7 results
Orbital Apex Syndrome secondary to Herpes Zoster Ophthalmicus (HZO)

This 81 yo male was referred to our
Orbital Apex Syndrome ... a non-reactive pupil ... acetate to help with ocular ... Orbital Apex Syndrome ... #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 ... (trauma/orbital ... #PhysicalExam #neurology ... #ophthalmology
Traumatic Red Eye - Differential Diagnosis Algorithm
Surface Injury:
 • Corneal Abrasion
 • Ultraviolet Keratitis
 • Chemical
Apex Injury / Retrobulbar ... iridodialysis • Pupil ... • Glaucoma • Optic ... Diagnosis #Algorithm #Causes ... #Ophthalmology
Diplopia - Double Vision - Differential Diagnosis Algorithm
Clinical Pearls:
 • Diplopia is almost always binocular.
 •
Double Vision - Differential ... • Neurologic ... large/unreactive pupil ... #DoubleVision #Differential ... #Ophthalmology
Blurry Vision - Differential Diagnosis Framework

Anatomical Approach to Eye Disease:
1. Lids/Lashes
2. Extraocular Muscles/Motility
3. Conjunctiva/Sclera
4. Cornea
5. Anterior
Blurry Vision - Differential ... Ocular Adverse Effects ... GCA • Adie’s pupil ... #diagnosis #ophthalmology ... #causes
Red Eye - Differential Diagnosis Framework

What?
Redness in the eye can be caused by many conditions and
Red Eye - Differential ... ophthalmicus • Orbital ... a Red Eye: • Optic ... #differential # ... diagnosis #ophthalmology
Vasculitis - Differential Diagnosis Framework

When to Consider Vasculitis:
• Purpura, ischemic skin lesions
• Mononeuritis multiplex
• Hematuria, proteinuria,
diminished, or tender pulses ... < 30 years • Aorta ... claudication, pulse ... Arteritis): • Aorta ... tract, and often causes