29 results
Diplopia - Double Vision - Differential Diagnosis Algorithm
Clinical Pearls:
 • Diplopia is almost always binocular.
 •
• CN VI palsy ... ptosis with CN Ill palsy ... • Neurologic ... large/unreactive pupil ... #Ophthalmology
Adie's Pupil on Physical Exam

Adie's pupil is a neurological disorder characterized by a tonically dilated pupil
It is caused by ... of the eye and ... PhysicalExam #clinical #video ... #ophthalmology ... #neurology #syndrome
Adie's Pupil
What? Unknown nature & benign
 • Regular and mildly dilated pupil (4-6mm);
 • Light-near dissociaton;
Holmes-Adie Syndrome ... Diagnosis: • CN Ill Palsy ... dissociation • Other causes ... #PhysicalExam #neurology ... #ophthalmology
Persistent Pupillary Membrane (PPM) on Slit Lamp Ocular Examination

This membrane would be a remainder of the
Persistent Pupillary ... large enough to cause ... Pupillary #Membrane #Pupil ... #clinical #video ... #ophthalmology
Convergence Retraction Nystagmus with a left 6th nerve palsy

Caused by a Midbrain hemorrhage

Dr. Boby Varkey Maramattom
left 6th nerve palsy ... Caused by a ... retraction #nystagmus #ocular ... physicalexam #clinical #video ... #neurology #ophthalmology
Localizing Extraocular Movement Disorders
 • CN Ill (Oculomotor) Nerve Palsy 
 • CN IV (Trochlear) Nerve
One-and-a-half Syndrome ... Skew Deviation Casey ... #Localization #ophthalmology ... #neurology #differential ... #diagnosis #ocular
Adie’s Tonic Pupil on Physical Exam

A young female was referred in for a sudden onset anisocoria.
Her ocular exam ... oculomotor nerve palsy ... anisocoria #clinical #video ... #ophthalmology ... #physicalexam #neurology
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
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
Horner's Syndrome on Physical Exam

A 75yoF was referred in for facial swelling and eyelid changes 1
) of the right eye ... how the right pupil ... #clinical #video ... #ophthalmology ... #physicalexam #neurology