The orbital surgeon.

While the number of orbital surgeons is limited, it is hoped these can be recognized and patients referred to them by ophthalmologists not interested or trained in that specialty. Let the orbital surgeon determine whether he can handle the problem in 1 to 2 days, or whether a neurosurgeon should do the procedure or make it a joint effort. It may well involve other specialty team effort approaches. It is essential to have an understanding of x-rays, CT, angiography, and MRI techniques and films. Sit with these specialists to learn more and help to avoid negative, misdiagnosis reports in the interest of the patient. Use judgement in helping the patient decide on ophthalmic or the more extensive neurosurgical approach after careful study and what is in their best interest. The team approach is used in well established medical centers with the ophthalmologist and neurosurgeon (or other specialist) working together in the best interest of the patient. This is more interesting and keeps the ophthalmologist in the mainstream of medicine.