8 results
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
Disorders • 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
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
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
Orbital Apex Syndrome secondary to Herpes Zoster Ophthalmicus (HZO)

This 81 yo male was referred to our
the optic nerve, oculomotor ... receive proper treatment ... Neurological defects ... is no mainstay treatment ... clinical #video #ophthalmology
Complications after Bariatric Surgery
Post Bariatric Intestinal Failure:
 • Severe protein malnutrition after bariatric surgery
 • More
Consider refeeding syndrome ... nutrients • TPN for treatment ... bypass causes increased ... Complications #gastric ... gastroenterology #diagnosis