9 results
Enhanced Ptosis - Curtain Sign in Myasthenia Gravis on Physical Exam

Because of bilateral eyelid innervation, when
Myasthenia Gravis ... Myasthenia #Gravis ... PhysicalExam #clinical #video ... #neurology #ophthalmology ... #ocular #Ptosis
Enhanced Ptosis - Curtain Sign in Myasthenia Gravis on Physical Exam

Because of bilateral eyelid innervation, when
Myasthenia Gravis ... Myasthenia #Gravis ... PhysicalExam #clinical #video ... #neurology #ophthalmology ... #ocular #Ptosis
Curtain Sign in Myasthenia Gravis on Physical Exam

Because of bilateral eyelid innervation, when the more affected
Myasthenia Gravis ... Myasthenia #Gravis ... PhysicalExam #clinical #video ... #neurology #ophthalmology ... #ocular #ptosis
Ptosis - Differential Diagnosis Framework

Ptosis (Greek- to fall) Drooping of the upper eyelid that usually results
Myasthenia gravis ... nerve palsy • Horner ... myopathy • Myotonic dystrophy ... • Myasthenia gravis ... Differential #Diagnosis #ophthalmology
Ocular Myasthenia Gravis on Physical Exam

A 41yo female was referred by her neurologist for double vision.
Ocular Myasthenia ... Myasthenia gravis ... such as cogan sign ... myasthenia gravis ... #Myasthenia #Gravis
Diplopia - Double Vision - Differential Diagnosis Algorithm
Clinical Pearls:
 • Diplopia is almost always binocular.
 •
• Look for ptosis ... • Myasthenia ... Functional • Corneal ... depressed, abducted, ptosis ... #Ophthalmology
Myasthenia Gravis Overview

Myasthenia Gravis is an autoimmune disorder of the postsynaptic neuromuscular junction.  Ab to
Myasthenia Gravis ... Ocular- 50%: Ptosis ... syndrome - Myotonic dystrophy ... test - Cogan sign ... - Peek sign
Neuromyelitis Optica (NMO) - Clinical Manifestations
 • Optic neuritis: Reduced visual acuity, ranging from mild to
desaturation, Scotoma, Ocular ... pain • Extra-CNS ... Sjögren syndrome, Myasthenia ... gravis, Many others ... neurology #symptoms #signs
Photophobia and Headache - Differential Diagnosis Framework

Why?
• The coexistence of photophobia and headache suggests the potential
hypothalamus, and visual cortex ... meningeal irritation signs ... glaucoma - Ocular ... Trochlear headache • CNS ... differential #diagnosis #ophthalmology