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March 1976

Neuro-Ophthalmology and Medical Ophthalmology: A Dialogue

Author Affiliations

Bethesda, Md; Boston

Arch Ophthalmol. 1976;94(3):393-394. doi:10.1001/archopht.1976.03910030181001

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Dr Cogan proposes... The increasing interest in neuro-ophthalmology over the past few years within the framework of ophthalmology has surprised some of us. There are several reasons why I would not have expected it. It is not a lucrative field and it requires vast expenditures of time that cannot be conscientiously charged to the patient. It has a low order of effective therapy, a fact that can be most discouraging to the pragmatic physician. And it lacks the glamour of surgery.

How, then, can we account for the rise in neuro-ophthalmology's popularity? The answer is, of course, that it has an intellectual appeal that together with neurology is almost unmatched in any other discipline of medicine. Where, for instance, can one find, short of cross-word puzzles, such fascination with sorting out symptomatic hints and synthesizing them into diagnostic entities? Or the thrill of relating syndromes to historical perspectives and the

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