24 results
Pupillary Abnormalities  Overview
 - Unequal Pupils (anisocoria)
 - Tonic pupil (Adie's pupil)
 - OculomotorNerve (CN
Pupillary Abnormalities ... anisocoria) - Tonic ... pupil (Adie's pupil ... #Diagnosis #Ophthalmology ... #Pupillary #Abnormalities
Anisocoria Evaluation Flow Chart - Differential Diagnosis
1. Check pupillary reaction to light 
2. Measure pupil size.
Measure pupil size ... noted, re-measure pupil ... Dilatation - Adie's Tonic ... Pupil - Traumatic ... Differential #Diagnosis #Ophthalmology
Adie's Pupil
What? Unknown nature & benign
 • Regular and mildly dilated pupil (4-6mm);
 • Light-near dissociaton;
Adie's Pupil What ... mildly dilated pupil ... Other causes of tonic ... #PhysicalExam #neurology ... #ophthalmology
Unilateral Acute Vision Loss - Differential Diagnosis Algorithm
Painful - Cornea
 • Keratopathy
Painful - No Abnormalities of
Painful - No Abnormalities ... (fixed dilated pupil ... ) Painful - Abnormalities ... Algorithm #Causes #Ophthalmology
Argyll Robertson Pupil
Definition:
 - Irregular and small (1-2mm) pupil
 - Light-near dissociation (accommodation remains intact)
 -
Argyll Robertson Pupil ... small (1-2mm) pupil ... Argyll #Robertson #Pupil ... #neurology #diagnosis ... #ophthalmology
Unilateral Fixed Dilated Pupil - Differential Diagnosis Framework
If Altered Mental Status - Consider Oculomotor (3rd cranial
Fixed Dilated Pupil ... • Congenital abnormalities ... Fixed #Dilated #Pupil ... differential #diagnosis #neurology
Gait Abnormalities Illustrated
 • Spastic paraparetic gait
 • Parkinsonian gait
 • Cerebellar ataxic gait
 • Frontal
Gait Abnormalities ... • Cerebellar ataxic ... saipeeps #Gait #Abnormalities ... comparison #diagnosis #neurology
Argyll-Robertson Pupil on Physical Exam
Small (myotic), irregular pupil that do not react to light but do
Argyll-Robertson Pupil ... myotic), irregular pupil ... Argyll #Robertson #Pupil ... clinical #video #neurology ... #ophthalmology
Anisocoria - Pupillary Defects - Differential Diagnosis Algorithm

Physiological - Simple Anisocoria ( <O.5mm)
 - Anisocoria equal
- 10% cocaine: pupils ... pilocarpine • Tonic ... (Adie's) Pupil ... Anisocoria #Pupillary #Pupils ... Algorithm #Causes #Ophthalmology
Mydriasis and Miosis - Differential Diagnosis Framework

Causes of Mydriasis:
Dilated pupils (mydriasis) more than 7mm
 • Unilateral
Mydriasis: Dilated pupils ... glaucoma, Adie's tonic ... pupil, Migraine ... : Constricted pupils ... differential #diagnosis #ophthalmology