9 results
Corneal Abrasion on Slit Lamp Ocular Examination

Seidel + in a patient with a beveled corneal wound
Corneal Abrasion ... secondary to nail trauma ... #Abrasion #Cornea ... fluorescein #Ocular #PhysicalExam ... clinical #video #ophthalmology
Traumatic Red Eye - Differential Diagnosis Algorithm
Surface Injury:
 • Corneal Abrasion
 • Ultraviolet Keratitis
 • Chemical
Abrasion • Ultraviolet ... alkali) Blunt Trauma ... iridodialysis • Pupil ... Diagnosis #Algorithm #Causes ... #Ophthalmology
Adie's Pupil
What? Unknown nature & benign
 • Regular and mildly dilated pupil (4-6mm);
 • Light-near dissociaton;
Adie's Pupil What ... dissociation • Other causes ... (trauma/orbital ... #PhysicalExam # ... neurology #ophthalmology
Differential Diagnosis for Vision Loss
Unilateral, Painful Vision Loss:
 • Corneal abrasion, Acute angle-closure glaucoma, Inflammation-iritis, uveitis,
Vision Loss: • Corneal ... abrasion, Acute ... exposure to eye, Trauma ... differential #diagnosis #causes ... #ophthalmology
Red Eye - Differential Diagnosis Framework

What?
Redness in the eye can be caused by many conditions and
abrasions, etc. ... cellulitis • Globe trauma ... : • Abrasion (+ ... • Trauma? ... differential #diagnosis #ophthalmology
Blurry Vision - Differential Diagnosis Framework

Anatomical Approach to Eye Disease:
1. Lids/Lashes
2. Extraocular Muscles/Motility
3. Conjunctiva/Sclera
4. Cornea
5. Anterior
Trauma Cornea ... abrasion • Astigmatism ... GCA • Adie’s pupil ... differential #diagnosis #ophthalmology ... #causes
Diplopia - Double Vision - Differential Diagnosis Algorithm
Clinical Pearls:
 • Diplopia is almost always binocular.
 •
a mass as the cause ... Functional • Corneal ... • Tumor • Trauma ... large/unreactive pupil ... #Ophthalmology
Approach to an Eye Exam

1. History
2. Obvious Physical Trauma
3. Initial Assessment
  A. Visual Acuity
Obvious Physical Trauma ... Pupils a. ... Cornea D. ... EyeExamination #Approach #Ophthalmology ... #PhysicalExam
Adie’s Tonic Pupil on Physical Exam

A young female was referred in for a sudden onset anisocoria.
recent illness or trauma ... In this case, the ... than 3mm in this case ... clinical #video #ophthalmology ... #physicalexam #