21 results
Adie's Pupil
What? Unknown nature & benign
 • Regular and mildly dilated pupil (4-6mm);
 • Light-near dissociaton;
Adie's Pupil What ... Holmes-Adie Syndrome ... : • Adie's Pupil ... Diagnosis: • CN ... #neurology #ophthalmology
Pupillary Abnormalities  Overview
 - Unequal Pupils (anisocoria)
 - Tonic pupil (Adie's pupil)
 - OculomotorNerve (CN
Overview - Unequal Pupils ... (Adie's pupil) ... OculomotorNerve (CN ... #Diagnosis #Ophthalmology ... Types #Anisocoria #Adies
Adie's Pupil on Physical Exam

Adie's pupil is a neurological disorder characterized by a tonically dilated pupil
Adie's Pupil on ... Physical Exam Adie's ... Deepak Gupta #Adies ... clinical #video #ophthalmology ... #neurology #syndrome
Anisocoria Evaluation Flow Chart - Differential Diagnosis
1. Check pupillary reaction to light 
2. Measure pupil size.
Measure pupil size ... Anisocoria - CN ... Dilatation - Adie's ... Tonic Pupil - ... Differential #Diagnosis #Ophthalmology
Anisocoria - Pupillary Defects - Differential Diagnosis Algorithm

Physiological - Simple Anisocoria ( <O.5mm)
 - Anisocoria equal
• Oculomotor Nerve ... Fascicle (Other CN ... pilocarpine • Tonic (Adie's ... ) Pupil (Ciliary ... Algorithm #Causes #Ophthalmology
CN III Palsy - Oculomotor Nerve
 • Ptosis: Loss of innervation of the levator palpebrae superior.
Nerve • Ptosis ... oblique • Dilated Pupil ... innervation to pupil ... Palsy #Oculomotor #Nerve ... #Cranial #neurology
Adie’s Tonic Pupil on Physical Exam

A young female was referred in for a sudden onset anisocoria.
Adie’s Tonic Pupil ... Adie’s tonic pupil ... suggest oculomotor nerve ... clinical #video #ophthalmology ... #physicalexam #neurology
Mydriasis and Miosis - Differential Diagnosis Framework

Causes of Mydriasis:
Dilated pupils (mydriasis) more than 7mm
 • Unilateral
Mydriasis: Dilated pupils ... Unilateral Mydriasis: CN ... closure glaucoma, Adie's ... tonic pupil, Migraine ... differential #diagnosis #ophthalmology
Localizing Extraocular Movement Disorders
 • CN Ill (Oculomotor) Nerve Palsy 
 • CN IV (Trochlear) Nerve
Ill (Oculomotor) Nerve ... (Trochlear) Nerve ... (Abducens) Nerve ... #Localization #ophthalmology ... #neurology #differential
Diplopia - Double Vision - Differential Diagnosis Algorithm
Clinical Pearls:
 • Diplopia is almost always binocular.
 •
CN VI palsy ... for ptosis with CN ... • Neurologic ... large/unreactive pupil ... Algorithm #Causes #Ophthalmology