11 results
Pupillary Abnormalities  Overview
 - Unequal Pupils (anisocoria)
 - Tonic pupil (Adie's pupil)
 - OculomotorNerve (CN
(anisocoria) ... (CN Ill) Paralysis ... #Diagnosis #Ophthalmology ... Abnormalities #Differential ... #Types #Anisocoria
Anisocoria - Pupillary Defects - Differential Diagnosis Algorithm

Physiological - Simple Anisocoria ( <O.5mm)
 - Anisocoria equal
Defects - Differential ... • Oculomotor Nerve ... Fascicle (Other CN Ill ... #Defects #Differential ... Algorithm #Causes #Ophthalmology
Isocoria - Pupillary Defects - Differential Diagnosis Algorithm
Relative Afferent Pupil Defect
 • Optic Neuritis
 • Ischemic
Isocoria - Pupillary ... Defects - Differential ... Neuropathies • Optic Nerve ... #Defects #Differential ... Algorithm #Causes #Ophthalmology
Adie’s Tonic Pupil on Physical Exam

A young female was referred in for a sudden onset anisocoria.
unaffected eye will ... will become smaller ... suggest oculomotor nerve ... #video #ophthalmology ... #physicalexam #neurology
Adie's Pupil
What? Unknown nature & benign
 • Regular and mildly dilated pupil (4-6mm);
 • Light-near dissociaton;
Young females Differential ... Diagnosis: • CN Ill ... • Physiologic Anisocoria ... #PhysicalExam #neurology ... #ophthalmology
Localizing Extraocular Movement Disorders
 • CN Ill (Oculomotor) Nerve Palsy 
 • CN IV (Trochlear) Nerve
Disorders • CN Ill ... (Oculomotor) Nerve ... IV (Trochlear) Nerve ... #Localization #ophthalmology ... #neurology #differential
Diplopia - Double Vision - Differential Diagnosis Algorithm
Clinical Pearls:
 • Diplopia is almost always binocular.
 •
Double Vision - Differential ... • Neurologic ... large/unreactive pupil ... #DoubleVision #Differential ... Algorithm #Causes #Ophthalmology
Horner's Syndrome on Physical Exam

A 75yoF was referred in for facial swelling and eyelid changes 1
The video highlights ... how the right pupil ... #ophthalmology ... #physicalexam #neurology ... #Anisocoria
Orbital Apex Syndrome secondary to Herpes Zoster Ophthalmicus (HZO)

This 81 yo male was referred to our
a non-reactive pupil ... , abducens nerve ... HZO #clinical #video ... #ophthalmology ... #physicalexam #neurology
The Neurological Evaluation of a Comatose Patient

Definition:
 • Coma: a state of unresponsiveness; the absence of
consciousness Differential ... • Mutism Pathophysiology ... threat Cranial Nerves ... Cough reflex Pupils ... : • Anisocoria