41 results
Anisocoria Evaluation Flow Chart - Differential Diagnosis
1. Check pupillary reaction to light 
2. Measure pupil size.
Anisocoria Evaluation ... If anisocoria iS ... - Horner's Syndrome ... Dilatation - Adie's Tonic ... Differential #Diagnosis #Ophthalmology
Pupillary Abnormalities  Overview
 - Unequal Pupils (anisocoria)
 - Tonic pupil (Adie's pupil)
 - OculomotorNerve (CN
Unequal Pupils (anisocoria ... ) - Tonic pupil ... - Homer's Syndrome ... #Diagnosis #Ophthalmology ... Differential #Types #Anisocoria
Anisocoria - Pupillary Defects - Differential Diagnosis Algorithm

Physiological - Simple Anisocoria ( <O.5mm)
 - Anisocoria equal
Anisocoria - Pupillary ... Physiological - Simple Anisocoria ... ( Anisocoria ... pilocarpine • Tonic ... Algorithm #Causes #Ophthalmology
Adie's Pupil
What? Unknown nature & benign
 • Regular and mildly dilated pupil (4-6mm);
 • Light-near dissociaton;
Holmes-Adie Syndrome ... Other causes of tonic ... • Physiologic Anisocoria ... #PhysicalExam #neurology ... #ophthalmology
Causes of Seizures - Differential Diagnosis Algorithm
Unprovoked - Epilepsy:
 • Focal: Simple, Complex
 • Generalized: Absence,
, Clonic, Atonic ... , Tonic-clonic Provoked ... vasoconstriction syndrome ... , Moyamoya • Toxic ... Algorithm #Causes #neurology
Adie’s Tonic Pupil on Physical Exam

A young female was referred in for a sudden onset anisocoria.
Adie’s Tonic Pupil ... a sudden onset anisocoria ... Adie’s tonic pupil ... clinical #video #ophthalmology ... #physicalexam #neurology
Isocoria - Pupillary Defects - Differential Diagnosis Algorithm
Relative Afferent Pupil Defect
 • Optic Neuritis
 • Ischemic
Isocoria - Pupillary ... Midbrain (Parinaud's Syndrome ... Amphetamines #Isocoria ... Algorithm #Causes #Ophthalmology
Horner's Syndrome on Physical Exam

A 75yoF was referred in for facial swelling and eyelid changes 1
Horner's Syndrome ... diagnosis of Horner's syndrome ... clinical #video #ophthalmology ... #physicalexam #neurology ... #Anisocoria
Simultagnosia on Physical Exam (Balint Syndrome)

The patient can recognize objects one at a time but cannot
Physical Exam (Balint Syndrome ... Simultagnosia #Balint #Syndrome ... clinical #video #neurology ... #ophthalmology
Visual Pathway Neural Lesions
A) Optic Nerve → Left Anopia
B) Optic Chiasm → Bitemporal Hemianopia
C) Lateral Geniculate
Optic Nerve → Left Anopia ... Lesions #Optic #ophthalmology ... #neurology