13 results
Adie's Pupil on Physical Exam

Adie's pupil is a neurological disorder characterized by a tonically dilated pupil
Adie's Pupil on ... i.e., light-near dissociation ... #clinical #video ... #ophthalmology ... #neurology #syndrome
Adie's Pupil
What? Unknown nature & benign
 • Regular and mildly dilated pupil (4-6mm);
 • Light-near dissociaton;
Adie's Pupil What ... : • Adie's Pupil ... Young females Differential ... • Other causes ... #neurology #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 ... with light near dissociation ... #ophthalmology ... #physicalexam #neurology
Diplopia - Double Vision - Differential Diagnosis Algorithm
Clinical Pearls:
 • Diplopia is almost always binocular.
 •
• Look for ptosis ... • Neurologic ... Cataract/Lens Dislocation ... large/unreactive pupil ... #Ophthalmology
Mydriasis and Miosis - Differential Diagnosis Framework

Causes of Mydriasis:
Dilated pupils (mydriasis) more than 7mm
 • Unilateral
- Differential ... closure glaucoma, Adie's ... #differential # ... diagnosis #ophthalmology ... #causes
Anisocoria - Pupillary Defects - Differential Diagnosis Algorithm

Physiological - Simple Anisocoria ( <O.5mm)
 - Anisocoria equal
Pupillary Defects - Differential ... Preganglionic - Ptosis ... pilocarpine • Tonic (Adie's ... Diagnosis #Algorithm #Causes ... #Ophthalmology
Horner's Syndrome on Physical Exam

A 75yoF was referred in for facial swelling and eyelid changes 1
and ptosis (both ... ) of the right eye ... how the right pupil ... #ophthalmology ... #physicalexam #neurology
Ptosis - Differential Diagnosis Framework

Ptosis (Greek- to fall) Drooping of the upper eyelid that usually results
Ptosis - Differential ... - Neurologic disease ... - Absence or reduction ... #neurology #Differential ... #Diagnosis #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
edema • Lens dislocation ... glaucoma • GCA • Adie ... ’s pupil • Glaucoma ... #diagnosis #ophthalmology ... #causes
Strabismus - Ocular Misalignment - Differential Diagnosis Algorithm
Phoria:
 • Latent deviation
 • Symmetrical corneal light reflex,
Misalignment - Differential ... and abducted, ptosis ... large/unreactive pupil ... Diagnosis #Algorithm #Causes ... #Ophthalmology