12 results
Anisocoria Evaluation Flow Chart - Differential Diagnosis
1. Check pupillary reaction to light 
2. Measure pupil size.
Anisocoria Evaluation ... If anisocoria iS ... - Horner's Syndrome ... - CN III Palsy ... Differential #Diagnosis #Ophthalmology
Anisocoria - Pupillary Defects - Differential Diagnosis Algorithm

Physiological - Simple Anisocoria ( <O.5mm)
 - Anisocoria equal
Anisocoria - Pupillary ... ( Anisocoria ... Fascicle (Other CN ... Diagnosis #Algorithm #Causes ... #Ophthalmology
Pupillary Abnormalities  Overview
 - Unequal Pupils (anisocoria)
 - Tonic pupil (Adie's pupil)
 - OculomotorNerve (CN
Unequal Pupils (anisocoria ... OculomotorNerve (CN ... - Homer's Syndrome ... #Diagnosis #Ophthalmology ... Differential #Types #Anisocoria
Adie's Pupil
What? Unknown nature & benign
 • Regular and mildly dilated pupil (4-6mm);
 • Light-near dissociaton;
Holmes-Adie Syndrome ... Diagnosis: • CN ... dissociation • Other causes ... • Physiologic Anisocoria ... PhysicalExam #neurology #ophthalmology
Isocoria - Pupillary Defects - Differential Diagnosis Algorithm
Relative Afferent Pupil Defect
 • Optic Neuritis
 • Ischemic
Isocoria - Pupillary ... Midbrain (Parinaud's Syndrome ... Amphetamines #Isocoria ... Diagnosis #Algorithm #Causes ... #Ophthalmology
Horner's Syndrome on Physical Exam

A 75yoF was referred in for facial swelling and eyelid changes 1
Horner's Syndrome ... diagnosis of Horner's syndrome ... experience, the cause ... clinical #video #ophthalmology ... physicalexam #neurology #Anisocoria
Differential diagnoses for the neuro-ophthalmologic finding of diplopia.
Neoplastic: 
 • Intraorbital meningioma 
 • Pituitary adenoma
for the neuro-ophthalmologic ... Miller-Fisher syndrome ... hypertension (CN ... Differential #Diagnosis #Causes ... #Ophthalmology
Localizing Extraocular Movement Disorders
 • CN Ill (Oculomotor) Nerve Palsy 
 • CN IV (Trochlear) Nerve
Nerve Palsy • CN ... Nerve palsy • CN ... One-and-a-half Syndrome ... Skew Deviation Casey ... #Localization #ophthalmology
Takotsubo Cardiomyopathy - Right Ventricular Involvement 

In up to 1/4 of cases of stress cardiomyopathy (takotsubo),
In up to 1/4 of cases ... #BrokenHeart #Syndrome ... #Echocardiogram ... A4C #Clinical #POCUS
Mydriasis and Miosis - Differential Diagnosis Framework

Causes of Mydriasis:
Dilated pupils (mydriasis) more than 7mm
 • Unilateral
Unilateral Mydriasis: CN ... response, Serotonin syndrome ... Miosis: Horner's syndrome ... differential #diagnosis #ophthalmology ... #causes