15 results
Bilateral Lens Dislocation in Marfan syndrome - Slit Lamp Ocular Examination

Dr. Sebastian Vega @oftalmopo

#Bilateral #Lens #Dislocation
Bilateral Lens Dislocation ... in Marfan syndrome ... #syndrome #Ocular ... PhysicalExam #clinical #video ... #ophthalmology
Isocoria - Pupillary Defects - Differential Diagnosis Algorithm
Relative Afferent Pupil Defect
 • Optic Neuritis
 • Ischemic
Pupillary Defects - Differential ... Syphilis (light-near dissociation ... Midbrain (Parinaud's Syndrome ... Diagnosis #Algorithm #Causes ... #Ophthalmology
Adie's Pupil on Physical Exam

Adie's pupil is a neurological disorder characterized by a tonically dilated pupil
i.e., light-near dissociation ... It is caused by ... PhysicalExam #clinical #video ... #ophthalmology ... #neurology #syndrome
Mydriasis and Miosis - Differential Diagnosis Framework

Causes of Mydriasis:
Dilated pupils (mydriasis) more than 7mm
 • Unilateral
Mydriasis and Miosis - Differential ... response, Serotonin syndrome ... less than 2mm ... Miosis: Horner's syndrome ... #diagnosis #ophthalmology
Adie's Pupil
What? Unknown nature & benign
 • Regular and mildly dilated pupil (4-6mm);
 • Light-near dissociaton;
Holmes-Adie Syndrome ... Young females Differential ... no light-near dissociation ... • Other causes ... PhysicalExam #neurology #ophthalmology
Blurry Vision - Differential Diagnosis Framework

Anatomical Approach to Eye Disease:
1. Lids/Lashes
2. Extraocular Muscles/Motility
3. Conjunctiva/Sclera
4. Cornea
5. Anterior
Ocular Adverse Effects ... dislocation • ... GCA • Adie’s pupil ... #diagnosis #ophthalmology ... #causes
Vision Loss - Differential Diagnosis
Chronic: 
  - Cornea: Scarring, Edema
  - Lens: Cataracts
Vision Loss - Differential ... Scarring, Edema - Lens ... Dislocation, Retinal ... #Diagnosis #causes ... #ophthalmology
Iridodonesis

Physical examination revealed iridodonesis, or “dancing” of the iris, which was elicited by rapid movement of
of the lens that ... with Marfan’s syndrome ... #PhysicalExam #Video ... #Ophthalmology ... #Signs #Ocular
Diplopia - Double Vision - Differential Diagnosis Algorithm
Clinical Pearls:
 • Diplopia is almost always binocular.
 •
Double Vision - Differential ... Error • Cataract/Lens ... Dislocation • ... large/unreactive pupil ... #Ophthalmology
Traumatic Red Eye - Differential Diagnosis Algorithm
Surface Injury:
 • Corneal Abrasion
 • Ultraviolet Keratitis
 • Chemical
iridodialysis • Pupil ... mydriasis • Lens ... : Cataract, dislocation ... Diagnosis #Algorithm #Causes ... #Ophthalmology