13 results
Pupillary Abnormalities  Overview
 - Unequal Pupils (anisocoria)
 - Tonic pupil (Adie's pupil)
 - OculomotorNerve (CN
Pupillary Abnormalities ... (Adie's pupil) ... OculomotorNerve (CN ... #Diagnosis #Ophthalmology ... #Pupillary #Abnormalities
Anisocoria Evaluation Flow Chart - Differential Diagnosis
1. Check pupillary reaction to light 
2. Measure pupil size.
- Differential Diagnosis ... Check pupillary ... Anisocoria - CN ... #Ophthalmology ... #Pupillary #Pupils
Adie's Pupil
What? Unknown nature & benign
 • Regular and mildly dilated pupil (4-6mm);
 • Light-near dissociaton;
unilateral; • Slow pupillary ... females Differential Diagnosis ... : • CN Ill Palsy ... #PhysicalExam # ... neurology #ophthalmology
Argyll Robertson Pupil
Definition:
 - Irregular and small (1-2mm) pupil
 - Light-near dissociation (accommodation remains intact)
 -
Argyll Robertson Pupil ... bilateral - Abscent pupillary ... #neurology #diagnosis ... #ophthalmology ... #physicalexam
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
relative afferent pupillary ... relative afferent pupillary ... relative afferent pupillary ... #Diagnosis #PhysicalExam ... #Ophthalmology
Afferent Pupillary Defect

An afferent pupillary defect passing through its timeline. The pupil that does not react
Afferent Pupillary ... The pupil that does ... clinical #video #neurology ... #ophthalmology ... #PhysicalExam #RAPD
Anisocoria - Pupillary Defects - Differential Diagnosis Algorithm

Physiological - Simple Anisocoria ( <O.5mm)
 - Anisocoria equal
Anisocoria - Pupillary ... - Differential Diagnosis ... Fascicle (Other CN ... #Anisocoria #Pupillary ... Algorithm #Causes #Ophthalmology
Relative Afferent Pupillary Defect

This maneuver of intermittent light stimulus is called the alternating light test or
Marcus Gunn's pupils ... very sensitive diagnostic ... #Defect #Neurology ... Clinical #Video #Pupils ... #MacrusGunn #PhysicalExam
Marcus-Gunn Pupil - Pupillary dilation in response to light on the left eye and a preserved
Marcus-Gunn Pupil ... - Pupillary dilation ... video #ocular #neurology ... #ophthalmology ... tuberous #sclerosis #physicalexam
Diplopia - Double Vision - Differential Diagnosis Algorithm
Clinical Pearls:
 • Diplopia is almost always binocular.
 •
- Differential Diagnosis ... • CN VI palsy ... • Neurologic ... large/unreactive pupil ... Algorithm #Causes #Ophthalmology