16 results
Diplopia - Double Vision - Differential Diagnosis Algorithm
Clinical Pearls:
 • Diplopia is almost always binocular.
 •
Diagnosis Algorithm Clinical ... • Look for ptosis ... Functional • Corneal ... depressed, abducted, ptosis ... Algorithm #Causes #Ophthalmology
Differential diagnoses for the neuro-ophthalmologic finding of diplopia.
Neoplastic: 
 • Intraorbital meningioma 
 • Pituitary adenoma
for the neuro-ophthalmologic ... finding of diplopia ... • Myasthenia gravis ... orbitopathy) • Corneal ... VI palsy) #Diplopia
Important Causes of Diplopia 
TIER 1-CRITICAL
Basilar artery thrombosis, Botulism, Basilar meningitis, Aneurysmn
TIER 2-EMERGENT:
Vertebral dissection, Myasthenia gravis,
Important Causes of Diplopia ... TIER 1-CRITICAL ... dissection, Myasthenia gravis ... Thyroid myopathy (Graves ... differential #diagnosis #ophthalmology
Enhanced Ptosis - Curtain Sign in Myasthenia Gravis on Physical Exam

Because of bilateral eyelid innervation, when
Enhanced Ptosis ... in Myasthenia Gravis ... Sign #Myasthenia #Gravis ... #PhysicalExam #clinical ... video #neurology #ophthalmology
Enhanced Ptosis - Curtain Sign in Myasthenia Gravis on Physical Exam

Because of bilateral eyelid innervation, when
Enhanced Ptosis ... in Myasthenia Gravis ... Sign #Myasthenia #Gravis ... #PhysicalExam #clinical ... video #neurology #ophthalmology
Ocular Myasthenia Gravis on Physical Exam

A 41yo female was referred by her neurologist for double vision.
Her clinical exam ... and bilateral ptosis ... subsequently improved the diplopia ... and ptosis tremendously ... #video #ophthalmology
Keratoconjunctivitis: Inflammation of the conjunctiva and cornea secondary to Adenovirus infection.
Photo credit, Josh Fierer, M.D.

Charlie Goldberg,
conjunctiva and cornea ... Goldberg, M.D. - UCSD ... Catalog of Clinical ... Images #Clinical ... #Ophthalmology
Curtain Sign in Myasthenia Gravis on Physical Exam

Because of bilateral eyelid innervation, when the more affected
in Myasthenia Gravis ... enhancement of the ptosis ... #PhysicalExam #clinical ... video #neurology #ophthalmology ... #ocular #ptosis
Horner's Syndrome: Loss of sympathetic nervous system input to (in this case) right eye. 
Note that
left (known as ptosis ... Catalog of Clinical ... Images #Clinical ... #Ophthalmology ... #UCSDH
Corneal Ulcer: Marked generalized inflammation related to bacterial infection in this 
immunocompromised host. The cornea itself
Goldberg, M.D. - UCSD ... Catalog of Clinical ... Images #Clinical ... #Ophthalmology ... #Ulcer #UCSDH