20 results
Diplopia - Double Vision - Differential Diagnosis Algorithm
Clinical Pearls:
 • Diplopia is almost always binocular.
 •
Diplopia - Double Vision ... • Neurologic ... Cataract/Lens Dislocation ... large/unreactive pupil ... #Ophthalmology
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
Anisocoria - Pupillary Defects - Differential Diagnosis Algorithm

Physiological - Simple Anisocoria ( <O.5mm)
 - Anisocoria equal
Pupillary Defects - Differential ... Preganglionic - Ptosis ... Ciliary Ganglion Lesion ... Diagnosis #Algorithm #Causes ... #Ophthalmology
Marcus-Gunn Jaw Winking Ptosis

Marcus Gunn Jaw Winking Ptosis is the most common form of congenital neurogenic
Gunn Jaw Winking Ptosis ... Caused by connection ... mastication and superior division ... #clinical #video ... #neurology #ophthalmology
Differential Diagnosis for Vision Loss
Unilateral, Painful Vision Loss:
 • Corneal abrasion, Acute angle-closure glaucoma, Inflammation-iritis, uveitis,
Differential Diagnosis ... caustic exposure to eye ... occlusion, Lens dislocation ... #diagnosis #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
Adie’s Tonic Pupil on Physical Exam

A young female was referred in for a sudden onset anisocoria.
slightly reduced near vision ... with light near dissociation ... anisocoria #clinical #video ... #ophthalmology ... #physicalexam #neurology
Adie's Pupil
What? Unknown nature & benign
 • Regular and mildly dilated pupil (4-6mm);
 • Light-near dissociaton;
Young females Differential ... no light-near dissociation ... • Other causes ... #PhysicalExam #neurology ... #ophthalmology
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
Differential Diagnosis ... edema • Lens dislocation ... GCA • Adie’s pupil ... diagnosis #ophthalmology ... #causes