9 results
Instructions on how to perform the swinging light test to detect a relative afferent pupillary defect.

http://www.cmaj.ca/content/early/2015/01/05/cmaj.140685

Normal
pupillary defect* (RAPD ... pupillary defect* (RAPD ... #Diagnosis #PhysicalExam ... #Ophthalmology ... #RAPD #Relative
Relative Afferent Pupillary Defect

This maneuver of intermittent light stimulus is called the alternating light test or
Marcus Gunn's pupils ... pupillary defect (RAPD ... the pupillary reflex ... very sensitive diagnostic ... #MacrusGunn #PhysicalExam
Approach to an Eye Exam

1. History
2. Obvious Physical Trauma
3. Initial Assessment
  A. Visual Acuity
Pupils a. ... Light Reflex, Accommodation ... , RAPD C. ... EyeExamination #Approach #Ophthalmology ... #PhysicalExam
Adie's Pupil
What? Unknown nature & benign
 • Regular and mildly dilated pupil (4-6mm);
 • Light-near dissociaton;
Holmes-Adie Syndrome ... females Differential Diagnosis ... no light-near dissociation ... #PhysicalExam # ... neurology #ophthalmology
The Neurological Evaluation of a Comatose Patient

Definition:
 • Coma: a state of unresponsiveness; the absence of
Differential Diagnosis ... • Locked-in syndrome ... • Vestibulo-ocular ... reflex Pupils ... caseyalbin #PhysicalExam
Iridodonesis

Physical examination revealed iridodonesis, or “dancing” of the iris, which was elicited by rapid movement of
was elicited by rapid ... total or partial dislocation ... with Marfan’s syndrome ... #Video #Ophthalmology ... #Signs #Ocular
Strabismus - Ocular Misalignment - Differential Diagnosis Algorithm
Phoria:
 • Latent deviation
 • Symmetrical corneal light reflex,
Strabismus - Ocular ... - Differential Diagnosis ... corneal light reflex ... large/unreactive pupil ... Algorithm #Causes #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
- Differential Diagnosis ... edema • Lens dislocation ... GCA • Adie’s pupil ... • Sjögren’s syndrome ... #ophthalmology
Iridodonesis

Physical examination revealed iridodonesis, or “dancing” of the iris, which was elicited by rapid movement of
was elicited by rapid ... total or partial dislocation ... with Marfan’s syndrome ... #Video #Ophthalmology ... #Signs #Ocular