study Approach, Second Edition by renowned experts Kuldev Singh, William Smiddy, and Andrew Lee is a practical, case-based reference covering a wide array of common to serious ophthalmic conditions encountered in daily practice. The new edition reflects significant advances in ophthalmologic surgery and additional quick-reference material. The focus is on patient management problems and how to handle them and optimally manage the patient. A cadre of esteemed contributors discuss diagnostic methods, evaluation, contraindications, and patient management issues for a full spectrum of clinical disorders, with significant clinical pearls gleaned from hands-on expertise.A full spectrum of subspecialties are reflected in nearly 100 ophthalmology cases presented in 11 sections, encompassing the cornea and external disease, lens, glaucoma, retina, uveitis, tumors, posterior segment complications, ocular trauma, neuro-ophthalmology, pediatrics, and oculoplastic surgery. Each succinct case walks readers step by step through patient history, the examination, differential diagnoses, test interpretation, definitive diagnosis, medical and/or surgical management, rehabilitation, and follow up, with handy key point summaries.Key FeaturesHundreds of tables, full-color images, and line drawings enhance clinical understandingPresents patient management problems, focusing on diagnosis, problem-solving, and treatmentDisorders of the retina such as diabetic retinopathy, retinal vein and artery occlusion, AMD, myopic degeneration, chorioretinopathy, vitreous hemorrhage, and retinitis pigmentosaNeuro-ophthalmologic conditions including optic neuritis, various types of nerve palsy, internuclear ophthalmoplegia, and anisocoriaPediatric eye conditions &mda

A comprehensive overview on the management of clinically important neuro-ophthalmic disordersIt is paramount for clinicians to understand the distinguishing signs and symptoms among many different local and systemic neuro-ophthalmic disorders in order to provide the most efficacious evaluations and treatments. Clinical Pathways in Neuro-Ophthalmology: An Evidence-Based Approach, Third Edition reflects the authors' extensive training and experience in the field of neuro-ophthalmology, as well as updates in the field. Stacy Smith, Andrew Lee, Paul Brazis, and an impressive group of contributors have written an unsurpassed learning tool on how to manage patients with known or presumed neuro-ophthalmologic conditions, in the most logical, straightforward, and cost-effective manner.The authors share significant clinical pearls and knowledge throughout 20 chapters. The book lays a solid foundation on the management of neurologic eye disorders including symptoms, ophthalmologic testing, diagnosis, and treatment. Among the discussed disorders are anterior and retrobulbar optic neuropathies, disorders of ocular motility and alignment, lid abnormalities, and anisocoria. Insights are provided on key topics including the use of office examinations, laboratory tests, and neuroimaging studies to make an ophthalmologic diagnosis; and ophthalmologic therapy to treat eye movement disorders such as nystagmus.Key HighlightsUnique graphic algorithms help clinicians differentiate conditions with frequently overlapping clinical manifestationsThe evaluation and treatment of various neuro-ophthalmologic processes, stratified by four classes of evidence and four levels of clinical recommendationA basic set of references for each subject enables readers to expand knowledgeHigh quality four-color clinical images enhance learningThis book is essential reading for neuro-ophthalmologists, ophthalmologists, neurologists, and residents and fellows in these fields of medicine. This book includes complimentary access to a digital copy on https://medone.thieme.com.

Geriatric patients have unique responses to treatment and disease, often harboring co-morbidities that can impact evaluation, treatment, and prognosis, which can require specialized expertise or experience. Geriatric Ophthalmology, Second Edition draws upon the successful first edition by applying a competency-based approach to these patients, improving awareness, increasing understanding, and encouraging expertise about geriatric issues among eye care professionals.These intersecting conditions and their treatment are comprehensively discussed in this fully updated second edition, complete with additional high-quality illustrations and photos. Each chapter utilizes illustrative cases to exemplify the points of care encompassed by the competencies.  Topics of special interest are included, such as diabetic retinopathy, age-related macular degeneration, cataracts, glaucoma, diabetic retinopathy, low vision, all diseases of aging, and the effect of vision loss on the geriatric patient’s quality of life. Medical students, residents, fellows, clinicians, and allied health personnel alike will find this to be a comprehensive resource and exceptional guide to the care of older patients with geriatric ophthalmology problems.

This book aims to be a single point of reference for advances in the care of geriatric populations across medical and surgical specialties. The aging population is a unique demographic with its own health challenges. Geriatricians are specifically trained to address these challenges but few medical students or residents enter geriatrics, even as the demand for geriatric expertise increases. The practices of many medical and surgical specialists are dominated by older patients who may themselves see many specialists but rarely visit geriatricians. This updated edition elucidates the most common medical conditions seen in aging patients and translates approaches to those conditions for physicians across specialties. Divided into three sections that assemble crosscutting issues, medical specialties, and surgical and related specialties, this book serves as a guide for clinicians of all backgrounds who will work with older patients as the demographic ages further.This second edition of Geriatrics for Specialists expands the number of specialist chapters to reflect growth in research in aging and clinical care for older people in dermatology, plastic surgery, and behavioral neurology. All original chapters from the first edition are extensively revised and updated to reflect the rapid growth of new knowledge in the field.

This book aims to be a single point of reference for advances in the care of geriatric populations across medical and surgical specialties. The aging population is a unique demographic with its own health challenges. Geriatricians are specifically trained to address these challenges but few medical students or residents enter geriatrics, even as the demand for geriatric expertise increases. The practices of many medical and surgical specialists are dominated by older patients who may themselves see many specialists but rarely visit geriatricians. This updated edition elucidates the most common medical conditions seen in aging patients and translates approaches to those conditions for physicians across specialties. Divided into three sections that assemble crosscutting issues, medical specialties, and surgical and related specialties, this book serves as a guide for clinicians of all backgrounds who will work with older patients as the demographic ages further.This second edition of Geriatrics for Specialists expands the number of specialist chapters to reflect growth in research in aging and clinical care for older people in dermatology, plastic surgery, and behavioral neurology. All original chapters from the first edition are extensively revised and updated to reflect the rapid growth of new knowledge in the field.

This book offers a comprehensive overview of the ophthalmic considerations and components of the popular sports including football, hockey, tennis, basketball, motorsports, and more. Written with experts in the field who have been involved at the highest level including the NBA, NHL, NCAA, Formula 1, NFL, ATP, and the Olympics, the chapters in this book are designed to provide expert insight and comprehensive information on ophthalmic components of sports including vision performance, ocular trauma, and neuro-ophthalmic principles.The book seeks to be a helpful compendium to a wide audience including primary care providers, ophthalmologists, sports medicine physicians, athletes, referees, and sports performance coaches looking to optimize athlete performance. From the medical clinic to the sports field, Ophthalmology of Sports serves as a helpful resource for all who are involved with sports.

This book focuses on the circumstances that lead to the marked increasedvulnerability of seniors and are most challenging to clinicians including thepresence of multiple chronic medical conditions, variable losses ofphysiological function, and heterogeneity among individuals.

This book offers an overview on the most recent advances in global neuro-opthalmic care. Global variation in the incidence and prevalence of specific neuro-ophthalmic conditions results in geographic differences in differential diagnosis, evaluation, management, and treatment of specific disorders. It covers a variety of disorders from optic neuritis, idiopathic intracranial hypertension to traumatic optic neuropathy. To understand the key differences in neuro-ophthalmic health care, this book has gathered recognized experts from around the world to describe and define these regional and geographic variations of care.By highlighting various international approaches to diagnosing and treating neuro-ophthalmic disorders, this book will be an essential guide for neuro-ophthalmologists, ophthalmologists, and neurologists seeking to build upon their clinical skills in a global context.

The management of emergent neuro-ophthalmic conditions can be a life-saving encounter for the general ophthalmologist. This book covers life-threatening scenarios that a general ophthalmologist might encounter, and is designed to help the ophthalmologist make emergency triage decisions for initial evaluation and treatment of potentially vision- or life-threatening conditions. This book is case based, and provides the reader with the invaluable expert views of two neuro-ophthalmologists. One, Dr Lee is an ophthalmology-based neuro-ophthalmologist and the other, Dr Brazis is a neurology-based neuro-ophthalmologist. Dr Mughal and Dr Policeni collected and collated the case vignettes during their fellowship with Dr Lee at the University of Iowa Hospitals and Clinics.This textbook provides a concise, easy to read, and practical guide to the emergent evaluation of neuro-ophthalmic conditions. It is designed to be a quick read and not to be all-inclusive or comprehensive. The reader is directed to longer and more comprehensive neuro-ophthalmic texts for this information. It is also not the aim of the book to provide information on anatomy, pharmacology, physiology, or other basic mechanisms of disease. Instead, this text is meant to be a quick reference and resource for the clinician in the emergency room or in the clinic facing a potentially vision- or life-threatening emergency and to provide immediate guidance for potentially “high stakes” decision making. The case vignettes are based upon real clinical cases but the clinical details of each case have been modified for teaching purposes and represent composite rather than individual histories.

The book presents the most common problems seen in neuro-ophthalmology in a case-based learning format that provides rapid access and is easy to read. The user friendly format guides and stimulates the reader to identify the distinctive symptoms in the main complaint and history; to define the differentiating signs on neuro-ophthalmic exam; and to describe the key laboratory or neuroimaging in specific entities. It also challenges the reader to ask additional questions of themselves and others by providing an initial set of questions and answers on specific neuro-ophthalmologic topics.The questions chosen are meant to simulate “real world” questions in the clinic; the answers given serve to provide both the rationale for the correct answer and the explanations or reasons for the incorrect but plausible answers that might distract or mislead a clinician in specific neuro-ophthalmic cases.