11 results
Diplopia - Double Vision - Differential Diagnosis Algorithm
Clinical Pearls:
 • Diplopia is almost always binocular.
 •
• Look for ptosis ... • Neurologic ... a mass as the cause ... depressed, abducted, ptosis ... #Ophthalmology
Ptosis - Differential Diagnosis Framework

Ptosis (Greek- to fall) Drooping of the upper eyelid that usually results
Myasthenia gravis ... - Neurologic disease ... fracture with ischemia ... #neurology #Differential ... #Diagnosis #ophthalmology
Enhanced Ptosis - Curtain Sign in Myasthenia Gravis on Physical Exam

Because of bilateral eyelid innervation, when
in Myasthenia Gravis ... Because of bilateral eyelid ... clinical #video #neurology ... #ophthalmology ... #ocular #Ptosis
Enhanced Ptosis - Curtain Sign in Myasthenia Gravis on Physical Exam

Because of bilateral eyelid innervation, when
in Myasthenia Gravis ... Because of bilateral eyelid ... clinical #video #neurology ... #ophthalmology ... #ocular #Ptosis
Important Causes of Diplopia 
TIER 1-CRITICAL
Basilar artery thrombosis, Botulism, Basilar meningitis, Aneurysmn
TIER 2-EMERGENT:
Vertebral dissection, Myasthenia gravis,
Important Causes ... of Diplopia TIER ... disease), Ophthalmoplegic ... migraine, Ischemic ... differential #diagnosis #ophthalmology
Curtain Sign in Myasthenia Gravis on Physical Exam

Because of bilateral eyelid innervation, when the more affected
in Myasthenia Gravis ... Because of bilateral eyelid ... clinical #video #neurology ... #ophthalmology ... #ocular #ptosis
Diagnosis of Myasthenia Gravis - Physical Exam Maneuvers
 • Sustained lateral gaze for seconds to elicit
of Myasthenia Gravis ... elicit fatigable diplopia ... • Lifting the ptotic ... eyelid will cause ... Maneuvers #Diagnosis #neurology
Ocular Myasthenia Gravis on Physical Exam

A 41yo female was referred by her neurologist for double vision.
and bilateral ptosis ... subsequently improved the diplopia ... anterior_seg_rocks #eyelid ... clinical #video #ophthalmology ... #neurology
Transient Monocular Vision loss - Differential Diagnosis
Ischemia	
 - Large artery disease (atherothrombosis, embolus, dissection).
  -
- Large artery disease ... (anterior ischemic ... tumor, trauma, Graves ... Ocular causes - ... Differential #Diagnosis #Ophthalmology
Myasthenia Gravis Overview

Myasthenia Gravis is an autoimmune disorder of the postsynaptic neuromuscular junction.  Ab to
Ocular- 50%: Ptosis ... , diplopia 2. ... muscles: “myasthenic crises ... Myasthenia Crises ... diagnosis #management #neurology