14 results
Ptosis - Differential Diagnosis Framework

Ptosis (Greek- to fall) Drooping of the upper eyelid that usually results
fracture with ischemia ... retraction of one eye ... contralateral eye ... #Ptosis #neurology ... #ophthalmology
Diplopia - Double Vision - Differential Diagnosis Algorithm
Clinical Pearls:
 • Diplopia is almost always binocular.
 •
Diplopia - Double Vision ... • Neurologic ... a mass as the cause ... • Myasthenia ... #Ophthalmology
Important Causes of Diplopia 
TIER 1-CRITICAL
Basilar artery thrombosis, Botulism, Basilar meningitis, Aneurysmn
TIER 2-EMERGENT:
Vertebral dissection, Myasthenia gravis,
Important Causes ... Vertebral dissection, Myasthenia ... Ophthalmoplegic migraine, Ischemic ... #differential #diagnosis ... #ophthalmology
Ocular Myasthenia Gravis on Physical Exam

A 41yo female was referred by her neurologist for double vision.
Ocular Myasthenia ... neurologist for double vision ... Bennett & Bloom Eye ... #Ocular #Myasthenia ... #neurology
Differential diagnoses for the neuro-ophthalmologic finding of diplopia.
Neoplastic: 
 • Intraorbital meningioma 
 • Pituitary adenoma
Differential diagnoses ... sclerosis • Myasthenia ... Miller-Fisher syndrome ... neuropathy (orbital apex ... #Causes #Ophthalmology
Transient Monocular Vision loss - Differential Diagnosis
Ischemia	
 - Large artery disease (atherothrombosis, embolus, dissection).
  -
- Differential Diagnosis ... Ischemia - ... changes in gaze/eye ... Ocular causes - ... #Ophthalmology
Horner's Syndrome on Physical Exam

A 75yoF was referred in for facial swelling and eyelid changes 1
facial swelling and eyelid ... consistent with a diagnosis ... tumors along the apex ... experience, the cause ... #physicalexam #neurology
Orbital Apex Syndrome secondary to Herpes Zoster Ophthalmicus (HZO)

This 81 yo male was referred to our
Orbital Apex Syndrome ... pupil, and HM vision ... acetate to help with ocular ... other potential causes ... Orbital Apex Syndrome
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 ... • Sjögren’s syndrome ... hyperviscosity syndrome ... #ophthalmology ... #causes
One and a Half Syndrome on Physical Exam

This 28 year old patient presented to clinic with
to clinic with vision ... The most common causes ... the hospital, diagnosed ... clinical #video #ophthalmology ... #neurology