936 results
Important Causes of Diplopia 
TIER 1-CRITICAL
Basilar artery thrombosis, Botulism, Basilar meningitis, Aneurysmn
TIER 2-EMERGENT:
Vertebral dissection, Myasthenia gravis,
Important Causes ... Diplopia TIER 1-CRITICAL ... apex syndrome, ... Graves disease), Ophthalmoplegic ... #differential #diagnosis
Ophthalmoplegia secondary to Orbital Apex Syndrome

A 61-year-old man presented with retro-orbital pain, near-complete ophthalmoplegia, loss of
Ophthalmoplegia ... secondary to Orbital ... Apex Syndrome ... #Ophthalmoplegia ... #Syndrome #Clinical
Proptosis - Differential Diagnosis - Unilateral vs Bilateral
Unilateral:
 • Infections (can become bilateral with cavernous sinus
- Differential Diagnosis ... Vascular - Orbital ... Eye redness • Ophthalmoplegia ... #Differential #Diagnosis ... Unilateral #Bilateral #Causes
Orbital Cellulitis: Pathogenesis and Clinical Findings
Definitions:
a. Chemosis: Edema of the bulbar conjunctiva
b. Panopthalmitis: inflammation of all
Orbital Cellulitis ... Pathogenesis and Clinical ... anterior to the orbital ... eye movement or opthalmoplegia ... ophthalmology #diagnosis
Tolosa-Hunt Syndrome
What?
 • Unilateral orbital/retrobulbar pain
 • Paresis of the cranial nerves Ill, IV, VI
 •
Tolosa-Hunt Syndrome ... • Unilateral orbital ... fissure or orbit ... #Tolosa #Hunt #Syndrome ... TolosaHunt #neurology #diagnosis
Wall-eyed bilateral inter nuclear ophthalmoplegia (WEBINO) Syndrome

In this specific case, the lesion is bilaterally in the
inter nuclear ophthalmoplegia ... (WEBINO) Syndrome ... this specific case ... #internuclear #ophthalmoplegia ... WEBINO #Neurology #Clinical
Orbital Apex Syndrome secondary to Herpes Zoster Ophthalmicus (HZO)

This 81 yo male was referred to our
Orbital Apex Syndrome ... ptosis, severe ophthalmoplegia ... other potential causes ... Orbital Apex Syndrome ... Ophthalmicus #HZO #clinical
Diplopia - Differential Diagnosis
Step 1: Consider Stroke
Step 2: Diplopia PLUS
 - Cavernous Sinus Syndrome
 - Infection
- Differential Diagnosis ... Cavernous Sinus Syndrome ... Severe HA - Orbital ... Apex Syndrome ... #Algorithm #Causes
Atraumatic Red Eye - Differential Diagnosis Algorithm
Lids / Orbit / Lacrimal System:
 • Blepharitis
 • Stye
- Differential Diagnosis ... Algorithm Lids / Orbit ... cellulitis • Orbital ... #Differential #Diagnosis ... #Algorithm #Causes
Differential diagnoses for the neuro-ophthalmologic finding of diplopia.
Neoplastic: 
 • Intraorbital meningioma 
 • Pituitary adenoma
Differential diagnoses ... Miller-Fisher syndrome ... • Orbital myositis ... #Differential #Diagnosis ... #Causes #Ophthalmology