30 results
Isocoria - Pupillary Defects - Differential Diagnosis Algorithm
Relative Afferent Pupil Defect
 • Optic Neuritis
 • Ischemic
- Differential Diagnosis ... Syphilis (light-near dissociation ... ) • Pharmacologic ... #Algorithm #Causes ... #Ophthalmology
Anisocoria Evaluation Flow Chart - Differential Diagnosis
1. Check pupillary reaction to light 
2. Measure pupil size.
- Differential Diagnosis ... Measure pupil size ... CN III Palsy - Pharmacologic ... #Differential #Diagnosis ... #Ophthalmology
Adie's Pupil on Physical Exam

Adie's pupil is a neurological disorder characterized by a tonically dilated pupil
i.e., light-near dissociation ... It is caused by ... infection which causes ... PhysicalExam #clinical #video ... #ophthalmology
Adie's Pupil
What? Unknown nature & benign
 • Regular and mildly dilated pupil (4-6mm);
 • Light-near dissociaton;
Adie's Pupil What ... females Differential Diagnosis ... no light-near dissociation ... • Other causes ... PhysicalExam #neurology #ophthalmology
Argyll Robertson Pupil
Definition:
 - Irregular and small (1-2mm) pupil
 - Light-near dissociation (accommodation remains intact)
 -
Argyll Robertson Pupil ... small (1-2mm) pupil ... - Light-near dissociation ... #neurology #diagnosis ... #ophthalmology
Anisocoria - Pupillary Defects - Differential Diagnosis Algorithm

Physiological - Simple Anisocoria ( <O.5mm)
 - Anisocoria equal
- Differential Diagnosis ... pilocarpine • Pharmacologic ... #Differential #Diagnosis ... #Algorithm #Causes ... #Ophthalmology
Mydriasis and Miosis - Differential Diagnosis Framework

Causes of Mydriasis:
Dilated pupils (mydriasis) more than 7mm
 • Unilateral
- Differential Diagnosis ... Framework Causes ... #differential #diagnosis ... #ophthalmology ... #causes
Unilateral Acute Vision Loss - Differential Diagnosis Algorithm
Painful - Cornea
 • Keratopathy
Painful - No Abnormalities of
- Differential Diagnosis ... (fixed dilated pupil ... #Differential #Diagnosis ... #Algorithm #Causes ... #Ophthalmology
Diplopia - Double Vision - Differential Diagnosis Algorithm
Clinical Pearls:
 • Diplopia is almost always binocular.
 •
- Differential Diagnosis ... a mass as the cause ... Cataract/Lens Dislocation ... large/unreactive pupil ... #Ophthalmology
Adie’s Tonic Pupil on Physical Exam

A young female was referred in for a sudden onset anisocoria.
In this case, the ... than 3mm in this case ... with light near dissociation ... anisocoria #clinical #video ... #ophthalmology