12 results
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 ... #PhysicalExam #neurology ... #ophthalmology
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
Blurry Vision - Differential Diagnosis Framework

Anatomical Approach to Eye Disease:
1. Lids/Lashes
2. Extraocular Muscles/Motility
3. Conjunctiva/Sclera
4. Cornea
5. Anterior
- Differential Diagnosis ... edema • Lens dislocation ... glaucoma • GCA • Adie ... #ophthalmology ... #causes
Vision Loss - Differential Diagnosis
Chronic: 
  - Cornea: Scarring, Edema
  - Lens: Cataracts
- Differential Diagnosis ... Chronic: - Cornea ... Cataracts - Macula: Macular ... Painless: Lens Dislocation ... #causes #ophthalmology
Adie’s Tonic Pupil on Physical Exam

A young female was referred in for a sudden onset anisocoria.
Adie’s Tonic Pupil ... Her ocular exam ... with light near dissociation ... clinical #video #ophthalmology ... #physicalexam #neurology
Localizing Extraocular Movement Disorders
 • CN Ill (Oculomotor) Nerve Palsy 
 • CN IV (Trochlear) Nerve
One-and-a-half Syndrome ... Skew Deviation Casey ... #Localization #ophthalmology ... #neurology #differential ... #diagnosis #ocular
Diplopia - Double Vision - Differential Diagnosis Algorithm
Clinical Pearls:
 • Diplopia is almost always binocular.
 •
Neurologic ... a mass as the cause ... Cataract/Lens Dislocation ... Functional • Corneal ... #Ophthalmology
All About Horner's Syndrome

Horner's syndrome, known as 
"oculosympathetic paresis" by people 
who don't have friends, is
have friends, is caused ... in 1855 by Ed Horner ... and discovered a syndrome ... #Overview #Ophthalmology ... #Diagnosis #Neurology
Upper Extremity Dermatomes and Myotomes
Motor Function
Shoulder:
 • Abduction - C5,C6 (axillary)
 • Adduction - C6, C7,
"claw hand" ± Horner ... Syndrome Wrist ... Anterior Shoulder Dislocation ... Dermatomes #Myotomes #diagnosis ... #neurology #sensory
Ptosis - Differential Diagnosis Framework

Ptosis (Greek- to fall) Drooping of the upper eyelid that usually results
- Differential Diagnosis ... Neurogenic Ptosis - Neurologic ... nerve palsy • Horner ... #Ptosis #neurology ... #ophthalmology