14 results
Adie’s Tonic Pupil on Physical Exam

A young female was referred in for a sudden onset anisocoria.
a sudden onset anisocoria ... the exception of anisocoria ... evaluation of anisocoria ... clinical #video #ophthalmology ... #physicalexam #neurology
Adie's Pupil
What? Unknown nature & benign
 • Regular and mildly dilated pupil (4-6mm);
 • Light-near dissociaton;
• Physiologic Anisocoria ... #PhysicalExam #neurology ... #ophthalmology
Horner's Syndrome on Physical Exam

A 75yoF was referred in for facial swelling and eyelid changes 1
referred in for facial ... clinical #video #ophthalmology ... #physicalexam #neurology ... #Anisocoria
Bell's Phenomenon on Physical Exam

Carles Bell realized that when trying to close the eye on the
the peripheral facial ... #PhysicalExam #ophthalmology ... #neurology
Localizing Extraocular Movement Disorders
 • CN Ill (Oculomotor) Nerve Palsy 
 • CN IV (Trochlear) Nerve
Nerve palsy • Medial ... #Localization #ophthalmology ... #neurology #differential
Figure 1: Corneal ring infiltrate in a patient with #Acanthamoeba #keratitis.  Acanthamoeba keratitis is a
ring infiltrate, radial ... #clinical #photo ... #Ophthalmology
Diplopia - Double Vision - Differential Diagnosis Algorithm
Clinical Pearls:
 • Diplopia is almost always binocular.
 •
Neurologic ... Strictly Horizontal (Cranial ... Tumor • Trauma Cranial ... Aneurysm • Trauma Cranial ... Algorithm #Causes #Ophthalmology
Ptosis - Differential Diagnosis Framework

Ptosis (Greek- to fall) Drooping of the upper eyelid that usually results
Neurogenic Ptosis - Neurologic ... neuromuscular junction, cranial ... Syndrome #Ptosis #neurology ... Differential #Diagnosis #ophthalmology
Photophobia and Headache - Differential Diagnosis Framework

Why?
• The coexistence of photophobia and headache suggests the potential
Vasculitis Painful cranial ... differential #diagnosis #ophthalmology ... #Neurology
One and a Half Syndrome on Physical Exam

This 28 year old patient presented to clinic with
formation) and MLF (medial ... clinical #video #ophthalmology ... #neurology