11 results
Adie’s Tonic Pupil on Physical Exam

A young female was referred in for a sudden onset anisocoria.
Her ocular exam ... oculomotor nerve palsy ... #clinical #video ... #ophthalmology ... #physicalexam #neurology
Traumatic Lateral Rectus Palsy on Ocular Examination

Impaired left lateral eye movement with left gaze after MVA.
Rectus Palsy on ... Ocular Examination ... eye movement with ... physicalexam #clinical #video ... #neurology #ophthalmology
Adie's Pupil
What? Unknown nature & benign
 • Regular and mildly dilated pupil (4-6mm);
 • Light-near dissociaton;
Holmes-Adie Syndrome ... Diagnosis: • CN Ill Palsy ... • Physiologic Anisocoria ... #PhysicalExam #neurology ... #ophthalmology
The Neurological Evaluation of a Comatose Patient

Definition:
 • Coma: a state of unresponsiveness; the absence of
• Locked-in syndrome ... dysfunction to the bilateral ... • Vestibulo-ocular ... : • Anisocoria ... #PhysicalExam #neurology
Seesaw Nystagmus 

Sawtooth or seesaw nystagmus is an unusual but characteristic type of nystagmus. Typically there
elevation in one eye ... vertical vestibulo-ocular ... reflex. ... We have varied causes ... #ophthalmology
One and a Half Syndrome on Physical Exam

This 28 year old patient presented to clinic with
the follow up video ... fasciculus), which causes ... The most common causes ... #ophthalmology ... #neurology
Horner's Syndrome on Physical Exam

A 75yoF was referred in for facial swelling and eyelid changes 1
) of the right eye ... #clinical #video ... #ophthalmology ... #physicalexam #neurology ... #Anisocoria
Ptosis - Differential Diagnosis Framework

Ptosis (Greek- to fall) Drooping of the upper eyelid that usually results
CN III palsy 2. ... • Third nerve palsy ... fracture with ischemia ... contralateral eye ... Differential #Diagnosis #ophthalmology
HORNY PAMELA Mnemonic for Horner’s Syndrome

Horner’s syndrome is classically associated with ptosis, miosis, and anhidrosis.
This is caused by ... Drooping of the upper eye ... severe than CN III palsy ... ciliary-spinal reflex ... A - Anisocoria -
Orbital Apex Syndrome secondary to Herpes Zoster Ophthalmicus (HZO)

This 81 yo male was referred to our
around his left eye ... acetate to help with ocular ... HZO #clinical #video ... #ophthalmology ... #physicalexam #neurology