9 results
Anisocoria Evaluation Flow Chart - Differential Diagnosis
1. Check pupillary reaction to light 
2. Measure pupil size.
Anisocoria Evaluation ... If anisocoria iS ... - Horner's Syndrome ... - CN III Palsy ... Differential #Diagnosis #Ophthalmology
Adie's Pupil
What? Unknown nature & benign
 • Regular and mildly dilated pupil (4-6mm);
 • Light-near dissociaton;
Holmes-Adie Syndrome ... Diagnosis: • CN Ill Palsy ... • Physiologic Anisocoria ... #PhysicalExam #neurology ... #ophthalmology
Localizing Extraocular Movement Disorders
 • CN Ill (Oculomotor) Nerve Palsy 
 • CN IV (Trochlear) Nerve
• CN VI (Abducens ... ) Nerve palsy • ... One-and-a-half Syndrome ... #Localization #ophthalmology ... #neurology #differential
Adie’s Tonic Pupil on Physical Exam

A young female was referred in for a sudden onset anisocoria.
a sudden onset anisocoria ... denotes anisocoria ... oculomotor nerve palsy ... #video #ophthalmology ... #physicalexam #neurology
Bilateral tonic pupils observed in the patient with Ross syndrome. 
Absence of bilateral pupillary contraction despite
Bilateral tonic pupils ... #tonic #pupils # ... clinical #video #ophthalmology ... #bilateral #reflex ... #neurology #absent
The Neurological Evaluation of a Comatose Patient

Definition:
 • Coma: a state of unresponsiveness; the absence of
Unresponsive wakefulness syndrome ... • Locked-in syndrome ... • Gag reflex ... Pupils: • Anisocoria ... #PhysicalExam #neurology
Horner's Syndrome on Physical Exam

A 75yoF was referred in for facial swelling and eyelid changes 1
Horner's Syndrome ... how the right pupil ... clinical #video #ophthalmology ... #physicalexam #neurology ... #Anisocoria
HORNY PAMELA Mnemonic for Horner’s Syndrome

Horner’s syndrome is classically associated with ptosis, miosis, and anhidrosis.
severe than CN III palsy ... ciliary-spinal reflex ... A - Anisocoria - ... Unequal pupil sizes ... #Diagnosis #Neurology
Orbital Apex Syndrome secondary to Herpes Zoster Ophthalmicus (HZO)

This 81 yo male was referred to our
Orbital Apex Syndrome ... a non-reactive pupil ... trochlear nerve, abducens ... clinical #video #ophthalmology ... #physicalexam #neurology