9 results
Anisocoria Evaluation Flow Chart - Differential Diagnosis
1. Check pupillary reaction to light 
2. Measure pupil size.
Anisocoria - CN ... Dilatation - Adie's ... Traumatic Iris Damage ... Anisocoria #Evaluation #Algorithm ... Differential #Diagnosis #Ophthalmology
Mydriasis and Miosis - Differential Diagnosis Framework

Causes of Mydriasis:
Dilated pupils (mydriasis) more than 7mm
 • Unilateral
Unilateral Mydriasis: CN ... closure glaucoma, Adie's ... , Pilocarpine, Iris ... differential #diagnosis #ophthalmology ... #causes
Anisocoria - Pupillary Defects - Differential Diagnosis Algorithm

Physiological - Simple Anisocoria ( <O.5mm)
 - Anisocoria equal
Differential Diagnosis Algorithm ... Fascicle (Other CN ... pilocarpine • Tonic (Adie's ... Differential #Diagnosis #Algorithm ... #Causes #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 ... control of the iris ... pilocarpine which if positive
Blurry Vision - Differential Diagnosis Framework

Anatomical Approach to Eye Disease:
1. Lids/Lashes
2. Extraocular Muscles/Motility
3. Conjunctiva/Sclera
4. Cornea
5. Anterior
Uveitis Lens: • Cataracts ... glaucoma • GCA • Adie ... ’s pupil • Glaucoma ... optic disk • HIV/AIDS ... differential #diagnosis #ophthalmology
Traumatic Red Eye - Differential Diagnosis Algorithm
Surface Injury:
 • Corneal Abrasion
 • Ultraviolet Keratitis
 • Chemical
Differential Diagnosis Algorithm ... : Abrasion • Iris ... iridodialysis • Pupil ... mydriasis • Lens: Cataract ... #Causes #Ophthalmology
Approach to an Eye Exam

1. History
2. Obvious Physical Trauma
3. Initial Assessment
  A. Visual Acuity
Pupils a. ... (CN 3, 4, 6) ... Lids / Lashes/ Lacrimal ... Iris F. ... EyeExamination #Approach #Ophthalmology
Diplopia - Double Vision - Differential Diagnosis Algorithm
Clinical Pearls:
 • Diplopia is almost always binocular.
 •
Differential Diagnosis Algorithm ... a mass as the cause ... Refractive Error • Cataract ... large/unreactive pupil ... #Causes #Ophthalmology
Strabismus - Ocular Misalignment - Differential Diagnosis Algorithm
Phoria:
 • Latent deviation
 • Symmetrical corneal light reflex,
Strabismus - Ocular ... Differential Diagnosis Algorithm ... Negative cover test positive ... large/unreactive pupil ... #Causes #Ophthalmology