15 results
Adie’s Tonic Pupil on Physical Exam

A young female was referred in for a sudden onset anisocoria.
Her ocular exam ... In this case, the ... than 3mm in this case ... clinical #video #ophthalmology ... #physicalexam #neurology
Horner's Syndrome on Physical Exam

A 75yoF was referred in for facial swelling and eyelid changes 1
) of the right eye ... consistent with a diagnosis ... clinical #video #ophthalmology ... #physicalexam #neurology ... #Anisocoria
Adie's Pupil
What? Unknown nature & benign
 • Regular and mildly dilated pupil (4-6mm);
 • Light-near dissociaton;
Holmes-Adie Syndrome ... dissociation • Other causes ... • Physiologic Anisocoria ... #PhysicalExam #neurology ... #ophthalmology
Localizing Extraocular Movement Disorders
 • CN Ill (Oculomotor) Nerve Palsy 
 • CN IV (Trochlear) Nerve
One-and-a-half Syndrome ... Skew Deviation Casey ... #Localization #ophthalmology ... #neurology #differential ... #diagnosis #ocular
Ptosis - Differential Diagnosis Framework

Ptosis (Greek- to fall) Drooping of the upper eyelid that usually results
Neurogenic Ptosis - Neurologic ... retraction of one eye ... contralateral eye ... #Ptosis #neurology ... #ophthalmology
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
Behçet's Syndrome
Systemic disease associated with inflammation of multiple organs, small-vessel vasculitis and large-vessel vasculopathy
Epidemiology:
 • Young
: Inflammatory eye ... skin injury) • Neurologic ... Genital ulcers • Eye ... inhibitors • Uveitis- Ophthalmology ... signs #symptoms #rheumatology
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 ... Ocular Adverse Effects ... • Sjögren’s syndrome ... #ophthalmology ... #causes
Neuromyelitis Optica (NMO) - Clinical Manifestations
 • Optic neuritis: Reduced visual acuity, ranging from mild to
desaturation, Scotoma, Ocular ... pain/pain upon eye ... involvement: Intractable nausea ... Manifestations #diagnosis ... #neurology #symptoms
Orbital Apex Syndrome secondary to Herpes Zoster Ophthalmicus (HZO)

This 81 yo male was referred to our
around his left eye ... rash but his left eye ... acetate to help with ocular ... clinical #video #ophthalmology ... #physicalexam #neurology