11 results
Left Abducens Palsy on Ocular Examination

Dr. Sebastian Vega @oftalmopo

#Abducens #Palsy #CN6 #CNVI #Ocular #PhysicalExam #clinical #video
Left Abducens Palsy ... #CN6 #CNVI #Ocular ... PhysicalExam #clinical #video ... #ophthalmology ... #Neurology
Differential diagnoses for the neuro-ophthalmologic finding of diplopia.
Neoplastic: 
 • Intraorbital meningioma 
 • Pituitary adenoma
for the neuro-ophthalmologic ... Miller-Fisher syndrome ... apex fracture, ... Differential #Diagnosis #Causes ... #Ophthalmology
Ptosis - Differential Diagnosis Framework

Ptosis (Greek- to fall) Drooping of the upper eyelid that usually results
CN III palsy 2. ... - Neurologic disease ... • Third nerve palsy ... #Ptosis #neurology ... Differential #Diagnosis #ophthalmology
Traumatic Lateral Rectus Palsy on Ocular Examination

Impaired left lateral eye movement with left gaze after MVA.
Lateral Rectus Palsy ... #Abducens #CNVI ... #CN6 #Ocular #physicalexam ... #clinical #video ... #neurology #ophthalmology
Diplopia - Double Vision - Differential Diagnosis Algorithm
Clinical Pearls:
 • Diplopia is almost always binocular.
 •
CN VI palsy ... • Look for ptosis ... with CN Ill palsy ... • Neurologic ... #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
Orbital Apex Syndrome secondary to Herpes Zoster Ophthalmicus (HZO)

This 81 yo male was referred to our
Orbital Apex Syndrome ... Apex Syndrome secondary ... Orbital Apex Syndrome ... #Apex #Syndrome ... #ophthalmology
Cover - Uncover Test Revealing CNVI Palsy

Here the Cover-Uncover test unmasks subtle right CN VI palsy.
Test Revealing CNVI ... #Palsy #CN6 #Abducens ... Nerve #clinical #video ... #neurology #ophthalmology ... #ocular #physicalexam
Horner's Syndrome on Physical Exam

A 75yoF was referred in for facial swelling and eyelid changes 1
and ptosis (both ... tumors along the apex ... #clinical #video ... #ophthalmology ... #physicalexam #neurology
Adie's Pupil
What? Unknown nature & benign
 • Regular and mildly dilated pupil (4-6mm);
 • Light-near dissociaton;
Holmes-Adie Syndrome ... Ill Palsy - ... pupil (trauma/orbital ... #PhysicalExam #neurology ... #ophthalmology