8 results
Anisocoria Evaluation Flow Chart - Differential Diagnosis
1. Check pupillary reaction to light 
2. Measure pupil size.
Anisocoria - CN ... III Palsy - Pharmacologic ... Anisocoria #Evaluation #Algorithm ... #Differential # ... Diagnosis #Ophthalmology
Localizing Extraocular Movement Disorders
 • CN Ill (Oculomotor) Nerve Palsy 
 • CN IV (Trochlear) Nerve
) Nerve palsy ... Skew Deviation Casey ... #Localization #ophthalmology ... #neurology #differential ... #diagnosis #ocular
Adie's Pupil
What? Unknown nature & benign
 • Regular and mildly dilated pupil (4-6mm);
 • Light-near dissociaton;
Young females Differential ... Diagnosis: • CN ... Ill Palsy - ... dissociation • Other causes ... PhysicalExam #neurology #ophthalmology
Anisocoria - Pupillary Defects - Differential Diagnosis Algorithm

Physiological - Simple Anisocoria ( <O.5mm)
 - Anisocoria equal
Pupillary Defects - Differential ... Diagnosis Algorithm ... Fascicle (Other CN ... #Diagnosis #Algorithm ... #Causes #Ophthalmology
Diplopia - Double Vision - Differential Diagnosis Algorithm
Clinical Pearls:
 • Diplopia is almost always binocular.
 •
Diagnosis Algorithm ... • CN VI palsy ... Ill palsy ... large/unreactive pupil ... #Causes #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 ... oculomotor nerve palsy ... anisocoria #clinical #video ... #ophthalmology
Strabismus - Ocular Misalignment - Differential Diagnosis Algorithm
Phoria:
 • Latent deviation
 • Symmetrical corneal light reflex,
Strabismus - Ocular ... Misalignment - Differential ... Diagnosis Algorithm ... large/unreactive pupil ... #Causes #Ophthalmology
Cover - Uncover Test Revealing CNVI Palsy

Here the Cover-Uncover test unmasks subtle right CN VI palsy.
Patient asked to focus ... #CN6 #Abducens ... Nerve #clinical #video ... #neurology #ophthalmology ... #ocular #physicalexam