Neuro-ophthalmology of movement disorders

Olga Waln MD (

Dr. Waln of Houston Methodist Neurological Institute received consulting fees from Amneal as an advisory board member.

Joseph Jankovic MD, editor. (

Dr. Jankovic, Director of the Parkinson's Disease Center and Movement Disorders Clinic at Baylor College of Medicine, received research and training funding from Allergan, F Hoffmann-La Roche, Medtronic Neuromodulation, Merz, Neurocrine  Biosciences, Nuvelution, Revance, and Teva and consulting/advisory board honorariums from Abide, Lundbeck, Retrophin, Parexel, Teva, and Allergan.

Originally released February 10, 2012; last updated February 17, 2020; expires February 17, 2023


In this article, the author reviews neuro-ophthalmologic manifestations of the most common movement disorders, including Parkinson disease and atypical parkinsonism, dystonia, Huntington disease, Tourette syndrome, cerebellar disorders, and psychogenic and pediatric movement disorders. This article discusses phenomenology, pathophysiology, and management of the ocular symptoms that can be encountered in patients with movement disorders.

Key points


• Ophthalmologic symptoms are common in patients with movement disorders.


• Ophthalmologic symptoms are often underestimated but may be troublesome for the patients and adversely impact their quality of life.


• Pathophysiology of some neuro-ophthalmologic manifestations in movement disorders is complex and poorly understood.


• Recognition and treatment of the ocular symptoms are important when managing patients with a variety of movement disorders.

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