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

Dr. Sebastian Vega @oftalmopo

#Bilateral #Lens #Dislocation
Bilateral Lens Dislocation ... in Marfan syndrome ... #PhysicalExam # ... clinical #video ... #ophthalmology #
Isocoria - Pupillary Defects - Differential Diagnosis Algorithm
Relative Afferent Pupil Defect
 • Optic Neuritis
 • Ischemic
- Differential Diagnosis ... Syphilis (light-near dissociation ... Midbrain (Parinaud's Syndrome ... #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 ... #PhysicalExam # ... clinical #video ... #ophthalmology # ... neurology #syndrome
Adie's Pupil
What? Unknown nature & benign
 • Regular and mildly dilated pupil (4-6mm);
 • Light-near dissociaton;
Holmes-Adie Syndrome ... no light-near dissociation ... • Other causes ... #PhysicalExam # ... neurology #ophthalmology
Mydriasis and Miosis - Differential Diagnosis Framework

Causes of Mydriasis:
Dilated pupils (mydriasis) more than 7mm
 • Unilateral
- Differential Diagnosis ... less than 2mm ... Miosis: Horner's syndrome ... #differential #diagnosis ... #ophthalmology
Diplopia - Double Vision - Differential Diagnosis Algorithm
Clinical Pearls:
 • Diplopia is almost always binocular.
 •
Algorithm Clinical ... Error • Cataract/Lens ... Dislocation • ... large/unreactive pupil ... #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
- Differential Diagnosis ... dislocation • ... GCA • Adie’s pupil ... #ophthalmology ... #causes
Traumatic Red Eye - Differential Diagnosis Algorithm
Surface Injury:
 • Corneal Abrasion
 • Ultraviolet Keratitis
 • Chemical
iridodialysis • Pupil ... mydriasis • Lens ... : Cataract, dislocation ... #Algorithm #Causes ... #Ophthalmology
Adie’s Tonic Pupil on Physical Exam

A young female was referred in for a sudden onset anisocoria.
with light near dissociation ... Clinical confirmation ... #anisocoria #clinical ... #video #ophthalmology ... #physicalexam #
Horner's Syndrome on Physical Exam

A 75yoF was referred in for facial swelling and eyelid changes 1
consistent with a diagnosis ... how the right pupil ... #clinical #video ... #ophthalmology ... #physicalexam #neurology