For students who cannot make up their minds between neurology and ophthalmology, it is possible to have the best of both worlds. Neuro-ophthalmology involves both central nervous system disease and its effect on the visual pathways, as well as disease processes inherent to the nerves and pathways of the eye. Because about 65% of all intracranial processes have ophthalmic manifestations, the importance of this subspecialty is obvious. Although some neuro-ophthal-mologists operate on a limited basis and are more involved with the recognition and diagnosis of disease, others perform complicated surgeries on the eye and orbit, such as orbital wall decompressions for Grave eye disease. This procedure involves the precise removal of areas of orbital bone to alleviate the exophthalmos (forward protrusion) of the eye that results from the swelling of orbital tissues — as can occur in thyroid disease.

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