What to Expect? Get Ready and Prepare for Your Visit.
The Brain and Eye Institute is the only comprehensive Neuro-Ophthalmology Center in Arizona! To be able to practically provide the best Neuro-Ophthalmic care to the 7.5 million citizens of Arizona, we do things differently. During our initial evaluation appointment, all the details of your case are put together by a professionally trained clinical assistant, including the dates and results of your symptoms, brain and eye imaging, previous evaluations by other physicians, in addition to an in depth evaluation of your visual system. Once this initial evaluation is complete, a subsequent appointment is set to see Dr.Subei for consultation.
Some testing may be repeated, as the progression of the visual findings is one of the most important keys to the cause of the Neuro- visual deficits and symptoms and is essential to reaching an accurate diagnosis.
For initial evaluations, it is expected that you arrive 30 minutes prior to your appointment. If you are late, you will NOT be evaluated, AND you will be charged a "No Show" fee.
The challenging task of addressing the Neuro-Ophthalmic needs of the 7.5 million citizens of Arizona can only be achieved with strict adherence to regulations that maximize patient access to our specialists, and minimize wait times, which have been one of the main reasons Neuro-Ophthalmology practices have not been able to see new patients historically in Arizona. As such, we have developed very strict no show and late arrival policies.
A minimum of 48 business hours’ notice must be given for any cancellation or rescheduling of any type of appointment at The Brain and Eye Institute.
More details are found in the New Patient Agreement.
The records from the referring physician MUST be obtained prior to seeing our Neuro-Ophthalmology expert in order to get an accurate and precise assessment.
Neuro-Ophthalmology
Examination
Neuro-ophthalmology examinations begin with a careful review of patient problems and relevant issues, followed by an evaluation of vision and eye movement, typically including visual acuity, color vision, and visual field testing. Eyes are examined with special attention paid to the optic nerve and retina.
In some cases, dilating drops are administered to enhance the examination of these important structures. Eye movements are also evaluated, which may include using a Video Nystagmogram, prism lenses, and special charts. Additionally, the pressure and size of each eye may be examined. For unequal pupils, drops may be administered to identify the cause of the problem.
Visual field testing is conducted using a machine that displays lights in various areas while a patient presses a button to acknowledge each light, assessing possible patterns of visual field loss that may lead to a diagnosis.
The Optic Nerve is frequently evaluated with various fundus photography cameras, and infrared scanners known as Optical Coherence Tomography (OCT) to obtain a three-dimensional evaluation of the nerve fiber layer of the optic nerve and surrounding structures.
What to Bring
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Your glasses and a copy of your prescription.
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A referral from your referring physician with specific reasoning for your visit and their last clinic note.
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Any relevant prior medical records, including radiology reports.
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Any previous MRI or CT scan reports and actual images (on a disk) of your brain or eyes.
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Must fill out the New Patient paperwork prior to being able to make your first appointment.