9 results
Adie's Pupil
What? Unknown nature & benign
 • Regular and mildly dilated pupil (4-6mm);
 • Light-near dissociaton;
Holmes-Adie Syndrome ... dissociation • Other causes ... pupil (trauma/orbital ... #Pupil #PhysicalExam ... #neurology #ophthalmology
Adie's Pupil on Physical Exam

Adie's pupil is a neurological disorder characterized by a tonically dilated pupil
It is caused by ... #Pupil #PhysicalExam ... #clinical #video ... #ophthalmology ... #neurology #syndrome
Important Causes of Diplopia 
TIER 1-CRITICAL
Basilar artery thrombosis, Botulism, Basilar meningitis, Aneurysmn
TIER 2-EMERGENT:
Vertebral dissection, Myasthenia gravis,
Important Causes ... Diplopia TIER 1-CRITICAL ... apex syndrome, ... Miller-Fisher syndrome ... differential #diagnosis #ophthalmology
Ophthalmoplegia secondary to Orbital Apex Syndrome

A 61-year-old man presented with retro-orbital pain, near-complete ophthalmoplegia, loss of
Apex Syndrome ... #Apex #Syndrome ... #Clinical #Video ... #Ophthalmology ... #PhysicalExam #NEJM
Differential diagnoses for the neuro-ophthalmologic finding of diplopia.
Neoplastic: 
 • Intraorbital meningioma 
 • Pituitary adenoma
for the neuro-ophthalmologic ... Miller-Fisher syndrome ... apex fracture, ... orbitopathy) • Corneal ... Differential #Diagnosis #Causes
Orbital Apex Syndrome secondary to Herpes Zoster Ophthalmicus (HZO)

This 81 yo male was referred to our
Orbital Apex Syndrome ... Apex Syndrome secondary ... Orbital Apex Syndrome ... #Apex #Syndrome ... #physicalexam #
Blurry Vision - Differential Diagnosis Framework

Anatomical Approach to Eye Disease:
1. Lids/Lashes
2. Extraocular Muscles/Motility
3. Conjunctiva/Sclera
4. Cornea
5. Anterior
• Floaters Orbit ... : • Orbital cellulitis ... glaucoma • GCA • Adie ... differential #diagnosis #ophthalmology ... #causes
Horner's Syndrome on Physical Exam

A 75yoF was referred in for facial swelling and eyelid changes 1
tumors along the apex ... experience, the cause ... #clinical #video ... #ophthalmology ... #physicalexam #neurology
Intermittent Bilateral Exophthalmos (Alternating Exophthalmos and Enophthalmos) on Physical Exam

Observing this patient in silence for a
No orbital bruit ... The syndrome of ... Alternating #Bilateral #clinical ... #video #ophthalmology ... #physicalexam #