14 results
Adie's Pupil
What? Unknown nature & benign
 • Regular and mildly dilated pupil (4-6mm);
 • Light-near dissociaton;
• Light-near dissociaton ... females Differential Diagnosis ... no light-near dissociation ... • Other causes ... #PhysicalExam #neurology
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 ... infection which causes ... PhysicalExam #clinical #video ... ophthalmology #neurology
Parinaud's syndrome
What?
 • Light-near dissociation (tectal pupils)
 • Convergence retraction nystagmus
 • Eyelid retraction (Collier's sign)
• Light-near dissociation ... (tectal pupils) ... Convergence retraction nystagmus ... Parinauds #syndrome #neurology ... #diagnosis
Characteristic eye movements found in Downbeat Nystagmus

Downbeat nystagmus (downward fast phase) is the most common of
Nystagmus Downbeat ... of a structural lesion ... Video by Kathleen ... Ophthalmology #Neurology ... #Ocular #PhysicalExam
Adie’s Tonic Pupil on Physical Exam

A young female was referred in for a sudden onset anisocoria.
Her ocular exam ... slightly reduced near vision ... with light near dissociation ... anisocoria #clinical #video ... #physicalexam #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
Differential Diagnosis ... Ocular Adverse Effects ... edema • Lens dislocation ... GCA • Adie’s pupil ... ophthalmology #causes
Diplopia - Double Vision - Differential Diagnosis Algorithm
Clinical Pearls:
 • Diplopia is almost always binocular.
 •
Diplopia - Double Vision ... - Differential Diagnosis ... • Neurologic ... Cataract/Lens Dislocation ... large/unreactive pupil
Vision Loss - Differential Diagnosis
Chronic: 
  - Cornea: Scarring, Edema
  - Lens: Cataracts
Vision Loss - Differential ... Diagnosis Chronic ... Cataracts - Macula: Macular ... Painless: Lens Dislocation ... #causes #ophthalmology
Downbeat Nystagmus on Physical Exam

65 year old female with new walking difficulty and dizziness. Why downbeat
Downbeat Nystagmus ... Why downbeat nystagmus ... #clinical #video ... #ocular #ophthalmology ... #neurology
Wernicke's Encephalopathy 
CLINICAL TRIAD: only seen in 1/4 pts 
W.E. is often under diagnosed 
1. ENCEPHALOPATHY
is often under diagnosed ... DYSFUNCTION (29%) Nystagmus ... , Light near dissociation ... , Nonreactive pupils ... #triad #neurology