13 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;
Young females Differential ... no light-near dissociation ... • Other causes ... #PhysicalExam #neurology ... #ophthalmology
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
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
Diplopia - Double Vision - Differential Diagnosis Algorithm
Clinical Pearls:
 • Diplopia is almost always binocular.
 •
Diplopia - Double Vision ... - Differential ... • Neurologic ... Cataract/Lens Dislocation ... #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 ... glaucoma • GCA • Adie ... diagnosis #ophthalmology ... #causes
One and a Half Syndrome on Physical Exam

This 28 year old patient presented to clinic with
to clinic with vision ... the follow up video ... shows only abduction ... #ophthalmology ... #neurology
Bilateral Atraumatic Lens Dislocation on Slit Lamp Ocular Examination

Atraumatic bilateral dislocation of intraocular lenses in a
3 days blurry vision ... years ago in both eyes ... PhysicalExam #clinical #video ... #ophthalmology ... #SlitLamp
Intermittent Bilateral Exophthalmos (Alternating Exophthalmos and Enophthalmos) on Physical Exam

Observing this patient in silence for a
condition can be vision ... was also right eye ... Differentials for ... Bilateral #clinical #video ... #ophthalmology
Asteroid hyalosis in the anterior vitreous cavity on slit lamp exam

These are refractive, calcific particles suspended
jelly in your eye ... RARELY affect vision ... reflection they cause ... AsteroidHyalosis #clinical #video ... #slitlamp #ophthalmology