14 results
Anisocoria Evaluation Flow Chart - Differential Diagnosis
1. Check pupillary reaction to light 
2. Measure pupil size.
Measure pupil size ... noted, re-measure pupil ... - Adie's Tonic Pupil ... #Diagnosis #Ophthalmology ... #Pupillary #Pupils
Isocoria - Pupillary Defects - Differential Diagnosis Algorithm
Relative Afferent Pupil Defect
 • Optic Neuritis
 • Ischemic
Relative Afferent Pupil ... Neuropathy Constricted Pupils ... #Pupils #Defects ... Diagnosis #Algorithm #Causes ... #Ophthalmology
Adie's Pupil
What? Unknown nature & benign
 • Regular and mildly dilated pupil (4-6mm);
 • Light-near dissociaton;
Adie's Pupil What ... mildly dilated pupil ... • Other causes ... of tonic pupil ... #PhysicalExam #
Anisocoria - Pupillary Defects - Differential Diagnosis Algorithm

Physiological - Simple Anisocoria ( <O.5mm)
 - Anisocoria equal
- 10% cocaine: pupils ... Tonic (Adie's) Pupil ... #Pupils #Defects ... Diagnosis #Algorithm #Causes ... #Ophthalmology
Argyll Robertson Pupil
Definition:
 - Irregular and small (1-2mm) pupil
 - Light-near dissociation (accommodation remains intact)
 -
Argyll Robertson Pupil ... small (1-2mm) pupil ... - Light-near dissociation ... Argyll #Robertson #Pupil ... #physicalexam
Adie's Pupil on Physical Exam

Adie's pupil is a neurological disorder characterized by a tonically dilated pupil
Adie's Pupil on ... Physical Exam Adie's pupil ... tonically dilated pupil ... Gupta #Adies #Pupil ... #PhysicalExam #
Persistent Pupillary Membrane (PPM) on Slit Lamp Ocular Examination

This membrane would be a remainder of the
Persistent Pupillary ... large enough to cause ... #Membrane #Pupil ... #Ocular #PhysicalExam ... clinical #video #ophthalmology
Unilateral Acute Vision Loss - Differential Diagnosis Algorithm
Painful - Cornea
 • Keratopathy
Painful - No Abnormalities of
Vision Loss - Differential ... (fixed dilated pupil ... Demyelination • MS ... Diagnosis #Algorithm #Causes ... #Ophthalmology
Adie’s Tonic Pupil on Physical Exam

A young female was referred in for a sudden onset anisocoria.
Adie’s Tonic Pupil ... Adie’s tonic pupil ... (meaning the pupil ... , the affected pupil ... #physicalexam #
Diplopia - Double Vision - Differential Diagnosis Algorithm
Clinical Pearls:
 • Diplopia is almost always binocular.
 •
Double Vision - Differential ... Cataract/Lens Dislocation ... large/unreactive pupil ... #DoubleVision #Differential ... #Ophthalmology