37 results
Seesaw Nystagmus on Physical Exam

Ocular examination revealed rhythmic, torsional, and vertical movement in which the eye
Seesaw Nystagmus ... movement in which the eye ... up as the other eye ... #PhysicalExam #Clinical ... Ophthalmology #NEJM
Seesaw nystagmus 
-> eye move in an opposed vertical fashion (one goes up while the other
Seesaw nystagmus ... either pendular (seesaw ... or jerk (semi seesaw ... Seesaw nystagmus ... ophthalmology #clinical
Seesaw Nystagmus 

Sawtooth or seesaw nystagmus is an unusual but characteristic type of nystagmus. Typically there
Seesaw Nystagmus ... Sawtooth or seesaw ... elevation in one eye ... depression in the other eye ... #physicalexam #clinical
Marfan’s Syndrome with Ectopia Lentis - Slit-lamp examination revealed ectopia lentis in both eyes, including near-complete
lentis in both eyes ... lens in the right eye ... lens in the left eye ... #Clinical #Ophth ... LensDislocation #SlitLamp #NEJM
Acute Dacryocystitis- A 4-week-old boy was brought to the emergency department after having drainage from both
drainage from both eyes ... under his left eye ... drainage from both eyes ... the fever and eye ... #NEJM #clinical
Dirofilaria repens- Patient had first noted a nodule below her left eye (Panel A). Five days
below her left eye ... above her left eye ... Dirofilaria #repens #clinical ... #photo #NEJM #parasite
Diplopia - Double Vision - Differential Diagnosis Algorithm
Clinical Pearls:
 • Diplopia is almost always binocular.
 •
Double Vision - Differential ... Diagnosis Algorithm Clinical ... • Examine both eyes ... Cranial Nerve IV - Eye ... #DoubleVision #Differential
Retinal Vasculitis in Takayasu’s Arteritis- ...Ophthalmologic examination revealed severe impairment, with perception of only light in
light in the right eye ... motion in the left eye ... perfusion of the eye ... #NEJM #clinical
Stroke Evaluation and Management Algorithm

Clinical suspicion of stroke (BE FAST)
 • Balance loss
 • Eyes: vision
Management Algorithm Clinical ... Balance loss • Eyes ... Algorithm #diagnosis #differential
Persistent Pupillary Membrane - A routine slit-lamp examination showed evidence of persistent pupillary membranes in both
membranes in both eyes ... shows the right eye ... Panel B the left eye ... ) #Clinical #Ophth ... PersistentPupillaryMembrane #SlitLamp #NEJM