21 results
Pupillary Abnormalities  Overview
 - Unequal Pupils (anisocoria)
 - Tonic pupil (Adie's pupil)
 - OculomotorNerve (CN
(anisocoria) ... light indicate Argyll ... #Diagnosis #Ophthalmology ... Abnormalities #Differential ... GrepMed Recommended Text
Anisocoria Evaluation Flow Chart - Differential Diagnosis
1. Check pupillary reaction to light 
2. Measure pupil size.
Anisocoria Evaluation ... Flow Chart - Differential ... If anisocoria iS ... Evaluation #Algorithm #Differential ... #Diagnosis #Ophthalmology
Argyll Robertson Pupil
Definition:
 - Irregular and small (1-2mm) pupil
 - Light-near dissociation (accommodation remains intact)
 -
Argyll Robertson ... - Light-near dissociation ... @neudrawlogy #Argyll ... #neurology #diagnosis ... #ophthalmology
Isocoria - Pupillary Defects - Differential Diagnosis Algorithm
Relative Afferent Pupil Defect
 • Optic Neuritis
 • Ischemic
Isocoria - Pupillary ... Defects - Differential ... Syphilis (light-near ... #Defects #Differential ... Algorithm #Causes #Ophthalmology
Anisocoria - Pupillary Defects - Differential Diagnosis Algorithm

Physiological - Simple Anisocoria ( <O.5mm)
 - Anisocoria equal
Defects - Differential ... - 10% cocaine: pupils ... Tonic (Adie's) Pupil ... #Defects #Differential ... Algorithm #Causes #Ophthalmology
Adie's Pupil
What? Unknown nature & benign
 • Regular and mildly dilated pupil (4-6mm);
 • Light-near dissociaton;
6mm); • Light-near ... Young females Differential ... • Physiologic Anisocoria ... #PhysicalExam #neurology ... #ophthalmology
Argyll-Robertson Pupil on Physical Exam
Small (myotic), irregular pupil that do not react to light but do
Argyll-Robertson ... Pupil on Physical ... Medicalknowled1 #Argyll ... clinical #video #neurology ... #ophthalmology
Adie’s Tonic Pupil on Physical Exam

A young female was referred in for a sudden onset anisocoria.
a sudden onset anisocoria ... slightly reduced near ... lights with light near ... #video #ophthalmology ... #physicalexam #neurology
Instructions on how to perform the swinging light test to detect a relative afferent pupillary defect.

http://www.cmaj.ca/content/early/2015/01/05/cmaj.140685

Normal
swinging light test ... swinging light test ... object (to avoid a near ... swinging light test ... #PhysicalExam #Ophthalmology
Mydriasis and Miosis - Differential Diagnosis Framework

Causes of Mydriasis:
Dilated pupils (mydriasis) more than 7mm
 • Unilateral
Mydriasis and Miosis - Differential ... , Adie's tonic pupil ... CVA, Syphilis (Argyll ... Mydriasis #Miosis #differential ... #diagnosis #ophthalmology