22 results
Isocoria - Pupillary Defects - Differential Diagnosis Algorithm
Relative Afferent Pupil Defect
 • Optic Neuritis
 • Ischemic
Isocoria - Pupillary ... Relative Afferent Pupil ... Nerve Tumor • Retinal ... Neuropathy Constricted Pupils ... #Pupillary #Pupils
Adie’s Tonic Pupil on Physical Exam

A young female was referred in for a sudden onset anisocoria.
a sudden onset anisocoria ... Her ocular exam ... the exception of anisocoria ... denotes anisocoria ... #physicalexam #neurology
Adie's Pupil
What? Unknown nature & benign
 • Regular and mildly dilated pupil (4-6mm);
 • Light-near dissociaton;
Adie's Pupil What ... mildly dilated pupil ... causes of tonic pupil ... • Physiologic Anisocoria ... #PhysicalExam #neurology
Blurry Vision - Differential Diagnosis Framework

Anatomical Approach to Eye Disease:
1. Lids/Lashes
2. Extraocular Muscles/Motility
3. Conjunctiva/Sclera
4. Cornea
5. Anterior
Retina 11. ... Ocular Adverse Effects ... Detachment • Macular ... retinopathy • Macular ... GCA • Adie’s pupil
Approach to an Eye Exam

1. History
2. Obvious Physical Trauma
3. Initial Assessment
  A. Visual Acuity
Pupils a. ... Ocular Movements ... Retina B. ... Blood Vessels #Ocular
Medication Induced Anisocoria

Young female that was referred for possible blown pupil, that was only mildly responsive
Medication Induced Anisocoria ... possible blown pupil ... Medication #Induced #Anisocoria ... clinical #video #ocular
Marcus Gunn Pupil - Relative Afferent Pupillary Defect (RAPD)
Definition: Afferent loop of the pupillary light reflex
Marcus Gunn Pupil ... (main cause), Retina ... #Marcus #Gunn #Pupil ... #Defect #RAPD #neurology
Horner's Syndrome on Physical Exam

A 75yoF was referred in for facial swelling and eyelid changes 1
how the right pupil ... #physicalexam #neurology ... #Anisocoria
Floaters - Differential Diagnosis Framework

What?
Vitreous Floaters:
• Microscopic collagen fibers within the vitreous that tend to clump
shadows on the retina ... suggestive of retinal ... as the vitreous pulls ... , a retinal tear ... Differential #Diagnosis #Ocular
Epileptic Pupillary Hippus on Physical Exam

Epileptic pupillary Hippus- spasmodic or rhythmic contraction of the pupil of
contraction of the pupil ... clinical #video #neurology ... #ocular #pupils