14 results
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
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
Vision Loss - Differential Diagnosis
Chronic: 
  - Cornea: Scarring, Edema
  - Lens: Cataracts
- Differential Diagnosis ... Cataracts - Macula: Macular ... from pituitary tumor ... Abrasion, Anterior Uveitis ... #causes #ophthalmology
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 ... clinical #video #ophthalmology ... #physicalexam # ... neurology
Diplopia - Double Vision - Differential Diagnosis Algorithm
Clinical Pearls:
 • Diplopia is almost always binocular.
 •
- Differential Diagnosis ... • Neurologic ... large/unreactive pupil ... #Algorithm #Causes ... #Ophthalmology
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
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 ... Conjunctivitis • Uveitis ... GCA • Adie’s pupil ... #ophthalmology
Strabismus - Ocular Misalignment - Differential Diagnosis Algorithm
Phoria:
 • Latent deviation
 • Symmetrical corneal light reflex,
Strabismus - Ocular ... - Differential Diagnosis ... large/unreactive pupil ... #Algorithm #Causes ... #Ophthalmology
Orbital Apex Syndrome secondary to Herpes Zoster Ophthalmicus (HZO)

This 81 yo male was referred to our
a non-reactive pupil ... exam revealed a uveitis ... acetate to help with ocular ... #physicalexam # ... neurology