11 results
Isocoria - Pupillary Defects - Differential Diagnosis Algorithm
Relative Afferent Pupil Defect
 • Optic Neuritis
 • Ischemic
Relative Afferent Pupil ... Neuropathy Constricted Pupils ... Isocoria #Pupillary #Pupils ... #Defects #Differential ... #Ophthalmology
Anisocoria - Pupillary Defects - Differential Diagnosis Algorithm

Physiological - Simple Anisocoria ( <O.5mm)
 - Anisocoria equal
- 10% cocaine: pupils ... Tonic (Adie's) Pupil ... Anisocoria #Pupillary #Pupils ... #Defects #Differential ... #Ophthalmology
Adie's Pupil on Physical Exam

Adie's pupil is a neurological disorder characterized by a tonically dilated pupil
Adie's Pupil on ... Physical Exam Adie's pupil ... tonically dilated pupil ... the pupil of the ... #neurology #syndrome
Adie's Pupil
What? Unknown nature & benign
 • Regular and mildly dilated pupil (4-6mm);
 • Light-near dissociaton;
Adie's Pupil What ... mildly dilated pupil ... Syndrome: • Adie's Pupil ... of tonic pupil ... #ophthalmology
Unilateral Fixed Dilated Pupil - Differential Diagnosis Framework
If Altered Mental Status - Consider Oculomotor (3rd cranial
Fixed Dilated Pupil ... no neurological cause ... • Medication effects ... Fixed #Dilated #Pupil ... diagnosis #neurology
Adie’s Tonic Pupil on Physical Exam

A young female was referred in for a sudden onset anisocoria.
Adie’s Tonic Pupil ... Typical evaluation ... Adie’s tonic pupil ... , the affected pupil ... Failure of the pupil
Diplopia - Double Vision - Differential Diagnosis Algorithm
Clinical Pearls:
 • Diplopia is almost always binocular.
 •
Double Vision - Differential ... • Neurologic ... a mass as the cause ... large/unreactive pupil ... #Ophthalmology
Traumatic Red Eye - Differential Diagnosis Algorithm
Surface Injury:
 • Corneal Abrasion
 • Ultraviolet Keratitis
 • Chemical
Traumatic Red Eye - Differential ... iridodialysis • Pupil ... hemorrhage • Retina: Tear ... Diagnosis #Algorithm #Causes ... #Ophthalmology
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 ... • Visual field defect ... #diagnosis #ophthalmology ... #causes
Orbital Apex Syndrome secondary to Herpes Zoster Ophthalmicus (HZO)

This 81 yo male was referred to our
to our for an evaluation ... a non-reactive pupil ... other potential causes ... Neurological defects ... #physicalexam #neurology