Andrew G. Lee shares neuro-ophthalmology advice for retina specialists

Andrew G. Lee shares neuro-ophthalmology advice for retina specialists


July 31, 2025

1 min watch

Key takeaways:

  • Retina specialists need to know when to consult with neuro-ophthalmology.
  • The key to understanding when to consult is relative afferent pupillary defect.

LONG BEACH, Calif. — In this Healio Video Perspective from the American Society of Retina Specialists annual meeting, Andrew G. Lee, MD, discusses when retina experts should refer patients to a neuro-ophthalmologist.

According to Lee, every retina specialist needs to know when to consult with a neuro-ophthalmologist or send a patient to the hospital for a neuro-ophthalmic workup. It all comes down to relative afferent pupillary defect (RAPD), he said.

“When you look at the retina, and there’s nothing to see — patient sees nothing, doctor sees nothing — but we find that RAPD, that is the superpower for retina that says, ‘this is neur-op,’” he said. “Whatever is causing the afferent problem is behind the eye and not in the retina.”



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