NANOS NOTE Neuro-Ophthalmology Techniques of Examination

NANOS Examination Techniques (NExT) were created in 2018 to provide neuro-ophthalmologists, neurologists, and ophthalmologists with a comprehensive curriculum designed to enhance clinical neuro-ophthalmology examination skills.

Neuro-Ophthalmology News Section D: Disorders of the Afferent and Efferent Visual Pathways Clare Fraser, MD, Associate Professor of Neuroophthalmology and Ophthalmic Education, University of Sydney Australia. Meagan Seay, DO, Assistant Professor of Ophthalmology, Moran Eye Center, University of Utah School of Medicine. Victoria S. Pelak, MD, FAAN, Professor of Neurology and Ophthalmology, Vice Chair Faculty Affairs and Promotions, Department of Neurology, University of Colorado Anschutz Medical Campus. Section G: Patient Counseling Associate Editors: Associate Editors: Anthony Brune, DO, Department of Neurology, The Johns Hopkins School of Medicine, Baltimore, MD; Daniel R. Gold, DO, Departments of Neurology, Ophthalmology, Neurosurgery, Otolaryngology - Head & Neck Surgery, Emergency Medicine, and Medicine, The Johns Hopkins School of Medicine, Baltimore, MD. Shannon Lynch, MD, Associate Professor of Ophthalmology, University of Nebraska Medical Center, Omaha, NE. Bonnie Keung, MD, Neuro-Ophthalmologist, Swedish Medical Center, Seattle, WA. Section E: Systemic, Neurologic, and Ophthalmic Disorders Commonly Associated with Neuro-ophthalmic Manifestations Daniel R. Gold, DO, Departments of Neurology, Ophthalmology, Neurosurgery, Otolaryngology - Head & Neck Surgery, Emergency Medicine, and Medicine, The Johns Hopkins School of Medicine, Baltimore, MD. Mays El-Diari, MD, Duke Eye Center, Department of NeuroOphthalmology, Durham, NC. Amrita Vuppala, MD, Assistant Professor, Departments of Ophthalmology and Visual Sciences and Neurology, Medical College of Wisconsin, Milwaukee, WI. Rahul Sharma, MD, MPH, Ophthalmologist, Lecturer, Prism Eye Institute, University of Toronto Ophthalmology & Vision Sciences, Ontario, CA. Padmaja Sudhakar, Associate Professor of Neurology, University of Kentucky HealthCare, Lexington, KY. Associate Editors: Zafer Keser, MD, Department of Neurology, Cerebrovascular Division, Johns Hopkins University School of Medicine, Baltimore, MD. Ali Tehrani, MD, Department of Neurology, Cerebrovascular Division, Johns Hopkins University School of Medicine, Baltimore, MD Ali G. Hamedani, MD, MHS, Assistant Professor of Neurology; Penn Medicine, University of Pennsylvania; Philadelphia, PA. Shannon Lynch, MD, Associate Professor of Ophthalmology, University of Nebraska Medical Center, Omaha, NE. Section F: Procedures Commonly Performed/Obtained in Neuro-ophthalmology Karl C. Golnik, MD, Departments of Ophthalmology, Neurology & Neurosurgery, University of Cincinnati & The Cincinnati Eye Institute. NANOS NOTE Neuro-Ophthalmology Techniques of Examination N ANOS Examination Techniques (NExT) were created in 2018 to provide neuro-ophthalmologists, neurologists, and ophthalmologists with a comprehensive curriculum designed to enhance clinical neuro-ophthalmology examination skills. We moved NANOS NExT into the NANOS Illustrated e24 Meagan Seay, DO, Assistant Professor of Ophthalmology, Moran Eye Center, University of Utah School of Medicine. Section H: Research, Administration, Educational Resources Sean Gratton, MD, Associate Professor, Residency Program Director, Neurology and Ophthalmology, University Health, University of Missouri, Kansas City. Zoe Williams, MD, Associate Professor of Ophthalmology, Neurology and Neurosurgery, Chief of Neuro-ophthalmology, Flaum Eye Institute, Department of Neurosurgery, University of Rochester Medical Center. NOVEL Team—Spencer S. Eccles Health Sciences Library, University of Utah Nancy Lombardo, MLS, Librarian, Head of Digital Publishing, NOVEL Project Director. Bryan Hull, MEd, Program Manager. Carmin Smoot, MLIS, Digital Collections Coordinator. Jessica (Sy) Maestas, Digital Collections Coordinator. Stephen Mossbarger, Web Developer. Peter Strohmeyer, Senior Web Designer. Nicole Paulsen, Web Designer. REFERENCES 1. Biousse V. The neuro-ophthalmology curriculum of the North American Neuro-ophthalmology Society (NANOS). J Neuroophthalmol. 2006;26:303–315. 2. Lombardo N, Digre KB, Digre KB, Frohman L. A virtual neuroophthalmology library (NOVEL) in Utah. J Neuroophthalmol. 2004;24:91. 3. Kedar S, Digre KB, Biousse V. The 2020 update to North American neuro-ophthalmology society's (NANOS) neuroophthalmology curriculum. J Neuroophthalmol. 2020;40:e29–e30. Curriculum so that neuro-ophthalmologists would have a single source for neuro-ophthalmology. Various stakeholders identified the need for more basic clinical skills curriculum designed for other physicians, nurse practitioners, rehabilitation specialists, and allied ophthalmic personnel. Thus, NANOS Neuroophthalmology Techniques of Examination (NANOS NOTE) for non–neuro-ophthalmologists were created (Fig. 1). First, a “needs assessment” was conducted to try and assure maximum relevance to the targeted audience. We Neuro-Ophthalmology News: J Neuro-Ophthalmol 2023; 43: e21-25 Copyright © North American Neuro-Ophthalmology Society. Unauthorized reproduction of this article is prohibited. Neuro-Ophthalmology News (Fig. 2). Thus, a final topic list included the following main topics each with subsections (Section Editor in parentheses): 1. 2. 3. 4. 5. 6. 7. 8. 9. FIG. 1. Front cover of the digital version of Neuro-ophthalmology Techniques of Examination for non–neuro-ophthalmologists (NANOS NOTE). Introduction (Karl Golnik) Evaluation of visual function (Sean Gratton) Pupillary examination (Clare Fraser) Funduscopic examination (Rahul Sharma) Examination of the orbit and extraocular structures (Julie Falardeau) Examination of eye movements and alignment (Jason Peragallo) Neurological examination (Padmaja Sudhakar) Diagnostic tests (Amanda Henderson) Other special situations (John Pula). Each section editor reviewed existing NExT content for inclusion and identified gaps requiring new content creation. Editors then either created the gap content or solicited help from NANOS members to complete the suggested content. NANOS NOTE is a unique resource which is targeted to health care professionals (physicians and allied health) who encounter patients with potential neuro-ophthalmologic symptoms and/or signs. NANOS NOTE is designed to teach and improve implementation of basic neuro-ophthalmic examination techniques and increase confidence in practitioners who use these skills to evaluate patients with visual and neurological complaints. Although NANOS NOTE is not targeted to neuro-ophthalmologists, NANOS members will find it useful to train ophthalmic technicians and other personnel at their institutions. FIG. 2. Top 10 “must know it” and “should know it” topics from the needs assessment survey. used Survey Monkey to obtain target audience member opinion on the most relevant topics from the NExT topic list. Each topic was rated as “must know it,” “should know it,” “nice to know it,” or “Do not need it.” The survey was completed by 243 individuals including ophthalmic personnel (50%), physicians (37%), and other allied health personnel (13%). Four training program directors also participated in the survey. All topics from the NANOS NExT topic list receiving most “must” or “should” know it were included in NOTE Neuro-Ophthalmology News: J Neuro-Ophthalmol 2023; 43: e21-25 Please recommend NANOS NOTE to your relevant colleague. It is now available through Teton Data Systems (TDS) Stat Ref. Ask your academic library to add NANOS NOTE to their library's STAT!Ref subscription or request an individual license (www.tetondata.com, 800-901-5494). Karl C. Golnik, MD, MEd Department of Ophthalmology and the Cincinnati Eye Institute University of Cincinnati, Cincinnati, Ohio e25 Copyright © North American Neuro-Ophthalmology Society. Unauthorized reproduction of this article is prohibited.