10 results
Adie's Pupil
What? Unknown nature & benign
 • Regular and mildly dilated pupil (4-6mm);
 • Light-near dissociaton;
Adie's Pupil What ... mildly dilated pupil ... : • Adie's Pupil ... : • CN Ill Palsy ... - abnormal
Anisocoria Evaluation Flow Chart - Differential Diagnosis
1. Check pupillary reaction to light 
2. Measure pupil size.
Measure pupil size ... noted, re-measure pupil ... Tonic Pupil - ... #Ophthalmology ... #Pupillary #Pupils
Isocoria - Pupillary Defects - Differential Diagnosis Algorithm
Relative Afferent Pupil Defect
 • Optic Neuritis
 • Ischemic
Afferent Pupil ... Neuropathy Constricted Pupils ... Isocoria #Pupillary #Pupils ... #Diagnosis #Algorithm ... #Causes #Ophthalmology
Anisocoria - Pupillary Defects - Differential Diagnosis Algorithm

Physiological - Simple Anisocoria ( <O.5mm)
 - Anisocoria equal
- 10% cocaine: pupils ... ) Pupil (Ciliary ... Anisocoria #Pupillary #Pupils ... #Diagnosis #Algorithm ... #Causes #Ophthalmology
Instructions on how to perform the swinging light test to detect a relative afferent pupillary defect.

http://www.cmaj.ca/content/early/2015/01/05/cmaj.140685

Normal
Both pupils should ... Both pupils remain ... Instead of pupil ... #Diagnosis #PhysicalExam ... #Ophthalmology
Adie’s Tonic Pupil on Physical Exam

A young female was referred in for a sudden onset anisocoria.
Adie’s Tonic Pupil ... Adie’s tonic pupil ... , the affected pupil ... Failure of the pupil ... #Tonic #Pupil #
Diplopia - Double Vision - Differential Diagnosis Algorithm
Clinical Pearls:
 • Diplopia is almost always binocular.
 •
Algorithm Clinical ... • CN VI palsy ... ptosis with CN Ill palsy ... large/unreactive pupil ... #Ophthalmology
Signs and Symptoms Associated With Different Headache Etiologies
 • Nonfocal mental status changes - Meningitis, encephalitis,
Hypertension with normal ... poorly reactive pupils ... glaucoma • Enlarged pupil ... with third nerve palsy ... #differential #diagnosis
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 ... glaucoma • GCA • Adie ... ’s pupil • Glaucoma ... • Visual field defect ... #ophthalmology
Orbital Apex Syndrome secondary to Herpes Zoster Ophthalmicus (HZO)

This 81 yo male was referred to our
a non-reactive pupil ... findings included abnormal ... trochlear nerve, abducens ... Neurological defects ... clinical #video #ophthalmology