115 results
Pupillary Abnormalities  Overview
 - Unequal Pupils (anisocoria)
 - Tonic pupil (Adie's pupil)
 - OculomotorNerve (CN
Overview - Unequal Pupils ... anisocoria) - Tonic pupil ... (Adie's pupil) ... - Equal Pupils ... Types #Anisocoria #Adies
Adie's Pupil
What? Unknown nature & benign
 • Regular and mildly dilated pupil (4-6mm);
 • Light-near dissociaton;
Adie's Pupil What ... mildly dilated pupil ... Holmes-Adie Syndrome ... : • Adie's Pupil ... @neudrawlogy #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 ... pupil is a neurological ... neurologist William John Adie ... Deepak Gupta #Adies
Anisocoria Evaluation Flow Chart - Differential Diagnosis
1. Check pupillary reaction to light 
2. Measure pupil size.
Measure pupil size ... noted, re-measure pupil ... Dilatation - Adie's ... Tonic Pupil - ... Ophthalmology #Pupillary #Pupils
Anisocoria - Pupillary Defects - Differential Diagnosis Algorithm

Physiological - Simple Anisocoria ( <O.5mm)
 - Anisocoria equal
- 10% cocaine: pupils ... pilocarpine • Tonic (Adie's ... ) Pupil (Ciliary ... Anisocoria #Pupillary #Pupils
Mydriasis and Miosis - Differential Diagnosis Framework

Causes of Mydriasis:
Dilated pupils (mydriasis) more than 7mm
 • Unilateral
Mydriasis: Dilated pupils ... closure glaucoma, Adie's ... tonic pupil, Migraine ... : Constricted pupils ... Argyll Robertson pupils
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 ... , the affected pupil ... anterior_seg_rocks #Adies ... #Tonic #Pupil #
Blurry Vision - Differential Diagnosis Framework

Anatomical Approach to Eye Disease:
1. Lids/Lashes
2. Extraocular Muscles/Motility
3. Conjunctiva/Sclera
4. Cornea
5. Anterior
glaucoma • GCA • Adie ... ’s pupil • Glaucoma
Pupils: Localization in Coma
 • Small, Reactive pupils: Metabolic coma.
 • Unilateral Fixed, dilated pupil :
Pupils: Localization ... Small, Reactive pupils ... Fixed, dilated pupil ... • Pinpoint pupils ... #Pupils #Localization
Instructions on how to perform the swinging light test to detect a relative afferent pupillary defect.

http://www.cmaj.ca/content/early/2015/01/05/cmaj.140685

Normal
to avoid a near pupil ... Both pupils should ... Both pupils remain ... Both pupils remain ... Instead of pupil