10 results
Adie's Pupil
What? Unknown nature & benign
 • Regular and mildly dilated pupil (4-6mm);
 • Light-near dissociaton;
Adie's Pupil What ... : • Adie's Pupil ... Young females Differential ... Diagnosis: • CN ... Ill Palsy -
Anisocoria Evaluation Flow Chart - Differential Diagnosis
1. Check pupillary reaction to light 
2. Measure pupil size.
Evaluation Flow Chart - Differential ... Diagnosis 1. ... Anisocoria - CN III Palsy ... Dilatation - Adie's ... #Diagnosis #Ophthalmology
Anisocoria - Pupillary Defects - Differential Diagnosis Algorithm

Physiological - Simple Anisocoria ( <O.5mm)
 - Anisocoria equal
Pupillary Defects - Differential ... Diagnosis Algorithm ... pilocarpine • Oculomotor ... pilocarpine • Tonic (Adie's ... #Causes #Ophthalmology
Unilateral Fixed Dilated Pupil - Differential Diagnosis Framework
If Altered Mental Status - Consider Oculomotor (3rd cranial
Fixed Dilated Pupil ... - Differential ... Status - Consider Oculomotor ... cranial nerve) Palsy ... no neurological cause
Localizing Extraocular Movement Disorders
 • CN Ill (Oculomotor) Nerve Palsy 
 • CN IV (Trochlear) Nerve
Disorders • CN Ill (Oculomotor ... Skew Deviation Casey ... #Localization #ophthalmology ... #neurology #differential ... #diagnosis #ocular
Adie’s Tonic Pupil on Physical Exam

A young female was referred in for a sudden onset anisocoria.
Adie’s Tonic Pupil ... Her ocular exam ... Adie’s tonic pupil ... would suggest oculomotor ... nerve palsy.
Mydriasis and Miosis - Differential Diagnosis Framework

Causes of Mydriasis:
Dilated pupils (mydriasis) more than 7mm
 • Unilateral
Mydriasis and Miosis - Differential ... Diagnosis Framework ... closure glaucoma, Adie's ... Mydriasis #Miosis #differential ... #diagnosis #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 ... #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
Diagnosis Framework ... Ocular Adverse Effects ... glaucoma • GCA • Adie ... ’s pupil • Glaucoma ... #diagnosis #ophthalmology
Strabismus - Ocular Misalignment - Differential Diagnosis Algorithm
Phoria:
 • Latent deviation
 • Symmetrical corneal light reflex,
Strabismus - Ocular ... Misalignment - Differential ... Diagnosis Algorithm ... large/unreactive pupil ... #Causes #Ophthalmology