14 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 ... It is caused by ... infection which causes ... clinical #video #ophthalmology
Adie's Pupil
What? Unknown nature & benign
 • Regular and mildly dilated pupil (4-6mm);
 • Light-near dissociaton;
Adie's Pupil What ... : • Adie's Pupil ... no light-near dissociation ... • Other causes ... #neurology #ophthalmology
Anisocoria Evaluation Flow Chart - Differential Diagnosis
1. Check pupillary reaction to light 
2. Measure pupil size.
Check pupillary reaction ... Measure pupil size ... Dilatation - Adie's ... Tonic Pupil - ... Differential #Diagnosis #Ophthalmology
Isocoria - Pupillary Defects - Differential Diagnosis Algorithm
Relative Afferent Pupil Defect
 • Optic Neuritis
 • Ischemic
Relative Afferent Pupil ... Neuropathy Constricted Pupils ... Syphilis (light-near dissociation ... 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 ... with light near dissociation ... anterior_seg_rocks #Adies ... clinical #video #ophthalmology
Anisocoria - Pupillary Defects - Differential Diagnosis Algorithm

Physiological - Simple Anisocoria ( <O.5mm)
 - Anisocoria equal
- 10% cocaine: pupils ... pilocarpine • Tonic (Adie's ... ) Pupil (Ciliary ... Diagnosis #Algorithm #Causes ... #Ophthalmology
Mydriasis and Miosis - Differential Diagnosis Framework

Causes of Mydriasis:
Dilated pupils (mydriasis) more than 7mm
 • Unilateral
Diagnosis Framework Causes ... closure glaucoma, Adie's ... Hypothermia Causes ... differential #diagnosis #ophthalmology ... #causes
Diplopia - Double Vision - Differential Diagnosis Algorithm
Clinical Pearls:
 • Diplopia is almost always binocular.
 •
a mass as the cause ... Cataract/Lens Dislocation ... large/unreactive pupil ... #Diplopia #DoubleVision ... #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 ... differential #diagnosis #ophthalmology ... #causes
Traumatic Red Eye - Differential Diagnosis Algorithm
Surface Injury:
 • Corneal Abrasion
 • Ultraviolet Keratitis
 • Chemical
iridodialysis • Pupil ... Lens: Cataract, dislocation ... Diagnosis #Algorithm #Causes ... #Ophthalmology