7 results
Isocoria - Pupillary Defects - Differential Diagnosis Algorithm
Relative Afferent Pupil Defect
 • Optic Neuritis
 • Ischemic
- Differential ... Syphilis (light-near dissociation ... #Defects #Differential ... Diagnosis #Algorithm #Causes ... #Ophthalmology
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
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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
Diplopia - Double Vision - Differential Diagnosis Algorithm
Clinical Pearls:
 • Diplopia is almost always binocular.
 •
Double Vision - Differential ... • Neurologic ... Cataract/Lens Dislocation ... large/unreactive pupil ... #Ophthalmology
Adie’s Tonic Pupil on Physical Exam

A young female was referred in for a sudden onset anisocoria.
with bright or direct ... with light near dissociation ... anisocoria #clinical #video ... #ophthalmology ... #physicalexam #neurology
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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 ... GCA • Adie’s pupil ... • Visual field defect ... #diagnosis #ophthalmology ... #causes
Orbital Apex Syndrome secondary to Herpes Zoster Ophthalmicus (HZO)

This 81 yo male was referred to our
a non-reactive pupil ... other potential causes ... Neurological defects ... HZO #clinical #video ... #ophthalmology
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