12 results
Isocoria - Pupillary Defects - Differential Diagnosis Algorithm
Relative Afferent Pupil Defect
 • Optic Neuritis
 • Ischemic
- Differential Diagnosis ... Algorithm Relative Afferent ... Neuropathies • Optic Nerve ... #Differential #Diagnosis ... Algorithm #Causes #Ophthalmology
Instructions on how to perform the swinging light test to detect a relative afferent pupillary defect.

http://www.cmaj.ca/content/early/2015/01/05/cmaj.140685

Normal
detect a relative afferent ... Left relative afferent ... Left relative afferent ... #Diagnosis #PhysicalExam ... #Ophthalmology
Afferent Pupillary Defect

An afferent pupillary defect passing through its timeline. The pupil that does not react
Afferent Pupillary ... The pupil that does ... clinical #video #neurology ... #ophthalmology ... #PhysicalExam #RAPD
Argyll Robertson Pupil
Definition:
 - Irregular and small (1-2mm) pupil
 - Light-near dissociation (accommodation remains intact)
 -
Argyll Robertson Pupil ... small (1-2mm) pupil ... #neurology #diagnosis ... #ophthalmology ... #physicalexam
Adie's Pupil
What? Unknown nature & benign
 • Regular and mildly dilated pupil (4-6mm);
 • Light-near dissociaton;
Adie's Pupil What ... mildly dilated pupil ... females Differential Diagnosis ... #PhysicalExam # ... neurology #ophthalmology
Relative Afferent Pupillary Defect

This maneuver of intermittent light stimulus is called the alternating light test or
Marcus Gunn's pupils ... very sensitive diagnostic ... Pupillary #Defect #Neurology ... Clinical #Video #Pupils ... #MacrusGunn #PhysicalExam
Adie’s Tonic Pupil on Physical Exam

A young female was referred in for a sudden onset anisocoria.
Adie’s Tonic Pupil ... suggest oculomotor nerve ... clinical #video #ophthalmology ... #physicalexam # ... neurology
Diplopia - Double Vision - Differential Diagnosis Algorithm
Clinical Pearls:
 • Diplopia is almost always binocular.
 •
- Differential Diagnosis ... • Neurologic ... Migraine is a 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 ... , abducens nerve ... clinical #video #ophthalmology ... #physicalexam # ... neurology
Horner's Syndrome on Physical Exam

A 75yoF was referred in for facial swelling and eyelid changes 1
consistent with a diagnosis ... how the right pupil ... clinical #video #ophthalmology ... #physicalexam # ... neurology #Anisocoria