13 results
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
Adie's Pupil
What? Unknown nature & benign
 • Regular and mildly dilated pupil (4-6mm);
 • Light-near dissociaton;
Holmes-Adie Syndrome ... abnormal extraocular movements ... dissociation • Other causes ... #Adies #Pupil #PhysicalExam ... #neurology #ophthalmology
Traumatic Lateral Rectus Palsy on Ocular Examination

Impaired left lateral eye movement with left gaze after MVA.
Rectus Palsy on Ocular ... eye movement with ... #physicalexam # ... clinical #video #neurology ... #ophthalmology
Bilateral Internuclear Ophthalmoplegia (BINO)

Bilateral Internuclear ophthalmoplegia in chronic Multiple sclerosis. Note the adduction lag in the
during some of the movements ... long standing MS ... Ophthalmoplegia #BINO #ocular ... #physicalexam # ... #ophthalmology
Anti-IgLON5 Encephalitis - Ocular Examination

Female with 6 months h/o excessive daytime sleepiness, abnormal movements, dysarthria. On
Encephalitis - Ocular ... #Encephalitis #Ocular ... #PhysicalExam # ... clinical #video #neurology ... #ophthalmology
The Neurological Evaluation of a Comatose Patient

Definition:
 • Coma: a state of unresponsiveness; the absence of
• Locked-in syndrome ... dysfunction to the bilateral ... • Vestibulo-ocular ... Casey Albin MD @ ... caseyalbin #PhysicalExam
Ocular Myasthenia Gravis on Physical Exam

A 41yo female was referred by her neurologist for double vision.
EOM weakness and bilateral ... tumor, and always ask ... Myasthenia #Gravis #PhysicalExam ... clinical #video #ophthalmology ... #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
Ocular Adverse Effects ... • Sjögren’s syndrome ... or without eye movement ... differential #diagnosis #ophthalmology ... #causes
Adie’s Tonic Pupil on Physical Exam

A young female was referred in for a sudden onset anisocoria.
Her ocular exam ... in those rare bilateral ... clinical #video #ophthalmology ... #physicalexam # ... neurology
One and a Half Syndrome on Physical Exam

This 28 year old patient presented to clinic with
(no horizontal movement ... diagnosed with MS ... #PhysicalExam # ... clinical #video #ophthalmology ... #neurology