Dr. Francis was born and raised in and around Sacramento, California. She earned her bachelor’s degree in neuroscience from Brown University. She received her medical degree at the University of Rochester. Following completion of her internship in Internal Medicine at Baystate Medical Center, she completed her residency in ophthalmology at the University of Alabama at Birmingham. She also completed a fellowship in neuro-ophthalmology at the University of Southern California’s Doheny Eye Institute.

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Undergraduate Education: ScB, Neuroscience, Brown University, 1999
Medical School: MD, University of Rochester, 2005
Internship: Internal Medicine, Baystate Medical Center, Tufts University School of Medicine, 2006
Residency: Ophthalmology, University of Alabama, Birmingham School of Medicine, 2009
Fellowship: Neuro-Ophthalmology, Doheny Eye Institute/University of Southern California, 2010
Board Certification: American Board of Ophthalmology
Memberships: American Academy of Ophthalmology (AAO), Washington Academy of Eye Physicians and Surgeons (WAEPS), Association for Research in Vision and Ophthalmology (ARVO), Association of University Professors of Ophthalmology (AUPO)
Sub Specialty Societies: North American Neuro-Ophthalmology Society (NANOS), Neuro-Ophthalmology Research Disease Investigator Consortium (NORDIC)

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Academic Interests

Clinical Interests

Dr. Francis’ clinical interests include optic neuropathies, adult strabismus/cranial nerve palsies, idiopathic intracranial hypertension/papilledema, pupillary abnormalities, benign essential blepharospasm/hemifacial spasm. She is also interested in tumors involving the visual pathways, multiple sclerosis, myasthenia gravis and thyroid eye disease.

Dr. Francis performs strabismus surgery, temporal artery biopsies, optic nerve fenestrations and botulinum toxin injections, in addition to other procedures.

Research Focus

Dr. Francis' research focus includes the evaluation and treatment of patients with idiopathi intracranial hypertension.

Awards & Honors 

2018                   Achievement Award, American Academy of Ophthalmology

2017                   Latham Vision Research Innovation Award

2016                   Fellow, North American Neuro-Ophthalmology Society

2013                   Latham Vision Research Innovation Award

2011                   Harborview Medical Center CARES for Service Excellence Award

2010-2018          Best Doctors in America

2010                   Fellow, American Academy of Ophthalmology

2008                   Lynn B. McMahan, M.D. Award for Outstanding Second Year Resident Presentation.

2002                   International Medicine Award, University of Rochester School of Medicine and Dentistry

1998                   Undergraduate Teaching and Research Assistantship, Brown University



  1. Shu Feng, Ryan E. Dodge, Courtney E. Francis. Myasthenia Gravis Associated with Orbital Marginal Zone Lymphoma. Journal of Neuro-Ophthalmology, pending publication.
  2. Adam R. Sweeney, Spencer J. Harris, Courtney E. Francis. Longstanding bilateral visual field deficits in a 53-year-old male. Accepted, Survey of Ophthalmology.
  3. A.G. Ross, I. Jivraj, G. Rodriguez, M Pistelli, J.J. Chen, R.C. Sergott, M. Moster, C.A. Sheldon, G.T. Liu, R. Foroozan, M.W. Ko, C.E. Francis, Z.R. Williams, A.G. Lee, C.M. McClelland, K.S. Shindler, S. Yalamanchili, B. Osborne, T.R. Hedges, G.P. Van Stavern, E. Puckett, M. Rigi, I. García-Basterra, M.A. Tamhankar. Retrospective, Multicenter Comparison of the Clinical Presentation of Patients Presenting with Diplopia from Giant Cell Arteritis vs Other Causes. Journal of Neuro-Ophthalmology; 2018;0:1–6, doi: 10.1097/WNO.0000000000000656
  4. Robert A. Egan, Guy Jirawuthiworavong, Norah S. Lincoff, John J. Chen, Courtney E. Francis, and Jacqueline A. Leavitt. Retinal Arterio-Arterial Collaterals in Susac Syndrome. Journal of Neuro-Ophthalmology; 2018; 0: 1-3, DOI: 10.1097/WNO.0000000000000627.
  5. Jocelyn Lam, Roberta Dalley, Courtney E. Francis. Vascular Disorders of the CNS and Orbit. Principles and Practice of Ophthalmology. 2018.
  6. Courtney E. Francis, Christine A. Petersen. Jaw Claudication and Temporal Abnormalities in Giant-Cell Arteritis: take advantage of clinical clues: Response. Journal of Neuro-Ophthalmology, 2017:37;458.
  7. Matthew B. Spraker, Courtney E. Francis, Larissa Korde, Janice Kim, Lia Halasz. Solitary orbital metastasis 35 year after a diagnosis of lobular carcinoma in situ. Cureus 9(6): e1404. doi:10.7759/cureus.1404.
  8. Christine Petersen, Courtney E. Francis. Non-arteritic jaw claudication. Journal of Neuro-Ophthalmology, 2017:37;281-284.
  9. Divakar Gupta, Tina D. Tailor, Courtney E. Francis, Kalpana Kanal, Todd Klesert. Penetrating injury from plastic airsoft pellet shows beam-hardening artifact on computed tomography. Retinal Cases & Brief Reports, Epub December 19, 2016.
  10. Adam R. Sweeney, Michael C. Chappell, Derek A. Khorsand, Arash Jian-Amadi, Courtney E. Francis. Intralesional Injection of Bevacizumab for the Treatment of an Apical Orbital Cavernous Malformation (Hemangioma). Journal of Neuro-Ophthalmology, 2016:36;389-392.
  11. Colin P. McInnis, David R. Haynor, Courtney E. Francis. Horner syndrome in fibromuscular dysplasia without carotid dissection. Canadian Journal of Ophthalmology. 2016:51;e53-e55.
  12. Yevgeniy V. Sychev, Colin P. McInnis, Courtney E. Francis. Abducens ocular neuromyotonia as a delayed complication of oropharyngeal carcinoma treated with radiation. Head & Neck. 2016:38;E2428-E2431.
  13. Courtney E. Francis. Giant Cell Arteritis. Journal of Neuro-Ophthalmology. 2016:36;e2-4.
  14. Divakar Gupta, Mark Slabaugh, Courtney E. Francis. Delayed correction of hypotony maculopathy in a patient with glaucoma and thyroid-related orbitopathy. Case Reports in Ophthalmology. 2015:6;356-360.
  15. Oliver L. Yeh, Courtney E. Francis. Ipilimumab-Associated Bilateral Optic Neuropathy. Journal of Neuro-Ophthalmology. 2015:35;144-147.
  16. Courtney E. Francis, Peter A. Quiros. Headache Management in Idiopathic Intracranial Hypertension. International Ophthalmology Clinics. Winter 2014:54;103-114.
  17. Courtney E. Francis. Visual Issues in Multiple Sclerosis. Physical Medicine and Rehabilitation Clinics of North America 2013:24;687-702.
  18. Michael S. Vaphiades, Sharon A. Spencer, Kristen Riley, Courtney Francis, Luke Deitz, Lanning B. Kline.Radiation-induced ocular motor cranial nerve palsies in patients with pituitary tumor. Journal of Neuro-Ophthalmology 2011:31;210-213.
  19. Alfredo A. Sadun, Joel S. Glaser, Swaraj Bose, Courtney E. Francis. Chapter 34: Anatomy of the Visual Sensory System. Duane’s Foundations of Clinical Ophthalmology, W. Tasman and E.A. Jaeger, eds. 2011
  20. Michael H. Boyle, Gerald McGwin, Courtney E. Flanagan, Matthew G. Vicinanzo, John A. Long. High versus low concentration botulinum toxin A for benign essential blepharospasm: Does dilution make a difference? Ophthalmic Plastic and Reconstructive Surgery 2009:25;81-84.
  21. Courtney Flanagan, Lanning Kline, Joel Curé. Cerebral Blindness. International Ophthalmology Clinics, 2009 Summer:49;15-25.
  22. Michael S. Vaphiades, Courtney Flanagan. Eight-and-a-half syndrome due to pontine ischæmic infarct: Anatomic correlation on MRI. Neuro-Ophthalmology 2008:32;63-66.

Primary Clinical Office

Eye Institute at Harborview

Harborview Medical Center
908 Jefferson St., 7th Floor
Seattle, WA
Clinic Phone: 206.744.2020
Clinic Fax: 206.897.4320

Mailing Address:
Box 359608
325 Ninth Ave.
Seattle, WA 98104
Academic Phone: 206-543-7250

Eye Center at UWMC

Eye Center at UWMC
1959 NE Pacific St.
3rd Floor, NN 300
Seattle, WA 98195
Clinic Phone 206.744.2020
Clinic Fax: 206.897.4320


Neuro Ophthalmology