68 results
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 ... clinical #video #ophthalmology ... #neurology #syndrome
Isocoria - Pupillary Defects - Differential Diagnosis Algorithm
Relative Afferent Pupil Defect
 • Optic Neuritis
 • Ischemic
Relative Afferent Pupil ... Neuropathy Constricted Pupils ... Syphilis (light-near dissociation ... Diagnosis #Algorithm #Causes ... #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
Adie's Pupil
What? Unknown nature & benign
 • Regular and mildly dilated pupil (4-6mm);
 • Light-near dissociaton;
Adie's Pupil What ... no light-near dissociation ... • Other causes ... #PhysicalExam #neurology ... #ophthalmology
Argyll-Robertson Pupil on Physical Exam
Small (myotic), irregular pupil that do not react to light but do
Argyll-Robertson Pupil ... myotic), irregular pupil ... Argyll #Robertson #Pupil ... clinical #video #neurology ... #ophthalmology
Mydriasis and Miosis - Differential Diagnosis Framework

Causes of Mydriasis:
Dilated pupils (mydriasis) more than 7mm
 • Unilateral
Diagnosis Framework Causes ... , Adie's tonic pupil ... Hypothermia Causes ... differential #diagnosis #ophthalmology ... #causes
Anisocoria - Pupillary Defects - Differential Diagnosis Algorithm

Physiological - Simple Anisocoria ( <O.5mm)
 - Anisocoria equal
- 10% cocaine: pupils ... Tonic (Adie's) Pupil ... Anisocoria #Pupillary #Pupils ... Diagnosis #Algorithm #Causes ... #Ophthalmology
Diplopia - Double Vision - Differential Diagnosis Algorithm
Clinical Pearls:
 • Diplopia is almost always binocular.
 •
Neurologic ... 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 ... clinical #video #ophthalmology ... #physicalexam #neurology
Unilateral Fixed Dilated Pupil - Differential Diagnosis Framework
If Altered Mental Status - Consider Oculomotor (3rd cranial
Fixed Dilated Pupil ... no neurological cause ... Fixed #Dilated #Pupil ... differential #diagnosis #neurology