11 results
Ptosis - Differential Diagnosis Framework

Ptosis (Greek- to fall) Drooping of the upper eyelid that usually results
- Neurologic disease ... nerve palsy • Horner ... #Ptosis #neurology ... Differential #Diagnosis #ophthalmology ... #ocular
All About Horner's Syndrome

Horner's syndrome, known as 
"oculosympathetic paresis" by people 
who don't have friends, is
have friends, is caused ... classically results in ptosis ... in 1855 by Ed Horner ... #Overview #Ophthalmology ... #Diagnosis #Neurology
Horner's Syndrome on Physical Exam

A 75yoF was referred in for facial swelling and eyelid changes 1
and ptosis (both ... experience, the cause ... clinical #video #ophthalmology ... #physicalexam #neurology ... #Anisocoria
Adie's Pupil
What? Unknown nature & benign
 • Regular and mildly dilated pupil (4-6mm);
 • Light-near dissociaton;
Holmes-Adie Syndrome ... • Other causes ... • Physiologic Anisocoria ... #PhysicalExam #neurology ... #ophthalmology
Diplopia - Double Vision - Differential Diagnosis Algorithm
Clinical Pearls:
 • Diplopia is almost always binocular.
 •
• Look for ptosis ... • Neurologic ... Cataract/Lens Dislocation ... Functional • Corneal ... #Ophthalmology
Blurry Vision - Differential Diagnosis Framework

Anatomical Approach to Eye Disease:
1. Lids/Lashes
2. Extraocular Muscles/Motility
3. Conjunctiva/Sclera
4. Cornea
5. Anterior
Ocular Adverse Effects ... edema • Lens dislocation ... • Sjögren’s syndrome ... differential #diagnosis #ophthalmology ... #causes
Adie’s Tonic Pupil on Physical Exam

A young female was referred in for a sudden onset anisocoria.
Her ocular exam ... In this case, the ... with light near dissociation ... clinical #video #ophthalmology ... #physicalexam #neurology
Photophobia and Headache - Differential Diagnosis Framework

Why?
• The coexistence of photophobia and headache suggests the potential
hypothalamus, and visual cortex ... meningeal irritation signs ... glaucoma - Ocular ... differential #diagnosis #ophthalmology ... #Neurology
Myasthenia Gravis Overview

Myasthenia Gravis is an autoimmune disorder of the postsynaptic neuromuscular junction.  Ab to
Ocular- 50%: Ptosis ... test - Cogan sign ... - Peek sign ... Myasthenia Crises ... diagnosis #management #neurology
Orbital Apex Syndrome secondary to Herpes Zoster Ophthalmicus (HZO)

This 81 yo male was referred to our
developed a complete ptosis ... acetate to help with ocular ... other potential causes ... clinical #video #ophthalmology ... #physicalexam #neurology