19 results
Adie's Pupil
What? Unknown nature & benign
 • Regular and mildly dilated pupil (4-6mm);
 • Light-near dissociaton;
Holmes-Adie Syndrome ... : • CN Ill Palsy ... dissociation • Other causes ... #PhysicalExam #neurology ... #ophthalmology
Adie's Pupil on Physical Exam

Adie's pupil is a neurological disorder characterized by a tonically dilated pupil
It is caused by ... infection which causes ... inflammation, and affects ... clinical #video #ophthalmology ... #neurology #syndrome
Localizing Extraocular Movement Disorders
 • CN Ill (Oculomotor) Nerve Palsy 
 • CN IV (Trochlear) Nerve
Disorders • CN Ill (Oculomotor ... One-and-a-half Syndrome ... #Localization #ophthalmology ... #neurology #differential ... #diagnosis #ocular
Unilateral Fixed Dilated Pupil - Differential Diagnosis Framework
If Altered Mental Status - Consider Oculomotor (3rd cranial
Status - Consider Oculomotor ... cranial nerve) Palsy ... no neurological cause ... • Medication effects ... #neurology
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.
unilateral and affects ... would suggest oculomotor ... nerve palsy. ... clinical #video #ophthalmology ... #physicalexam #neurology
Neuromyelitis Optica (NMO) - Clinical Manifestations
 • Optic neuritis: Reduced visual acuity, ranging from mild to
involvement: Intractable nausea ... (e.g. oculomotor ... Motor and sensory deficits ... Manifestations #diagnosis ... #neurology #symptoms
One and a Half Syndrome on Physical Exam

This 28 year old patient presented to clinic with
fasciculus), which causes ... The most common causes ... the hospital, diagnosed ... clinical #video #ophthalmology ... #neurology
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 ... clinical #video #ophthalmology ... #physicalexam #neurology
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