11 results
Isocoria - Pupillary Defects - Differential Diagnosis Algorithm
Relative Afferent Pupil Defect
 • Optic Neuritis
 • Ischemic
Syphilis (light-near dissociation ... ) • Pharmacologic ... Midbrain (Parinaud's Syndrome ... • Botulism Pharmacologic ... Diagnosis #Algorithm #Causes
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 #neurology #syndrome
Adie's Pupil
What? Unknown nature & benign
 • Regular and mildly dilated pupil (4-6mm);
 • Light-near dissociaton;
Adie's Pupil What ... mildly dilated pupil ... Holmes-Adie Syndrome ... no light-near dissociation ... • Other causes
Selective Serotonin Reuptake Inhibitors: Mechanisms and Side Effects
 • Serotonin Syndrome:
   - Autonomic Hyperactivity:
• Serotonin Syndrome ... Tachycardia, Dilated pupils ... SSRI Withdrawal Syndrome ... Dizziness - Nausea ... Pathophysiology #Pharmacology
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 ... rare bilateral cases ... anisocoria #clinical #video
Serotonin-Norepinephrine Reuptake Inhibitors(SNRIs): Mechanisms and Side Effects

Withdrawal: Dizziness, Diarrhea, Insomnia, Nausea, Vomiting
Serotonin Syndrome - Potentially Life
Diarrhea, Insomnia, Nausea ... Vomiting Serotonin Syndrome ... Tachycardia, Dilated pupils ... gain Incr NE: Nausea ... Pathophysiology #Pharmacology
Horner's Syndrome on Physical Exam

A 75yoF was referred in for facial swelling and eyelid changes 1
Horner's Syndrome ... experience, the cause ... The video highlights ... how the right pupil ... #clinical #video
Blurry Vision - Differential Diagnosis Framework

Anatomical Approach to Eye Disease:
1. Lids/Lashes
2. Extraocular Muscles/Motility
3. Conjunctiva/Sclera
4. Cornea
5. Anterior
edema • Lens dislocation ... GCA • Adie’s pupil ... • Sjögren’s syndrome ... hyperviscosity syndrome ... ophthalmology #causes
Guillain–Barré syndrome (GBS)
(aka: Landry–Guillain–Barré–Strohl syndrome:
	Most common cause of acute flaccid paralysis
	Rapidly progressive ascending paralysis & areflexia
	Autonomic
Guillain–Barré syndrome ... Landry–Guillain–Barré–Strohl syndrome ...  Most common cause ... albumin-cytologic dissociation ... fixed dilated pupils
Orbital Apex Syndrome secondary to Herpes Zoster Ophthalmicus (HZO)

This 81 yo male was referred to our
Orbital Apex Syndrome ... a non-reactive pupil ... other potential causes ... Orbital Apex Syndrome ... HZO #clinical #video