12 results
Adie's Pupil
What? Unknown nature & benign
 • Regular and mildly dilated pupil (4-6mm);
 • Light-near dissociaton;
Adie's Pupil What ... : • Adie's Pupil ... : • CN Ill Palsy ... dissociation • Other causes ... #neurology #ophthalmology
Adie's Pupil on Physical Exam

Adie's pupil is a neurological disorder characterized by a tonically dilated pupil
Adie's Pupil on ... It is caused by ... #clinical #video ... #ophthalmology ... #neurology #syndrome
Adie’s Tonic Pupil on Physical Exam

A young female was referred in for a sudden onset anisocoria.
Adie’s Tonic Pupil ... Her ocular exam ... Adie’s tonic pupil ... oculomotor nerve palsy ... #video #ophthalmology
Convergence Retraction Nystagmus with a left 6th nerve palsy

Caused by a Midbrain hemorrhage

Dr. Boby Varkey Maramattom
left 6th nerve palsy ... Caused by a ... retraction #nystagmus #ocular ... #physicalexam #clinical ... #ophthalmology
Localizing Extraocular Movement Disorders
 • CN Ill (Oculomotor) Nerve Palsy 
 • CN IV (Trochlear) Nerve
Oculomotor) Nerve Palsy ... Skew Deviation Casey ... #Localization #ophthalmology ... #neurology #differential ... #diagnosis #ocular
Diplopia - Double Vision - Differential Diagnosis Algorithm
Clinical Pearls:
 • Diplopia is almost always binocular.
 •
Algorithm Clinical ... • CN VI palsy ... ptosis with CN Ill palsy ... large/unreactive pupil ... #Ophthalmology
Wernicke's Encephalopathy 
CLINICAL TRIAD: only seen in 1/4 pts 
W.E. is often under diagnosed 
1. ENCEPHALOPATHY
Encephalopathy CLINICAL ... is often under diagnosed ... , Conjugate Gaze ... Pupils, Light near ... #triad #neurology
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 ... glaucoma • GCA • Adie ... ’s pupil • Glaucoma ... #ophthalmology ... #causes
Ptosis - Differential Diagnosis Framework

Ptosis (Greek- to fall) Drooping of the upper eyelid that usually results
think about three clinical ... CN III palsy 2. ... • Third nerve palsy ... Syndrome #Ptosis #neurology ... #ophthalmology
One and a Half Syndrome on Physical Exam

This 28 year old patient presented to clinic with
fasciculus), which causes ... The most common causes ... the hospital, diagnosed ... #video #ophthalmology ... #neurology