8 results
Anisocoria Evaluation Flow Chart - Differential Diagnosis
1. Check pupillary reaction to light 
2. Measure pupil size.
Measure pupil size ... noted, re-measure pupil ... Dilatation - Adie's ... Tonic Pupil - ... Ophthalmology #Pupillary #Pupils
Anisocoria - Pupillary Defects - Differential Diagnosis Algorithm

Physiological - Simple Anisocoria ( <O.5mm)
 - Anisocoria equal
- 10% cocaine: pupils ... pilocarpine • Tonic (Adie's ... ) Pupil (Ciliary ... #Pupillary #Pupils ... #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 ... #Tonic #Pupil #
Blurry Vision - Differential Diagnosis Framework

Anatomical Approach to Eye Disease:
1. Lids/Lashes
2. Extraocular Muscles/Motility
3. Conjunctiva/Sclera
4. Cornea
5. Anterior
Iris 7. ... Trauma Cornea/Iris ... Uveitis Lens: • Cataracts ... glaucoma • GCA • Adie ... ’s pupil • Glaucoma
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
Diplopia - Double Vision - Differential Diagnosis Algorithm
Clinical Pearls:
 • Diplopia is almost always binocular.
 •
Diplopia - Double Vision ... Differential Diagnosis Algorithm ... a mass as the cause ... Refractive Error • Cataract ... large/unreactive pupil
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
The Neurological Evaluation of a Comatose Patient

Definition:
 • Coma: a state of unresponsiveness; the absence of
• Vestibulo-ocular ... Cough reflex Pupils ... : • Anisocoria ... previous gaze position ... Casey Albin MD @