7 results
Adie's Pupil
What? Unknown nature & benign
 • Regular and mildly dilated pupil (4-6mm);
 • Light-near dissociaton;
Adie's Pupil What ... Young females Differential ... no light-near dissociation ... • Other causes ... PhysicalExam #neurology #ophthalmology
Differential Diagnosis for Vision Loss
Unilateral, Painful Vision Loss:
 • Corneal abrasion, Acute angle-closure glaucoma, Inflammation-iritis, uveitis,
Differential Diagnosis ... Retro-orbital hematoma ... occlusion, Lens dislocation ... #diagnosis #causes ... #ophthalmology
Vision Loss - Differential Diagnosis
Chronic: 
  - Cornea: Scarring, Edema
  - Lens: Cataracts
Vision Loss - Differential ... Painless: Lens Dislocation ... #Loss #Differential ... #Diagnosis #causes ... #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
Differential Diagnosis ... edema • Lens dislocation ... glaucoma • GCA • Adie ... diagnosis #ophthalmology ... #causes
Adie’s Tonic Pupil on Physical Exam

A young female was referred in for a sudden onset anisocoria.
Adie’s Tonic Pupil ... slightly reduced near vision ... Adie’s tonic pupil ... with light near dissociation ... clinical #video #ophthalmology
Anisocoria - Pupillary Defects - Differential Diagnosis Algorithm

Physiological - Simple Anisocoria ( <O.5mm)
 - Anisocoria equal
Pupillary Defects - Differential ... pilocarpine • Tonic (Adie's ... Ciliary Ganglion Lesion ... Diagnosis #Algorithm #Causes ... #Ophthalmology
Diplopia - Double Vision - Differential Diagnosis Algorithm
Clinical Pearls:
 • Diplopia is almost always binocular.
 •
Diplopia - Double Vision ... - Differential ... a mass as the cause ... Cataract/Lens Dislocation ... #Ophthalmology