11 results
Adie's Pupil
What? Unknown nature & benign
 • Regular and mildly dilated pupil (4-6mm);
 • Light-near dissociaton;
unilateral; • Slow pupillary ... females Differential Diagnosis ... dissociation • Other causes ... #PhysicalExam #neurology ... #ophthalmology
Persistent Pupillary Membrane (PPM) on Slit Lamp Ocular Examination

This membrane would be a remainder of the
Persistent Pupillary ... large enough to cause ... #Membrane #Pupil ... #clinical #video ... #ophthalmology
Marcus-Gunn Pupil - Pupillary dilation in response to light on the left eye and a preserved
Marcus-Gunn Pupil ... - Pupillary dilation ... #clinical #video ... #ocular #neurology ... #ophthalmology
Relative Afferent Pupillary Defect

This maneuver of intermittent light stimulus is called the alternating light test or
Marcus Gunn's pupils ... very sensitive diagnostic ... regarding the cause ... #Defect #Neurology ... #Clinical #Video
Diplopia - Double Vision - Differential Diagnosis Algorithm
Clinical Pearls:
 • Diplopia is almost always binocular.
 •
Neurologic ... a mass as the cause ... • Myasthenia ... large/unreactive pupil ... #Ophthalmology
Persistent Pupillary Membrane (PPM) on Slit Lamp Ocular Examination

This membrane would be a remainder of the
Persistent Pupillary ... large enough to cause ... #Membrane #Pupil ... #clinical #video ... #ophthalmology
Adie’s Tonic Pupil on Physical Exam

A young female was referred in for a sudden onset anisocoria.
Her ocular exam ... In this case, the ... anisocoria #clinical #video ... #ophthalmology ... #physicalexam #neurology
Horner's Syndrome on Physical Exam

A 75yoF was referred in for facial swelling and eyelid changes 1
consistent with a diagnosis ... experience, the cause ... how the right pupil ... #ophthalmology ... #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
- Differential Diagnosis ... Anterior Chamber ... Ocular Adverse Effects ... GCA • Adie’s pupil ... #ophthalmology
Orbital Apex Syndrome secondary to Herpes Zoster Ophthalmicus (HZO)

This 81 yo male was referred to our
a non-reactive pupil ... acetate to help with ocular ... other potential causes ... HZO #clinical #video ... #ophthalmology