15 results
Bilateral Lens Dislocation in Marfan syndrome - Slit Lamp Ocular Examination

Dr. Sebastian Vega @oftalmopo

#Bilateral #Lens #Dislocation
Bilateral Lens Dislocation ... in Marfan syndrome ... #Dislocation #Marfan ... #syndrome #Ocular ... PhysicalExam #clinical #video
Parinaud's syndrome
What?
 • Light-near dissociation (tectal pupils)
 • Convergence retraction nystagmus
 • Eyelid retraction (Collier's sign)
Parinaud's syndrome ... • Light-near dissociation ... (tectal pupils) ... Convergence retraction nystagmus ... #neurology #diagnosis
Adie's Pupil
What? Unknown nature & benign
 • Regular and mildly dilated pupil (4-6mm);
 • Light-near dissociaton;
• Light-near dissociaton ... Holmes-Adie Syndrome ... females Differential Diagnosis ... no light-near dissociation ... #PhysicalExam #neurology
Parinaud's Syndrome
What?
 - Impaired upgaze
 - Light-near dissociation
 - Convergence retraction nystagmus
 - Eyelid retraction (Collier's
Parinaud's Syndrome ... - Light-near dissociation ... Convergence retraction nystagmus ... #diagnosis #pineal ... #neurology
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 ... PhysicalExam #clinical #video ... ophthalmology #neurology ... #syndrome
Lens Dislocation on Ocular POCUS
One of my favorite POCUS diagnoses! Recent study showed POCUS was 99%
Lens Dislocation ... on Ocular POCUS ... favorite POCUS diagnoses ... PratsEM Amazing video ... #Lens #Dislocation
Iridodonesis

Physical examination revealed iridodonesis, or “dancing” of the iris, which was elicited by rapid movement of
total or partial dislocation ... of the lens that ... with Marfan’s syndrome ... #PhysicalExam #Video ... Ophthalmology #Signs #Ocular
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 ... dislocation • ... GCA • Adie’s pupil ... • Sjögren’s syndrome ... hyperviscosity syndrome
Adie’s Tonic Pupil on Physical Exam

A young female was referred in for a sudden onset anisocoria.
Adie’s Tonic Pupil ... Her ocular exam ... with light near dissociation ... anisocoria #clinical #video ... #physicalexam #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