15 results
Adie's Pupil on Physical Exam

Adie's pupil is a neurological disorder characterized by a tonically dilated pupil
It is caused by ... infection which causes ... #Pupil #PhysicalExam ... clinical #video #ophthalmology ... #neurology #syndrome
Adie's Pupil
What? Unknown nature & benign
 • Regular and mildly dilated pupil (4-6mm);
 • Light-near dissociaton;
Adie's Pupil What ... Holmes-Adie Syndrome ... dissociation • Other causes ... #Pupil #PhysicalExam ... #neurology #ophthalmology
Anisocoria Evaluation Flow Chart - Differential Diagnosis
1. Check pupillary reaction to light 
2. Measure pupil size.
- Horner's Syndrome ... CN III Palsy - Pharmacologic ... Dilatation - Adie's ... Differential #Diagnosis #Ophthalmology
Mydriasis and Miosis - Differential Diagnosis Framework

Causes of Mydriasis:
Dilated pupils (mydriasis) more than 7mm
 • Unilateral
closure glaucoma, Adie's ... response, Serotonin syndrome ... Miosis: Horner's syndrome ... differential #diagnosis #ophthalmology ... #causes
Adie’s Tonic Pupil on Physical Exam

A young female was referred in for a sudden onset anisocoria.
Adie’s Tonic Pupil ... Adie’s tonic pupil ... anterior_seg_rocks #Adies ... clinical #video #ophthalmology ... #physicalexam #
Anisocoria - Pupillary Defects - Differential Diagnosis Algorithm

Physiological - Simple Anisocoria ( <O.5mm)
 - Anisocoria equal
pilocarpine • Tonic (Adie's ... pilocarpine • Pharmacologic ... Diagnosis #Algorithm #Causes ... #Ophthalmology
Isocoria - Pupillary Defects - Differential Diagnosis Algorithm
Relative Afferent Pupil Defect
 • Optic Neuritis
 • Ischemic
dissociation) • Pharmacologic ... Midbrain (Parinaud's Syndrome ... • Botulism Pharmacologic ... Diagnosis #Algorithm #Causes ... #Ophthalmology
Horner's Syndrome on Physical Exam

A 75yoF was referred in for facial swelling and eyelid changes 1
Horner's Syndrome ... diagnosis of Horner's syndrome ... experience, the cause ... clinical #video #ophthalmology ... #physicalexam #
Blurry Vision - Differential Diagnosis Framework

Anatomical Approach to Eye Disease:
1. Lids/Lashes
2. Extraocular Muscles/Motility
3. Conjunctiva/Sclera
4. Cornea
5. Anterior
glaucoma • GCA • Adie ... • Sjögren’s syndrome ... hyperviscosity syndrome ... differential #diagnosis #ophthalmology ... #causes
One and a Half Syndrome on Physical Exam

This 28 year old patient presented to clinic with
One and a Half Syndrome ... fasciculus), which causes ... The most common causes ... #PhysicalExam # ... clinical #video #ophthalmology