14 results
Diplopia - Double Vision - Differential Diagnosis Algorithm
Clinical Pearls:
 • Diplopia is almost always binocular.
 •
• Look for ptosis ... • Neurologic ... depressed, abducted, ptosis ... #Algorithm #Causes ... #Ophthalmology
Important Causes of Diplopia 
TIER 1-CRITICAL
Basilar artery thrombosis, Botulism, Basilar meningitis, Aneurysmn
TIER 2-EMERGENT:
Vertebral dissection, Myasthenia gravis,
Important Causes ... disease), Ophthalmoplegic ... migraine, Ischemic ... #differential #diagnosis ... #ophthalmology
Ptosis - Differential Diagnosis Framework

Ptosis (Greek- to fall) Drooping of the upper eyelid that usually results
Diagnosis Framework ... - Neurologic disease ... fracture with ischemia ... #neurology #Differential ... #Diagnosis #ophthalmology
Differential diagnoses for the neuro-ophthalmologic finding of diplopia.
Neoplastic: 
 • Intraorbital meningioma 
 • Pituitary adenoma
Differential diagnoses ... for the neuro-ophthalmologic ... finding of diplopia ... • Myasthenia gravis ... #Causes #Ophthalmology
Ocular Myasthenia Gravis on Physical Exam

A 41yo female was referred by her neurologist for double vision.
and bilateral ptosis ... subsequently improved the diplopia ... and ptosis tremendously ... clinical #video #ophthalmology ... #neurology
Diagnosis of Myasthenia Gravis - Physical Exam Maneuvers
 • Sustained lateral gaze for seconds to elicit
Diagnosis of Myasthenia ... Gravis - Physical ... elicit fatigable diplopia ... eyelid will cause ... #neurology
Transient Monocular Vision loss - Differential Diagnosis
Ischemia	
 - Large artery disease (atherothrombosis, embolus, dissection).
  -
Ischemia - ... Large artery disease ... tumor, trauma, Graves ... Ocular causes - ... #Ophthalmology
Myasthenia Gravis Overview

Myasthenia Gravis is an autoimmune disorder of the postsynaptic neuromuscular junction.  Ab to
Ocular- 50%: Ptosis ... , diplopia 2. ... myasthenia Diagnosis ... #diagnosis #management ... #neurology
Proptosis - Differential Diagnosis - Unilateral vs Bilateral
Unilateral:
 • Infections (can become bilateral with cavernous sinus
- Differential Diagnosis ... Inflammatory - Grave's ... Red Flags: • Diplopia ... Unilateral #Bilateral #Causes ... #ophthalmology
Behçet's Syndrome
Systemic disease associated with inflammation of multiple organs, small-vessel vasculitis and large-vessel vasculopathy
Epidemiology:
 • Young
ulceration • Ocular ... skin injury) • Neurologic ... (headache and diplopia ... retinal tears, Ischemia ... inhibitors • Uveitis- Ophthalmology