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Bilateral Lens Dislocation in Marfan syndrome - Slit Lamp Ocular Examination

Dr. Sebastian Vega @oftalmopo

#Bilateral #Lens #Dislocation
Bilateral Lens Dislocation ... in Marfan syndrome ... - Slit Lamp Ocular ... #Lens #Dislocation ... #Ocular #PhysicalExam
Vision Loss - Differential Diagnosis
Chronic: 
  - Cornea: Scarring, Edema
  - Lens: Cataracts
Scarring, Edema - Lens ... , Painless: Lens ... Dislocation, Retinal ... Detachment, Central ... Differential #Diagnosis #causes
Differential Diagnosis for Vision Loss
Unilateral, Painful Vision Loss:
 • Corneal abrasion, Acute angle-closure glaucoma, Inflammation-iritis, uveitis,
, Vitreous detachment ... vein occlusion, Lens ... dislocation, Ischemic ... #bilateral #painful ... differential #diagnosis #causes
Blurry Vision - Differential Diagnosis Framework

Anatomical Approach to Eye Disease:
1. Lids/Lashes
2. Extraocular Muscles/Motility
3. Conjunctiva/Sclera
4. Cornea
5. Anterior
dislocation • ... Retina: • Detachment ... • Sjögren’s syndrome ... hyperviscosity syndrome ... ophthalmology #causes
Red Eye - Differential Diagnosis Framework

What?
Redness in the eye can be caused by many conditions and
Episcleritis Ocular ... neuritis • Retinal detachment ... or bilateral symptoms ... • Is the eye painful ... Conjunctivitis #ocular
Adie's Pupil
What? Unknown nature & benign
 • Regular and mildly dilated pupil (4-6mm);
 • Light-near dissociaton;
Holmes-Adie Syndrome ... no light-near dissociation ... • Other causes ... #Adies #Pupil #PhysicalExam ... #neurology #ophthalmology
Adie’s Tonic Pupil on Physical Exam

A young female was referred in for a sudden onset anisocoria.
Her ocular exam ... with light near dissociation ... in those rare bilateral ... ophthalmology #physicalexam ... #neurology
The Neurological Evaluation of a Comatose Patient

Definition:
 • Coma: a state of unresponsiveness; the absence of
dysfunction to the bilateral ... • Vestibulo-ocular ... ) - Possible painful ... caseyalbin #PhysicalExam ... #neurology #comatose
Posterior Knee Dislocation Injury
Specifically, POSTERIOR KNEE DISLOCATIONS can have significant associated injury that needs unique approach
: ~25% cases. ... Neurologic deficit ... Neurologic injuries ... nerve injured (less ... Compartment syndrome