21 results
Bilateral Lens Dislocation in Marfan syndrome - Slit Lamp Ocular Examination

Dr. Sebastian Vega @oftalmopo

#Bilateral #Lens #Dislocation
in Marfan syndrome ... - Slit Lamp Ocular ... #clinical #video ... #ophthalmology ... #SlitLamp
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 ... #PhysicalExam #Video ... #Ophthalmology ... #Signs #Ocular
Persistent Pupillary Membrane (PPM) on Slit Lamp Ocular Examination

This membrane would be a remainder of the
Persistent Pupillary ... large enough to cause ... PhysicalExam #clinical #video ... #ophthalmology ... #SlitLamp
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
Isocoria - Pupillary Defects - Differential Diagnosis Algorithm
Relative Afferent Pupil Defect
 • Optic Neuritis
 • Ischemic
Isocoria - Pupillary ... Syphilis (light-near dissociation ... Midbrain (Parinaud's Syndrome ... #Algorithm #Causes ... #Ophthalmology
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 ... #PhysicalExam #Video ... #Ophthalmology ... #Signs #Ocular
Relative Afferent Pupillary Defect

This maneuver of intermittent light stimulus is called the alternating light test or
It is a clear sign ... very sensitive diagnostic ... regarding the cause ... #Defect #Neurology ... #Clinical #Video
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 ... PhysicalExam #clinical #video ... #ophthalmology ... #neurology #syndrome
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
Hematuria - Differential Diagnosis Framework

Gross Hematuria: Red/Dark urine
 • 1ml blood/liter urine can induce color change
- Differential Diagnosis ... hematuria • Signs ... → Diagnostic of ... embolism • AVM • Papillary ... #causes #urology