11 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 ... abnormal extraocular movements ... dissociation • Other causes
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
Neuromyelitis Optica (NMO) - Clinical Manifestations
 • Optic neuritis: Reduced visual acuity, ranging from mild to
/pain upon eye movement ... involvement: Intractable nausea ... (e.g. oculomotor ... Motor and sensory deficits ... 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 ... or without eye movement ... #ophthalmology ... #causes
One and a Half Syndrome on Physical Exam

This 28 year old patient presented to clinic with
fasciculus), which causes ... (no horizontal movement ... The most common causes ... the hospital, diagnosed ... 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
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
Signs and Symptoms Associated With Different Headache Etiologies
 • Nonfocal mental status changes - Meningitis, encephalitis,
vasoconstriction syndrome ... with third nerve palsy ... • Extraocular movement ... deficits (CN Ill ... #differential #diagnosis