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differential anisocoria causes neurology physicalexam clinical pupillary apex blurry defects diplopia doublevision evaluation herpes hzo ophthalmicus orbital syndrome tonic vision
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
Anisocoria - Pupillary Defects - Differential Diagnosis Algorithm Physiological - Simple Anisocoria ( <O.5mm) - Anisocoria equal
- 10% cocaine: pupils ... • Oculomotor Nerve ... ) Pupil (Ciliary ... Anisocoria #Pupillary #Pupils ... #Ophthalmology
Adie’s Tonic Pupil on Physical Exam A young female was referred in for a sudden onset anisocoria.
Adie’s Tonic Pupil ... Her ocular exam ... Adie’s tonic pupil ... palsy. ... #ophthalmology
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 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
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 ... Ocular Adverse Effects ... glaucoma • GCA • Adie ... ’s pupil • Glaucoma ... #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 ... findings included abnormal ... HZO #clinical #video ... #ophthalmology
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