Apley video neck ocular syndrome diagnosis ophthalmology fishing hyalosis bilateral proptosis nejm

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Intermittent Bilateral Exophthalmos (Alternating Exophthalmos and Enophthalmos) on Physical Exam

Observing this patient in silence for a

very interesting finding ... Patient underwent a diagnostic ... The syndrome of ... #clinical #video ... #ophthalmology

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$Asteroid Hyalosis- ...Slit-lamp examination of the left eye revealed multiple sparkling, white, globular, refractile, dotlike opacities$

see source for video ... opacities moved with ocular ... A diagnosis of asteroid ... #NEJM #clinical ... #slit #lamp #ophthalmology

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