95 results
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 ... #Ophthalmoplegia ... #Orbital #Apex ... #Syndrome #Clinical
Important Causes of Diplopia 
TIER 1-CRITICAL
Basilar artery thrombosis, Botulism, Basilar meningitis, Aneurysmn
TIER 2-EMERGENT:
Vertebral dissection, Myasthenia gravis,
Diplopia TIER 1-CRITICAL ... encephalopathy, Orbital ... Graves disease), Ophthalmoplegic ... , pseudotumor, Orbital ... #differential #diagnosis
Proptosis - Differential Diagnosis - Unilateral vs Bilateral
Unilateral:
 • Infections (can become bilateral with cavernous sinus
- Differential Diagnosis ... thrombosis) - Orbital ... Vascular - Orbital ... Eye redness • Ophthalmoplegia ... #Differential #Diagnosis
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
Orbital Apex Syndrome secondary to Herpes Zoster Ophthalmicus (HZO)

This 81 yo male was referred to our
Orbital Apex Syndrome ... evaluation for possible orbital ... ptosis, severe ophthalmoplegia ... Orbital Apex Syndrome ... Ophthalmicus #HZO #clinical
Heliotrope Rash in Dermatomyositis

Peri-orbital edema and the heliotrope rash that we are all familiar with. Eyelid
Dermatomyositis Peri-orbital ... #Dermatology #Clinical ... #Photo #Face
Ptosis - Differential Diagnosis Framework

Ptosis (Greek- to fall) Drooping of the upper eyelid that usually results
- Differential Diagnosis ... think about three clinical ... Supranuclear lesions • Ophthalmoplegia ... laceration or orbital ... prolapse of the orbital
Central Retinal Artery Occlusion (CRAO)
Clinical:
 • Sudden, painless, complete loss of vision 
 • Pale retina
Occlusion (CRAO) Clinical ... ophthalmology consult • Orbital ... Occlusion #CRAO #Diagnosis ... #Clinical #Fundoscopy
Pulsatile Exophthalmos on Physical Exam - Protrusion and Pulsation of the eyeball

The differential diagnosis of pulsatile
The differential diagnosis ... carotid-cavernous fistula, orbital ... #PhysicalExam #clinical
Diplopia - Double Vision - Differential Diagnosis Algorithm
Clinical Pearls:
 • Diplopia is almost always binocular.
 •
- Differential Diagnosis ... Algorithm Clinical ... Migraine is a diagnosis ... Entrapment • Orbital ... Tumor • Orbital