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differential physicalexam clinical neurology ocular pupil alternating anisocoria anterior blurry conjunctivitis enophthalmos exophthalmos eye floaters miosis mydriasis painful painless proptosis
Adie's Pupil What? Unknown nature & benign • Regular and mildly dilated pupil (4-6mm); • Light-near dissociaton;
Adie's Pupil What ... dissociaton; • Usually unilateral ... females Differential Diagnosis ... dissociation • Other causes ... PhysicalExam #neurology #ophthalmology
Mydriasis and Miosis - Differential Diagnosis Framework Causes of Mydriasis: Dilated pupils (mydriasis) more than 7mm • Unilateral
more than 7mm • Unilateral ... Mydriasis • Bilateral ... less than 2mm • Unilateral ... , uveitis) • Bilateral ... #ophthalmology
Causes of Anterior Uveitis - Differential Diagnosis Anterior Uveitis - 90% of cases of Uveitis • Inflammation
retina or choroid Unilateral ... Sarcoid, JIA Bilateral ... • Idiopathic: Unilateral ... /bilateral up to ... #Causes #ophthalmology
Adie’s Tonic Pupil on Physical Exam A young female was referred in for a sudden onset anisocoria.
Adie’s Tonic Pupil ... It is generally unilateral ... in those rare bilateral ... anisocoria #clinical #video ... #ophthalmology
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 Intermittent Bilateral Exophthalmos (Alternating Exophthalmos and Enophthalmos) on Physical Exam Observing this patient in silence for a
Intermittent Bilateral ... usually describe a unilateral ... this patient- bilateral ... #Alternating #Bilateral ... #ophthalmology
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 Floaters - Differential Diagnosis Framework What? Vitreous Floaters: • Microscopic collagen fibers within the vitreous that tend to clump
Symptoms: Sudden • Unilateral ... colored lights, bilateral ... hypotension - bilateral ... Occipital lobe disorders ... #Ocular #ophthalmology
Red Eye - Differential Diagnosis Framework What? Redness in the eye can be caused by many conditions and
- Differential Diagnosis ... , anterior and posterior ... Questions to Ask: • Unilateral ... or bilateral symptoms ... #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 ... glaucoma • GCA • Adie ... • Systemic disorder ... #ophthalmology ... #causes
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