12 results
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
Adie's Pupil
What? Unknown nature & benign
 • Regular and mildly dilated pupil (4-6mm);
 • Light-near dissociaton;
Holmes-Adie Syndrome ... Young females Differential ... • Other causes ... #PhysicalExam #neurology ... #ophthalmology
Diplopia - Double Vision - Differential Diagnosis Algorithm
Clinical Pearls:
 • Diplopia is almost always binocular.
 •
Double Vision - Differential ... • Look for ptosis ... • Neurologic ... Cataract/Lens Dislocation ... #Ophthalmology
Ptosis - Differential Diagnosis Framework

Ptosis (Greek- to fall) Drooping of the upper eyelid that usually results
Ptosis - Differential ... - Neurologic disease ... - Absence or reduction ... #Ptosis #neurology ... Diagnosis #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 ... #clinical #video ... #ophthalmology ... #physicalexam #neurology
Adie’s Tonic Pupil on Physical Exam

A young female was referred in for a sudden onset anisocoria.
Adie’s Tonic Pupil ... with light near dissociation ... anisocoria #clinical #video ... #ophthalmology ... #physicalexam #neurology
Mydriasis and Miosis - Differential Diagnosis Framework

Causes of Mydriasis:
Dilated pupils (mydriasis) more than 7mm
 • Unilateral
- Differential ... closure glaucoma, Adie's ... : Horner's syndrome ... #differential # ... diagnosis #ophthalmology
One and a Half Syndrome on Physical Exam

This 28 year old patient presented to clinic with
the follow up video ... shows only abduction ... The most common causes ... #ophthalmology ... #neurology
Blurry Vision - Differential Diagnosis Framework

Anatomical Approach to Eye Disease:
1. Lids/Lashes
2. Extraocular Muscles/Motility
3. Conjunctiva/Sclera
4. Cornea
5. Anterior
Blurry Vision - Differential ... edema • Lens dislocation ... glaucoma • GCA • Adie ... #diagnosis #ophthalmology ... #causes
Orbital Apex Syndrome secondary to Herpes Zoster Ophthalmicus (HZO)

This 81 yo male was referred to our
around his left eye ... developed a complete ptosis ... HZO #clinical #video ... #ophthalmology ... #physicalexam #neurology