15 results
Diplopia - Double Vision - Differential Diagnosis Algorithm
Clinical Pearls:
 • Diplopia is almost always binocular.
 •
a mass as the cause ... Functional • Corneal ... large/unreactive pupil ... #Diplopia #DoubleVision ... #Ophthalmology
Seesaw nystagmus 
-> eye move in an opposed vertical fashion (one goes up while the other
Seesaw nystagmus ... commonly parasellar masses ... brainstem stroke, head trauma ... #ophthalmology ... #ocular #PhysicalExam
Traumatic Red Eye - Differential Diagnosis Algorithm
Surface Injury:
 • Corneal Abrasion
 • Ultraviolet Keratitis
 • Chemical
Traumatic Red Eye ... - Differential Diagnosis ... iridodialysis • Pupil ... #Algorithm #Causes ... #Ophthalmology
Adie's Pupil
What? Unknown nature & benign
 • Regular and mildly dilated pupil (4-6mm);
 • Light-near dissociaton;
females Differential Diagnosis ... dissociation • Other causes ... (trauma/orbital ... #PhysicalExam # ... neurology #ophthalmology
Approach to an Eye Exam

1. History
2. Obvious Physical Trauma
3. Initial Assessment
  A. Visual Acuity
Approach to an Eye ... Obvious Physical Trauma ... Pupils a. ... Cornea D. ... #PhysicalExam
Seesaw Nystagmus 

Sawtooth or seesaw nystagmus is an unusual but characteristic type of nystagmus. Typically there
elevation in one eye ... We have varied causes ... , such as trauma ... #sawtooth #physicalexam ... clinical #video #ophthalmology
Red Eye - Differential Diagnosis Framework

What?
Redness in the eye can be caused by many conditions and
Diagnosis Framework ... cellulitis • Globe trauma ... • Trauma? ... #differential #diagnosis ... #ophthalmology
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 #
Differential Diagnosis for Vision Loss
Unilateral, Painful Vision Loss:
 • Corneal abrasion, Acute angle-closure glaucoma, Inflammation-iritis, uveitis,
Differential Diagnosis ... Vision Loss: • Corneal ... , Trauma Unilateral ... , Trauma Bilateral ... #causes #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
- Differential Diagnosis ... Trauma Cornea ... GCA • Adie’s pupil ... #ophthalmology ... #causes