14 results
Approach to an Eye Exam

1. History
2. Obvious Physical Trauma
3. Initial Assessment
  A. Visual Acuity
Pupils a. ... Light Reflex, Accommodation ... Iris F. ... EyeExamination #Approach #Ophthalmology ... #PhysicalExam
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 tumor ... #PhysicalExam # ... neurology #ophthalmology
Marcus-Gunn Pupil - Pupillary dilation in response to light on the left eye and a preserved
Marcus-Gunn Pupil ... #Pupillary #reflex ... clinical #video #ocular ... #neurology #ophthalmology ... tuberous #sclerosis #physicalexam
Adie’s Tonic Pupil on Physical Exam

A young female was referred in for a sudden onset anisocoria.
Her ocular exam ... control of the iris ... clinical #video #ophthalmology ... #physicalexam # ... neurology
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 ... Iris 7. ... GCA • Adie’s pupil ... #ophthalmology ... #causes
Horner's Syndrome on Physical Exam

A 75yoF was referred in for facial swelling and eyelid changes 1
facial swelling and eyelid ... consistent with a diagnosis ... how the right pupil ... #physicalexam # ... neurology #Anisocoria
Relative Afferent Pupillary Defect

This maneuver of intermittent light stimulus is called the alternating light test or
the pupillary reflex ... very sensitive diagnostic ... regarding the cause ... Pupillary #Defect #Neurology ... #MacrusGunn #PhysicalExam
The Neurological Evaluation of a Comatose Patient

Definition:
 • Coma: a state of unresponsiveness; the absence of
• Vestibulo-ocular ... reflex Pupils ... myoclonic movements, tremors ... caseyalbin #PhysicalExam ... #neurology #comatose
Diplopia - Double Vision - Differential Diagnosis Algorithm
Clinical Pearls:
 • Diplopia is almost always binocular.
 •
Neurologic ... a mass as the cause ... large/unreactive pupil ... #Algorithm #Causes ... #Ophthalmology
All About Horner's Syndrome

Horner's syndrome, known as 
"oculosympathetic paresis" by people 
who don't have friends, is
have friends, is caused ... ptosis (droop eyelid ... (constricted pupil ... Syndrome #Overview #Ophthalmology ... #Diagnosis #Neurology