9 results
Anisocoria - Pupillary Defects - Differential Diagnosis Algorithm

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

A young female was referred in for a sudden onset anisocoria.
In this case, the ... than 3mm in this case ... 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 ... dissociation • Other causes ... • Physiologic Anisocoria ... #PhysicalExam #neurology ... #ophthalmology
Diplopia - Double Vision - Differential Diagnosis Algorithm
Clinical Pearls:
 • Diplopia is almost always binocular.
 •
Double Vision - Differential ... • Neurologic ... large/unreactive pupil ... #DoubleVision #Differential ... #Ophthalmology
Localizing Extraocular Movement Disorders
 • CN Ill (Oculomotor) Nerve Palsy 
 • CN IV (Trochlear) Nerve
Disorders • CN Ill ... (Oculomotor) Nerve ... Skew Deviation Casey ... #Localization #ophthalmology ... #neurology #differential
Horner's Syndrome on Physical Exam

A 75yoF was referred in for facial swelling and eyelid changes 1
experience, the cause ... 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 ... other potential causes ... 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