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

Dr. Sebastian Vega @oftalmopo

#Bilateral #Lens #Dislocation
Bilateral Lens Dislocation ... in Marfan syndrome ... Bilateral #Lens #Dislocation ... #clinical #video ... ophthalmology #SlitLamp
Adie's Pupil
What? Unknown nature & benign
 • Regular and mildly dilated pupil (4-6mm);
 • Light-near dissociaton;
Holmes-Adie Syndrome ... females Differential Diagnosis ... no light-near dissociation ... • Other causes ... #PhysicalExam #neurology
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
Isocoria - Pupillary Defects - Differential Diagnosis Algorithm
Relative Afferent Pupil Defect
 • Optic Neuritis
 • Ischemic
- Differential Diagnosis ... Syphilis (light-near dissociation ... Midbrain (Parinaud's Syndrome ... #Differential #Diagnosis ... #Algorithm #Causes
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
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
Iridodonesis

Physical examination revealed iridodonesis, or “dancing” of the iris, which was elicited by rapid movement of
total or partial dislocation ... with Marfan’s syndrome ... Iridodonesis #Iris #SlitLamp ... #PhysicalExam #Video ... Ophthalmology #Signs #Ocular
Adie’s Tonic Pupil on Physical Exam

A young female was referred in for a sudden onset anisocoria.
Her ocular exam ... In this case, the ... with light near dissociation ... anisocoria #clinical #video ... #physicalexam #neurology
Diplopia - Double Vision - Differential Diagnosis Algorithm
Clinical Pearls:
 • Diplopia is almost always binocular.
 •
- Differential Diagnosis ... • Neurologic ... a mass as the cause ... Cataract/Lens Dislocation ... large/unreactive pupil
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