12 results
All About Horner's Syndrome

Horner's syndrome, known as 
"oculosympathetic paresis" by people 
who don't have friends, is
(constricted pupil ... in 1855 by Ed Horner ... DGlaucomflecken #Horners ... Syndrome #Overview #Ophthalmology ... #Diagnosis #Neurology
Pupillary Abnormalities  Overview
 - Unequal Pupils (anisocoria)
 - Tonic pupil (Adie's pupil)
 - OculomotorNerve (CN
Overview - Unequal Pupils ... (Adie's pupil) ... #Diagnosis #Ophthalmology ... Abnormalities #Differential ... Anisocoria #Adies #Horners
Pupils: Localization in Coma
 • Small, Reactive pupils: Metabolic coma.
 • Unilateral Fixed, dilated pupil :
: Midbrain lesion ... • Horner's syndrome ... #Coma #Neurology ... #differential # ... diagnosis
Unilateral Acute Vision Loss - Differential Diagnosis Algorithm
Painful - Cornea
 • Keratopathy
Painful - No Abnormalities of
Unilateral Acute Vision ... Loss - Differential ... Painful - Cornea ... (fixed dilated pupil ... #Causes #Ophthalmology
Horner's Syndrome on Physical Exam

A 75yoF was referred in for facial swelling and eyelid changes 1
consistent with a diagnosis ... how the right pupil ... anterior_seg_rocks #Horners ... #physicalexam # ... neurology #Anisocoria
Approach to Headaches - Differential Diagnosis Algorithm

Red flags (PHANTOMS):
 • Pattern change, progressively worse, papilledema
 •
to Headaches - Differential ... Diagnosis Algorithm ... papilledema • Horner ... signs, mid-dilated pupil ... #neurology #PHANTOMS
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 ... Cornea 5. ... GCA • Adie’s pupil ... #differential # ... diagnosis #ophthalmology
Adie's Pupil
What? Unknown nature & benign
 • Regular and mildly dilated pupil (4-6mm);
 • Light-near dissociaton;
Adie's Pupil What ... Young females Differential ... Diagnosis: • CN ... #PhysicalExam # ... neurology #ophthalmology
Diplopia - Double Vision - Differential Diagnosis Algorithm
Clinical Pearls:
 • Diplopia is almost always binocular.
 •
Diplopia - Double Vision ... • Neurologic ... Functional • Corneal ... large/unreactive pupil ... #Causes #Ophthalmology
Ptosis - Differential Diagnosis Framework

Ptosis (Greek- to fall) Drooping of the upper eyelid that usually results
Ptosis - Differential ... Horner’s syndrome ... nerve palsy • Horner ... #Differential # ... Diagnosis #ophthalmology