Steven R. Hamilton, MD

  • Neurology
  • Neuro-Ophthalmology
Accepting New Patients
1600 E. Jefferson St.
Suite 205
Seattle, WA 98101

General Information

My practice integrates old-fashioned history-taking and a hands-on, detailed examination with state-of-the-art diagnostic testing customized to each patient’s concerns. Patients are often referred to a neuro-ophthalmologist after seeing other providers with no clear explanation of what has caused their symptoms. I personally take a detailed history from my patients, listen to their concerns and try to answer any questions. Our goal is to work together to find the cause of their problem and appropriate treatment.
  • Neurology
Education Background
Medical School: University of California, Irvine
Residency: University of Washington, Neurology
Fellowship: Harvard Medical School, Massachusetts Eye and Ear Infirmary, Neuro-ophthalmology
  • English
Professional Associations
American Academy of Neurology, Washington State Medical Association, King County Medical Society, Phi Beta Kappa Society, North American Neuro-ophthalmology Society (Fellow), Member of Neuro-ophthalmology Research Disease Investigator Consortium, Clinical Professor of Neurology and Ophthalmology at the University of Washington
Personal Interests
I have two adult daughters who work in the health care industry. I enjoy road cycling, reading, jazz and classical music, ballet, and have a red poodle puppy.



Hamilton SR, Chatrian GE, Mills RP, Kalina RE, Bird, TD.  Cone dysfunction in a subgroup of patients with autosomal dominant cerebellar ataxia.  Arch Ophthalmol. 1990; 108: 551-556.

Hamilton SR, Lessell S.  Recurrent idiopathic lateral rectus muscle palsy in adults. American Journal of Ophthalmology 1991; 112: 540-542.

Hamilton SR, Smith, CH, Lessell S. Idiopathic hypertropic cranial pachymenigitis. Journal of Clinical Neuro-Ophthalmology 1993; 13 (2): 127-134.

Farrell DF, Hamilton, SR, Knauss TM, et al.  X-linked adrenoleukodystrophy (ALD): Adult cerebral variant.  Neurology 1993;43: 1518-1522.

Myers, MA, Hamilton, SR, Begosian AJ, Smith CH, Wagner TA.  Visual loss as a complication of spine surgery.  Spine 1997; 22:  1325-1329.

Hamilton SR.  Neuro-ophthalmology of Eye Movement Disorders.  Current Opinion in Ophthalmology 1999;10:  405-410.

Hamilton SR.  Neuro-ophthalmology of Movement Disorders.  Current Opinion in Ophthalmology 2000;11.

Hamilton SR.  Myasthenia Gravis and Ocular Myopathies, in Neuro-Ophthalmology: The Practical Guide, edited by Levin, LA, and Arnold, AC., 2005.

Hamilton, SR.  Sarcoidosis, in Walsh and Hoyt’s Clinical Neuro-ophthalmology, edited by Miller, NR, Newman, NJ, Biousse, V, and Kerrison, JB, sixth edition, 2005.

Rucker JS, Hamilton SR, Bardenstein D, Isada CM, Lee MS.Linezolid-associated Toxic Optic Neuropathy. Neurology 2006,28:595-8.

Newman NJ, Biousee V, Newman SA, Bhatti MT, Hamilton SR, Farris BK, Lesser RL, Turbin RE. Progression of Visual Field Defects in Leber Hereditary Optic Neuropathy: Experience of the LHON Treatment Trial. Am J Ophthalmol 2006;141:1061-1067.

Optic Neuritis Study Group. Visual Function 15 Years after Optic Neuritis: A Final Follow up Report from the Optic Neuritis Treatment Trial. Ophthalmology 2008;115:1079-1082.

Optic Neuritis Study Group. Multiple Sclerosis Risk after Optic Neuritis: Final Optic Neuritis Treatment Trial Follow Up. Arch Neurology 2008;65:727-732.

Hamilton SR, Lam D, Miller NR. Myasthenia, in  Albert and Jakobiec’s Principles and Practice of Ophthalmology, edited by Albert, DM, Miller JW, Azar, DT, and Blodi BA, 3rd edition, 2008.

Hamilton SR. What is the Appropriate Evaluation in a Patient Suspected of Having a Sixth Nerve Palsy?, in Curbside Consultation in Neuro-ophthalmology: 49 Clinical Questions, edited by Andrew G. Lee, in press.

Zuchner S, De Jonghe P, Jordanova A et al. Axonal neuropathy with optic atrophy is caused by mutations in mitofusin 2. Ann Neurol 2006;59(2):276-81.

Principal investigator for multiple clinical trials on MS research and other projects involving optic nerve diseases


Drug treatment and weight loss restores vision in a blinding disorder linked to obesity

June 06, 2014

As many as 100,000 Americans suffer from a disorder called pseudotumor cerebri or idiopathic intracranial hypertension that can cause permanent blindness and chronic headaches. The disease primarily strikes obese women of reproductive age with symptoms of daily headaches, visual symptoms including transient blurring or blindness, double vision, and pulsating noises in one’s head. Up to 5-10% of these patients may have permanent visual loss due to optic nerve damage.
A recent national trial funded by the National Institute of Health’s National Eye Institute has shown that a common water pill, acetazolamide, combined with a moderate but comprehensive dietary and lifestyle modification plan can restore and preserve vision in women with this disease. I was one of the local investigators for this trial along with Dr. Eugene May.
The s...

Clinical Experience

  • Neurology
Clinical Interests
  • Botox Treatment
  • Dizziness
  • Double Vision
  • Eye Movement Disorders
  • Multiple Sclerosis
  • Myasthenia Gravis
  • Neuro Ophthalmology
  • Optic Nerve Disorders
  • Vertigo


Patient Ratings and Comments

The Patient Rating score is based on responses given during the CAHPS Patient Experience Survey. Responses are measured on a 10-point scale, with 10 being the best score. These scores are then translated to a 5-point scale in order to display results in a 5-star rating. Comments are also gathered from the same survey and displayed in their entirety with the exception of any language that may be considered slander, libel or contain private health information, which will be removed prior to publishing the comments.

4.8 out of 5 (41 Ratings, 3 Comments)


Dr. Hamilton did an excellent job!

Dr Hamilton saved my vision. There's not much more a person can say. He's amazing

I waited 4 months to see this particular specialist and prepared extensively for this visit. He looked at my chart for 30 seconds and said he thought my condition did not seem to be so bad. Which is not true. I can tell he is very knowledgeable but his bedside manner was poor. I felt he did not listen to my symptoms or consider my experience regarding medication. He also told me conflicting information that my primary neurologist told me. I realize there may be different perspectives but the whole experience was disappointing.
1600 E. Jefferson St.
Suite 205
Seattle, WA 98101
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