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시신경염과 백내장수술

물방울갯수 77

시신경염이 의심되는데,백내장수술 받아도 될까요? 녹내장 전문인의(comprehensive ophthalmologist)는 1/24/23백내장수술하자는데, 보험적용되는 신경안과전문의(neuro ophthalmologist)는 3/8/23에나 만날수 있네요.

갑작스런 시력 저하, 시야가 뿌옇고 sore 한 안구 통증과 사우나등 기온 높은 환경에 노출될수록 punch맞는 것같은 안구 통증을 동반합니다.

20~50대여성에게서 많이 나타난다는데,2~30년전 이런 증상으로 당시 강남에 있는 안과가서 이상없다는 소견을 믿었던 거부터 후회스럽고, 빨리 혈액검사,안구CT MRI로 optic neutris를 진단받고 싶네요.

(안경점 사장, 검안사, comprehensive ophthalmologist 다 원망스럽습니다.)

단기간 강력한 스테로이드 주사맞으면 시력이 회복되기도 한다니...

원인이 갑상선/다발성경화증/ 독감백신/코로나백신/혈액암/박테리아감염/MOG 항체... 그 무엇이든 백내장수술 받기 전 치료마무리하고 싶어요.(시신경염은 재발도 되며 완치는 불가능하더라도요)

한국에서 백내장수술후 시신경염 발병했다고 250만원 배상판결받은 소송도 있네요.

신경안과전문분야에 좀 더 관심을 기울이는 사회가 되었으면 합니다.한국도 미국도

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답변하시면 내공 10점을, 답변이 채택되면 내공 77점과 물방울 77개를 드립니다.

님, 멘토가 되어 주세요.

답변하시면 내공 10점을, 답변이 채택되면 내공 77점과 물방울 77개를 드립니다.

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Overview

Dr. Martin S. Gizzi is a neurologist in Hackensack, New Jersey and is affiliated with Hackensack University Medical Center at Hackensack Meridian Health. He received his medical degree from University of Miami Leonard M. Miller School of Medicine and has been in practice for more than 20 years.

Specialties

SPECIALTY

Neurology

Neurologists diagnose and treat disorders of the brain, spinal cord, peripheral nerves, muscles, and the involuntary nervous system that controls the heart, lungs and other organs. They treat headaches, stroke, dementia, seizures, epilepsy, multiple sclerosis, sleep disorders and neuromuscular diseases.


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Martin Gizzi, MD, Neurology, Hackensack, NJ, Hackensack Meridian Health Hackensack University Medical Center

MartinS.GizziMDPhD

Neurology • HackensackNJ

Vascular Neurology, Neuro-Ophthalmology

Vice Chair and Director, Division of Cerebrovascular Diseases


Dr. Gizzi is on Doximity

As a Doximity member you'll join over two million verified healthcare professionals in a private, secure network.

  • Connect with other colleagues in the same hospital or clinic
  • Search all U.S. specialist profiles and refer a patient
  • Read the latest clinical news and earn CME/CEU credit

Summary

  • Dr. Martin Gizzi is the Director, Division of Cerebrovascular Diseases at Hackensack University Medical Center (HUMC). Dr. Gizzi holds an MD from the University of Miami and a PhD in neurophysiology from New York University. Dr. Gizzi was trained in neurology and neuro-ophthalmology at the Mount Sinai School of Medicine in New York City. He is board-certified in neurology and vascular neurology (stroke). Prior to joining HUMC, he was the director of Neurology for the Legacy Health System in Portland, OR. He also previously served as the Chairman of the Neuroscience Institute at JFK Medical Center and was Professor and Chairman of Neuroscience at Seton Hall University School of Health and Medical Sciences.

  • Dr. Gizzi served as the chairman of New Jersey Department of Health’s Stroke Advisory Panel for 11 years. He is a past chair of the NorthEast Cerebrovascular Consortium, a regional section of the American Heart Association. He currently sits on the Technical Advisory Panels for Comprehensive Stroke Certification and Acute Stroke Ready Certification at the The Joint Commission.

  • He received the American Heart Association’s Physician of the Year award in 2009, the NJ Office of Emergency Medical Services’ Director’s Award in 2010 and the American Stroke Association’s Community Conscience Award in 2012 – all for his work in treating stroke. A fellow of the American Academy of Neurology, the North American Neuro-Ophthalmology Society, the American Neurotology Society and the American Heart Association, he has published numerous scientific articles in the fields of vision, eye movements, balance disorders and stroke. His research has been funded by the National Institutes of Health, NASA and private foundations.

  • Dr. Gizzi’s clinical focus is on providing interdisciplinary care for patients with stroke and related conditions. In the outpatient setting he treats patients with stroke (vascular neurology), visual disorders of neurological origin (neuro-ophthalmology

Education & Training

  • Icahn School of Medicine at Mount SinaiIcahn School of Medicine at Mount Sinai
  • Fellowship, Vascular Neurology, 1991
  • Icahn School of Medicine at Mount Sinai/Mount Sinai HospitalIcahn School of Medicine at Mount Sinai/Mount Sinai Hospital
  • Residency, Neurology,
  • 1985 - 1986
  • University of Miami Leonard M. Miller School of MedicineUniversity of Miami Leonard M. Miller School of Medicine
  • Class of 1985
  • New York UniversityNew York University
  • PhD, Experimental Psychology, 1978 - 1983

Certifications & Licensure

  • WA State Medical LicenseWA State Medical License
  • 2018 - 2019
  • CA State Medical LicenseCA State Medical License
  • 2015 - 2021
  • OR State Medical LicenseOR State Medical License
  • 2015 - 2021
  • NJ State Medical LicenseNJ State Medical License
  • 1992 - 2023
  • NY State Medical LicenseNY State Medical License
  • 1986 - 2023
  • American Board of Psychiatry and Neurology
  • Neurology
  • American Board of Psychiatry and Neurology
  • Vascular Neurology

Awards, Honors, & Recognition

  • Who's Who in the World
  • Marquis, 2015-2019
  • America's Top Doctors
  • Castle Connolly, 2003-2019
  • Inside Jersey Magazine Top Doctors
  • Castle Connolly, 2009-2015

Clinical Trials

Publications & Presentations

PubMed


Press Mentions

  • Hackensack UMC Names Director of Cerebrovascular DiseasesHackensack UMC Names Director of Cerebrovascular Diseases
  • May 1st, 2019
  • Hackensack University Medical Center Opens First Heart and Brain Center in New JerseyHackensack University Medical Center Opens First Heart and Brain Center in New Jersey
  • September 28th, 2021




Overview

Dr. Martin S. Gizzi is a neurologist in Hackensack, New Jersey and is affiliated with Hackensack University Medical Center at Hackensack Meridian Health. He received his medical degree from University of Miami Leonard M. Miller School of Medicine and has been in practice for more than 20 years.

Specialties

SPECIALTY

Neurology

Neurologists diagnose and treat disorders of the brain, spinal cord, peripheral nerves, muscles, and the involuntary nervous system that controls the heart, lungs and other organs. They treat headaches, stroke, dementia, seizures, epilepsy, multiple sclerosis, sleep disorders and neuromuscular diseases.


Doximity Logo

Mobile Navigation Menu

Martin Gizzi, MD, Neurology, Hackensack, NJ, Hackensack Meridian Health Hackensack University Medical Center

MartinS.GizziMDPhD

Neurology • HackensackNJ

Vascular Neurology, Neuro-Ophthalmology

Vice Chair and Director, Division of Cerebrovascular Diseases


Dr. Gizzi is on Doximity

As a Doximity member you'll join over two million verified healthcare professionals in a private, secure network.

  • Connect with other colleagues in the same hospital or clinic
  • Search all U.S. specialist profiles and refer a patient
  • Read the latest clinical news and earn CME/CEU credit

Summary

  • Dr. Martin Gizzi is the Director, Division of Cerebrovascular Diseases at Hackensack University Medical Center (HUMC). Dr. Gizzi holds an MD from the University of Miami and a PhD in neurophysiology from New York University. Dr. Gizzi was trained in neurology and neuro-ophthalmology at the Mount Sinai School of Medicine in New York City. He is board-certified in neurology and vascular neurology (stroke). Prior to joining HUMC, he was the director of Neurology for the Legacy Health System in Portland, OR. He also previously served as the Chairman of the Neuroscience Institute at JFK Medical Center and was Professor and Chairman of Neuroscience at Seton Hall University School of Health and Medical Sciences.

  • Dr. Gizzi served as the chairman of New Jersey Department of Health’s Stroke Advisory Panel for 11 years. He is a past chair of the NorthEast Cerebrovascular Consortium, a regional section of the American Heart Association. He currently sits on the Technical Advisory Panels for Comprehensive Stroke Certification and Acute Stroke Ready Certification at the The Joint Commission.

  • He received the American Heart Association’s Physician of the Year award in 2009, the NJ Office of Emergency Medical Services’ Director’s Award in 2010 and the American Stroke Association’s Community Conscience Award in 2012 – all for his work in treating stroke. A fellow of the American Academy of Neurology, the North American Neuro-Ophthalmology Society, the American Neurotology Society and the American Heart Association, he has published numerous scientific articles in the fields of vision, eye movements, balance disorders and stroke. His research has been funded by the National Institutes of Health, NASA and private foundations.

  • Dr. Gizzi’s clinical focus is on providing interdisciplinary care for patients with stroke and related conditions. In the outpatient setting he treats patients with stroke (vascular neurology), visual disorders of neurological origin (neuro-ophthalmology

Education & Training

  • Icahn School of Medicine at Mount SinaiIcahn School of Medicine at Mount Sinai
  • Fellowship, Vascular Neurology, 1991
  • Icahn School of Medicine at Mount Sinai/Mount Sinai HospitalIcahn School of Medicine at Mount Sinai/Mount Sinai Hospital
  • Residency, Neurology,
  • 1985 - 1986
  • University of Miami Leonard M. Miller School of MedicineUniversity of Miami Leonard M. Miller School of Medicine
  • Class of 1985
  • New York UniversityNew York University
  • PhD, Experimental Psychology, 1978 - 1983

Certifications & Licensure

  • WA State Medical LicenseWA State Medical License
  • 2018 - 2019
  • CA State Medical LicenseCA State Medical License
  • 2015 - 2021
  • OR State Medical LicenseOR State Medical License
  • 2015 - 2021
  • NJ State Medical LicenseNJ State Medical License
  • 1992 - 2023
  • NY State Medical LicenseNY State Medical License
  • 1986 - 2023
  • American Board of Psychiatry and Neurology
  • Neurology
  • American Board of Psychiatry and Neurology
  • Vascular Neurology

Awards, Honors, & Recognition

  • Who's Who in the World
  • Marquis, 2015-2019
  • America's Top Doctors
  • Castle Connolly, 2003-2019
  • Inside Jersey Magazine Top Doctors
  • Castle Connolly, 2009-2015

Clinical Trials

Publications & Presentations

PubMed


Press Mentions

  • Hackensack UMC Names Director of Cerebrovascular DiseasesHackensack UMC Names Director of Cerebrovascular Diseases
  • May 1st, 2019
  • Hackensack University Medical Center Opens First Heart and Brain Center in New JerseyHackensack University Medical Center Opens First Heart and Brain Center in New Jersey
  • September 28th, 2021




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Eye Strokes: How, What, and Why They Occur

Vision Blog > Eye Strokes: How, What, and Why They Occur



The eyes rely on blood flow to provide nutrients and oxygen to the eye. When there is a blockage, eye strokes can occur because the blood cannot flow freely. These blockages can be the result of retinal artery and vein occlusions. After a stroke in the eye, damage can occur where there is a loss of vision, weakened optic nerve, and other such problems associated with strokes.

How Do Eye Strokes Occur?

When there is a blockage in the retinal artery and veins in the eyes, it prevents oxygen from reaching the retina. The retina is in the back of the eye and is responsible for deciphering images and sending signals to the brain to help us distinguish color, what an object is, etc.

The blocked retinal artery and veins will leak excess fluid into the retinal area of the eye. As the fluid is released, the body’s natural response is to treat it as an invader, so eye swelling can occur. The swelling further cuts off circulation and prevents oxygen from reaching the retina.

As such, you quickly notice your vision is impaired. The type of impairment can vary, including complete blindness.

What Are Common Symptoms of Eye Strokes?

The body will send you specific warning signals before eye strokes occur. The symptoms can develop slowly over several days. Yet, some people have a quick, sudden onset without any advanced warning whatsoever. In general, you want to pay attention if you have one or more of the following symptoms:

  • Blurred Vision – If you experience blurred vision in one or both eyes, and it continues to worsen, it may be a warning an eye stroke is going to occur.
  • Floaters – If you see spots floating around and have not looked directly into a bright light for a prolonged period, it may indicate an eye stroke could occur.
  • Vision Loss – If you notice your vision is declining and continues to do so, or experience total vision loss, you might have had an eye stroke.
  • Pressure or Pain – If you are experiencing pressure or pain in one or both eyes, it could indicate an eye stroke will occur, but not always. Most eye strokes occur without this symptom present.

Why Do Eye Strokes Occur?

Eye strokes occur based on your overall health and well-being. While anyone could have an eye stroke, certain factors increase the risks for eye strokes, such as:

  • Smoking and Vaping
  • High Blood Pressure
  • Obesity
  • Glaucoma
  • High Cholesterol
  • Cardiovascular/Circulatory System Conditions
  • Heart Disease
  • Diabetes

They occur because there is a restriction to the blood flow in the eye that creates a blockage and stops blood from flowing through the eyes correctly.

What Do I Do if I Suspect I Had an Eye Stroke?

I Suspect I Had an Eye Stroke

You will want to schedule an examination with an ophthalmologist right away. Your eye doctor can use various tools and equipment to determine if there is indeed a blockage and whether a stroke has occurred.

After your initial assessment, your ophthalmologist will prescribe a treatment plan based on the level of damage done to the eye. Possible treatments could include:

  • Laser Eye Surgery
  • Prescription Eye Drops
  • Eye Massage
  • Various Types of Eye Injections to Remove the Blockage

It is important to remember, the sooner you can be diagnosed and treatment can begin, the more likely you can recover from an eye stroke and restore your vision.


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Eye Strokes: How, What, and Why They Occur

Vision Blog > Eye Strokes: How, What, and Why They Occur



The eyes rely on blood flow to provide nutrients and oxygen to the eye. When there is a blockage, eye strokes can occur because the blood cannot flow freely. These blockages can be the result of retinal artery and vein occlusions. After a stroke in the eye, damage can occur where there is a loss of vision, weakened optic nerve, and other such problems associated with strokes.

How Do Eye Strokes Occur?

When there is a blockage in the retinal artery and veins in the eyes, it prevents oxygen from reaching the retina. The retina is in the back of the eye and is responsible for deciphering images and sending signals to the brain to help us distinguish color, what an object is, etc.

The blocked retinal artery and veins will leak excess fluid into the retinal area of the eye. As the fluid is released, the body’s natural response is to treat it as an invader, so eye swelling can occur. The swelling further cuts off circulation and prevents oxygen from reaching the retina.

As such, you quickly notice your vision is impaired. The type of impairment can vary, including complete blindness.

What Are Common Symptoms of Eye Strokes?

The body will send you specific warning signals before eye strokes occur. The symptoms can develop slowly over several days. Yet, some people have a quick, sudden onset without any advanced warning whatsoever. In general, you want to pay attention if you have one or more of the following symptoms:

  • Blurred Vision – If you experience blurred vision in one or both eyes, and it continues to worsen, it may be a warning an eye stroke is going to occur.
  • Floaters – If you see spots floating around and have not looked directly into a bright light for a prolonged period, it may indicate an eye stroke could occur.
  • Vision Loss – If you notice your vision is declining and continues to do so, or experience total vision loss, you might have had an eye stroke.
  • Pressure or Pain – If you are experiencing pressure or pain in one or both eyes, it could indicate an eye stroke will occur, but not always. Most eye strokes occur without this symptom present.

Why Do Eye Strokes Occur?

Eye strokes occur based on your overall health and well-being. While anyone could have an eye stroke, certain factors increase the risks for eye strokes, such as:

  • Smoking and Vaping
  • High Blood Pressure
  • Obesity
  • Glaucoma
  • High Cholesterol
  • Cardiovascular/Circulatory System Conditions
  • Heart Disease
  • Diabetes

They occur because there is a restriction to the blood flow in the eye that creates a blockage and stops blood from flowing through the eyes correctly.

What Do I Do if I Suspect I Had an Eye Stroke?

I Suspect I Had an Eye Stroke

You will want to schedule an examination with an ophthalmologist right away. Your eye doctor can use various tools and equipment to determine if there is indeed a blockage and whether a stroke has occurred.

After your initial assessment, your ophthalmologist will prescribe a treatment plan based on the level of damage done to the eye. Possible treatments could include:

  • Laser Eye Surgery
  • Prescription Eye Drops
  • Eye Massage
  • Various Types of Eye Injections to Remove the Blockage

It is important to remember, the sooner you can be diagnosed and treatment can begin, the more likely you can recover from an eye stroke and restore your vision.


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