The Neuro-Ophthalmology Service treats disorders such as optic neuritis, ischemic optic neuropathy, brain tumors involving the optic nerves or chiasm, strokes that cause visual loss or double vision, transient monocular blindness, migraine with visual symptoms, myasthenia gravis, multiple sclerosis, mitochondrial disease, muscular disease that affects the eye and unexplained vision loss. Members of the service also have a special interest and expertise in the management of patients who have giant cell arteritis, idiopathic intracranial hypertension and adult strabismus.

A Unique Service With Big Impact

With only a handful of neuro-ophthalmology services in New England and fewer than 200 full-time neuro-ophthalmologists nationwide, Mass. Eye and Ear's Neuro-Ophthalmology Service is home to the region's largest and most comprehensive service to patients with central nervous system diseases that affect vision.

The service began in the 1940s under the guidance of Dr. David G. Cogan, one of the most seminal contributors to the fields of neuro-ophthalmology and ophthalmic pathology. In this same spirit of excellence, patients today receive the highest level of expertise and care available anywhere in the world from Mass. Eye and Ear's highly trained staff, three of whom are fully trained in both neurology and ophthalmology. Fewer than a dozen individuals are trained in both specialties worldwide and no other service has more than one faculty member with dual training.

The three full-time and two part-time faculty members who comprise the Neuro-Ophthalmology Service have a combined knowledge and experience that is unmatched. Joseph F. Rizzo III, MD, has directed the service since 2006. Under Dr. Rizzo's leadership, the service has doubled its clinical volume to just under 5,000 patients each year. An accompanying and steep rise in annual surgical case volume - from 4 cases to 84 cases - is a measure of the experience and expertise of Harvard Medical School Associate Professor, Dean Cestari, MD, who specializes in medical and surgical treatment of patients with adult strabismus.


Before making an appointment to see one of our specialists, you  will need a referral from your primary doctor, ophthalmologist, optometrist or neurologist.

Medical Staff

Our doctors are certified by the American Board of Ophthalmology or who are board-eligible and preparing for certification.

Meet our neuro-ophthalmology doctors.

Meet our strabismus specialists.