12 results
Convergence Retraction Nystagmus with a left 6th nerve palsy

Caused by a Midbrain hemorrhage

Dr. Boby Varkey Maramattom
Convergence Retraction Nystagmus ... left 6th nerve palsy ... Convergence #retraction #nystagmus ... physicalexam #clinical #video ... #neurology #ophthalmology
Congenital Nystagmus on Physical Exam
These abnormal eye movements were found in a patient with albinism. What
Diagnosis: Congenital ... achromatopsia, & formal ophthalmology ... Cooper Neurology ... ocular #clinical #video ... #neurology #ophthalmology
Localizing Extraocular Movement Disorders
 • CN Ill (Oculomotor) Nerve Palsy 
 • CN IV (Trochlear) Nerve
Oculomotor) Nerve Palsy ... Trochlear) Nerve palsy ... #Localization #ophthalmology ... #neurology #differential ... #diagnosis #ocular
Wernicke Encephalopathy - Triad

Encephalopathy 
 • Disorientation 
 • Indifference 
 • Inattentiveness 
Ocular motor dysfunction
dysfunction • Nystagmus ... Lateral rectus palsy ... Ataxia • Gait ... Syndrome #Triad #Diagnosis ... #Neurology #Thiamine
Adie's Pupil
What? Unknown nature & benign
 • Regular and mildly dilated pupil (4-6mm);
 • Light-near dissociaton;
Young females Differential ... Diagnosis: • CN ... Ill Palsy - ... #PhysicalExam #neurology ... #ophthalmology
One and a Half Syndrome on Physical Exam

This 28 year old patient presented to clinic with
A nystagmus in far ... the follow up video ... the hospital, diagnosed ... #ophthalmology ... #neurology
Wernicke's Encephalopathy 
CLINICAL TRIAD: only seen in 1/4 pts 
W.E. is often under diagnosed 
1. ENCEPHALOPATHY
is often under diagnosed ... DYSFUNCTION (29%) Nystagmus ... Lateral Rectus Palsy ... GAIT ATAXIA (23% ... #triad #neurology
Diplopia - Double Vision - Differential Diagnosis Algorithm
Clinical Pearls:
 • Diplopia is almost always binocular.
 •
Double Vision - Differential ... • CN VI palsy ... ptosis with CN Ill palsy ... • Neurologic ... #Causes #Ophthalmology
Characteristic eye movements found in Downbeat Nystagmus

Downbeat nystagmus (downward fast phase) is the most common of
The differential ... Video by Kathleen ... #Vertical #Ophthalmology ... #Neurology #Clinical ... #Video #Ocular
Ptosis - Differential Diagnosis Framework

Ptosis (Greek- to fall) Drooping of the upper eyelid that usually results
Ptosis - Differential ... CN III palsy 2. ... • Third nerve palsy ... #Differential # ... Diagnosis #ophthalmology