22 results
Bilateral Lens Dislocation in Marfan syndrome - Slit Lamp Ocular Examination

Dr. Sebastian Vega @oftalmopo

#Bilateral #Lens #Dislocation
Bilateral Lens Dislocation ... in Marfan syndrome ... #syndrome #Ocular ... PhysicalExam #clinical #video ... #ophthalmology
Adie's Pupil on Physical Exam

Adie's pupil is a neurological disorder characterized by a tonically dilated pupil
i.e., light-near dissociation ... Deepak Gupta #Adies ... PhysicalExam #clinical #video ... #ophthalmology ... #neurology #syndrome
Upper Extremity Dermatomes and Myotomes
Motor Function
Shoulder:
 • Abduction - C5,C6 (axillary)
 • Adduction - C6, C7,
Erb's Palsy is caused ... hand" ± Horner Syndrome ... Carpal Tunnel Syndrome ... Anterior Shoulder Dislocation ... Dermatomes #Myotomes #diagnosis
Vision Loss - Differential Diagnosis
Chronic: 
  - Cornea: Scarring, Edema
  - Lens: Cataracts
- Differential Diagnosis ... Scarring, Edema - Lens ... Unilateral, Painless: Lens ... Dislocation, Retinal ... #causes #ophthalmology
Iridodonesis

Physical examination revealed iridodonesis, or “dancing” of the iris, which was elicited by rapid movement of
total or partial dislocation ... of the lens that ... with Marfan’s syndrome ... #PhysicalExam #Video ... #Ophthalmology
Adie's Pupil
What? Unknown nature & benign
 • Regular and mildly dilated pupil (4-6mm);
 • Light-near dissociaton;
Holmes-Adie Syndrome ... females Differential Diagnosis ... no light-near dissociation ... • Other causes ... PhysicalExam #neurology #ophthalmology
Lens Dislocation on Ocular POCUS
One of my favorite POCUS diagnoses! Recent study showed POCUS was 99%
Lens Dislocation ... favorite POCUS diagnoses ... PratsEM Amazing video ... #Lens #Dislocation ... POCUS #clinical #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
- Differential Diagnosis ... dislocation • ... • Sjögren’s syndrome ... #ophthalmology ... #causes
Isocoria - Pupillary Defects - Differential Diagnosis Algorithm
Relative Afferent Pupil Defect
 • Optic Neuritis
 • Ischemic
- Differential Diagnosis ... Syphilis (light-near dissociation ... Midbrain (Parinaud's Syndrome ... #Algorithm #Causes ... #Ophthalmology
Differential Diagnosis for Vision Loss
Unilateral, Painful Vision Loss:
 • Corneal abrasion, Acute angle-closure glaucoma, Inflammation-iritis, uveitis,
Differential Diagnosis ... vein occlusion, Lens ... dislocation, Ischemic ... #differential #diagnosis ... #causes #ophthalmology