17 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
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 ... , Orbital apex syndrome ... Ophthalmoplegic migraine, Ischemic ... differential #diagnosis #ophthalmology
Ptosis - Differential Diagnosis Framework

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

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

Because of bilateral eyelid innervation, when the more affected
in Myasthenia Gravis ... enhancement of the ptosis ... PhysicalExam #clinical #video ... #neurology #ophthalmology ... #ocular #ptosis
Differential diagnoses for the neuro-ophthalmologic finding of diplopia.
Neoplastic: 
 • Intraorbital meningioma 
 • Pituitary adenoma
for the neuro-ophthalmologic ... finding of diplopia ... Miller-Fisher syndrome ... Differential #Diagnosis #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 ... PhysicalExam #clinical #video ... #ophthalmology ... #neurology
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
Horner's Syndrome on Physical Exam

A 75yoF was referred in for facial swelling and eyelid changes 1
and ptosis (both ... experience, the cause ... #clinical #video ... #ophthalmology ... #physicalexam #neurology