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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 ... #Marfan #syndrome ... #Ocular #PhysicalExam
Isocoria - Pupillary Defects - Differential Diagnosis Algorithm
Relative Afferent Pupil Defect
 • Optic Neuritis
 • Ischemic
Tumor • Retinal detachment ... Syphilis (light-near dissociation ... Midbrain (Parinaud's Syndrome ... Diagnosis #Algorithm #Causes
Vision Loss - Differential Diagnosis
Chronic: 
  - Cornea: Scarring, Edema
  - Lens: Cataracts
Cataracts - Macula: Macular ... Painless: Lens Dislocation ... , Retinal Detachment ... 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
edema • Lens dislocation ... Retina: • Detachment ... • Sjögren’s syndrome ... hyperviscosity syndrome ... ophthalmology #causes
Iridodonesis

Physical examination revealed iridodonesis, or “dancing” of the iris, which was elicited by rapid movement of
total or partial dislocation ... with Marfan’s syndrome ... Iris #SlitLamp #PhysicalExam ... Ophthalmology #Signs #Ocular
Upper Extremity Dermatomes and Myotomes
Motor Function
Shoulder:
 • Abduction - C5,C6 (axillary)
 • Adduction - C6, C7,
Erb's Palsy is caused ... hand" ± Horner Syndrome ... Carpal Tunnel Syndrome ... Anterior Shoulder Dislocation ... sensory #motor #arm #physicalexam
Evaluation of Electrical Injury in the Emergency Department 

Common Injuries by System:

CNS - Seizure, coma, spinal
Seizure, coma, spinal ... MSK - Fractures, dislocations ... compartment syndrome ... Evaluation #Diagnosis #Management
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 ... #Adies #Pupil #PhysicalExam ... ophthalmology #neurology #syndrome
Winged Scapula on Physical Exam

Common things being common just standard scapular winging, but this is more
concern for add’l spinal ... believe this is case ... chronic locked dislocations ... Winged #Scapula #PhysicalExam
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