Neuro-ophthalmology in the United Kingdom: providing a sustainable, safe and high-quality service for the future

Neuro-ophthalmologists play a major role in protecting vision and life [1–4]. Misdiagnosis prior to neuro-ophthalmology review may occur in up to 69% of cases [1] with a quarter coming to harm [2] due to inadequate history, examination, differential diagnosis, incorrect targeting and interpretation of investigations [2]. Studies also found that Neuro-ophthalmology review impacted on care in 99% and saved life or vision in 2% [2] however over one third of patients had a delay in their care [3]. These results suggest inadequacy of both access to neuro-ophthalmology services [5], and exposure to neuro-ophthalmology during general training.