Neuro-ophthalmic disease can cause a wide array of visual impairments. Management should include neuro-ophthalmic examination, patient education regarding visual prognosis, and evaluation of visual function. Often, low vision examination and rehabilitation are useful adjuncts to the neuro-ophthalmic evaluation. Components of a low vision examination pertaining to neuroophthalmology are discussed. Specific low vision management strategies are reviewed for patients with visual acuity loss, visual field loss, decreased contrast sensitivity, and ocular motor disturbances caused by neuro-ophthalmic disease.