10 results
Anisocoria - Pupillary Defects - Differential Diagnosis Algorithm

Physiological - Simple Anisocoria ( <O.5mm)
 - Anisocoria equal
- 10% cocaine: pupils ... Preganglionic - Ptosis ... Tonic (Adie's) Pupil ... Diagnosis #Algorithm #Causes ... #Ophthalmology
Adie's Pupil
What? Unknown nature & benign
 • Regular and mildly dilated pupil (4-6mm);
 • Light-near dissociaton;
Adie's Pupil What ... dissociation • Other causes ... • Physiologic Anisocoria ... #PhysicalExam #neurology ... #ophthalmology
Adie’s Tonic Pupil on Physical Exam

A young female was referred in for a sudden onset anisocoria.
In this case, the ... than 3mm in this case ... rare bilateral cases ... #video #ophthalmology ... #physicalexam #neurology
Horner's Syndrome on Physical Exam

A 75yoF was referred in for facial swelling and eyelid changes 1
and ptosis (both ... how the right pupil ... clinical #video #ophthalmology ... #physicalexam #neurology ... #Anisocoria
Horner's Syndrome: Loss of sympathetic nervous system input to (in this case) right eye. 
Note that
Note that right pupil ... left (known as ptosis ... Images #Clinical #Ophthalmology ... #Photo #Horners ... #Syndrome #Ptosis
All About Horner's Syndrome

Horner's syndrome, known as 
"oculosympathetic paresis" by people 
who don't have friends, is
have friends, is caused ... classically results in ptosis ... (constricted pupil ... Syndrome #Overview #Ophthalmology ... #Diagnosis #Neurology
Diplopia - Double Vision - Differential Diagnosis Algorithm
Clinical Pearls:
 • Diplopia is almost always binocular.
 •
• Look for ptosis ... • Neurologic ... a mass as the cause ... large/unreactive pupil ... #Ophthalmology
Horner's Syndrome: Loss of sympathetic nervous system input to (in this case) right eye. 
Note that
Note that right pupil ... left (known as ptosis ... Images #Clinical #Ophthalmology ... #Photo #Horners ... #Syndrome #Ptosis
Horner's Syndrome: Loss of sympathetic nervous system input to (in this case)left eye. 
Note that left
Note that left pupil ... right (known as ptosis ... Images #Clinical #Ophthalmology ... #Photo #Horners ... #Syndrome #Ptosis
Orbital Apex Syndrome secondary to Herpes Zoster Ophthalmicus (HZO)

This 81 yo male was referred to our
developed a complete ptosis ... a non-reactive pupil ... other potential causes ... clinical #video #ophthalmology ... #physicalexam #neurology