Steven R Hamilton, MD

Hamilton Steven R
  • Neurology
Neurology, Neuro-Ophthalmology
Accepting New Patients



Medical School: University of California, Irvine
Residency: University of Washington, Neurology
Fellowship: Harvard Medical School, Massachusetts Eye and Ear Infirmary, Neuro-ophthalmology

Board Certification

  • Neurology




  • English

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.


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.


Clinical Interests
  • abducens nerve disease
  • abducens nerve injury
  • abducens nerve palsy and paresis
  • abnormal pupil function
  • blepharoptosis
  • botox injection
  • diplopia
  • dizziness
  • enlarged optic nerve
  • external ophthalmoplegia
  • hemorrhage in optic nerve sheaths
  • hereditary optic atrophy
  • hypotony of eye
  • kearns sayre syndrome
  • lazy eye
  • lisch nodule
  • marcus gunn phenomenon
  • myasthenia gravis
  • neuromyelitis optica
  • neuroretinitis
  • ocular motility disorders
  • oculomotor nerve injury
  • oculomotor nerve palsy and paresis
  • optic nerve and pathway injury
  • optic nerve atrophy
  • optic nerve disease
  • optic nerve glioma
  • optic nerve injuries
  • optic nerve ischemia
  • optic neuritis
  • optic neuropathy
  • papilledema
  • sensorimotor disorders of eyelid
  • sensory disorders of eyelid
  • transient blindness
  • transient monocular vision loss
  • trochlear nerve injury
  • trochlear nerve palsy and paresis
  • vertigo
  • weakness of eye closure



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

1600 E. Jefferson St.
Suite 205
Seattle, WA 98122