13 results
Pupillary Abnormalities  Overview
 - Unequal Pupils (anisocoria)
 - Tonic pupil (Adie's pupil)
 - OculomotorNerve (CN
Pupillary Abnormalities ... (Adie's pupil) ... - Homer's Syndrome ... and One Blind Eye ... #Diagnosis #Ophthalmology
Adie's Pupil
What? Unknown nature & benign
 • Regular and mildly dilated pupil (4-6mm);
 • Light-near dissociaton;
Adie's Pupil What ... Holmes-Adie Syndrome ... : • Adie's Pupil ... females Differential Diagnosis ... #neurology #ophthalmology
Adie's Pupil on Physical Exam

Adie's pupil is a neurological disorder characterized by a tonically dilated pupil
Adie's Pupil on ... of the eye and ... #clinical #video ... #ophthalmology ... #neurology #syndrome
Anisocoria Evaluation Flow Chart - Differential Diagnosis
1. Check pupillary reaction to light 
2. Measure pupil size.
Check pupillary ... - Horner's Syndrome ... Dilatation - Adie's ... #Ophthalmology ... #Pupillary #Pupils
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
relative afferent pupillary ... Both pupils should ... Both pupils should ... #Diagnosis #PhysicalExam ... #Ophthalmology
Adie’s Tonic Pupil on Physical Exam

A young female was referred in for a sudden onset anisocoria.
Adie’s Tonic Pupil ... Adie’s tonic pupil ... Syphilis should ... #ophthalmology ... #physicalexam #neurology
Marcus-Gunn Pupil - Pupillary dilation in response to light on the left eye and a preserved
Marcus-Gunn Pupil ... light on the left eye ... #clinical #video ... #ocular #neurology ... #ophthalmology
Bilateral tonic pupils observed in the patient with Ross syndrome. 
Absence of bilateral pupillary contraction despite
Bilateral tonic pupils ... Absence of bilateral pupillary ... clinical #video ... #ophthalmology # ... bilateral #reflex #neurology
Horner's Syndrome on Physical Exam

A 75yoF was referred in for facial swelling and eyelid changes 1
) of the right eye ... consistent with a diagnosis ... how the right pupil ... #ophthalmology ... #physicalexam #neurology
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 ... glaucoma • GCA • Adie ... ’s pupil • Glaucoma ... • Sjögren’s syndrome ... #ophthalmology