9 results
Adie's Pupil
What? Unknown nature & benign
 • Regular and mildly dilated pupil (4-6mm);
 • Light-near dissociaton;
Adie's Pupil What ... mildly dilated pupil ... : • Adie's Pupil ... : • CN Ill Palsy ... of tonic pupil
Anisocoria Evaluation Flow Chart - Differential Diagnosis
1. Check pupillary reaction to light 
2. Measure pupil size.
Measure pupil size ... noted, re-measure pupil ... Tonic Pupil - ... #Ophthalmology ... #Pupillary #Pupils
Anisocoria - Pupillary Defects - Differential Diagnosis Algorithm

Physiological - Simple Anisocoria ( <O.5mm)
 - Anisocoria equal
- 10% cocaine: pupils ... ) Pupil (Ciliary ... Anisocoria #Pupillary #Pupils ... #Algorithm #Causes ... #Ophthalmology
CN III Palsy - Oculomotor Nerve
 • Ptosis: Loss of innervation of the levator palpebrae superior.
CN III Palsy - Oculomotor ... Ptosis is severe in comparison ... oblique • Dilated Pupil ... innervation to pupil ... Cranial #neurology #diagnosis
Mydriasis and Miosis - Differential Diagnosis Framework

Causes of Mydriasis:
Dilated pupils (mydriasis) more than 7mm
 • Unilateral
Mydriasis: Dilated pupils ... tonic pupil, Migraine ... : Constricted pupils ... Argyll Robertson pupils ... #ophthalmology
Unilateral Fixed Dilated Pupil - Differential Diagnosis Framework
If Altered Mental Status - Consider Oculomotor (3rd cranial
Fixed Dilated Pupil ... Status - Consider Oculomotor ... cranial nerve) Palsy ... no neurological cause ... Fixed #Dilated #Pupil
Adie’s Tonic Pupil on Physical Exam

A young female was referred in for a sudden onset anisocoria.
Adie’s Tonic Pupil ... Adie’s tonic pupil ... , the affected pupil ... nerve palsy. ... #Tonic #Pupil #
Diplopia - Double Vision - Differential Diagnosis Algorithm
Clinical Pearls:
 • Diplopia is almost always binocular.
 •
• CN VI palsy ... ptosis with CN Ill palsy ... large/unreactive pupil ... #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
- Differential Diagnosis ... glaucoma • GCA • Adie ... ’s pupil • Glaucoma ... #ophthalmology ... #causes