19 results
Adie's Pupil on Physical Exam

Adie's pupil is a neurological disorder characterized by a tonically dilated pupil
a neurological disorder ... It is caused by ... inflammation, and affects ... clinical #video #ophthalmology ... #neurology #syndrome
Adie's Pupil
What? Unknown nature & benign
 • Regular and mildly dilated pupil (4-6mm);
 • Light-near dissociaton;
Holmes-Adie Syndrome ... females Differential Diagnosis ... : • CN Ill Palsy ... dissociation • Other causes ... PhysicalExam #neurology #ophthalmology
Localizing Extraocular Movement Disorders
 • CN Ill (Oculomotor) Nerve Palsy 
 • CN IV (Trochlear) Nerve
• CN Ill (Oculomotor ... One-and-a-half Syndrome ... Skew Deviation Casey ... #Localization #ophthalmology ... #differential #diagnosis
Anisocoria - Pupillary Defects - Differential Diagnosis Algorithm

Physiological - Simple Anisocoria ( <O.5mm)
 - Anisocoria equal
- Differential Diagnosis ... pilocarpine • Oculomotor ... pilocarpine • Tonic (Adie's ... #Algorithm #Causes ... #Ophthalmology
Adie’s Tonic Pupil on Physical Exam

A young female was referred in for a sudden onset anisocoria.
Adie’s Tonic Pupil ... unilateral and affects ... would suggest oculomotor ... nerve palsy. ... clinical #video #ophthalmology
Neuromyelitis Optica (NMO) - Clinical Manifestations
 • Optic neuritis: Reduced visual acuity, ranging from mild to
involvement: Intractable nausea ... (e.g. oculomotor ... Motor and sensory deficits ... Comorbid autoimmune disorders ... Manifestations #diagnosis
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 ... • Visual field defect ... #ophthalmology ... #causes
Hepatopulmonary Syndrome - Diagnosis and Management Summary
A defect in arterial oxygenation due to a gas exchange
Hepatopulmonary Syndrome ... a gas exchange disorder ... lung disease Caused ... ) on room air Treatment ... #treatment #hepatology
Micronutrient Deficiencies After Gastric Bypass
Fat-Soluble Vitamins:
 • Vitamin A - Night/complete blindness, xeropthalmia (pathologic dryness of
encephalopathy, oculomotor ... ataxia), Korsakoff syndrome ... anemia, cognitive deficits ... vitamin #nutrition #table ... #differential #diagnosis
Orbital Apex Syndrome secondary to Herpes Zoster Ophthalmicus (HZO)

This 81 yo male was referred to our
other potential causes ... the optic nerve, oculomotor ... receive proper treatment ... Neurological defects ... clinical #video #ophthalmology