6 results
Localizing Extraocular Movement Disorders
 • CN Ill (Oculomotor) Nerve Palsy 
 • CN IV (Trochlear) Nerve
Localizing Extraocular Movement ... Skew Deviation Casey ... #Extraocular #Movement ... #Localization #ophthalmology ... #neurology #differential
Adie's Pupil
What? Unknown nature & benign
 • Regular and mildly dilated pupil (4-6mm);
 • Light-near dissociaton;
Young females Differential ... Diagnosis: • CN Ill Palsy ... abnormal extraocular movements ... dissociation • Other causes ... #neurology #ophthalmology
Diplopia - Double Vision - Differential Diagnosis Algorithm
Clinical Pearls:
 • Diplopia is almost always binocular.
 •
Double Vision - Differential ... • CN VI palsy ... ptosis with CN Ill palsy ... large/unreactive pupil ... #Ophthalmology
Adie’s Tonic Pupil on Physical Exam

A young female was referred in for a sudden onset anisocoria.
suggest oculomotor nerve ... palsy. ... anterior_seg_rocks #Adies ... anisocoria #clinical #video ... #ophthalmology
Signs and Symptoms Associated With Different Headache Etiologies
 • Nonfocal mental status changes - Meningitis, encephalitis,
poorly reactive pupils ... with third nerve ... palsy - Tentorial ... • Extraocular movement ... #differential #
Blurry Vision - Differential Diagnosis Framework

Anatomical Approach to Eye Disease:
1. Lids/Lashes
2. Extraocular Muscles/Motility
3. Conjunctiva/Sclera
4. Cornea
5. Anterior
Blurry Vision - Differential ... GCA • Adie’s pupil ... or without eye movement ... #diagnosis #ophthalmology ... #causes