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Show Williams F. Hoyt, MD The North American Neuro-Ophthalmology Society, in conjunction with the American Academy of Ophthalmology, established the annual Hoyt Lecture in 2001 in honor of William Fletcher Hoyt, MD, whose contributions to neuro-ophthalmology have spanned seven decades. A fellow of Frank Walsh, MD, the grandfather of clinical neuro-ophthalmology, Dr. Hoyt co-authored the 3rd edition of Clinical Neuro- Ophthalmology, the "bible" of our specialty. A faculty member of the departments of Ophthalmology, Neurology and Neurosurgery at the University of California San Francisco since 1958, Dr. Hoyt is world-renowned as a clinician, scholar and edu-cator. He has published more than 300 scientific contributions and has trained more than 100 fellows, many of whom are senior professors in their own right, training the next generations of neuro-ophthalmologists on six continents. Nancy J. Newman, MD The 12th Hoyt Lecturer is Nancy J. Newman, MD, the LeoDelle Jolley Professor of Ophthalmology, Professor of Ophthalmology, Neurology and Instructor in Neuro-logical Surgery at Emory University School of Medicine, where she serves as Director of Neuro-Ophthalmology. Dr. Newman attended Princeton University, the University of London on a Marshall Scholarship, and Harvard Medical School. She trained in Neurology at the Massachusetts General Hospital and in Neuro-Ophthalmology under the tutelage of Dr. Simmons Lessell at the Massachusetts Eye and Ear Infirmary. She serves on the Editorial Boards of the American Journal of Ophthalmology, the Journal of the Neurological Sciences and the Journal of Neuro-Ophthalmology, and is a reviewer for more than 30 journals. She has over 350 publications, including co-editor of Walsh and Hoyt's Clinical Neuro-Ophthalmology, 5th and 6th Editions. For 14 years, she was a Trustee of Princeton University and is currently the President of the Princeton University Alumni Association. At the time of this Lecture, Dr. Newman was President-Elect of the North American Neuro-Ophthalmology Society. The 12th Hoyt Lecture: Neuro-Ophthalmology in Review: Around the Brain With 50 Fellows Nancy J. Newman, MD Journal of Neuro-Ophthalmology 2014;34:206-207 doi: 10.1097/WNO.0000000000000124 © 2014 by North American Neuro-Ophthalmology Society No matter what their ultimate specialty, every oph-thalmologist needs to master the basics of neuro-ophthalmology. To that end, we must ensure that we continue to train effective teachers of neuro-ophthalmology. This is William F. Hoyt's most important lasting legacy and charge. In this same spirit, Emory Neuro-Ophthalmology has tried to carry on this essential mission of training the next generations of neuro-ophthalmologists around the world not only as clinical practitioners of the art but also as acad-emicians and teachers in their own right, contributing greatly to our specialty and, at the same time, teaching non-neuro-ophthalmologists the basics of what they need to know about neuro-ophthalmology and creating the next generation of neuro-ophthalmologists. Through the projects and key publications of 50 Emory fellows, this neuroanatomical tour reviews advances in neuro- From the Departments of Ophthalmology, Neurology and Neuro-logical Surgery, Emory University, Atlanta, Georgia. The author reports no conflicts of interest. Supported in part by an unrestricted departmental grant (Depart-ment of Ophthalmology) from Research to Prevent Blindness, Inc., New York, and by NIH/NEI core grant P30-EY06360 (Department of Ophthalmology). Dr. Newman has received the Research to Prevent Blindness Lew R. Wasserman Merit Award. Address correspondence to Nancy J. Newman, MD, Neuro- Ophthalmology Unit, Emory Eye Center, 1365-B Clifton Rd., N.E., Atlanta, Georgia 30322; E-mail ophtnjn@emory.edu 206 Newman: J Neuro-Ophthalmol 2014; 34: 206-207 Hoyt Lecture Copyright © North American Neuro-Ophthalmology Society. Unauthorized reproduction of this article is prohibited. ophthalmology over the past 25 years, highlighting common and uncommon disorders affecting the afferent and efferent visual systems. We begin our tour in the eye and how findings in the retina can reflect neurologic disease such as acute posterior multifocal placoid pigment epitheliopathy, carotid-cavernous fistula, cat scratch encephalopathy, and mitochondrial disease, but not migraine. We then move to the optic nerve and contributions to our understanding of optic neuropathies including optic neuritis, its demographics and treatment, anterior ischemic optic neuropathy of the young and in patients with giant cell arteritis, Leber heredi-tary optic neuropathy, dominant optic atrophy, the risk fac-tors for visual loss from papilledema in patients with idiopathic intracranial hypertension, and the recently appre-ciated myriad of neuroimaging findings in patients with ele-vated intracranial pressure. Regarding the retrochiasmal pathways, publications have advanced our understanding of homonymous hemianopias, their detection, causes, con-gruity, and prognosis for recovery. Studies of cranial nerves 3, 4, and 6 have alerted us to the problems of radiologically unreported aneurysms and dural fistulae, the difficulties in surgically correcting residual ocular misalignment, and the prevalence of these disorders among hundreds of victims of head trauma. A study of visual complaints in patients with Parkinson disease helped neurologists understand that the most frequent causes of visual disability are ocular and potentially quite treatable. Regarding recent technology, we have written on optical coherence tomography and, most prolifically, on the uses of nonmydriatic ocular fundus photography in various settings, including the emergency department, the pediatric ophthalmology clinic, on the iphone through telemedicine, and in the classroom for teaching medical students. Fellows trained at Emory are now scattered across the globe (Fig. 1), but they remain a close-knit family of clinicians, scholars, researchers, and educators. A video of the 12th Hoyt lecture is available online within the Neuro-Ophthalmology Virtual Education Library at http://content.lib.utah.edu/cdm/ref/collection/ EHSL-NOVEL/id/2051. FIG. 1. Current location of 50 former Emory neuro-ophthalmology fellows. Newman: J Neuro-Ophthalmol 2014; 34: 206-207 207 Hoyt Lecture Copyright © North American Neuro-Ophthalmology Society. Unauthorized reproduction of this article is prohibited. |
